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Herculean mistake: mephentermine associated cardiomyopathy.
Authors: Singal AK, Deepti S, Sharma G, Kothari SS Abstract Case presentation: A 32-year-old professional bodybuilder presented with acute decompensated heart failure. He gave a history of anabolic androgenic steroids (AAS) use for >2 years and mephentermine use for the preceding 3 months.Management: Transthoracic echocardiography showed severe left ventricular (LV) dysfunction with a large pedunculated, mobile thrombus attached to the ventricular apex. The patient had an embolic stroke during the hospital stay, with complete neurological recovery. Following the cessation of mephentermine use, there was a stea...
Source: The Physician and Sportsmedicine Online - May 16, 2020 Category: Sports Medicine Tags: Phys Sportsmed Source Type: research

The Significance of Preoperative Impaired Sensorium on Surgical Outcomes in Nonemergent General Surgical Operations
ImportanceWith an aging population, preoperative assessment of the frail older adult requires evaluation beyond simply accounting for chronic diseases. Impaired cognition is a recognized characteristic of the frail older adult.ObjectiveTo examine the effect of preoperative impaired sensorium (IS) on general surgical outcomes.Design, Setting, and ParticipantsRetrospective cohort study using data between January 2005 and December 2010 at academic and community hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program. Patients undergoing nonemergent general surgical operations ...
Source: JAMA Surgery - November 19, 2014 Category: Sports Medicine Source Type: research