CardioExchange Archive

July 10th, 2012

Intensive Insulin Therapies Similarly Efficacious in Diabetes

Nicholas Downing, MD

Multiple daily insulin injections and continuous subcutaneous insulin analogue infusion are similarly effective in lowering hemoglobin A1c levels while limiting episodes of severe hypoglycemia in type 2 diabetes, according to a systematic review published in the Annals of Internal Medicine. The analysis included 33 randomized controlled trials among children and adults with type 1 or […]

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July 7th, 2012

New Algorithm for Patients with LBBB and Suspected MI

John W McEvoy, MB BCh BAO, Ian Neeland, MD, James De Lemos, MD and John Ryan, MD

John McEvoy reflects on the clinical scenario of selecting patients with left bundle-branch block and suspected MI for primary PCI — and on a new algorithm to help in the decision-making process. The authors who created the algorithm respond.

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July 6th, 2012

Panel: How to Develop the Best Fellowship Application — Part I

Andrew M. Kates, MD, James De Lemos, MD and John Ryan, MD

In this two-part post, the moderators of the Fellowship Training blog advise residents on everything from what not to say in the personal statement to whether you need to know your future career path.

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July 2nd, 2012

Selections from Richard Lehman’s Literature Review: July 2nd

Richard Lehman, BM, BCh, MRCGP

This week’s topics include pay for performance, Don Berwick’s Harvard commencement address, tPA for ischemic stroke in warfarin-treated patients, surgery for infective endocarditis, the American health care system, and the record number of RECORD studies.

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June 29th, 2012

What Does the Supreme Court’s Upholding of Healthcare Reform Mean for Doctors and Patients?

CardioExchange Editors, Staff

Weigh in on what the SCOTUS/ACA decision means to you, your patients, and your family

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June 29th, 2012

A Watershed Court Case? The Affordable Care Act and the Role of the U.S. Government in Healthcare

Sandeep Mangalmurti, MD, JD

Sandeep Mangalmurti, a cardiology fellow with a law degree and a strong interest in health policy, offers his analysis on some of the hidden implications of the court’s decision.

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June 28th, 2012

U.S. Supreme Court Upholds Most of Healthcare Law

The U.S. Supreme Court upheld the majority of the Affordable Care Act in a 5-4 decision on Thursday. With Chief Justice John Roberts writing the majority opinion, the court upheld the central component of the law — the individual mandate — which requires that most Americans have health insurance or pay a penalty. The court […]

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June 28th, 2012

What Reading That “Low-Carb Gives You Heart Disease” Paper Actually Told Me

Yoni Freedhoff, MD

A BMJ paper that concludes a low-carb diet can increase CV risk in women draws harsh words from Yoni Freedhoff.

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June 25th, 2012

Selections from Richard Lehman’s Literature Review: June 25th

Richard Lehman, BM, BCh, MRCGP

This week’s topics includes articles on industry regulation, the chronically comorbid, population risk for CV disease, and recombinant tissue plasminogen activator (rt-PA) for ischemic stroke.

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June 21st, 2012

PTSD Relatively Common Among Patients with Heart Disease

Roughly 1 in 8 patients with acute coronary syndromes subsequently suffers from post-traumatic stress disorder, according to a meta-analysis in PLoS ONE.

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