March 23rd, 2015
Selections from Richard Lehman’s Literature Review: March 23rd
Richard Lehman, BM, BCh, MRCGP
This week’s topics include antiplatelet therapy duration following bare metal or drug-eluting coronary stents, thrombolysis in acute ischemic stroke, and more.
August 13th, 2012
Selections from Richard Lehman’s Literature Review: August 13th
Richard Lehman, BM, BCh, MRCGP
This week’s topics include using existing data for new research; normal weight, diabetes, and non-CVD death; cholesterol levels in U.S. kids; statins and diabetes; HDL-C and MI protection; statin treatment; hypertension treatment; clopidogrel and PPIs; and an analysis behind the “innovation crisis” of the pharmaceutical industry.
August 7th, 2012
Survey Finds Significant Drop in Cholesterol Levels in Youths
Larry Husten, PHD
New data from the National Health and Nutrition Examination Survey (NHANES), published in JAMA, show significant and perhaps surprising improvements over the last 20 years in the lipid profile of youths aged 6-19 years. Among the key lipid parameters measured by the survey from 1988-1994 to 2007-2010: Total cholesterol decreased from 165 mg/dL to 160 mg/dL (p<0.001) Prevalence of […]
March 5th, 2012
New Insight Into Obesity and Physical Activity in Children
Karen Dorsey, MD, PhD
As obesity has increased among children, a clear link has been established between obesity and cardiovascular risk factors including high cholesterol, high blood pressure, and diabetes. However, less is known about whether being more physically active might protect children from developing these risk factors. Among adults, physical activity has been shown to reduce cardiovascular risk […]
November 12th, 2011
Controversy Over Cholesterol Testing for Children
Larry Husten, PHD
New guidelines from the NHLBI and the American Academy of Pediatrics recommend that all children age 9 to 11 should undergo cholesterol screening. Screening should then be repeated at 17 and 21 years of age. The new guidelines are scheduled to be officially introduced by panel member Patrick McBride at the AHA in Orlando on Sunday. “Previous […]
October 24th, 2011
Does This Child Have More Than an Arrhythmia?
Thierry Legendre, MD and James Fang, MD
An 11-year-old boy presents with palpitations. He has no family history of heart disease and is asymptomatic while playing competitive sports. His cardiac physical examination is normal, but his ECG (shown below) shows a Wolff-Parkinson-White pattern with a short PR interval and delta waves. A systematic echocardiogram reveals normal LV function, normal atrioventricular valves, and […]
August 10th, 2010
A Family Affair
Juan J. Rivera, MD, MHS
The surplus of specialists and neglect of primary and preventive care in modern American medicine has led to a very sharp focus on individuals, with little regard for families. A perfect example of how this imbalance has detrimental effects at the population level is the childhood obesity epidemic. Many healthcare professionals perceive obesity as an […]