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Atrial fibrillation in ED

November 14, 2010

From: American journal of Emergency Medicine
In this study IV flecanide, propafenone and amiadarone were used. End points was time to conversion, duration of AF And side effects . Flecanide and propafenone caused conversion to SR compared to amiadarone .

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i am back again

June 1, 2010

i have had a long break and happy to be back again

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April 30, 2010

Vitamin E is better than placebo but pioglitazone does not produce any significant change

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Atherosclerotic Renal Artery Stenosis - ASTRAL Investigators

November 25, 2009

Strudy has shown not surprisingly that there is no worthwhile clinical benefit from opening the vessel.
Saves lots of money

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VTE priphylaxis in cancer -guideline

VTE in cancer patients is associated with increased morbidity and mortality. Recent review in JCO.
1)Prolonged prophylaxis for hospitalised high risk surgical patients
2) prophylaxis not recommended for ambulatory cancer patients or fir central lines
3)LMH is preferred for long term treatment of VTE

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Extended release Niacin for carotid intima-media thickness

November 20, 2009

When you add extended release niacin to statin therapy the mean HDL cholestrol increased by 18% and significantly reduced LDL cholestrol and triglycerides. Mean carotid intima media wad signifantly reduced.
From NEJM nov 15,2009

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Early repolarisation

In a Finnish study ECG showing J point elevation of 0.1mV and 0.2mV in the inferior leads was sugnificantly associated with cardiac death

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