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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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NAFLD

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.
Consensus:
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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