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Cardiology

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New guidelines

Guidelines for Appropriate Use of Cardiac Imaging in the ER

Appropriateness of imaging evaluated in 20 clinical scenarios for ER patients presenting with chest pain
Focused cardiac ultrasonographic examination can be used by trained internal medicine physicians to discriminate normal from reduced left ventricular systolic function

Focused Cardiac Ultrasonography Can Discriminate LVSF

Trained internal medicine physicians can differentiate normal from reduced left ventricular systolic function
For patients undergoing cardiac surgery

Glucose Levels Linked to Cardiac Surgery Outcomes

Levels ≥180 mg/dL tied to worse outcomes for most patients; not for those with insulin-treated diabetes
More Americans than ever are satisfied with their visits to the doctor

Patient Satisfaction With Doctors May Be on the Rise

Physician's expertise, time spent in exam room, and online access to info were key factors in trend
Intravenous thrombolysis treatment might benefit stroke patients who needed help with daily living before their stroke

IV Thrombolysis Aids Patients Dependent Before Their Stroke

Study finds favorable results among older adults who already had health problems
Depressive symptoms seem to be associated with coronary artery calcium in older men and women

Depressive Symptoms Linked to Coronary Artery Calcium

Negative association with CAC severity in women; nonlinear U-shaped association for men
For hearts donated after circulatory death

Profound Hypothermia Best Avoided in Initial Reperfusion

Minimizes injury and improves functional recovery of hearts donated after circulatory death
Very-low-energy diets seem to be beneficial for long-term weight loss

Review Shows Lasting Weight Loss for Very-Low-Energy Diets

VLEDs plus behavioral program achieves greater long-term weight loss than behavioral program alone
Atrial fibrillation is a stronger risk factor for stroke

A-Fib May Pose Bigger Threat to Women

Review found atrial fibrillation linked to higher risk of stroke, cardiac events, death in women
Physicians facing death are less likely to demand aggressive care

Physicians Choose Less Aggressive Care at End of Life

Doctors less likely to die in a hospital, have surgery, and to be admitted to the ICU