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In a report published online July 23 in BMJ Case Reports

Steroid Abuse Put 60-Year-Old Bodybuilder in the Hospital

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Patient was eventually diagnosed with non-ischemic cardiomyopathy
Adoption of the 2017 American College of Cardiology/American Heart Association hypertension guidelines would increase the proportion of 45- to 75-year-olds labeled as having hypertension in the United States and China

Use of 2017 ACC/AHA Guidelines Would Increase HTN Prevalence

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Adoption of the guidelines would label more than half of 45- to 75-year-olds as having hypertension
Assessing and improving patient satisfaction can help physicians avoid being sued for malpractice

Assessing, Improving Patient Satisfaction Cuts Malpractice Risk

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Patient satisfaction can be improved by reducing long wait times, improving communication
Use of appropriate statistical methodology can allow for the synthesis of data collected as part of traditional clinical trials with real-world data

Tools, Methods of RCTs Can Be Adapted to Real-World Settings

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3 options described for applying approaches used in randomized controlled trials to real-world data
For patients with depression following recent acute coronary syndrome

Escitalopram Cuts MACE Risk in Depressed Patients With ACS

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Higher risk of major adverse cardiac events with concurrent depression after acute coronary syndrome
The Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks Act may increase costs and reduce quality of health care for veterans

VA MISSION Act May Up Costs, Lower Vet Health Care Quality

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VA will have greater reliance on private sector care, which may not improve health status of veterans
Practices and physicians should prepare for emergency situations

Physicians and Practices Should Prepare for Emergencies

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Helpful strategies include developing a plan, knowing who will implement the plan, and staying flexible
Nitrogen dioxide does not affect the benefits of physical activity on the incidence or recurrence of myocardial infarction

Nitrogen Dioxide Doesn’t Impact Benefit of Exercise on MI

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Inverse link between participation in sports, cycling, and gardening with incident MI, despite air pollution
Sulfonylureas as second-line drugs for type 2 diabetes are associated with an increased risk of cardiovascular and hypoglycemic events compared with remaining on metformin monotherapy or adding to metformin therapy

Sulfonylureas As 2nd-Line T2DM Therapy Tied to Higher Event Risk

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Associated with increased risk of myocardial infarction, all-cause mortality, severe hypoglycemia
For patients hospitalized with decompensated heart failure

Portable Sleep Monitoring Accurate in Heart Failure Patients

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Respiratory polygraphy can accurately diagnose sleep apnea in patients hospitalized with heart failure