Internal Medicine
Assessment and management of peripheral arterial disease: what every cardiologist should know.
2 Aug, 2021 | 00:15h | UTC
Commentary on Twitter
https://twitter.com/Heart_BMJ/status/1417391335246553094
Ten things to know about ten cardiovascular disease risk factors.
2 Aug, 2021 | 00:11h | UTC
Study: many patients with small renal masses can be safely managed with active surveillance.
2 Aug, 2021 | 00:07h | UTCCommentary: More Data Support Active Surveillance for Small Renal Masses — Most patients avoided surgery with no metastasis, better focus on aggressive disease – MedPage Today (free registration required)
Guideline summary: A Multidisciplinary collaborative approach to retinal toxic effects screening for patients taking antimalarials.
2 Aug, 2021 | 00:03h | UTCA Multidisciplinary Collaborative Approach to Retinal Toxic Effects Screening for Dermatology Patients Taking Antimalarials – JAMA Dermatology (free for a limited period)
Original Guidance: Joint Statement: Hydroxychloroquine use with respect to retinal toxicity
Does this adult patient have hypertension? the rational clinical examination systematic review.
2 Aug, 2021 | 00:05h | UTCDoes This Adult Patient Have Hypertension? The Rational Clinical Examination Systematic Review – JAMA (free for a limited period)
Viewpoint: The road to addressing Long Covid.
30 Jul, 2021 | 12:09h | UTCThe road to addressing Long Covid – Science (a few articles per month are free)
Related: Review: Long covid—mechanisms, risk factors, and management.
Commentary on Twitter
On #LongCovid, @Dr2NisreenAlwan, a leading authority on this condition, has an exceptional perspective @ScienceMagazine today reviewing what we know, which is grossly insufficient, and what we need to do https://t.co/R7Mf5yEQCx pic.twitter.com/MNWsetLakP
— Eric Topol (@EricTopol) July 29, 2021
NICE COVID-19 rapid guideline: vaccine-induced immune thrombocytopenia and thrombosis.
30 Jul, 2021 | 12:14h | UTCNews release: NICE publishes new rapid guideline to diagnose and treat rare blood clotting condition associated with COVID-19 vaccination – National Institute for Health and Care Excellence
Related: Very rare cases of thrombosis with thrombocytopenia syndrome (TTS) after AstraZeneca vaccine: a global safety database analysis – the estimated rate of TTS after the first dose was 8.1 per million vaccinees; after the second dose, the estimated rate was 2.3 per million vaccinees. (several articles and resources on the subject)
Vaccine-induced immune thrombotic thrombocytopenia: what we know and do not know.
30 Jul, 2021 | 12:12h | UTCVaccine-induced immune thrombotic thrombocytopenia: what we know and do not know – Blood
Related: Very rare cases of thrombosis with thrombocytopenia syndrome (TTS) after AstraZeneca vaccine: a global safety database analysis – the estimated rate of TTS after the first dose was 8.1 per million vaccinees; after the second dose, the estimated rate was 2.3 per million vaccinees. (several articles and resources on the subject)
Study: Patients who have recovered from COVID-19 may have persistent cognitive symptoms.
30 Jul, 2021 | 12:03h | UTCCognitive deficits in people who have recovered from COVID-19 – EClinicalMedicine
Commentary on Twitter (thread – click for more)
We assessed thousands and saw clear evidence of cognitive deficits in people who have recovered from COVID-19. Took a while to appease peer reviewers, but the results stand. Brilliantly led by @HampshireHub. @Amy2Jolly @JoeBarnby @srchamb @neurohellyer https://t.co/AnbhanixRk
— mitul mehta (@mehta_mitul72) July 23, 2021
Risk of acute myocardial infarction and ischemic stroke following COVID-19 in Sweden – “the true risk is increased by between three and eight times for acute myocardial infarction and by between three and seven times for ischaemic stroke following COVID-19.”
30 Jul, 2021 | 12:06h | UTCInvited commentary: What is the association of COVID-19 with heart attacks and strokes? – The Lancet
Commentary on Twitter
Is Covid a risk factor for heart attack and stroke?https://t.co/6KRaKzPgI5 @TheLancet
This new paper says yes, but the absolute increased risk is small, and likely due to predisposition to clotting in the post-infection phase pic.twitter.com/HQjxo63Yby— Eric Topol (@EricTopol) July 29, 2021
Self-reported memory problems 8 months after COVID-19 infection.
30 Jul, 2021 | 12:02h | UTCSelf-reported Memory Problems 8 Months After COVID-19 Infection – JAMA Network Open
Commentary: Post-acute Sequelae of SARS-CoV-2 Infection and Subjective Memory Problems – JAMA Network Open
Commentary on Twitter (thread – click for more)
Concerning data out now in @JAMANetworkOpen about cognitive symptoms in #LongCovid among *non-hospitalized* adults.
Researchers in Norway invited 35,000 adults at the time of #coronavirus testing as well as a 20,000 person untested random sample to a prospective cohort.
(1/6) pic.twitter.com/AaU5rrwaPw
— F. Perry Wilson, MD MSCE (@fperrywilson) July 29, 2021
Israel to offer 3rd COVID booster shot to older citizens.
30 Jul, 2021 | 11:57h | UTCIsrael to offer 3rd COVID booster shot to older citizens – Associated Press
Brazilian Guidelines on Unstable Angina and Acute Myocardial Infarction without ST-Segment Elevation – 2021.
30 Jul, 2021 | 11:54h | UTC
Serious complications from youth-onset type 2 diabetes arise by young adulthood.
30 Jul, 2021 | 11:47h | UTCCommentary: Serious complications from youth-onset type 2 diabetes arise by young adulthood – NIH News Release
Original study: Long-Term Complications in Youth-Onset Type 2 Diabetes – New England Journal of Medicine
Commentary on Twitter
High rates of complications in youth onset T2 diabetes.
Complication occurred in 60% after 13 yearsRisk factors for development of complications:
Ethnic minority
Hyperglycaemia
Hypertension
DyslipidaemiaImportance of risk factor controlhttps://t.co/UcUnuLv0PC pic.twitter.com/TfLEASSQnQ
— Prof Kamlesh Khunti (@kamleshkhunti) July 29, 2021
20-year observational study suggests return to play is manageable for most athletes with Long QT Syndrome or genetic heart diseases.
30 Jul, 2021 | 11:40h | UTCNews release: 20-year study suggests return to play is manageable for athletes with most genetic heart diseases – Mayo Clinic
Original study: Return-to-Play for Athletes With Long QT Syndrome or Genetic Heart Diseases Predisposing to Sudden Death – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentaries:
Return to Play Seems Safe for Most Athletes With Long QT Syndrome – HealthDay
Return-to-Play for Athletes With LQTS or Genetic Heart Diseases – American College of Cardiology
Commentary on Twitter
SO EXCITED about our 20-year review of every #athlete with #genetic #heart #disease who I have had the privilege to care of @MayoClinic @MayoClinicCV. Hopefully, this experience will spell the end of immediate disqualifications. https://t.co/574xI8aGKh
— Michael J. Ackerman MD,PhD (@MJAckermanMDPhD) July 27, 2021
Review: Changing paradigms in the management of acute uncomplicated diverticulitis.
30 Jul, 2021 | 11:37h | UTCRelated:
Review: Elective surgical management of diverticulitis
State of the Art Review | Management of colonic diverticulitis
Drains, germs, or steel: Multidisciplinary management of acute colonic diverticulitis
Systematic review: Management of colonic diverticulitis
WSES Guidelines for the Management of Acute Colonic Diverticulitis
ASCRS Guidelines for the Treatment of Left-Sided Colonic Diverticulitis
Commentary on Twitter
https://twitter.com/ScandJSurg/status/1420655333815427084
Systematic review: no evidence to support the use of Ivermectin for treating or preventing COVID-19.
29 Jul, 2021 | 11:38h | UTCIvermectin for preventing and treating COVID‐19 – Cochrane Library
Summary: Ivermectin for preventing and treating COVID-19 – Cochrane Library
Commentary: Ivermectin treatment in humans for COVID-19 – Liverpool School of Tropical Medicine
Related:
Why was a major study on ivermectin for covid-19 just retracted?
RCT: Ivermectin does not prevent hospitalizations in patients with COVID-19.
RCT: Ivermectin does not improve time to resolution of symptoms among adults with mild COVID-19
PRINCIPLE RCT: Doxycycline does not improve outcomes in outpatients with suspected COVID-19 at high risk for adverse outcomes.
29 Jul, 2021 | 11:36h | UTCCommentary: PRINCIPLE: a community-based COVID-19 platform trial – The Lancet Respiratory Medicine
Commentary on Twitter
https://twitter.com/LancetRespirMed/status/1420302490864603142
What is a breakthrough infection? 6 questions answered about catching COVID-19 after vaccination.
29 Jul, 2021 | 11:28h | UTC
2021 ACC expert consensus decision pathway for cardiovascular risk reduction in patients with persistent hypertriglyceridemia.
29 Jul, 2021 | 11:15h | UTCKey points: ACC Consensus on ASCVD Risk Reduction in Hypertriglyceridemia – American College of Cardiology
Commentary on Twitter
The ACC Expert Consensus Decision Pathway highlights 9️⃣ key points to remember on the management of atherosclerotic #CVD risk reduction in patients with persistent hypertriglyceridemia. Learn more here: https://t.co/zTx4gsIQS2 #ASCVD #cvCAD #Diabetes @virani_md @PamelaBMorris pic.twitter.com/Zjo4wmeZVj
— American College of Cardiology (@ACCinTouch) July 28, 2021
Efficacy of Pfizer/BioNTech Covid vaccine slips to 84% after six months, data show.
29 Jul, 2021 | 11:19h | UTCEfficacy of Pfizer/BioNTech Covid vaccine slips to 84% after six months, data show – STAT
Original study (preprint): Six Month Safety and Efficacy of the BNT162b2 mRNA COVID-19 Vaccine – medRxiv
Commentary on Twitter (thread – click for more)
https://twitter.com/hildabast/status/1420481872212070404
ESC Position Paper: Cardiac, renal, and metabolic effects of SGLT2 inhibitors.
29 Jul, 2021 | 11:13h | UTC
Cohort study: Postdiagnosis smoking cessation linked to reduced risk for lung cancer progression and mortality.
29 Jul, 2021 | 11:12h | UTCPostdiagnosis Smoking Cessation and Reduced Risk for Lung Cancer Progression and Mortality: A Prospective Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentary: Never too late: Cancer centers push patients to quit smoking – STAT
Summary for Patients: Postdiagnosis Smoking Cessation and Reduced Risk for Lung Cancer Progression and Death
Commentary on Twitter
Research led by Paul Brennan, PhD, @mahdi_iarc, et al. of @IARCWHO found that quitting smoking after a #lungcancer diagnosis may extend life without cancer recurrence https://t.co/b0YAqqt7FM. pic.twitter.com/Sjl3ipoXLQ
— Annals of Int Med (@AnnalsofIM) July 26, 2021
Evidence Analysis: Is piperacillin-tazobactam safe in patients with penicillin allergy?
29 Jul, 2021 | 11:05h | UTCIs piperacillin-tazobactam safe in patients with penicillin allergy? – PulmCrit
Cohort study: Evidence of a potentially inappropriate and harmful prescribing cascade of gabapentinoid followed by a diuretic among older adults with lower back pain.
29 Jul, 2021 | 11:02h | UTCEvidence of a gabapentinoid and diuretic prescribing cascade among older adults with lower back pain – Journal of the American Geriatrics Society (link to abstract – $ for full-text)
Related:
Are you the victim of a prescribing cascade?
Prescribing Cascade in a Cardiology Practice


