Internal Medicine
#ESCCongress – Observational Study Finds Metabolic Surgery May Reduce the Risk of Death and Cardiovascular Complications in Diabetic Patients
3 Sep, 2019 | 01:22h | UTCAssociation of Metabolic Surgery With Major Adverse Cardiovascular Outcomes in Patients With Type 2 Diabetes and Obesity – JAMA (free for a limited period)
Editorial: The Role of Bariatric Surgery in Managing the Macrovascular Complications of Obesity-Related Type 2 Diabetes (free for a limited period)
Commentaries: Weight-Loss Surgery Associated with 40% Reduction in Risk of Death and Heart Complications in Patients with Diabetes and Obesity, Study Shows – Cleveland Clinic (free) AND Fewer cardiovascular events seen in diabetics after weight-loss surgery – Reuters (free) AND Metabolic Surgery Improves CV Outcomes in Patients With Diabetes, Obesity – American College of Cardiology (free) AND Weight-Loss Surgery May Reduce Heart Risks in People With Type 2 Diabetes – The New York Times (10 articles per month are free)
Related Studies: Observational Study Links Bariatric Surgery to Lower Mortality but Higher Risk of Adverse Events (link to abstract) AND Association of Bariatric Surgery vs Usual Care Obesity Management With All-Cause Mortality (free study and commentaries)
Podcast: Hypernatremia is Easy
3 Sep, 2019 | 01:09h | UTC#170 Hypernatremia is Easy with Joel Topf MD – The Curbsiders Internal Medicine Podcast (free audio)
See also: Episode List
Review: Barrett Esophagus
3 Sep, 2019 | 01:09h | UTCBarrett Esophagus – Mayo Clinic Proceedings (free)
Related Guidelines: ACG Clinical Guideline: Diagnosis and Management of Barrett’s Esophagus – American Journal of Gastroenterology (free) AND Asia-Pacific consensus on the management of gastro-oesophageal reflux disease: an update focusing on refractory reflux disease and Barrett’s oesophagus – Gut (free) AND ASGE guideline on screening and surveillance of Barrett’s esophagus – Gastrointestinal Endoscopy (free) AND Endoscopic eradication therapy for patients with Barrett’s esophagus–associated dysplasia and intramucosal cancer – Gastrointestinal Endoscopy (free)
#ESCCongress – 2019 ESC Guidelines for the Diagnosis and Management of Chronic Coronary Syndromes
2 Sep, 2019 | 01:20h | UTCNews Release: Pollution and noise reduction advised in ESC guidelines on chronic coronary syndromes (free)
Related Commentary on Twitter
JUST RELEASED: 2019 #ESCGuidelines for Chronic Coronary Syndromes – what's new? what has changed? what are the 2019 new major recommendations? https://t.co/wPPZCYdRfH
@escardio #ESCCongress #ESCCoT #cardiotwitter pic.twitter.com/RBhIKgV9Uq
— European Society of Cardiology (@escardio) August 31, 2019
#ESCCongress – 2019 ESC Guidelines for the Diagnosis and Management of Acute Pulmonary Embolism
2 Sep, 2019 | 01:19h | UTC
Related Commentary on Twitter
JUST RELEASED: 2019 #ESCGuidelines for Acute Pulmonary Embolism – what's new? what has changed? what are the main 2019 recommendations? https://t.co/nyLf7eWk5G@escardio #ESCcongress #ESCCoT #cardiotwitter pic.twitter.com/DEFBMKdwcO
— European Society of Cardiology (@escardio) August 31, 2019
#ESCCongress – 2019 ESC Guidelines for the Management of Patients with Supraventricular Tachycardia
2 Sep, 2019 | 01:17h | UTC
Related Commentary on Twitter
JUST RELEASED: 2019 #ESCGuidelines for the management of Supraventricular Tachycardia – what's new? what has changed? what are the main 2019 recommendations? https://t.co/A3Y15T3Dy8#ESCcongress #cardiotwitter pic.twitter.com/GVkMoOvYQQ
— European Society of Cardiology (@escardio) August 31, 2019
#ESCCongress – 2019 ESC/EAS Guidelines for the Management of Dyslipidaemias
2 Sep, 2019 | 01:15h | UTC
Related Commentary on Twitter
JUST RELEASED: 2019 #ESCGuidelines for the management of Dyslipidaemias – what's new? what has changed? what are the main 2019 recommendations? https://t.co/aBU1PkGc2k
@escardio #ESCCongress #ESCCoT #cardiotwitter pic.twitter.com/NChfhPNXDq
— European Society of Cardiology (@escardio) August 31, 2019
#ESCCongress – 2019 ESC Guidelines on Diabetes, Pre-diabetes, and Cardiovascular Diseases
2 Sep, 2019 | 01:14h | UTC
Related Commentary on Twitter
JUST RELEASED: 2019 #ESGuidelines on Diabetes, Pre-Diabetes and Cardiovascular Diseases – what's new? what has changed? what are the main 2019 recommendations? https://t.co/FY6xt34jNo#ESCCongress #cardiotwitter pic.twitter.com/q1HBPfRO5f
— European Society of Cardiology (@escardio) August 31, 2019
#ESCCongress – [Not Published Yet] Randomized Trial Supports Single High-sensitive Troponin Measurement to Rule out Myocardial Infarction
2 Sep, 2019 | 01:06h | UTCCommentaries: HiSTORIC Trial Supports Single-Test Rule-Out of MI Using High-Sensitivity Troponin – TCTMD (free) AND Risk-Based Thresholds for hs-Troponin I Safely Speed MI Rule-Out – MedPage Today (free registration required) AND HISTORIC: Early Rule-Out Strategy Using High-Sensitivity Cardiac Troponin I Reduced Length of Stay, Hospital Readmissions in Suspected ACS Patients – American College of Cardiology (free)
Related Studies: Randomized Trial: High-Sensitivity Troponin in the Evaluation of Suspected Acute Coronary Syndrome (free study and commentaries) AND Cohort Study: The Introduction of High-sensitive Troponins Had No Impact on Survival (free study and commentaries)
Related Commentary on Twitter
In an RCT of 31,492 patients with suspected acute coronary syndrome, a rule out pathway using a hs-TnI risk stratification threshold of 5ng/L reduced length of stay by 3.3hrs (57% ⬆️ in ED discharge) with no evidence of harm at one year #ESCCongress #HiSTORIC #troponin pic.twitter.com/5hTUcxAyLF
— Andrew Chapman (@chapdoc1) September 1, 2019
#ESCCongress – Observational Study: A Low High-sensitive Troponin has a Negative Predictive Value of 99.8% for Myocardial Infarction or Cardiac Death Within 30 days in Patients with Suspected Acute Coronary Syndrome and at Least 2 Hours of Symptoms
2 Sep, 2019 | 01:04h | UTC
Meta-Analysis: Menopausal Hormone Therapy Increases Breast Cancer Risk
30 Aug, 2019 | 08:55h | UTCCommentaries: Menopausal hormones: definitive evidence for breast cancer – The Lancet (free) AND Menopausal hormone therapy and 20-year breast cancer mortality – The Lancet (free) AND Hormone therapy during menopause raises breast cancer risk for years, study finds – STAT (free) AND Expert reaction to study looking at HRT use and risk of breast cancer – Science Media Centre (free)
Randomized Trial: Is Internal Jugular or Subclavian Safer Under Ultrasound Guidance?
30 Aug, 2019 | 08:52h | UTCIs IJ or Subclavian Safer Under Ultrasound Guidance? – Journal Feed (free)
Original Article: Complications in internal jugular vs subclavian ultrasound-guided central venous catheterization: a comparative randomized trial – Intensive Care Medicine (free)
Study: Sodium Polystyrene Sulphonate is Associated with Increased Risk of GI Adverse Events in Patients with CKD
30 Aug, 2019 | 08:28h | UTCCommentary: Hyperkalemia Drug Again Linked to Adverse GI Events – Renal & Urology News (free)
Related Study: Risk of Hospitalization for Serious Adverse Gastrointestinal Events Associated with Sodium Polystyrene Sulfonate (link to abstract and commentary)
Cohort Study: SGLT2 Inhibitors Associated with Reduced Risk of Heart Failure
30 Aug, 2019 | 08:24h | UTCCommentaries: SGLT2 inhibitors cut heart failure risk for T2D patients – Cardiovascular Business (free) AND Newer diabetes drug drops heart failure risk by 34 percent, study says – UPI (free)
Related observational studies: SGLT2 agents may reduce cardiovascular risk in diabetics (link to abstract and commentaries)
[Abstract Only] Cohort Study: Fruit and Cereal Fiber Linked to Lower Risk of Diverticulitis
30 Aug, 2019 | 08:20h | UTCIntake of Dietary Fiber, Fruits, and Vegetables and Risk of Diverticulitis – American Journal of Gastroenterology (link to abstract – $ for full-text)
Commentary: More fruit and cereal fiber tied to less risk of common bowel disease – Reuters (free)
NICE Guideline: Management of Type 2 Diabetes in Adults
29 Aug, 2019 | 06:56h | UTCType 2 diabetes in adults: management – National Institute for Health and Care Excellence (free)
Related Guideline: ADA 2019 Standards of Medical Care in Diabetes (free supplement)
NICE Guideline: Management of Hypertension in Adults
29 Aug, 2019 | 06:54h | UTCHypertension in adults: diagnosis and management – National Institute for Health and Care Excellence (free)
Related Guidelines: 2017 Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines (free) AND 2018 ESC/ESH Guidelines for the management of arterial hypertension – European Heart Journal (free)
Meta-Analysis: Estrogen-Based Hormone Therapy Does Not Improve Muscle Mass in Postmenopausal Women
29 Aug, 2019 | 06:08h | UTCCommentary: Hormone Therapy Doesn’t Prevent Age-Related Muscle Loss in Women – Medscape (free registration required)
Randomized Trial: High-Dose Vitamin D Supplementation Does Not Improve Bone Health and May Result in Lower Bone Mineral Density
28 Aug, 2019 | 02:33h | UTCEffect of High-Dose Vitamin D Supplementation on Volumetric Bone Density and Bone Strength: A Randomized Clinical Trial – JAMA (free for a limited period)
Commentary: High-Dose Vitamin D Might Reduce Bone Mineral Density – NEJM Journal Watch (free)
Related Commentary on Twitter
Vitamin D study: "Among healthy adults, supplementation with higher doses of vitamin D did not improve bone health." https://t.co/pugZ4Ilxke via @JAMA_current @SMCCanada cc @DietitiansCAN @medmyths @joansalgeblake @picardonhealth @CBCHealth pic.twitter.com/4BocJC1EeT
— Timothy Caulfield (@CaulfieldTim) August 27, 2019
Cohort Study: Gout is Associated with Increased Risk of Advanced Chronic Kidney Disease
29 Aug, 2019 | 05:45h | UTCCommentaries: Gout ‘more than doubles’ risk of kidney failure – University of Limerick (free) AND Gout pushes up kidney disease risks, study says – UPI (free)
USPSTF Recommends Screening for Hepatitis C in All Adults
28 Aug, 2019 | 02:32h | UTCCommentary: HCV Screening Now Recommended for All Adults – NEJM Journal Watch (free)
ACOG Recommendations: Screening and Management of Bleeding Disorders in Adolescents with Heavy Menstrual Bleeding
28 Aug, 2019 | 02:30h | UTCCommentary: ACOG advises bleeding disorder screening for teens with heavy menstruation – ObGyn News (free)
Position Paper: Diagnosis and Treatment of Acute Alcohol Intoxication and Alcohol Withdrawal Syndrome
28 Aug, 2019 | 02:25h | UTC
Cohort Study: How Many Older Adults Receive Drugs of Questionable Clinical Benefit Near the End of Life?
28 Aug, 2019 | 02:26h | UTCRelated Studies: Use of Medications of Questionable Benefit at the End of Life (link to abstract and commentaries) AND Preventive Drugs in the Last Year of Life of Older Adults with Cancer: Is There Room for Deprescribing? (link to abstract and commentary)
Review: Small Bowel Gastrointestinal Bleeding Diagnosis and Management
28 Aug, 2019 | 02:23h | UTC


