Internal Medicine
M-A | Safety and efficacy of interrupting dual antiplatelet therapy one month following percutaneous coronary intervention.
1 Nov, 2022 | 12:14h | UTC
Commentary on Twitter
Interrupting DAPT after 1 month post PCI:
Meta-analysis of 4 RCTs, >25000 pts
Events between 31days and 1yr:
Less bleeding (1.1 vs 1.5%) but no difference in death (1.3 vs 1.6%), MI (1.4 vs 1.2%), ST (0.3 vs 0.2%) or stroke (0.5 vs 0.6%) https://t.co/rdNgCg032B #cardiotwitter pic.twitter.com/yLWREcDzYe— Heeraj Bulluck (@DrHBulluck) October 30, 2022
Under a http://creativecommons.org/licenses/by/4.0/ license
Guideline | Acute behavioral disturbance in emergency departments.
1 Nov, 2022 | 12:10h | UTCAcute Behavioural Disturbance in Emergency Departments – Royal College of Emergency Medicine
M-A | The success rate of cardioversion for AF was similar between anterior-posterior vs. anterior-lateral electrodes position.
1 Nov, 2022 | 12:09h | UTC
RCT | Efficacy of RBX2660 for preventing recurrent Clostridioides difficile after antibiotic treatment.
1 Nov, 2022 | 12:07h | UTCCommentary: RBX2660 shows promise in breaking the cycle of recurrent C. difficile – MDedge
Reviews | Pulmonary embolism response teams.
1 Nov, 2022 | 12:04h | UTCPulmonary Embolism Response Teams – emDocs
Sarcopenia definition, diagnosis and treatment: consensus is growing.
1 Nov, 2022 | 12:01h | UTCSarcopenia definition, diagnosis and treatment: consensus is growing – Age and Ageing
Related:
Cohort Study | Assessment of Cystatin C level for cardiovascular and mortality risk stratification in adults with mild CKD.
1 Nov, 2022 | 11:56h | UTCCommentary: Cystatin C Is a Better Marker of Cardiovascular Risk in CKD – Renal & Urology News
Commentary on Twitter
#CystatinC-estimated GFR may help identify which patients with creatinine-estimated GFR of 45-59 are at high risk of future cardiovascular disease from their mild CKD. #OAResearch #OAWeek https://t.co/2U6NNPMPS2
— JAMA Network Open (@JAMANetworkOpen) October 28, 2022
M-A | Association of SGLT2 inhibitors with cardiovascular outcomes and safety events.
1 Nov, 2022 | 11:56h | UTC
Brief Review | Preventing pressure injuries among patients in the intensive care unit.
1 Nov, 2022 | 11:50h | UTC
Commentary on Twitter
Preventing pressure injuries in #ICU
🎯 knowledge gains/prevention improvements: continuous bedside pressure mapping & prophylactic dressings
🎯 practical suggestions to alleviate PI development: using these as bundle may evidence greater effect#FOAMcc
📎 https://t.co/iGMun2A2PM pic.twitter.com/owgfAlfeqF— Intensive Care Medicine (@yourICM) August 23, 2022
ACC Expert consensus for integrating atherosclerotic cardiovascular disease and multimorbidity treatment.
31 Oct, 2022 | 13:59h | UTC
Commentary on Twitter
.@ACCinTouch's newest Expert Consensus Decision Pathway, just published in #JACC, offers a comprehensive and integrative framework for treating patients with #ASCVD and multimorbidity. https://t.co/NAa1aP4OEx#ACCClinicalDoc #CardioTwitter @kofi_larry @virani_md @tygluckman pic.twitter.com/XPePHSwuFL
— JACC Journals (@JACCJournals) October 25, 2022
M-A of RCT | Comparison of low carbohydrate vs. low fat diets in Type 2 DM.
31 Oct, 2022 | 13:55h | UTC
RCT | Effects of a low-carbohydrate dietary intervention on hemoglobin A1c.
31 Oct, 2022 | 13:54h | UTCSee also: Visual Abstract
News Release: At risk for diabetes? Cut the carbs, says new study – Tulane University
Commentaries:
Low-Carb Diet Promising for Lowering Blood Sugar in Prediabetes – TCTMD
Dose-reduced direct oral anticoagulants: practical considerations.
31 Oct, 2022 | 13:52h | UTC
Cohort Study | Risk factors of pancreatic cancer in patients with Type 2 DM.
31 Oct, 2022 | 13:47h | UTC
M-A of RCT | Combination of ulinastatin and somatostatin evaluated in acute pancreatitis.
31 Oct, 2022 | 13:44h | UTC
WHO Report | Fungal priority pathogens list to guide research, development and public health action.
28 Oct, 2022 | 13:31h | UTCNews Release: WHO releases first-ever list of health-threatening fungi – World Health Organization
Commentary on Twitter (thread – click for more)
Fungal pathogens can cause illnesses and death.
They are becoming increasingly common and resistant to treatment.Yet, too little is known about them.
The 🆕 WHO fungal priority pathogens list is an important step to boost urgently needed research:
📌 https://t.co/cXgj2HPZIc pic.twitter.com/4LgdIqf4Lo— World Health Organization (WHO) (@WHO) October 25, 2022
RCT | Haloperidol for the treatment of delirium in ICU patients did not significantly improve outcomes.
28 Oct, 2022 | 13:29h | UTCHaloperidol for the Treatment of Delirium in ICU Patients – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary on Twitter
In this randomized trial, treatment with haloperidol did not increase the number of days alive and out of the hospital among ICU patients with delirium. #LIVES2022 https://t.co/SCRUg3ff9X pic.twitter.com/0dInueHE76
— NEJM (@NEJM) October 26, 2022
CDC study shows healthcare workers have a low risk of infection after exposure to patients with monkeypox.
28 Oct, 2022 | 13:21h | UTCCommentaries:
Clinicians at Low Risk of Acquiring Monkeypox From Patients – JAMA
Low risk of monkeypox spread noted in health workers – CIDRAP
Risk of Monkeypox Transmission Low in Health Care Settings – HealthDay
RCT | Selective decontamination of the GI tract did not significantly reduce mortality in ICU patients on mechanical ventilation.
27 Oct, 2022 | 12:40h | UTCEffect of Selective Decontamination of the Digestive Tract on Hospital Mortality in Critically Ill Patients Receiving Mechanical Ventilation: A Randomized Clinical Trial – JAMA (free for a limited period)
See also: Visual Abstract
Related study: Association Between Selective Decontamination of the Digestive Tract and In-Hospital Mortality in Intensive Care Unit Patients Receiving Mechanical Ventilation: A Systematic Review and Meta-analysis – JAMA (free for a limited period)
M-A | Selective decontamination of the GI tract may reduce in-hospital mortality in ICU patients receiving mechanical ventilation.
27 Oct, 2022 | 12:39h | UTCAssociation Between Selective Decontamination of the Digestive Tract and In-Hospital Mortality in Intensive Care Unit Patients Receiving Mechanical Ventilation: A Systematic Review and Meta-analysis – JAMA (free for a limited period)
Related Study: Effect of Selective Decontamination of the Digestive Tract on Hospital Mortality in Critically Ill Patients Receiving Mechanical Ventilation: A Randomized Clinical Trial – JAMA (free for a limited period)
RCT | A lower oxygen saturation target did not improve outcomes after out-of-hospital cardiac arrest.
27 Oct, 2022 | 12:38h | UTCEffect of Lower vs Higher Oxygen Saturation Targets on Survival to Hospital Discharge Among Patients Resuscitated After Out-of-Hospital Cardiac Arrest: The EXACT Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Early Oxygen Supplementation After Resuscitation From Cardiac Arrest – JAMA (free for a limited period)
Related:
Oxygen targets – Intensive Care Medicine (if the link is paywalled, try this one)
Review | Monkeypox.
27 Oct, 2022 | 12:36h | UTCMonkeypox – New England Journal of Medicine
Related:
Monkeypox: disease epidemiology, host immunity and clinical interventions.
Monkeypox: A clinical update for paediatricians – Journal of Pediatrics and Child Health
CDC Report | Epidemiologic and clinical characteristics of Monkeypox cases in the US.
Update on the Monkeypox Outbreak – JAMA
WHO Declares Global Public Health Emergency Over Monkeypox Virus Outbreak – Health Policy Watch
Monkeypox: A Contemporary Review for Healthcare Professionals – Open Forum Infectious Diseases
Commentary on Twitter
Monkeypox cases reported in the United Kingdom, Portugal, and Italy in May 2022 led the WHO to declare a global health emergency. The authors review the virology, epidemiology, clinical features, and treatment of monkeypox. https://t.co/dk2ZxxPsN7 pic.twitter.com/u3gzD6V7Bo
— NEJM (@NEJM) October 26, 2022
Review | Iron deficiency and cardiovascular disease.
27 Oct, 2022 | 12:31h | UTCIron deficiency and cardiovascular disease – European Heart Journal
Commentary on Twitter
#Iron deficiency and #cardiovascular disease. Great review in @ESC_Journals #CardioTwitter
📎 https://t.co/339s3LpPmk pic.twitter.com/0wHNHc6xEg
— Enrique Santas (@SantasEnrique) October 26, 2022
Under a https://creativecommons.org/licenses/by-nc/4.0/ license
Cohort Study | Cannabis, cocaine, methamphetamine, and opiates linked to increased risk of incident atrial fibrillation.
27 Oct, 2022 | 12:29h | UTCEditorial: Drug abuse and risk of atrial fibrillation: a neglected association – European Heart Journal
Commentaries:
Marijuana, Meth, Cocaine Use Can Help Trigger Dangerous A-Fib – HealthDay
Commentary on Twitter
New study just published in EHJ suggests that cannabis, cocaine, methamphetamine, and opiates may increase the risk of incident atrial fibrillation: discover more!https://t.co/ySrmaLnacC#AF #methamphetamine #cocaine #opiate #cannabis #cardiotwitter @escardio @ESC_Journals pic.twitter.com/YCvqjPGQjG
— EHJ Editor-in-Chief (@ehj_ed) October 20, 2022
Case-control study | Alcohol intake as a risk factor for acute stroke.
27 Oct, 2022 | 12:26h | UTCAlcohol Intake as a Risk Factor for Acute Stroke: The INTERSTROKE Study – Neurology (PDF)
Commentary on Twitter
In this study, high and moderate alcohol intake were associated with increased odds of stroke, while low intake was not associated with #stroke. However, there were important regional variations. Read the full article: https://t.co/lrczN0KBmD #NeuroTwitter pic.twitter.com/95QXuwczEA
— Neurology Journal (@GreenJournal) October 19, 2022