Internal Medicine
RCT | Allopurinol does not improve outcomes in patients with ischemic heart disease without previous gout.
13 Oct, 2022 | 13:53h | UTCInvited Commentary: Xanthine oxidase inhibition for cardiovascular disease prevention – The Lancet
Commentary on Twitter
Despite favorable effects on surrogate endpoints in smaller trials, in an RCT trial of 5,721 pts with CAD, allopurinol did not significantly improve cardiovascular prognosis compared to placebo https://t.co/ITW4HAwI2K @TheLancet pic.twitter.com/EggHM8flle
— Pradeep Natarajan (@pnatarajanmd) October 7, 2022
Under a Creative Commons Attribution (CC BY 4.0) License
Incidence of myocarditis/pericarditis following mRNA COVID-19 vaccination among children and younger adults in the US.
13 Oct, 2022 | 13:51h | UTC
Commentary on Twitter (thread – click for more)
Let me me perfectly clear about the evidence for myocarditis after mRNA vaccines
1. There is a notable increased incidence, age 12-39, males, with each dose (Table)https://t.co/XXQbyeLiSP pic.twitter.com/wLTZT3fppy— Eric Topol (@EricTopol) October 12, 2022
Commentary on Twitter
Let me me perfectly clear about the evidence for myocarditis after mRNA vaccines
1. There is a notable increased incidence, age 12-39, males, with each dose (Table)https://t.co/XXQbyeLiSP pic.twitter.com/wLTZT3fppy— Eric Topol (@EricTopol) October 12, 2022
Case series and systematic review | Life-threatening cardiac arrhythmia and sudden death during electronic gaming.
13 Oct, 2022 | 13:49h | UTCEditorial: Ventricular arrhythmias during electronic gaming: Sudden victory and sudden death – Heart Rhythm
News Release: Electronic gaming can trigger potentially lethal heart rhythm problems in susceptible children – Elsevier
Review | Transient ischemic attack and minor stroke: diagnosis, risk stratification and management.
13 Oct, 2022 | 13:50h | UTC
15-year benefits of sigmoidoscopy screening on colorectal cancer incidence and mortality: a pooled analysis of randomized trials.
13 Oct, 2022 | 13:48h | UTC15-Year Benefits of Sigmoidoscopy Screening on Colorectal Cancer Incidence and Mortality: A Pooled Analysis of Randomized Trials – Annals of Internal Medicine (link to abstract – $ for full-text)
News Release: One sigmoidoscopy significantly reduces long-term CRC incidence in both men and women – American College of Physicians
Related:
RCT | Effect of colonoscopy screening on risks of colorectal cancer and related death.
ACP Guideline: Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults
Current and future colorectal cancer screening strategies – Nature Reviews Gastroenterology & Hepatology (if the link is paywalled, try this one in PMC)
USPSTF Statement: Start colorectal cancer screening at 45 years for most patients.
ACG Clinical Guidelines: Start colorectal cancer screening at 45
Commentary on Twitter
A pooled analysis evaluating 15-yr effect of sigmoidoscopies found that receiving 1 #sigmoidoscopy significantly reduces long-term incidence of CRC in men and women: https://t.co/QXj5VRMHeo pic.twitter.com/s82sOJmBzr
— Annals of Int Med (@AnnalsofIM) October 11, 2022
Guidance | Peri-procedure management of antithrombotic agents and thrombocytopenia for common procedures in oncology.
13 Oct, 2022 | 13:46h | UTC
Cohort Study | Incidence, predictors and clinical implications of new renal impairment following percutaneous coronary intervention.
13 Oct, 2022 | 13:42h | UTC
Commentary on Twitter
https://twitter.com/Open_HeartBMJ/status/1580211725151784962
Cohort Study | Duration of diabetes and use of insulin are the most important predictors of diabetic retinopathy.
13 Oct, 2022 | 13:44h | UTCCommentary: Insulin Use May Predict the Development of Diabetic Retinopathy – HCP Live
Cohort Study | A collaborative home-based palliative care intervention for patients with heart failure reduced the risk of dying in the hospital.
13 Oct, 2022 | 13:37h | UTCCommentary: Home-Based Palliative Care for Heart Failure May Cut Risk for Dying in Hospital – HealthDay
Commentary on Twitter
Patients who received home-based, interdisciplinary palliative care were more likely to die at home than in hospital, compared to those who received usual care: https://t.co/JsLvANgcPK@kieranlquinn @PTanuseputro @sarina_isenberg #PalliativeCare #HeartFailure pic.twitter.com/6rOPtYQw2h
— CMAJ (@CMAJ) September 26, 2022
Cohort Study | Association of step counts over time with the risk of chronic diseases.
13 Oct, 2022 | 13:36h | UTCNews Release: Counting Steps Can Reduce Disease Risk: Study – Vanderbilt University Medical Center
Related:
Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts.
Commentary on Twitter
Using a wearable activity tracker to count and increase the number and intensity of steps taken daily can reduce the risk of several common chronic diseases, according to a study published in @NatureMedicine. https://t.co/bhoof63fBH pic.twitter.com/pA651wDWJs
— Nature Portfolio (@NaturePortfolio) October 12, 2022
Cohort Study | Cardiovascular morbidity in monoclonal gammopathy of undetermined significance.
13 Oct, 2022 | 13:34h | UTC
RCT | No difference in cardiovascular outcomes with evening vs. morning dosing of usual antihypertensives.
12 Oct, 2022 | 14:01h | UTCRelated Consensus Statement: Bedtime dosing of antihypertensive medications: systematic review and consensus statement: International Society of Hypertension position paper endorsed by World Hypertension League and European Society of Hypertension – Journal of Hypertension
Related study (conflicting results): Bedtime Hypertension Treatment Improves Cardiovascular Risk Reduction in Randomized Trial
Perioperative cardiovascular assessment guideline: focus on managing patients with percutaneous coronary intervention.
12 Oct, 2022 | 13:56h | UTC
Guideline | Evaluation and management of venous thromboembolism.
12 Oct, 2022 | 13:55h | UTCJoint Guideline on Venous Thromboembolism – 2022 – Arquivos Brasileiros de Cardiologia
Guideline | Evaluation and management of myocarditis.
12 Oct, 2022 | 13:56h | UTC
RCT | Effect of colonoscopy screening on risks of colorectal cancer and related death.
11 Oct, 2022 | 13:42h | UTCEffect of Colonoscopy Screening on Risks of Colorectal Cancer and Related Death – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries:
In gold-standard trial, invitation to colonoscopy reduced cancer incidence but not death – STAT
New study examines the effectiveness of colonoscopies – CNN
Review | Acid-base disorders in the critically ill patient.
11 Oct, 2022 | 13:41h | UTC
Estimated global proportions of persistent fatigue, cognitive, and respiratory symptoms following symptomatic COVID-19.
11 Oct, 2022 | 13:39h | UTCCommentaries:
Women And Hospitalized Patients More Prone To Long Covid, Study Finds – Forbes
Nearly two-thirds of long COVID patients are female, global study finds – UPI
Commentary on Twitter
A new @IHME_UW modeling study on #LongCovid based upon 1.2 million people with Covid from 22 countrieshttps://t.co/evMcFVJ2vU @JAMA_current pic.twitter.com/qt1bgHkaVV
— Eric Topol (@EricTopol) October 10, 2022
Perspective | Hydrochlorothiazide vs. chlorthalidone – what is the difference?
11 Oct, 2022 | 13:40h | UTCHydrochlorothiazide Versus Chlorthalidone–What is the Difference? – Circulation (free for a limited period)
Related:
Meta-analysis: Chlorthalidone vs. hydrochlorothiazide
Commentary on Twitter
There are big differences among diuretics even within the same class. So let us rethink the class effect. https://t.co/ruE4IYeFf2. Here I discuss what we know about HCTZ vs CTD. pic.twitter.com/cyljdi04v9
— Rajiv Agarwal MD, MS (@AgarwalRajivMD) October 8, 2022
Consensus document for the detection and management of chronic kidney disease.
11 Oct, 2022 | 13:38h | UTC
Guideline Summary | Diagnostic stewardship for urinary tract infection.
11 Oct, 2022 | 13:37h | UTCOriginal Guideline: Optimal Urine Culture Diagnostic Stewardship Practice—Results from an Expert Modified-Delphi Procedure – Clinical Infectious Diseases
Consensus recommendations for screening and managing childhood cancer survivors at risk for cardiomyopathy.
11 Oct, 2022 | 13:35h | UTCRelated:
Cardiometabolic Comorbidities in Cancer Survivors: JACC: CardioOncology State-of-the-Art Review
Brazilian Cardio-oncology Guideline – 2020 – Arquivos Brasileiros de Cardiologia
Calculator | Estimating individual lifetime risk of cardiovascular events in adults with type 2 diabetes.
11 Oct, 2022 | 13:29h | UTCSee also: DIAL Model Calculator
Choosing Wisely | Top five list of procedures to avoid in the treatment of viral hepatitis.
7 Oct, 2022 | 14:22h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Review | Hyponatremia in the emergency department.
7 Oct, 2022 | 14:20h | UTCHyponatremia in the emergency department – The American Journal of Emergency Medicine
Related:
Acute and Chronic Hyponatremia – Frontiers in Medicine
Podcast: Hyponatremia deconstructed
Guidelines for the Management of Exercise-Associated Hyponatremia


