Coronary artery disease
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Coronary artery disease · Aug 2006
Comparative StudyThe initial anion gap is a predictor of mortality in acute myocardial infarction.
To determine the relationship between the anion gap and outcomes in patients with acute myocardial infarction. ⋯ The admission anion gap provides important incremental information for initial risk stratification in acute myocardial infarction.
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Coronary artery disease · Aug 2006
Editorial Historical ArticleTime for another revolution? The Flexner Report in historic context, reflections on our profession.
The Flexner Report, published in the early 20th century, turned medicine toward a firm scientific foundation and raised standards of education and practice. This corrected many of the profession's deficiencies present at the turn of the century such that medicine became capable of improving the health of humanity. While the focus of education on the sciences suited the needs of the era, the pendulum may have swung too far. ⋯ This history demonstrates how medicine can impact humanity detrimentally when the broader scope of the humanities and arts is lost. In spite of this understanding, medical education has been dogmatic and resistant to change. The paper ends with a description of the crisis in modern medicine that is on par with the problems it faced in the early 1900s and concludes that it is indeed time for another revolution.
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Coronary artery disease · May 2006
ReviewThe obesity epidemic in the United States: role of cardiac rehabilitation.
Obesity is an independent risk factor for the development of coronary heart disease. The vast majority of individuals entering into cardiac rehabilitation are overweight. Weight loss has been shown to be helpful in modifying multiple coronary risk factors. Cardiac rehabilitation programs, as secondary prevention centers, need to develop programs to assist participants with meaningful and permanent weight loss.
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Coronary artery disease · May 2006
Prognostic factors in patients with minor troponin-I elevation but without acute myocardial infarction.
Although cardiac troponin I is widely used as a marker for myocardial infarction, its minor elevations are also observed in other clinical situations, and the prognostic factors in such clinical settings have not been well established. The aim of this study was to identify predictors of mortality in patients with minor troponin elevations without an acute myocardial infarction. ⋯ Creatine kinase myocardial isoform and C-reactive protein levels and age can be integrated to risk-stratify patients with minor troponin I elevation for reasons other than acute myocardial infarction.