The statement tries to address how to work up and treat the many patients who do not reach blood pressure goals despite receiving 3 antihypertensive drugs. Medscape Medical News
A 17-year-old man presents to the ED with a 2-day history of headache, fever, and intermittent sweats. The patient recently returned from a 3-week trip to Nigeria. According to the patient, he felt well when he initially returned; however, today he has developed a worsening headache, bilious emesis, palpitations, and sweats. A blood smear is obtained. What is the diagnosis? eMedicine Case Presentations
Modifiable risk factors may influence breast cancer survival; statins modesty but significantly lower blood pressure; postmenopausal hormones may reduce risk for neovascular but not early age-related macular degeneration; postpartum depression affects younger, less well-educated women more than others; and mumps cases related to possible vaccine failures are on the rise. Medscape Medical News
A vaccine and an endothelin antagonist -- is the future of antihypertensive therapy foretold? Plus the risks for alcohol, smoking, and stroke. Medscape Cardiology
Comparisons with tamoxifen have suggested that there is an increased risk for adverse cardiovascular effects, but comparisons with placebo show no excess risk. Medscape Medical News
A study shows that a short hospital length of stay for pulmonary embolism is associated with an increased risk for postdischarge mortality. Medscape Medical News
In a randomized study, a modest reduction in blood pressure was observed in a patient population with largely normal blood pressure and occurred in patients taking relatively low doses of statins. Medscape Medical News
For the LV-assist device, evolution means becoming simpler; the latest ones have free-floating blood "impellers" and no other moving parts to wear out. They are proving themselves as bridges to transplantation, but it will be destination therapy that tests their promise of greater durability. Heartwire
In the diagnosis of pulmonary embolism, ultrasonography could still be used in patients with a contraindication to multislice computed tomography but could be used in only 1 of every 11 patients. Medscape Medical News
