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  Subjects -> MEDICAL SCIENCES (Total: 7272 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (196 journals)
    - ANAESTHESIOLOGY (105 journals)
    - CARDIOVASCULAR DISEASES (309 journals)
    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (21 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (200 journals)
    - DENTISTRY (244 journals)
    - DERMATOLOGY AND VENEREOLOGY (148 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (106 journals)
    - ENDOCRINOLOGY (136 journals)
    - FORENSIC SCIENCES (34 journals)
    - GASTROENTEROLOGY AND HEPATOLOGY (162 journals)
    - GERONTOLOGY AND GERIATRICS (116 journals)
    - HEMATOLOGY (141 journals)
    - HYPNOSIS (4 journals)
    - INTERNAL MEDICINE (136 journals)
    - LABORATORY AND EXPERIMENTAL MEDICINE (87 journals)
    - MEDICAL GENETICS (59 journals)
    - MEDICAL SCIENCES (1808 journals)
    - NURSES AND NURSING (291 journals)
    - OBSTETRICS AND GYNECOLOGY (176 journals)
    - ONCOLOGY (352 journals)
    - OPHTHALMOLOGY AND OPTOMETRY (121 journals)
    - ORTHOPEDICS AND TRAUMATOLOGY (146 journals)
    - OTORHINOLARYNGOLOGY (74 journals)
    - PATHOLOGY (96 journals)
    - PEDIATRICS (243 journals)
    - PHYSICAL MEDICINE AND REHABILITATION (140 journals)
    - PSYCHIATRY AND NEUROLOGY (738 journals)
    - RADIOLOGY AND NUCLEAR MEDICINE (180 journals)
    - RESPIRATORY DISEASES (92 journals)
    - RHEUMATOLOGY (63 journals)
    - SPORTS MEDICINE (68 journals)
    - SURGERY (349 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (131 journals)

MEDICAL SCIENCES (1808 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access  
AADE in Practice     Hybrid Journal   (Followers: 4)
ABCS Health Sciences     Open Access   (Followers: 1)
Abia State University Medical Students' Association Journal     Full-text available via subscription  
ACIMED     Open Access   (Followers: 1)
ACS Medicinal Chemistry Letters     Full-text available via subscription   (Followers: 39)
Acta Bio Medica     Full-text available via subscription   (Followers: 2)
Acta Bioethica     Open Access   (Followers: 1)
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Facultatis Medicae Naissensis     Open Access  
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta medica Lituanica     Open Access  
Acta Medica Marisiensis     Open Access  
Acta Medica Martiniana     Open Access  
Acta Medica Nagasakiensia     Open Access  
Acta Medica Peruana     Open Access   (Followers: 2)
Acta Médica Portuguesa     Open Access  
Acta Medica Saliniana     Open Access  
Acta Scientiarum. Health Sciences     Open Access  
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 2)
Addiction Science & Clinical Practice     Open Access   (Followers: 7)
Addictive Behaviors Reports     Open Access   (Followers: 6)
Advanced Health Care Technologies     Open Access   (Followers: 4)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 7)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 5)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 29)
Advances in Life Course Research     Hybrid Journal   (Followers: 8)
Advances in Lipobiology     Full-text available via subscription   (Followers: 2)
Advances in Medical Education and Practice     Open Access   (Followers: 26)
Advances in Medical Sciences     Hybrid Journal   (Followers: 6)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Medicine     Open Access   (Followers: 2)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4)
Advances in Molecular Oncology     Open Access   (Followers: 1)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 8)
Advances in Parkinson's Disease     Open Access  
Advances in Phytomedicine     Full-text available via subscription  
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20)
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 13)
Advances in Virus Research     Full-text available via subscription   (Followers: 5)
Advances in Wound Care     Hybrid Journal   (Followers: 10)
African Health Sciences     Open Access   (Followers: 2)
African Journal of Biomedical Research     Open Access  
African Journal of Clinical and Experimental Microbiology     Open Access   (Followers: 1)
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access   (Followers: 2)
African Journal of Trauma     Open Access  
Afrimedic Journal     Open Access   (Followers: 2)
Aggiornamenti CIO     Hybrid Journal   (Followers: 1)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 8)
AJOB Primary Research     Partially Free   (Followers: 3)
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 4)
Al-Azhar Assiut Medical Journal     Open Access  
Alexandria Journal of Medicine     Open Access   (Followers: 1)
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 2)
Alpha Omegan     Full-text available via subscription  
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 3)
American Journal of Biomedical Engineering     Open Access   (Followers: 11)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription   (Followers: 6)
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 5)
American Journal of Clinical Medicine Research     Open Access   (Followers: 5)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 12)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 5)
American Journal of Managed Care     Full-text available via subscription   (Followers: 11)
American Journal of Medical Case Reports     Open Access   (Followers: 1)
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 1)
American Journal of Medicine     Hybrid Journal   (Followers: 46)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 1)
American Journal of Medicine Studies     Open Access  
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 12)
American Journal on Addictions     Hybrid Journal   (Followers: 9)
American Medical Journal     Open Access   (Followers: 4)
American medical news     Free   (Followers: 3)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 4)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 3)
Anatomical Science International     Hybrid Journal   (Followers: 2)
Anatomical Sciences Education     Hybrid Journal   (Followers: 1)
Anatomy Research International     Open Access   (Followers: 2)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 3)
Annales de Pathologie     Full-text available via subscription  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 3)
Annals of African Medicine     Open Access   (Followers: 1)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 2)
Annals of Bioanthropology     Open Access   (Followers: 3)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 18)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 3)
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 8)
Annals of Family Medicine     Open Access   (Followers: 12)
Annals of Fundeni Hospital     Open Access   (Followers: 1)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Medicine     Hybrid Journal   (Followers: 12)
Annals of Medicine and Surgery     Open Access   (Followers: 5)
Annals of Microbiology     Hybrid Journal   (Followers: 10)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Saudi Medicine     Open Access  
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 7)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 4)
Annual Review of Medicine     Full-text available via subscription   (Followers: 18)
Anthropological Review     Open Access   (Followers: 24)
Anthropologie et santé     Open Access   (Followers: 5)
Antibiotics     Open Access   (Followers: 9)
Antibodies     Open Access   (Followers: 2)
Antibody Technology Journal     Open Access   (Followers: 1)
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access   (Followers: 2)
Apmis     Hybrid Journal   (Followers: 1)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Informatics     Hybrid Journal   (Followers: 2)
Applied Medical Informatics     Open Access   (Followers: 11)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Arak Medical University Journal     Open Access  
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archive of Community Health     Open Access  
Archives of Biomedical Sciences     Open Access   (Followers: 7)
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
Archives of Medical Laboratory Sciences     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Trauma Research     Open Access   (Followers: 2)
Archivos de Medicina (Manizales)     Open Access  
ArgoSpine News & Journal     Hybrid Journal  
Arquivos Brasileiros de Oftalmologia     Open Access  
Arquivos de Ciências da Saúde     Open Access  
Arquivos de Medicina     Open Access  
ARS Medica Tomitana     Open Access   (Followers: 1)
Art Therapy: Journal of the American Art Therapy Association     Full-text available via subscription   (Followers: 10)
Arterial Hypertension     Open Access  
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 12)
Artificial Organs     Hybrid Journal   (Followers: 1)
Asia Pacific Family Medicine     Open Access  
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 9)
Asia Pacific Journal of Clinical Trials : Nervous System Diseases     Open Access  
Asian Bioethics Review     Full-text available via subscription   (Followers: 2)
Asian Journal of Cell Biology     Open Access   (Followers: 6)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 2)
Asian Journal of Medical and Pharmaceutical Researches     Open Access   (Followers: 1)
Asian Journal of Medical Sciences     Open Access   (Followers: 1)
Asian Journal of Scientific Research     Open Access   (Followers: 2)
Asian Journal of Transfusion Science     Open Access   (Followers: 2)
Asian Medicine     Hybrid Journal   (Followers: 4)
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Astrocyte     Open Access  
Atención Familiar     Open Access  
Atención Primaria     Open Access   (Followers: 1)
Audiology - Communication Research     Open Access   (Followers: 8)
Auris Nasus Larynx     Full-text available via subscription  
Australian Coeliac     Full-text available via subscription   (Followers: 2)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 1)
Autopsy and Case Reports     Open Access  
Aviation, Space, and Environmental Medicine     Full-text available via subscription   (Followers: 10)
Avicenna     Open Access   (Followers: 2)
Avicenna Journal of Medicine     Open Access   (Followers: 1)
Bangabandhu Sheikh Mujib Medical University Journal     Open Access   (Followers: 1)
Bangladesh Journal of Anatomy     Open Access   (Followers: 1)
Bangladesh Journal of Bioethics     Open Access  
Bangladesh Journal of Medical Biochemistry     Open Access   (Followers: 3)
Bangladesh Journal of Medical Education     Open Access   (Followers: 2)
Bangladesh Journal of Medical Microbiology     Open Access   (Followers: 3)
Bangladesh Journal of Medical Physics     Open Access  
Bangladesh Journal of Medical Science     Open Access  
Bangladesh Journal of Medicine     Open Access   (Followers: 1)
Bangladesh Journal of Physiology and Pharmacology     Open Access  
Bangladesh Journal of Scientific Research     Open Access   (Followers: 2)
Bangladesh Medical Journal     Open Access  
Bangladesh Medical Journal Khulna     Open Access  
Bangladesh Medical Research Council Bulletin     Open Access  
Basal Ganglia     Hybrid Journal  
Basic Sciences of Medicine     Open Access   (Followers: 2)
BBA Clinical     Open Access  
BC Medical Journal     Free  
Benha Medical Journal     Open Access  
Bijblijven     Hybrid Journal  
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Bio-Algorithms and Med-Systems     Hybrid Journal   (Followers: 1)
BioDiscovery     Open Access   (Followers: 2)
Bioelectromagnetics     Hybrid Journal   (Followers: 1)
Bioengineering & Translational Medicine     Open Access  
Bioethics     Hybrid Journal   (Followers: 14)
Bioethics Research Notes     Full-text available via subscription   (Followers: 14)
Biologics in Therapy     Open Access  
Biology of Sex Differences     Open Access   (Followers: 3)

        1 2 3 4 5 6 7 8 | Last

Journal Cover American Journal of Medicine
  [SJR: 2.023]   [H-I: 189]   [46 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 0002-9343 - ISSN (Online) 1555-7162
   Published by Elsevier Homepage  [3089 journals]
  • A Rose by Any Other Name: Ketoacidosis Due to SGLT2 Inhibitors Reveals
           Latent Autoimmune Diabetes
    • Authors: Thomas Nodzynski; Todd C. Lee
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Thomas Nodzynski, Todd C. Lee


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.014
       
  • The Many Shades of Dyspnea
    • Authors: Ebrahim Barkoudah; Christopher L. Roy
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Ebrahim Barkoudah, Christopher L. Roy


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.031
       
  • Gunshot to the Head
    • Authors: Sheharyar Raza; Donald A. Redelmeier
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Sheharyar Raza, Donald A. Redelmeier


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.026
       
  • Acute Myocarditis Due to Mushroom Ingestion
    • Authors: Natalia G. Vallianou; Adamantios Raptis; Marina Sikara; Alexandros Skourtis; Evangelos Kokkinakis
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Natalia G. Vallianou, Adamantios Raptis, Marina Sikara, Alexandros Skourtis, Evangelos Kokkinakis


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.012
       
  • Prurigo Pigmentosa
    • Authors: Daisuke Yamada; Tatsuya Fujikawa
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Daisuke Yamada, Tatsuya Fujikawa


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.043
       
  • Acute Colitis in a Patient with Streptococcus pyogenes Bacteremia
    • Authors: Bharat Maraj; Annsa Huang; Sajan Patel
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Bharat Maraj, Annsa Huang, Sajan Patel


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.022
       
  • Cerebellar Hemangioblastoma
    • Authors: Ami Schattner; Emanuela Cagnano; Ina Dubin
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Ami Schattner, Emanuela Cagnano, Ina Dubin


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.027
       
  • An Unsuspected Zoonotic Infection Presenting as Sepsis
    • Authors: Rachel Epstein; Jessica Ristau; Jerrold J. Ellner
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Rachel Epstein, Jessica Ristau, Jerrold J. Ellner


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.040
       
  • The Great Imitator: Visual Changes in a 37-Year-Old Man with HIV
    • Authors: Chloé A. Powell; Alexander R. Carbo
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Chloé A. Powell, Alexander R. Carbo


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.06.043
       
  • Implications of Anomalous Left Coronary Artery Origin
    • Authors: Brian B. Agbor-Etang; Van T. La; Sami B. Nazzal; Ramdas G. Pai
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Brian B. Agbor-Etang, Van T. La, Sami B. Nazzal, Ramdas G. Pai


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.038
       
  • Delayed Diagnosis of Cast Nephropathy
    • Authors: Chihiro Kamijo; Yukinori Harada
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Chihiro Kamijo, Yukinori Harada


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.031
       
  • An Elderly Physician's Plea
    • Authors: Steven W. Luger
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Steven W. Luger


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.06.036
       
  • Does Digital Rectal Examination Reduce Subsequent Hospitalizations and
           Endoscopies or Vice Versa'
    • Authors: Michael R. Bubb
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Michael R. Bubb


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.006
       
  • Does Digital Rectal Examination Predict Hospital Admission and Resource
           Utilization Rate in Patients with Acute Gastrointestinal Bleeding with
           Bright Red Blood Per Rectum'
    • Authors: Paris Charilaou; Andrew Korman; Capecomorin S. Pitchumoni; Arkady Broder
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Paris Charilaou, Andrew Korman, Capecomorin S. Pitchumoni, Arkady Broder


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.008
       
  • Will Physicians Stop Performing Physical Examinations'
    • Authors: James E. Dalen
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): James E. Dalen


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.009
       
  • Physicians Should Always Perform a Physical Examination
    • Authors: Aijaz Yazdani
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Aijaz Yazdani


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.016
       
  • The Seven Ages of the Physician
    • Authors: Joseph S. Alpert
      First page: 1
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Joseph S. Alpert


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.10.002
       
  • The 2017 Match and the Future US Workforce
    • Authors: James E. Dalen; Kenneth J. Ryan; Joseph S. Alpert
      Pages: 2 - 4
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): James E. Dalen, Kenneth J. Ryan, Joseph S. Alpert


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.014
       
  • A Service Commitment to Fund Your Medical Education
    • Authors: Robert M. Doroghazi; Samuel W. Bergin
      Pages: 5 - 6
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Robert M. Doroghazi, Samuel W. Bergin


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.013
       
  • Antidepressants and Hyponatremia
    • Authors: Yeong-Hau H. Lien
      Pages: 7 - 8
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Yeong-Hau H. Lien


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.002
       
  • Radiologic Pearls for Internists: A Case-Based Review
    • Authors: Melissa J. McGettigan; Robert A. Gatenby
      Pages: 9 - 16
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Melissa J. McGettigan, Robert A. Gatenby
      Modern technologic advances in medical imaging and the increasing use of imaging across all disciplines in medicine have led to a striking rise in incidental findings unrelated to the original study indication. Often, these findings have no clinical relevance and will not impact the current or future health status of the patient. It is incumbent on radiologists to report these findings in a definitive and unambiguous manner. Similarly, it is essential for clinicians to restrain from further diagnostic investigation of incidental findings that are conclusive by imaging. A classic and common example is the finding of a cyst. This article presents several cases of incidentally found cysts for which a confident diagnosis can be made without any need for follow-up.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.022
       
  • Infections of the Nervous System
    • Authors: Seth N. Levin; Jennifer L. Lyons
      Pages: 25 - 32
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Seth N. Levin, Jennifer L. Lyons
      Microorganisms can affect the entire neuraxis, producing a variety of neurologic complications that frequently entail prolonged hospitalizations and complicated treatment regimens. The spread of pathogens to new regions and the reemergence of opportunistic organisms in immunocompromised patients pose increasing challenges to health care professionals. Because rapid diagnosis and treatment may prevent long-term neurologic sequelae, providers should approach these diseases with a structured, neuroanatomic framework, incorporating a thorough history, examination, laboratory analysis, and neuroimaging in their clinical reasoning and decision-making.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.020
       
  • A Masked Marauder: Hepatitis C Neuropathy
    • Authors: Kourosh Rezania; Peter Pytel; Lena Derani; Reeti Greenwald; Raymond P. Roos
      Pages: 33 - 36
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Kourosh Rezania, Peter Pytel, Lena Derani, Reeti Greenwald, Raymond P. Roos


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.015
       
  • No Neck Pain: Meningococcemia
    • Authors: Halima Cheddani; Anne-Laure Desgabriel; Elise Coffin; Muhamid-Kheir Taha; Charlotte Verdet; Claude Bachmeyer; Jean-François Flejou; Xavier Amiot
      Pages: 37 - 40
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Halima Cheddani, Anne-Laure Desgabriel, Elise Coffin, Muhamid-Kheir Taha, Charlotte Verdet, Claude Bachmeyer, Jean-François Flejou, Xavier Amiot


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.002
       
  • Where Did It Start' Subcutaneous Metastatic Melanoma
    • Authors: Silvia Spoto; Anna Crescenzi; Chiara Taffon; Massimo Ciccozzi; Sebastiano Costantino; Silvia Angeletti
      Pages: 41 - 44
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Silvia Spoto, Anna Crescenzi, Chiara Taffon, Massimo Ciccozzi, Sebastiano Costantino, Silvia Angeletti


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.011
       
  • Big Gain, No Pain: Tumoral Calcinosis
    • Authors: Li-An Lai; Ming-Yen Hsiao; Chueh-Hung Wu; Tyng-Guey Wang; Levent Özçakar
      Pages: 45 - 47
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Li-An Lai, Ming-Yen Hsiao, Chueh-Hung Wu, Tyng-Guey Wang, Levent Özçakar


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.003
       
  • Dietary Patterns and Long-Term Survival: A Retrospective Study of Healthy
           Primary Care Patients
    • Authors: Nilay S. Shah; David Leonard; Carrie E. Finley; Fatima Rodriguez; Ashish Sarraju; Carolyn E. Barlow; Laura F. DeFina; Benjamin L. Willis; William L. Haskell; David J. Maron
      Pages: 48 - 55
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Nilay S. Shah, David Leonard, Carrie E. Finley, Fatima Rodriguez, Ashish Sarraju, Carolyn E. Barlow, Laura F. DeFina, Benjamin L. Willis, William L. Haskell, David J. Maron
      Background Dietary patterns are related to mortality in selected populations with comorbidities. We studied whether dietary patterns are associated with long-term survival in a middle-aged, healthy population. Methods In this observational cohort study at the Cooper Clinic preventive medicine center (Dallas, Tex), a volunteer sample of 11,376 men and women with no history of myocardial infarction or stroke completed a baseline dietary assessment between 1987 and 1999 and were observed for an average of 18 years. Proportional hazard regressions, including a tree-augmented model, were used to assess the association of the Dietary Approaches to Stop Hypertension (DASH) dietary pattern, Mediterranean dietary pattern, and individual dietary components with mortality. The primary outcome was all-cause mortality. The secondary outcome was cardiovascular mortality. Results Mean baseline age was 47 years. Each quintile increase in the DASH diet score was associated with a 6% lower adjusted risk for all-cause mortality (P < .02). The Mediterranean diet was not independently associated with all-cause or cardiovascular mortality. Solid fats and added sugars were the most predictive of mortality. Individuals who consumed >34% of their daily calories as solid fats had the highest risk for all-cause mortality. Conclusions The DASH dietary pattern was associated with significantly lower all-cause mortality over approximately 2 decades of follow-up in a middle-aged, generally healthy population. Added solid fat and added sugar intake were the most predictive of all-cause mortality. These results suggest that promotion of a healthy dietary pattern should begin in middle age, before the development of comorbid risk factors.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.010
       
  • Differences in Associations of Antidepressants and Hospitalization Due to
           Hyponatremia
    • Authors: Shermineh Farmand; Jonatan D. Lindh; Jan Calissendorff; Jakob Skov; Henrik Falhammar; David Nathanson; Buster Mannheimer
      Pages: 56 - 63
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Shermineh Farmand, Jonatan D. Lindh, Jan Calissendorff, Jakob Skov, Henrik Falhammar, David Nathanson, Buster Mannheimer
      Background Selective serotonin reuptake inhibitors (SSRIs) and other antidepressants are important as a cause of hyponatremia. However, most studies have focused on the effect on sodium levels regardless of clinical symptoms, or have been too small to be able to discriminate between the effects of specific antidepressant drugs. The objective of the present study was to investigate the association between different groups of antidepressants and the risk of hospitalization due to hyponatremia. Methods In this register-based case-control study of patients in the general Swedish population, we identified 14,359 individuals with a main diagnosis of hyponatremia. For every case, 4 matched controls were included (n = 57,382). To investigate the temporal aspects of drug-induced hyponatremia, antidepressant exposure was divided into patients with newly initiated and ongoing treatment. Univariable and multivariable logistic regression was used to analyze the association of antidepressant use and hospitalization. Results For newly initiated antidepressants, adjusted odds ratios (95% confidence interval) for a main diagnosis of hyponatremia compared with controls were: citalopram 5.50 (4.71-6.44); sertraline 4.96 (3.81-6.48); venlafaxine 5.28 (3.20-8.83); tricyclic antidepressants 1.59 (1.13-2.24); and mirtazapine 2.54 (2.04-3.16). Adjusted odds ratio (confidence interval) for individuals with ongoing treatment ranged from 0.57 (0.52-0.63) for citalopram to 1.08 (0.85-1.36) for other SSRIs. Conclusions There was a strong association between newly initiated treatment with SSRIs or venlafaxine and hospitalization due to hyponatremia. The association for tricyclic antidepressants and mirtazapine was small to moderate. In contrast, there was no evidence that ongoing treatment with antidepressants increases the risk for hospitalization due to hyponatremia.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.025
       
  • Hospital-Associated Hypernatremia Spectrum and Clinical Outcomes in an
           Unselected Cohort
    • Authors: Evangelos Tsipotis; Lori Lyn Price; Bertrand L. Jaber; Nicolaos E. Madias
      Pages: 72 - 82.e1
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Evangelos Tsipotis, Lori Lyn Price, Bertrand L. Jaber, Nicolaos E. Madias
      Background Although hypernatremia is associated with adverse outcomes, most studies examined selected populations. Methods Discharge data of 19,072 unselected hospitalized adults were analyzed. The crude relationship between serum sodium [Na+] and mortality defined hypernatremia as serum [Na+] >142 mEq/L. Patients with community-acquired hypernatremia or hospital-acquired hypernatremia were compared with normonatremic patients (admission [Na+] 138-142 mEq/L) regarding in-hospital mortality, length of stay, and discharge disposition. Patients with community-acquired hypernatremia whose hypernatremia worsened during hospitalization were compared with those without aggravation. Results Community-acquired hypernatremia occurred in 21% of hospitalized patients and was associated with an adjusted odds ratio (OR) of 1.67 (95% confidence interval [CI], 1.38-2.01) for in-hospital mortality and 1.44 (95% CI, 1.32-1.56) for discharge to a short-/long-term care facility and an adjusted 10% (95% CI, 7-13) increase in length of stay. Hospital-acquired hypernatremia developed in 25.9% of hospitalized patients and was associated with an adjusted OR of 3.17 (95% CI, 2.45-4.09) for in-hospital mortality and 1.45 (95% CI, 1.32-1.59) for discharge to a facility, and an adjusted 49% (95% CI, 44-53) increase in length of stay. Hospital-aggravated hypernatremia developed in 11.7% of patients with community-acquired hypernatremia and was associated with greater risk of in-hospital mortality (adjusted OR, 1.84; 95% CI, 1.32-2.56) and discharge to a facility (adjusted OR, 2.14; 95% CI, 1.71-2.69), and an adjusted 16% (95% CI, 7-27) increase in length of stay. Conclusions The hypernatremia spectrum in unselected hospitalized patients is independently associated with increased in-hospital mortality and heightened resource consumption.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.011
       
  • Celiac Disease and Increased Risk of Pneumococcal Infection: A Systematic
           Review and Meta-Analysis
    • Authors: Malorie Simons; Lori A.J. Scott-Sheldon; Yesenia Risech-Neyman; Steven F. Moss; Jonas F. Ludvigsson; Peter H.R. Green
      Pages: 83 - 89
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Malorie Simons, Lori A.J. Scott-Sheldon, Yesenia Risech-Neyman, Steven F. Moss, Jonas F. Ludvigsson, Peter H.R. Green
      Background Celiac disease has been associated with hyposplenism, and multiple case reports link celiac disease and pneumococcal infections; however, increased risk of pneumococcal infection in celiac disease has not been confirmed. The purpose of this study was to conduct a systematic review to determine the risk of pneumococcal infections in celiac disease. Methods Relevant studies were identified using electronic bibliographic searches of PubMed, OVID, Medline, and EMBASE (1980 to February 2017) and reviewing abstracts from major conferences in gastroenterology. Using number of events in celiac patients and referent patients, we calculated a summary relative risk of pneumococcal infections. All analyses were conducted in Comprehensive Meta-Analysis software using random-effects assumptions. Results Of a total of 156 articles, 3, representing 3 large databases (the Swedish National Inpatient Register; the Oxford Record Linkage Study; and the English National Hospital Episode Statistics) were included. Each compared patients with celiac disease and confirmed pneumococcal infection to a specific reference group: inpatients and/or the general population. Overall, the odds of pneumococcal infection were higher among hospitalized celiac patients compared with controls (odds ratio 1.66; 95% confidence interval 1.43-1.92). There was no evidence of heterogeneity (Q[1] = 1.17, P = .56, I 2 = 0%). Conclusions Celiac disease is associated with an increased risk of pneumococcal infection. Preventive pneumococcal vaccination should be considered for those with celiac disease, with special attention to those aged 15-64 years who have not received the scheduled pneumococcal vaccination series as a child.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.07.021
       
  • Antibody-Mediated Extreme Insulin Resistance: A Report of Three Cases
    • Authors: Han Na Kim; Betiel Fesseha; Laura Anzaldi; Allison Tsao; Panagis Galiatsatos; Aniket Sidhaye
      Pages: 102 - 106
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Han Na Kim, Betiel Fesseha, Laura Anzaldi, Allison Tsao, Panagis Galiatsatos, Aniket Sidhaye
      Background Type 2 diabetes mellitus is characterized by relative insulin deficiency and insulin resistance. Features suggesting severe insulin resistance include acanthosis nigricans, hyperandrogenism, weight loss, and recurrent hospital admissions for diabetic ketoacidosis. In rare circumstances, hyperglycemia persists despite administration of massive doses of insulin. In these cases, it is important to consider autoimmune etiologies for insulin resistance, such as type B insulin resistance and insulin antibody-mediated extreme insulin resistance, which carry high morbidity and mortality if untreated. Encouragingly, immunomodulatory regimens have recently been published that induce remission at high rates. Methods/Results We describe 3 cases of extreme insulin resistance mediated by anti-insulin receptor autoantibodies or insulin autoantibodies. All cases were effectively treated with an immunomodulatory regimen. Conclusion Although cases of extreme insulin resistance are rare, it is important to be aware of autoimmune causes, recognize suggestive signs and symptoms, and pursue appropriate diagnostic evaluation. Prompt treatment with immunomodulators is key to restoring euglycemia in patients with autoimmune etiologies of insulin resistance.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.08.004
       
  • X + Y Scheduling Models in Internal Medicine Residency Programs: A
           National Survey of Program Directors' Perspectives
    • Authors: Craig Noronha; Saima Chaudhry; Karen Chacko; Kelly McGarry; Anoop Agrawal; Gopal Yadavalli; Marc Shalaby
      Pages: 107 - 114
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Craig Noronha, Saima Chaudhry, Karen Chacko, Kelly McGarry, Anoop Agrawal, Gopal Yadavalli, Marc Shalaby


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.09.012
       
  • Limited Relationship of Voltage Criteria for Electrocardiogram Left
           Ventricular Hypertrophy to Cardiovascular Mortality
    • Authors: Le Dung Ha; Ayman Elbadawi; Victor F. Froelicher
      Pages: 101.e1 - 101.e8
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Le Dung Ha, Ayman Elbadawi, Victor F. Froelicher
      Background Numerous methods have been proposed for diagnosing left ventricular hypertrophy using the electrocardiogram. They have limited sensitivity for recognizing pathological hypertrophy, at least in part due to their inability to distinguish pathological from physiological hypertrophy. Our objective is to compare the major electrocardiogram–left ventricular hypertrophy criteria using cardiovascular mortality as a surrogate for pathological hypertrophy. Methods This study was a retrospective analysis of 16,253 veterans < 56 years of age seen at a large Veterans Affairs Medical Center from 1987 to 1999 and followed a median of 17.8 years for cardiovascular mortality. Receiver operating characteristics and Cox hazard survival techniques were applied. Results Of the 16,253 veterans included in our target population, the mean age was 43 years, 8.6% were female, 33.5% met criteria for electrocardiogram–left ventricular hypertrophy, and there were 744 cardiovascular deaths (annual cardiovascular mortality 0.25%). Receiver operating characteristic analysis demonstrated that the greatest area under the curve (AUC) for classification of cardiovascular death was obtained using the Romhilt-Estes score (0.63; 95% confidence interval, 0.61-0.65). Most of the voltage-only criteria had nondiagnostic area under the curves, with the Cornell being the best at 0.59 (95% confidence interval, 0.57-0.62). When the components of the Romhilt-Estes score were examined using step-wise Wald analysis, the voltage criteria dropped from the model. The Romhilt-Estes score ≥ 4, the Cornell, and the Peguero had the highest association with cardiovascular mortality (adjusted hazard ratios 2.2, 2.0, and 2.1, consecutively). Conclusion None of the electrocardiogram leads with voltage criteria exhibited sufficient classification power for clinical use.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.06.041
       
  • Temporal Trends in the Clinical Acuity of Patients with ST-Segment
           Elevation Myocardial Infarction
    • Authors: Udhay Krishnan; Josef A. Brejt; Joshua Schulman-Marcus; Rajesh V. Swaminathan; Dmitriy N. Feldman; Parag Goyal; S. Chiu Wong; Robert M. Minutello; Geoffrey Bergman; Harsimran Singh; Luke K. Kim
      Pages: 100.e9 - 100.e20
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Udhay Krishnan, Josef A. Brejt, Joshua Schulman-Marcus, Rajesh V. Swaminathan, Dmitriy N. Feldman, Parag Goyal, S. Chiu Wong, Robert M. Minutello, Geoffrey Bergman, Harsimran Singh, Luke K. Kim
      Background Despite advances in ST-segment elevation myocardial infarction (STEMI) systems of care over the last decade, studies have shown no improvement in risk-adjusted mortality. It has been hypothesized that the population presenting to the catheterization laboratory has become sicker over time, in ways not accurately captured by current mortality models. The objective of this study was to examine changes in the clinical characteristics and in-hospital case fatality rate of the STEMI population treated with early percutaneous coronary intervention (PCI). Methods We conducted a retrospective analysis of a nationwide inpatient database for the period 2004-2012. All patients with a diagnosis of STEMI who underwent PCI within 24 hours of admission were identified. The primary outcome was in-hospital mortality. Results From 2004 to 2012 there was a consistent increase in unadjusted in-hospital mortality (3.9% in 2004 and 4.7% in 2012, odds ratioyear 1.03; 95% confidence interval 1.01-1.04). During this time there was an increase in the proportion of patients with ≥3 Elixhauser comorbidities (14.8% vs 29.0%, P trend < .001). Intubation or cardiac arrest on presentation increased from 3.2% to 7.8% (P trend < .001) and had a strong, independent association with mortality. After multivariable adjustment using a model that incorporated the increasing trend in intubation/cardiac arrest, mortality decreased over time (odds ratioyear 0.95; 95% confidence interval 0.94-0.97). Conclusions During a period that corresponds to improvement in STEMI quality of care, risk-adjusted in-hospital mortality declined. An increase in comorbidities, and more importantly in the proportion of patients presenting with extreme-risk features, may explain the overall “null” effect regarding in-hospital mortality despite improvements in timely reperfusion.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.06.040
       
  • Subscription Information
    • Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1


      PubDate: 2017-12-11T13:45:10Z
       
  • Headache
    • Authors: Paul Rizzoli; William Mullally
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Paul Rizzoli, William J. Mullally
      Headache, an almost universal human experience, is one of the most common complaints encountered in medicine and neurology. Described and categorized since antiquity, with the first classification by Aretaeus of Cappadocia, other classifications followed. The evaluation of this condition may be straightforward or challenging, and, though often benign, headache may prove to be an ominous symptom. This review discusses the current diagnosis and classification of headache disorders and principles of management, with a focus on migraine, tension-type headache, trigeminal autonomic cephalgias, and various types of daily headache.

      PubDate: 2017-12-11T13:45:10Z
       
  • The Reply
    • Authors: Chirag Bavishi; Franz Messerli
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Chirag Bavishi, Franz H. Messerli


      PubDate: 2017-12-11T13:45:10Z
       
  • The Reply
    • Authors: Manish Shrestha; Mark Borgstrom Eugene Trowers
      Abstract: Publication date: January 2018
      Source:The American Journal of Medicine, Volume 131, Issue 1
      Author(s): Manish P. Shrestha, Mark Borgstrom, Eugene Trowers


      PubDate: 2017-12-11T13:45:10Z
       
  • Cardiac Tamponade: an Unusual Presentation of Systemic Lupus Erythematosus
    • Authors: Persio D. López; Rachna Valvani; Savi Mushiyev; Ferdinand Visco; Gerald Pekler
      Abstract: Publication date: Available online 8 December 2017
      Source:The American Journal of Medicine
      Author(s): Persio D. López, Rachna Valvani, Savi Mushiyev, Ferdinand Visco, Gerald Pekler


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.11.030
       
  • Sen. McCain and Our Shared Humanity
    • Authors: William G. Kaelin
      Abstract: Publication date: Available online 8 December 2017
      Source:The American Journal of Medicine
      Author(s): William G. Kaelin


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.11.028
       
  • Patent Foramen Ovale Closure for Secondary Prevention of Cryptogenic
           Stroke: Updated Meta-Analysis of Randomized Clinical Trials
    • Authors: Muthiah Vaduganathan; Arman Qamar; Ankur Gupta; Navkaranbir Bajaj; Harsh B. Golwala; Ambarish Pandey; Deepak L. Bhatt
      Abstract: Publication date: Available online 8 December 2017
      Source:The American Journal of Medicine
      Author(s): Muthiah Vaduganathan, Arman Qamar, Ankur Gupta, Navkaranbir Bajaj, Harsh B. Golwala, Ambarish Pandey, Deepak L. Bhatt
      Background Patent foramen ovale closure represents a potential secondary prevention strategy for cryptogenic stroke, but available trials have varied by size, device studied, and follow-up. Methods We conducted a systematic search of published randomized clinical trials (RCTs) evaluating patent foramen ovale closure vs. medical therapy in patients with recent stroke or transient ischemic attack using PubMED, EMBASE, and Cochrane through September 2017. Weighting was by random effects models. Results Of 480 studies screened, we included 5 RCTs in the meta-analysis in which 3,440 patients were randomized to patent foramen ovale closure (n=1,829) or medical therapy (n=1,611) and followed for average 2.0-5.9 years. Index stroke/transient ischemic attack occurred within 6-9 months of randomization. The primary endpoint was composite stroke/transient ischemic attack and death (in 3 trials) or stroke alone (in 2 trials). Patent foramen ovale closure reduced the primary endpoint (0.70 vs. 1.48 events per 100 patient-years; risk ratio 0.52 [0.29-0.91]; I2 = 55.0%) and stroke/transient ischemic attack (1.04 vs. 2.00 events per 100 patient-years; risk ratio 0.55 [0.37-0.82]; I2=42.2%) with modest heterogeneity compared with medical therapy. Procedural bleeding was not different between study arms (1.8% vs. 1.8%; risk ratio 0.94 [0.49-1.83]; I2 = 29.2%), but new-onset atrial fibrillation/flutter was increased with patent foramen ovale closure (6.6% vs. 0.7%; risk ratio 4.69 [2.17-10.12]; I2 = 29.3%). Conclusions In patients with recent cryptogenic stroke, patent foramen ovale closure reduces recurrent stroke/transient ischemic attack compared with medical therapy, but is associated with higher risk of new-onset atrial fibrillation/flutter.

      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.11.027
       
  • Colonic Anisakiasis
    • Authors: Hiroki Matsuura; Hideki Jinno
      Abstract: Publication date: Available online 8 December 2017
      Source:The American Journal of Medicine
      Author(s): Hiroki Matsuura, Hideki Jinno


      PubDate: 2017-12-11T13:45:10Z
      DOI: 10.1016/j.amjmed.2017.11.029
       
 
 
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