Daily Archives: March 13, 2017

Mon, Mar 13 – Top 10 Medical News Stories

13 Mar, 2017 | 00:01h | UTC

 

1 – 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society (free PDF)

See also: Executive Summary (free PDF) AND News release: Experts Release Guidelines for Evaluating, Managing Syncope (free) AND Top Ten Things to Know (free PDF)

 

2 – New Guideline: ECG Warranted in Syncope Evaluation: Joint statement does not recommend routine MRI, CT imaging – MedPage Today (free registration required)

 

3 – More than just being open: giving control to authors and credit to peer reviewers – F1000Research blog (free)

See also: The peer-review system for academic papers is badly in need of repair – The Conversation (free) (RT @Onisillos)

See also: Manipulating the peer review process: why it happens and how it might be prevented – LSE Impact of Social Sciences blog (free) (RT @PA_Maday)

See also: ‘You never said my peer review was confidential’ — scientist challenges publisher – Nature News (free)

 

4 – Practice Pointer: Emergency care and resuscitation plans – The BMJ (free)

Infographic and practice points on planning emergency care for future scenarios when people might not have the capacity to communicate their preferences.

 

5 – Eating More — Or Less — Of 10 Foods May Cut Risk Of Early Death – NPR (free)

Original article abstract ($ required for full-text): Association Between Dietary Factors and Mortality from Heart Disease, Stroke, and Type 2 Diabetes in the United States – JAMA

 

6 – Prophylactic hydration to protect renal function from intravascular iodinated contrast material in patients at high risk of contrast-induced nephropathy (AMACING): a prospective, randomized, phase 3, controlled, open-label, non-inferiority trial – The Lancet (link to abstract – $ required for full-text)

See also: Prophylactic hydration to prevent contrast-induced AKI: The AMACING trial – The Bottom line (free)

See also: Contrast-Induced Nephropathy: Signal or Noise? – Medscape “It is said that a good experiment raises more questions than it answers. This one surely does that.”  – John Mandrola, MD (free registration required)

Contradicting current guidelines, there was no benefit from prophylactic hydration.

 

7 – Serum creatinine elevation after renin-angiotensin system blockade and long term cardiorenal risks: cohort study – The BMJ

 

8 – Even Small Creatinine Increases After ACE Inhibitor/ARB Treatment Signal Risk – Physician’s First Watch

 

9 – A NOBLE Trial and an Attempt to EXCEL: A Comparison of Two Randomized Trials of Unprotected LMT PCI vs. CABG AND Revascularization of Left Main Disease: Do we EXCEL at Stenting? Or is it More NOBLE to Treat With Surgery?

Commentaries with practical points to consider on the latest trials comparing PCI vs. CABG for left main disease.

 

10 – Reader beware: Science covered in the news is pretty likely to be overturned – STAT News

 

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