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Journal Watch condenses summaries of key research across specialties from more than 250 medical journals into concise yet comprehensive articles, incorporating clinical commentary from prominent physician-editors in the field.
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Featured Article

SUMMARY AND COMMENT
Should Hypertension Treatment Intensify with Age?Free
- June 12, 2013
- Joel M. Gore, MD
In a feasibility study, targeting antihypertensive treatment to 130/80 mm Hg rather than 140/85 mm Hg significantly increased cerebral blood flow in elderly patients.
- Reviewing:
- Tryambake D et al. Hypertension 2013 Jun; 61:1309
Recent Cardiology Articles
FEATURE
Discussion on CardioExchange: "Your Mortality Risk Is 11.827%"Free
- June 12, 2013
- The Editors
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SUMMARY AND COMMENT
Venous Thromboembolism in PregnancyFree
- June 11, 2013
- David Green, MD, PhD
- Oncology and Hematology
The effect of risk factors is greater postpartum than antepartum.
- Reviewing:
- Sultan AA et al. Blood 2013 May 9; 121:3953
SUMMARY AND COMMENT
Preventing Venous Thromboembolism After Hip ReplacementFree
- June 11, 2013
- David Green, MD, PhD
- Oncology and Hematology
Aspirin is noninferior to low-molecular-weight heparin for extended VTE prophylaxis.
- Reviewing:
- Anderson DR et al. Ann Intern Med 2013 Jun 4; 158:800
SUMMARY AND COMMENT
New Cardiovascular Risk Factor, Again: Gut Bugs, L-Carnitine, and TMAO
- June 6, 2013
- Anthony L. Komaroff, MD
- General Medicine
Trimethylamine-N-oxide production in the gut is associated with adverse cardiovascular events.
- Reviewing:
- Koeth RA et al. Nat Med 2013 May; 19:576
SUMMARY AND COMMENT
Atorvastatin, Rosuvastatin, and Simvastatin Are Associated with Excess Risk for DiabetesFree
- June 11, 2013
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
Using low doses of these drugs might mitigate the risk.
- Reviewing:
- Carter AA et al. BMJ 2013 May 23; 346:f2610
SUMMARY AND COMMENT
Fast-Food Restaurant Patrons Underestimate Calorie Contents of Their Meals
- June 4, 2013
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
Especially for larger meals and especially at Subway
- Reviewing:
- Block JP et al. BMJ 2013 May 23; 346:f2907
SUMMARY AND COMMENT
Telemonitoring Results in Better BP Control in Patients with Uncontrolled Hypertension
- June 6, 2013
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
In a U.K. study, weekly blood pressure readings were transmitted automatically to healthcare providers.
- Reviewing:
- McKinstry B et al. BMJ 2013 May 24; 346:f3030
SUMMARY AND COMMENT
TAVR for Aortic Regurgitation: Proceed with CautionFree
- June 5, 2013
- Howard C. Herrmann, MD
According to a small, international study, the procedure can be successful in carefully selected patients with regurgitation but no stenosis who are ineligible for surgery.
- Reviewing:
- Roy DA et al. J Am Coll Cardiol 2013 Apr 16; 61:1577
FEATURE
Discussion on CardioExchange — True or False: Fitness Program + Statin = No Fitness Program?Free
- June 5, 2013
- The Editors
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SUMMARY AND COMMENT
Treatment Effect Estimates Are Larger in Small Randomized Trials than in Big Trials
- May 30, 2013
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
Buyer beware when interpreting meta-analyses.
- Reviewing:
- Dechartres A et al. BMJ 2013 Apr 24; 346:f2304
Editor's Picks from across Journal Watch
SUMMARY AND COMMENT
Higher-Dose Citalopram and the FDA Warnings: Not Much to Worry About?Free
- May 20, 2013
- By Joel Yager, MD
- Psychiatry
In a large study, no increased cardiac risks were associated with citalopram doses higher than 40 mg/day.
- Reviewing:
- Am J Psychiatry 2013 May 3
SUMMARY AND COMMENT
-3 Fatty Acids and Later-Life Mortality
- May 8, 2013
- By Jamaluddin Moloo, MD, MPH
- General Medicine
In older adults, higher circulating
-3 fatty acid levels were associated with lower cardiovascular-related mortality.
- Reviewing:
- Ann Intern Med 2013 Apr 2; 158:515
SUMMARY AND COMMENT
Identifying Hospitalized Patients with QT Prolongation
- May 7, 2013
- By Kirsten E. Fleischmann, MD, MPH
- General Medicine
A QT alert system flags electrocardiograms of patients at elevated risk for death.
- Reviewing:
- Mayo Clin Proc 2013 Apr; 88:315
SUMMARY AND COMMENT
Chest Pain: What Happens After the Emergency Department?Free
- April 19, 2013
- By J. Stephen Bohan, MD, MS, FACP, FACEP
- Emergency Medicine
Patients who follow up with cardiologists do best.
- Reviewing:
- Circulation 2013 Apr 2; 127:1386
Journal Watch Cardiology summarizes important medical journal articles about a wide variety of cardiovascular subjects including angina, atrial fibrillation, coronary artery disease, heart failure, hypertension, myocardial infarction, stents, stroke and ventricular fibrillation.



