Internal Medicine Alert – September 15, 2014

September 15, 2014

• Mental Stress-Induced Myocardial Ischemia in Patients with Coronary Artery Disease

  In a systematic review and meta-analysis of prospective studies examining the association between mental stress-induced myocardial ischemia (MSIMI) and adverse outcome events in patients with stable CAD, all existing investigations point to an approximate doubling of cardiovascular risk in patients with MSIMI.

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• New Recommendations for HIV Testing

  Detecting HIV early creates opportunity for treatment and reduces transmission risk.

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• Is the Routine Pelvic Exam Obsolete?

  The American College of Physicians recommends against performing screening pelvic examination in asymptomatic, nonpregnant, adult women.

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• Pharmacology Update - Suvorexant Tablets (Belsomra ®)

  The first in a new class of orexin receptor antagonists has been approved by the FDA for the treatment of insomnia. Orexins are hypothalamic neuropeptides that appear to have a role in maintaining wakefulness.

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• Clinical Briefs by Louis Kuritzky, MD

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• ECG Review

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