Table of Contents
Highlights from Medical Grand Rounds
- Reducing Stroke Risk in Atrial Fibrillation Patients
Warfarin or aspirin appears to prevent stroke in patients over age 60 with chronic or intermittent atrial fibrillation.
- Managing Congenital Heart Defects in Adults
Congenital heart defects may go undiagnosed or untreated in childhood and become adult problems.
Editorial
Contributions
- Transcatheter electrical AV junction ablation: predictors of success
Factors influencing transcatheter ablation outcome were analyzed in 29 patients unresponsive to drug therapy.
Case Report
- Factitious anisocoria and orthostatic hypotension
Recurrent syncope and unequal pupil diameters in a 30-year- old woman employed by a veterinarian.
- Lambda light chain myeloma with pleural involvement
A rare complication of multiple myeloma is described.
- Prolonged survival with isolated levocardia and situs inversus
Multiple malignancies were associated with this anomaly in a 73-year-old woman.
- Evaluation and management of Carney’s complex: an illustrative case
Early recognition may prevent or delay some of the complications.
Review
- Strategies for migraine management
Optimal management of the migraine patient is a matter of time, persistence, and, most important, frequent follow-up.
- Eosinophilia-myalgia syndrome
What features distinguish EMS from idiopathic hyper-eosinophilic syndrome and helminthic infections such as trichinosis?
Radiology Pathology Grand Rounds
Current Drug Therapy
- Tailoring antihypertensive therapy in 1991
The trend is toward individualized treatment and away from rigid stepped care.