Table of Contents

Warfarin or aspirin appears to prevent stroke in patients over age 60 with chronic or intermittent atrial fibrillation.

Congenital heart defects may go undiagnosed or untreated in childhood and become adult problems.

Factors influencing transcatheter ablation outcome were analyzed in 29 patients unresponsive to drug therapy.

Recurrent syncope and unequal pupil diameters in a 30-year- old woman employed by a veterinarian.

A rare complication of multiple myeloma is described.

Multiple malignancies were associated with this anomaly in a 73-year-old woman.

Early recognition may prevent or delay some of the complications.

Optimal management of the migraine patient is a matter of time, persistence, and, most important, frequent follow-up.

What features distinguish EMS from idiopathic hyper-eosinophilic syndrome and helminthic infections such as trichinosis?

The trend is toward individualized treatment and away from rigid stepped care.