Table of Contents
From the Editor
- On this we agree: The value of healthy debate in medicine
The debate on dyspepsia on page 214 illustrates the value of healthy controversy.
1-Minute Consult
- Should everyone over age 75 take a multivitamin?
Many—perhaps most—seniors are at risk of malnutrition, but age should not be the sole criterion.
Medical Grand Rounds
- In preventive cardiology there is no ‘One True Thing’
In preventing coronary artery disease, the only approach that works is multifactorial, focusing on permanent changes in diet, exercise, and stress management.
- New therapies for allergic rhinitis
Nearly one fourth of Americans have allergic rhinitis. Newer medications are more effective and have fewer side effects.
Review
- Primary pulmonary hypertension: Update on pathogenesis and novel therapies
Research into biochemical derangements, and new therapies that prolong survival.
Cancer Diagnosis and Management
- How new technology is changing mammography and breast cancer management
Improved detection now allows a tailored approach to abnormal findings.
Patient Information
Acute Coronary Syndromes
- Adjunctive medical therapy for acute coronary syndromes
Aspirin, nitrates, beta-blockcrs, ACE inhibitors, statins, and intraaortic balloon pumps all have important roles.
Gastroenterology Dialogue
- Eradicating H pylori in nonulcer dyspepsia: 7 reasons for vs 7 reasons against
A spirited debate between two experts on a contentious topic.
Commentary
For patients at low risk, a treatment that is beneficial statistically may not be practical or economical. But how should this question be decided? And who should decide?