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SINCE the advent of the coronary care unit (CCU) in 1962, the in-hospital mortality of patients with acute myocardial infarction has been notably reduced, predominantly because of better management of ventricular arrhythmias. Despite adequate antiarrhythmic therapy, there remains a 15% to 25%...
To the Editor.—
Recently we followed up a patient who had transient hypoplastic anemia associated with metolazone.
Report of a Case.—
A 74-year-old woman had had mild hypertension for many years. In June 1977, 5 mg/day of metolazone was prescribed. There was resultant fair control of blood...
Heatstroke occurred in four apparently normal but inexperienced runners who were involved in road races of 10, 16, 32, and 42 km. Each of the runners attempted to increase his running pace by approximately 1 min/km during the last 5 km of the race. Symptoms of heatstroke occurred within five to...
Old-timers, who still remember nostalgically the polished brass cuspidors in Pullman car smoking rooms, need not be told that there is more to tobacco than smoking. But only the occasional sight of the odd ballplayer perfunctorily emitting streams of brownish saliva as a macho ritual reminds the...
This book is a compilation of 36 contributions to the fields of infertility, reproductive endocrinology, and conception control from the Journal of Fertility and Sterility. It is generally a well-written volume, but there is some unevenness in the quality of the individual chapters ranging from...
It is most unusual for advocates of surgical therapy for a disease to concede that the efficacy of their operation merely approaches that of a competing medical therapy. Generally, surgery is held out as offering a prompt, radical cure that can only be approached but rarely matched by the slow...
RIGHT bundle-branch block (RBBB) is an unusual complication of non-penetrating trauma to the chest. Rankin and Patterson1 in 1952 and Parmley et al2 in 1958 described transient intraventricular conduction defects that they concluded were due to myocardial contusion. We report a case of transient...
To the Editor.—
In the article "The Interface Between Undergraduate and Graduate Medical Education" (241:1148, 1979), William D. Holden, MD, names a problem in medical education but does not define it. For my personal use, I define the interface as the transition from juvenile education to...
Despite two decades of its recorded history,1 pseudohypoaldosteronism is not listed in standard medical dictionaries among their more than 250 entries prefixed by "pseudo." The omission is the more surprising because at least 40 cases of this disorder have been reported. Clearly, dictionaries...
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