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How Well Are Pulses Measured?

Although taking a radial pulse is considered to be an essential clinical skill, there have been few reports on how well it is measured in clinical practice, and how its accuracy and precision are influenced by rate, rhythm, and blood pressure. Methods This study is a retrospective quality audit carried out as part of a […]

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Incidence, Frequency, and Clinical Characteristics of Type 3 Myocardial Infarction in Clinical Practice

Cardiac death in a patient with symptoms and electrocardiographic changes indicative of myocardial ischemia but without available measurements of cardiac biomarkers is designated a type 3 myocardial infarction. We wanted to investigate the incidence, the frequency, and the characteristics of patients diagnosed as type 3 myocardial infarction. Methods The occurrence of deaths in a well-defined […]

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Hospital Admissions for Chest Pain Associated with Cocaine Use in the United States

The outcomes related to chest pain associated with cocaine use and its burden on the healthcare system are not well studied. Methods Data were collected from the Nationwide Inpatient Sample (2001-2012). Subjects were identified by using the International Classification of Diseases, Ninth Revision, Clinical Modification codes. Primary outcome was a composite of mortality, myocardial infarction, […]

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Osteopathic Manipulation in Treatment of Musculoskeletal Chest Pain

Throughout most of my 29 years of practicing clinical cardiology, I was never really satisfied with treatments I employed in the treatment of musculoskeletal chest pain. This was especially true with the recognition of nonsteroidal anti-inflammatory drug complications. Now, at the end of primary clinical practice, I believe I have found a satisfactory treatment. My […]

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Double the Trouble: Acute Coronary Syndrome and Ischemic Stroke in Polycythemia Vera

Vague symptoms turned out to be life-threatening conditions. A 50-year-old man with a history of polycythemia vera presented to the hospital with epigastric discomfort and clumsiness of the right hand for 5 days. Polycythemia vera was diagnosed 1 year prior, with good control of hematocrit by intermittent phlebotomy. He did not have any other medical […]

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