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Sex Differences in the Management and 5-Year Outcome of Young Patients (<55 Years) with Acute Coronary Syndromes

Premature presentation of ischemic heart disease has become increasingly common. According to recent reports, patients younger than 55 years account for 23% of all patients with acute coronary syndrome.1 Premenopausal women are less likely than men of similar ages to present with acute coronary syndrome, accounting for only 17%-20%1, 2 of cases. Studies have consistently shown that the […]

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A Tale of Two Valves

To the Editor: Radiation heart disease is associated with a high level of morbidity and mortality. Its natural history is not well understood. Its management is difficult. We report a case of radiation heart disease with dramatic disease progression over 11 years, captured on echocardiography. Case Report A 66-year-old woman presented with increasing dyspnea on […]

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Recurrent Syncope: An Unusual Complication of Hypertensive Heart Disease

To the Editor: Syncope accompanied by outflow tract obstruction most commonly is associated with obstructive forms of hypertrophic cardiomyopathy. Outflow tract obstruction also may be seen in select diseases that cause ventricular hypertrophy, including aortic valve replacement for aortic valve stenosis, myocardial infarction, and pheochromocytoma. Initially described by Brock, there have been several reports of hypertension implicated […]

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Alexandra Queen, and Joseph Alpert

Should Physicians Suggest the Mediterranean Diet to Patients? Yes! (video)

Once again, research backs up the Mediterranean Diet as a healthy way to eat. Here, Editor-in-Chief Dr. Joseph Alpert and Assistant Editor Alexandra Queen talk about new research which compares the Mediterranean Diet to low-fat diets and low-carb diets. Read the research… Systematic Review of the Mediterranean Diet for Long-term Weight Loss

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New Year’s Resolution: Only Exercise on the Days You Eat

How often should I exercise, doc? “Only exercise on the days you eat,” is the advice Dr. Joseph S. Alpert, editor-in-chief of The American Journal of Medicine, gives his cardiology patients. In the spirit of this advice, here is a compilation of recent research and commentary on the importance of regular exercise. Exercise Is Just […]

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