Dec 13 2024 This Week in Cardiology

Published Date: 14 Dec 2024

US doc's pay, the ticagrelor controversy and new RCTs, clopidogrel beats ASA, holding antiplatelets for non-cardiac surgery, and Prof Cleland and ASA dogma are the topics John Mandrola, MD, covers this week.

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Latest News

AI and Surgical Robotics: Balancing Innovation and Risk

As surgical robotics and AI races ahead, consent, documentation, and liability must keep pace.

Brazil Sets New 6-Hour Threshold for Cosmetic Surgery

Brazil’s medical council has introduced new safety rules for extensive cosmetic procedures using surgical duration and cumulative risk to guide preoperative planning.

Medscape Physician Friendships Report 2026

Juggling a high-stress profession with family and other responsibilities can be a job in itself. How do doctors find friends and keep the ones they have? Here's what we found.

Overcoming Barriers to Care in Fibromyalgia

Dr Andrea Chadwick explains how empowering primary care to own long-term diagnosis and management of fibromyalgia could transform outcomes for these patients.

Retatrutide: Pitting Physician Against Patient

Your patient qualifies for retatrutide's expanded-access program. Now comes the hard part: three gatekeepers, no coordination, and no appeals process.

IV vs Inhaled Anesthetics: No Post-op Recovery Advantage

Propofol infusion may not offer better 30-day recovery or survival outcomes after major noncardiac surgery compared with inhaled anesthetics, a study finds.

Todays Updates

Hyponatremia Risk Varies Among Second-Gen Antipsychotics

Aripiprazole is associated with a lower risk for hyponatremia compared with olanzapine in patients treated with second-generation antipsychotics, a new cohort study shows.

HCT Survival Outcomes Improving in Relapsed Hodgkin Lymphoma

Researchers evaluate changes in post-transplantation outcomes among patients with relapsed or refractory Hodgkin lymphoma from 2010 to 2022.

How Much of a Cancer Drug Is Too Much?

In a recent KFF survey, 43% of US adults said they had skipped their medication in the past year because of cost.

Todays Updates

Hyponatremia Risk Varies Among Second-Gen Antipsychotics

Aripiprazole is associated with a lower risk for hyponatremia compared with olanzapine in patients treated with second-generation antipsychotics, a new cohort study shows.

HCT Survival Outcomes Improving in Relapsed Hodgkin Lymphoma

Researchers evaluate changes in post-transplantation outcomes among patients with relapsed or refractory Hodgkin lymphoma from 2010 to 2022.

How Much of a Cancer Drug Is Too Much?

In a recent KFF survey, 43% of US adults said they had skipped their medication in the past year because of cost.

Latest News

As surgical robotics and AI races ahead, consent, documentation, and liability must keep pace.

Brazil’s medical council has introduced new safety rules for extensive cosmetic procedures using surgical duration and cumulative risk to guide preoperative planning.

Juggling a high-stress profession with family and other responsibilities can be a job in itself. How do doctors find friends and keep the ones they have? Here's what we found.

Dr Andrea Chadwick explains how empowering primary care to own long-term diagnosis and management of fibromyalgia could transform outcomes for these patients.

Your patient qualifies for retatrutide's expanded-access program. Now comes the hard part: three gatekeepers, no coordination, and no appeals process.

Propofol infusion may not offer better 30-day recovery or survival outcomes after major noncardiac surgery compared with inhaled anesthetics, a study finds.

News All Time

A Case That Redefined Widespread Pain in Fibromyalgia

A misdiagnosed refractory fibromyalgia case shows Dr Michael Kaplan how broad widespread pain labels can obscure other underlying causes.

Biopsy-Site Identification Technique

Confirming biopsy sites before Mohs micrographic surgery can be difficult when wounds have healed clinically and documentation is limited, risking wrong-site surgery.

Who Is Afraid of Morphine? Balancing Caution and Pain Relief

Concerns about respiratory depression, dependence, and adverse effects shape opioid prescribing, while careful assessment and monitoring support safer, appropriate morphine use.

Novel Nonopioid May Offer Acute Pain Relief

In a phase 2b trial, the selective Nav1.8 inhibitor LTG-001 is associated with reduced acute postsurgical pain, suggesting a potential new nonopioid approach.

When Medicine Mistakes Confidence for a Cure

Not every illness has a magic bullet, and assuming otherwise is medicine's quiet overconfidence problem.

Deep Dive: Chronic Lyme Disease: Separating Science from Syndrome

Chronic Lyme Disease, unpacked: why PTLDS isn't "chronic Lyme," what retreatment trials actually show, the IACI reframing, and where the VLA15 vaccine stands today.

Weight-Loss Procedure Feasible in Outpatient Setting

Endoscopic sleeve gastroplasty performed in an ambulatory setting appears safe and feasible in selected patients with obesity, with only a few patients requiring unplanned hospitalization.

Cardiac Arrests Very Rare During Endoscopy

Cardiac arrests during endoscopic procedures in the hospital are associated with lower mortality than those with other in-hospital cardiac arrests.

Income Dictates Access to Subspecialized Oncology

Dr Maurie Markman explores the rise in oncology subspecialization and the troubling socioeconomic gaps dictating who actually gets highly specialized care.

Chronic Back Pain Treatment: Why Integrated Care Is Needed

An expert explains why fragmented care often limits lasting relief and how individualized multimodal treatment may improve outcomes in patients with chronic back pain.

Lidocaine Matches Nerve Block for Knee Surgery Pain

Lidocaine infusion matches nerve block in terms of opioid use at 24 hours after knee replacement surgery, a study finds.

New Fibromyalgia Genetics Discovery: An Author’s Perspective

Study co-author Daniel Clauw, MD, explains how the largest study of its kind bolsters the growing evidence that fibromyalgia starts in the central nervous system.

The Unknowns in Your Salary Plan Could Cost You

Doctors often overlook or misunderstand important metrics and incentives in their compensation plan, which can drag down their income.

The Phone Call That Taught Me How to Grieve

‘Always call the family. No exception.’ Dr Bishal Gyawali shares the story of a special patient and the after-death call that changed his perspective on grief.

Medscape Physician Burnout & Depression Report 2026

The data are in and confirm what many doctors already know but few talk about: The emotional weight of medicine is still heavy.

Corticosteroid Shot Could Tame Pain After Fibroid Treatment

Intra-arterial administration of dexamethasone at time of embolization can be an effective adjunct to post-procedure analgesia.

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