In this small single center trial, acute CHF patients were randomized to fluid and sodium restriction (800cc and 800mg/day, respectively) or to no restriction. There were no differences between the groups in weight loss or congestion scores during the hospital stay, nor were there differences in 30 day readmission rates. The restricted group reported much more thirst. This study raises doubts as to the benefit of routinely restricting fluid and sodium in patients with acute CHF (abstract).
Do you have a stack of journals piling up on your desk, beside your bed or in your email inbox? In 1950, medical knowledge was estimated to double every 50 years, but now the doubling time is every few months. At this rate, it is impossible to keep up with the literature, but a group […]
Fill in the Blanks: Q: “The diagnosis of type 2 MI is associated with a _____ prognosis. ___% of patients will live five years after their diagnosis.” The answer is a) POOR and b) a staggering 40%. I did not know that. However, what I am aware of is the ambiguity around Type 2 MIs and […]
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]