Episode 193: Medical Update 193- Early afib conversion. iPhone batteries, H. Pylori, Our words have meaning!
Questioning Medicine7 Apr 2022

Episode 193: Medical Update 193- Early afib conversion. iPhone batteries, H. Pylori, Our words have meaning!

Gibbons RC et al. Ultrasound-versus landmark-guided medium-sized joint arthrocentesis: A randomized clinical trial. Acad Emerg Med 2022 Feb; 29:159. (https://doi.org/10.1111/acem.14396. opens in new tab)

Use a ultrasound for arthrocentesis when possible


Circ Arrhythm Electrophysiol 2022 Mar; 15:e010646. (https://doi.org/10.1161/CIRCEP.121.010646)

Apple AirPods Pro and their wireless charging case, the Microsoft Surface Pen, and the Apple Pencil second generation — also have strong enough magnetic fields to affect current-generation CIEDs.


https://pubmed.ncbi.nlm.nih.gov/34862940/

first of all empiric therapy with clarithromycin is no longer effective for treating Helicobacter. You have two choices. The choices are thus: 14-day bismuth quadruple therapy or rifabutin triple therapy,


Andreadis K, Chan E, Park M, et al. Imprecision and preferences in interpretation of verbal probabilities in health: a systematic review. J Gen Intern Med 2021;36(12):3820-3829.
. The interpretation of "common" which means- accepted definition of 1% to 10%.

But people thought it meant 59% (on average) --------59% is basically all the time that is great odds and would bankrupt vegas

TAKE HOME!!

In studies asking for preference, a majority of patients prefer numbers rather than word-based estimates of risk.


Risks and Benefits of Early Rhythm Control in Patients With Acute Strokes and Atrial Fibrillation: A Multicenter, Prospective, Randomized Study (the RAFAS Trial) | Journal of the American Heart Association (ahajournals.org)


The main findings were that early rhythm control led to a lower risk of stroke at 12 months (3 [1.7%] vs 6 [6.3%]; HR, 0.251; P = .034). There was no difference in risk of recurrent stroke at 3 months.

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Episode 422: 429. Rivaroxaban vs Apixaban = The Battle of the Blood Thinners!

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Episode 418: 425. Triptan initiation and cerebrovascular events

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