Specialties - Southern Medical Association

SMJ Article | Original Article

CME Article: Association of Hypertension and Hyperthyroidism in a Subspecialty Clinic and a National Database

Objective: Hypertension can cause significant morbidity and reduced life expectancy. Most patients with hypertension have primary hypertension; however, 10% to 15% have secondary hypertension. Endocrine disorders as a secondary cause occur in approximately 10% of patients with secondary hypertension, and thyroid disorders account for approximately 1% of all patients with...

Posted in: Endocrinology, Diabetes, and Metabolism5 Hypertension1

SMJ Article | Original Article

Impact of Obesity in Hospitalized Patients with Heart Failure: A Nationwide Cohort Study

Objectives: Obesity and cardiovascular disease remain significant burdens on the overall provision of health care in the United States. Obesity has been shown to be a direct risk factor for heart failure (HF). We conducted a nationwide cohort study to assess the short-term impact of obesity in hospitalized patients with...

Posted in: Cardiovascular Disease9

SMJ Article | Original Article

Cardiovascular Diseases Health Literacy among Patients, Health Professionals, and Community-Based Stakeholders in a Predominantly Medically Underserved Rural Environment

Objective: The central Appalachian region of the United States is disproportionately burdened with cardiovascular disease (CVD); however, the level of literacy about CVD among residents has not been well studied. This study aimed to examine the prevalence and factors of CVD health literacy (HL) among a sample of patients/caregivers, providers/professionals,...

Posted in: Cardiovascular Disease9

SMJ Article | Original Article

Association of Renal Clearance with Cerebral White Matter Vascular Disease in Hospitalized Veterans With and Without Delirium

Objectives: To assess the relation between renal function and delirium and to assess and compare the relation between cerebral white matter lesion (WML) and renal function as estimated by three formulas for the estimated glomerular filtration rate (eGFR) in older adult hospitalized veterans with and without delirium. Methods: Commonly used...

Posted in: Nephrology and Urology5 Vascular Disease1

SMJ Article | Original Article

Nationwide Trends in Prevalent Cardiovascular Risk Factors and Diseases in Young Adults: Differences by Sex and Race and In-Hospital Outcomes

Objectives: Prevalence and trends in all cardiovascular disease (CVD) risk factors among young adults (18–39 years) have not been evaluated on a large scale stratified by sex and race. The aim of this study was to establish the prevalence and temporal trend of CVD risk factors in US inpatients younger...

Posted in: Cardiovascular Disease9

SMJ Article | Original Article

Effects of Preoperative WBC Count on Post-CABG Surgery Clinical Outcome

Objective: White blood cells (WBCs) play a major role in inflammation, with effects on the vascular wall, the microvascular blood flow, and endothelial cells and endothelial function. Previous studies have shown that a high WBC count may increase the risk of cardiovascular complication rate and mortality after coronary artery bypass...

Posted in: Cardiovascular Disease9

SMJ Article | Original Article

Prevalence and Clinical Impact of Atrial Fibrillation in Patients with Pulmonary Embolism

Objectives: Atrial fibrillation (AF) has been suggested as a cause for pulmonary embolism (PE). We aimed to explore the prevalence and clinical impact of AF in patients with PE.Methods: Using the 2012–2014 National (Nationwide) Inpatient Sample database, we identified “adult patients with PE” as the principal discharge diagnosis. The identified...

Posted in: Miscellaneous Cardiovascular Disease (Physical Examination Findings, Murmurs)2 Miscellaneous Pulmonary Disorders (Indications for Spirometry)2

SMJ Article | Original Article

Use of Cardiac Troponin Testing in the Outpatient Setting

Objectives: Cardiac troponin (cTn) measurement is useful for diagnosing myocardial infarction (MI), particularly in the inpatient setting. A growing body of literature suggests that cTn may be useful for evaluating chronic conditions in the outpatient environment; however, little is known regarding cTn ordering patterns in this setting. We sought to...

Posted in: Miscellaneous Cardiovascular Disease (Physical Examination Findings, Murmurs)2

SMJ Article | Original Article

CME Article: Characteristics of Syncope Admissions Among Hospitals of Varying Teaching Intensity

Objectives: Previous work suggests that hospitals’ teaching status is correlated with readmission rates, cost of care, and mortality. The degree to which teaching status is associated with the management of syncope has not been studied extensively. We sought to characterize the relation between teaching status and inpatient syncope management. Methods:...

Posted in: Syncope1