Specialties - Southern Medical Association

SMJ Article | Original Article

Evaluation of an Electronic Health Record Alert to Improve Screening and Management of Cardiovascular Disease and Stroke Factors in a High-Risk Population

Objectives: Cardiovascular disease and stroke risk factor screening and management by primary care providers (PCPs) have a significant impact on their patients’ health. The objective of this study was to investigate the effectiveness of an electronic health record (EHR) cardiovascular disease and stroke risk alert in improving the ability of...

Posted in: Cardiovascular Disease15

SMJ Article | Original Article

CME Article: Peripartum Hypertensive Crisis Simulation and Education Initiative among Rural Emergency Departments

Objective: To determine whether the introduction of hypertensive bundles through simulation and education would result in the timely assessment and treatment of a simulated patient in a peripartum hypertensive crisis. Methods: This prospective observational pilot study evaluates the use of simulation and education on hypertension bundled care for peripartum patients...

Posted in: Obstetrics and Gynecology44 Hypertension2

SMJ Article | Original Article

CME Article: Value of Troponin in Predicting Hospital Mortality of Older Adult Patients without Suspected Acute Coronary Syndromes

Objectives: Some authors have recommended troponin measurement to stratify patient mortality risk, but it is unclear whether troponin values add to age and routine admission laboratory tests in the prediction of in-hospital mortality of older adult patients without suspected acute coronary syndrome (ACS). The aim of our study was to...

Posted in: Cardiovascular Disease15

SMJ Article | Original Article

Clinical Characteristics and Outcomes of Patients Hospitalized for COVID-19 Pneumonia Who Developed Bradycardia

Objective: To assess the clinical characteristics and clinical outcomes of bradycardic patients with coronavirus disease 2019 (COVID-19) pneumonia. Methods: The electronic medical records of 221 consecutive patients hospitalized for COVID-19 pneumonia between June and September 2020 were retrospectively reviewed. Patient characteristics, electrocardiographic data, and clinical and laboratory information were retrospectively...

Posted in: Cardiovascular Disease15 Infectious Disease73

SMJ Article | Original Article

CME Article: Risk of Silent Myocardial Infarction in Prediabetic Patients: A Case-Control Study in a Veteran Population

Objectives: In the management of cardiovascular disease, it is important to identify patients at risk early on, to provide interventions to prevent the disease and its complications. The goal of our study was to investigate the association between glucose levels and silent myocardial infarction (SMI) among patients, who consisted of...

Posted in: Cardiovascular Disease15 Endocrinology, Diabetes, and Metabolism9

SMJ Article | Original Article

Cardiovascular Risk Factors in Young Adolescents: Results from the National Health and Nutrition Examination Survey 1988–2016

Objectives: Lifestyle behaviors relevant to cardiovascular health are learned during childhood and continued into adulthood. Children and adolescents who participate in unhealthy behaviors have a higher lifetime risk of cardiovascular disease in adulthood. Public health institutions publish behavior and clinical recommendations designed for adolescents to reduce their lifetime cardiovascular risk....

Posted in: Cardiovascular Disease15

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 Metabolism9 Hypertension2

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 Disease15

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 Disease15

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 Urology7 Vascular Disease1

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