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Additional articles abstracted in ACP Journal Club

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The following articles are abstracted in the May/June 2000 issue of ACP Journal Club. The declarative title of each abstract as published in ACP Journal Club precedes the article citation.

Therapeutics

Primary angioplasty had lower long term mortality than streptokinase in acute myocardial infarction

Dalteparin reduced death and MI at 2 but not 3 months in unstable coronary artery disease managed non-invasively

An invasive strategy reduced the combined rate of death and myocardial infarction in unstable coronary artery disease

Transmyocardial revascularization was effective in refractory angina and left ventricular free-wall ischemia

Transmyocardial revascularization increased exercise duration and reduced angina symptoms

A semirecumbent body position had a lower rate of nosocomial pneumonia than a supine position in mechanically ventilated adults

Insulin lispro reduced nocturnal hypoglycaemic episodes in type 1 diabetes mellitus when used to achieve tight glycaemic control

Diagnosis

Review: routine follow-up tests do not improve survival and quality of life in women after treatment for early stage breast cancer

Virtual colonoscopy was sensitive and specific for detecting colorectal polyps and cancer

Review: transthoracic needle aspiration biopsy is accurate for diagnosing malignant and specific benign pulmonary lesions

Review: transthoracic echocardiography and transoesophageal echocardiography detect cardiac masses in patients with stroke

Prognosis

Long term survival decreased in young adults after stroke or transient ischaemic attack

Aetiology

Fruit and vegetable intake decreased risk for ischaemic stroke

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