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The following articles are abstracted in the March/April 2003 issue of ACP Journal Club. The declarative title of each abstract as published in ACP Journal Club precedes the article citation.


Prehospital fibrinolysis was as good as primary angioplasty after myocardial infarction

An interventional strategy was better than a conservative strategy in unstable angina or non–ST-elevation MI

Heparin plus alteplase reduced morbidity more than heparin alone in submassive pulmonary embolism

Review: β-blockers, sotalol, amiodarone, and biatrial pacing all reduce atrial fibrillation after heart surgery

Hydrocortisone and fludrocortisone improved 28-day survival in septic shock and adrenal insufficiency

Review: β-lactam alone was better than β-lactam plus aminoglycoside for cancer patients with neutropenia

Review: antifungals absorbed or partially absorbed from the GI tract prevent oral candidiasis in cancer patients receiving treatment

Cervical spine manipulation was not better than mobilization for improving outcomes in neck pain

Review: tegaserod or alosetron are effective for the irritable bowel syndrome

Upper gastrointestinal event risk with COX-2 inhibitors depended on known risk factors

Review: low dose was as effective as standard dose tricyclic antidepressants in adults with depression

Prophylactic citalopram reduced recurrences of unipolar major depression


The combined use of duplex ultrasonography and magnetic resonance angiography most accurately diagnosed carotid artery stenosis