Bmj Usa: Journal Rack

Journal rack

BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E222

From BMJ USA 2003;May:285

This section calls attention to new studies and systematic reviews selected by the Editor from journals published just as this issue went into production (approximately 2 months before publication). Studies are noted that might directly influence clinical practice decisions in primary care. The journals hand-searched for the Journal rack are: American Journal of Medicine, American Journal of Preventive Medicine, Annals of Internal Medicine, Circulation, JAMA, Journal of General Internal Medicine, Journal of the American Board of Family Practice, JNCI, Lancet, New England Journal of Medicine, Obstetrics and Gynecology, Pediatrics.

Cardiovascular—A modeling analysis by the World Health Organization estimated that “non-personal” interventions to lower systolic blood pressure (eg, government efforts to reduce salt content of foods) could avert more than 21 million disability-adjusted life-years (DALYs) per year worldwide. A combination of personal and non-personal interventions for individuals whose 10-year risk of a cardiovascular event is greater than 35% would avert an additional 63 million DALYs per year (Murray et al. Lancet March 1, 2003;361:717–725).

Cardiovascular—A Canadian randomized trial involving 24 patients with obstructive sleep apnea and heart failure found that continuous positive airway pressure had a salutary lowering effect on systolic blood pressure and heart rate, and it increased the left ventricular ejection fraction from an average of 25% to 34% (Kaneko et al. N Engl J Med March 27, 2003;348:1233–1241).

Cardiovascular—A Swiss randomized trial involving 282 patients with chronic angina found that 1-year outcomes were similar for those treated with optimized medical therapy or with coronary angiography followed by revascularization. Subsequent hospitalization with …

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