Update in General Internal Medicine
Authors: Darrell W. Harrington, Mark T. Munekata
Journal: Annals of Internal Medicine (2007)

Updates17 July 2007Update in General Internal MedicineDarrell W. Harrington, MD and Mark T. Munekata, MD, MPH*Darrell W. Harrington, MDFrom Harbor–University of California, Los Angeles, Medical Center, Torrance, California.Search for more papers by this author and Mark T. Munekata, MD, MPH*From Harbor–University of California, Los Angeles, Medical Center, Torrance, California.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-147-2-200707170-00009 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The current Update in General Internal Medicine reviews the past year's most important articles relevant to the practicing internist. The general internist is confronted with a wide variety of clinical scenarios and must maintain a broad database and skill set that often overlap with those of subspecialists. We discuss influential articles from 2006 that have important implications for common therapeutic and diagnostic challenges in internal medicine. The Table(1–9) shows changes to clinical practice that should emerge from these articles. Table.Changes to Clinical Practice Emerging from Articles Important to General Internal Medicine in 2006*Table. Changes to Clinical Practice Emerging from Articles ...References1. Cooper WO, Hernandez-Diaz S, Arbogast PG, Dudley JA, Dyer S, Gideon PS, et al. Major congenital malformations after first-trimester exposure to ACE inhibitors. N Engl J Med. 2006;354:2443-51. [PMID: 16760444] CrossrefMedlineGoogle Scholar2. Gonzales D, Rennard SI, Nides M, Oncken C, Azoulay S, et al; Varenicline Phase 3 Study Group. Varenicline, an alpha4beta2 nicotinic acetylcholine receptor partial agonist, vs sustained-release bupropion and placebo for smoking cessation: a randomized, controlled trial. JAMA. 2006;296:47-55. [PMID: 16820546] CrossrefMedlineGoogle Scholar3. 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The effects of perioperative beta-blockade: results of the Metoprolol after Vascular Surgery (MaVS) study, a randomized, controlled trial. Am Heart J. 2006;152:983-90. [PMID: 17070177] CrossrefMedlineGoogle Scholar38. Juul AB, Wetterslev J, Gluud C, Kofoed-Enevoldsen A, Jensen G, Callesen T, et al; DIPOM Trial Group. Effect of perioperative beta blockade in patients with diabetes undergoing major non-cardiac surgery: randomised placebo controlled, blinded multicentre trial. BMJ. 2006;332:1482. [PMID: 16793810] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Darrell W. Harrington, MD; Mark T. Munekata, MD, MPH*Affiliations: From Harbor–University of California, Los Angeles, Medical Center, Torrance, California.*Adapted for publication in Annals of Internal Medicine by Jennifer Fisher Wilson and Michael Berkwits, MD, MSCE.Disclosures: None disclosed.Corresponding Author: Darrell W. Harrington, MD, Division of General Internal, Medical Director Office, Box 2, Harbor–UCLA Medical Center, 1000 West Carson Street, Torrance, CA 90502; e-mail, dharrington@ladhs.org.Current Author Addresses: Dr. Harrington: Division of General Internal, Medical Director Office, Box 2, Harbor–UCLA Medical Center, 1000 West Carson Street, Torrance, CA 90502.Dr. Munekata: Harbor–UCLA Medical Center, David Geffen School of Medicine at University of California, Los Angeles, 1000 West Carson Street, Box 459, Torrance, CA 90502. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCorrection: Update in General Internal Medicine Metrics Cited byCorrection: Update in General Internal Medicine 17 July 2007Volume 147, Issue 2 Page: 104-116 Keywords Angiography Cardiac surgery Computed axial tomography Hemorrhagic stroke Ischemic stroke Myocardial infarction Pulmonary embolism Surgery Vascular surgery Walking ePublished: 17 July 2007 Issue Published: 17 July 2007 Copyright & PermissionsCopyright © 2007 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...