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From the Editor

July, 2017

  • 25 July

    July 25, 2017

    dave

    Many times when we least expect it there is a past and present combination in diabetes. This week in our Clinical text we start a discussion on the idea of measuring in vivo insulin. It was back in 1925 when Banting and Best first gave insulin to reduce glucose levels. ...

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July, 2017

Test Your Knowledge

Smoking and Heart Disease

All the following are true about smoking and heart disease EXCEPT:

Correct

Answer: B.  Male smokers are 25% more likely to develop coronary heart disease than female smokers.

Explanation: According to a meta-analysis, female smokers are actually 25% more likely to develop coronary heart disease than male smokers. Female sex has also been linked to a higher rate of adverse events after acute coronary syndrome. The remaining statements are all true. The incidence of MI is increased 6-fold in women who smoke at least 20 cigarettes per day. HDL cholesterol increases quickly within 3 wks of smoking cessation, but there is no clear change in cholesterol levels after that point. Interestingly, smokers who take a thrombolytic agent for acute MI tend to have better outcomes than nonsmokers, an occurrence known as the "smoker’s paradox."

Njølstad I, et al. Circulation. 1996;93(3):450-456. ; Prescott E, et al. BMJ. 1998;316(7137):1043-1047.

Huxley RR, Woodward M. Lancet. 2011;378(9799):1297-1305. ; Howe M, et al. Am J Cardiol. 2011;108(10):1382-1386.  :Forey B, et al. Biomark Res. 2013;1:26. : Barbash GI, et al. Circulation. 1993;87(1):53-58.

Incorrect

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July, 2017