Tuesday, August 23, 2011

Emedinews: Dr Good Dr Bad: A patient with visceral obesity had episodes of night chest burning.

Situation: A patient with visceral obesity had episodes of night chest burning.
Dr Bad: its acidity
Dr Good: Rule out CAD.
Lesson: Nighttime acute coronary syndrome occurs more often in patients with visceral fat accumulation and sleep-disordered breathing
(Nakagawa Y, Kishida K, Mazaki T, et al. Impact of sleep-disordered breathing, visceral fat accumulation and adiponectin levels in patients with night-time onset of acute coronary syndrome. Am J Cardiol 2011; Aug 12. [Epub ahead of print)

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