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This article presents a selection of ten key topics, carefully analyzed and commented on by chief residents at the Department of Internal Medicine at CHUV. This curated selection highlights the major advances and essential reminders in internal medicine for 2024. By reviewing this year's leading publications, it sheds light on progress in diagnostic and therapeutic approaches, both for hospitalized patients and the continuity of care in outpatient settings.

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Background: Pacemaker recipients demonstrate a higher prevalence of atrial fibrillation (AF), yet the regular ventricular activation in pacemaker-dependent patients with AF presents a substantial diagnostic challenge.

Methods: A total of 310 medical practitioners completed a brief, validated survey consisting of three electrocardiograms displaying AF with ventricular pacing. Participants were instructed to identify the underlying rhythm.

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Background: After a new drug or medical device is approved by the US Food and Drug Administration (FDA), physician-patient communication about benefits and risks is critical, including whether the product was approved through an expedited pathway based on limited evidence. In addition, physician reporting of drug- and device-related adverse events in real-world use is necessary to have a complete safety profile. We studied physician-reported communication and safety-reporting practices related to drugs and devices.

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Article Synopsis
  • Shone complex (SC) is a rare congenital heart disease involving four obstructive lesions in the left side of the heart, making up 0.6-0.7% of CHD cases.
  • A 4-week-old male neonate with SC presented severe respiratory distress and related symptoms, leading to a diagnosis that included multiple heart issues and a successful surgical intervention at five months.
  • Early detection through echocardiography and multidisciplinary care is crucial for effective management and improved patient outcomes in SC cases.
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