The principal is often overlooked

Often Overlooked but Critical

Case Description A 37-year-old previously healthy right-handed woman presented with sudden onset of left facial droop, left hemiparesis, and headache after a water park ride. She was evaluated within 3 hours of symptoms and received intravenous tissuetype plasminogen activator. Computed tomographic angiography demonstrated right internal carotid artery dissection, and she underwent emergent car...

Diabetes is often overlooked after a myocardial infarction

An Often Overlooked Dimension to Cardiovascular Disease

Diurnal rhythms influence cardiovascular physiology such as heart rate and blood pressure and the incidence of adverse cardiac events such as heart attack and stroke. For example, shift workers and patients with sleep disturbances, such as obstructive sleep apnea, have an increased risk of heart attack, stroke, and sudden death. Diurnal variation is also evident at the molecular level, as gene ...

Cardiac amyloidosis: a treatable disease, often overlooked.

From the Cardiac Amyloidosis Program, Brigham and Women’s Hospital and Harvard Vanguard Medical Associates, Boston, MA. The online-only Data Supplement is available with this article at http://circ.ahajournals.org/lookup/suppl/doi:10.1161/CIRCULATIONAHA. 110.010447/-/DC1. Correspondence to Rodney H. Falk, MD, Department of Cardiology, Harvard Vanguard Medical Associates, 133 Brookline Ave, Bost...

Bone marrow necrosis: an entity often overlooked.

Bone marrow necrosis is a poorly understood and frequently an unrecognized finding in routine bone marrow biopsies. Previous reports indicate the incidence of bone marrow necrosis ranges from 0.5 percent (rare) to approximately one-third of all bone marrow biopsies examined. Our studies indicate that the presence of bone marrow necrosis depends on the clinical condition of the patient. Overall,...