The Intern At Work: Internal Medicine cover image

The Intern At Work: Internal Medicine

255. CSIM- Top Papers of the Year 2024 Live Episode

Oct 23, 2024
Rajender Hanmiah, an academic internist with 27 years of experience, shares insights from the Canadian Conference of Internal Medicine. He discusses innovative blood biomarkers for Alzheimer's diagnosis and critical findings on atrial fibrillation risks. The conversation dives into promising new treatments for NASH, alongside challenges in drug trials, including significant side effects. Key highlights also cover the intersection of liver disease, long COVID, and the importance of continued vaccination efforts in tackling public health issues.
55:16

Podcast summary created with Snipd AI

Quick takeaways

  • Blood biomarkers, particularly phosphorylated tau ratios and amyloid protein scores, significantly enhance Alzheimer's disease diagnostics over traditional clinical assessments.
  • The monitoring of transient atrial fibrillation in post-surgical patients revealed a concerning 33% recurrence rate, underscoring the need for proactive surveillance.

Deep dives

Blood Biomarkers for Alzheimer's Diagnosis

A study evaluated the effectiveness of blood biomarkers for diagnosing Alzheimer's disease in both primary and secondary care settings. Conducted in Sweden, this research involved patients already suspected of cognitive impairment and assessed them using blood biomarkers alongside lumbar punctures and PET scans for confirmation. The findings showed that blood tests, particularly the phosphorylated tau ratio and an amyloid protein score, provided a significant diagnostic accuracy, outperforming clinical assessments from specialists and primary care. Although promising, the study acknowledged limitations, including its small size and lack of generalizability beyond the Swedish population.

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