{"id":32,"date":"2006-11-06T12:09:16","date_gmt":"2006-11-06T11:09:16","guid":{"rendered":"http:\/\/resource.bmj.com\/bmj\/2006\/11\/06\/arch-intern-med-23-oct-2006\/"},"modified":"2006-11-06T12:09:16","modified_gmt":"2006-11-06T11:09:16","slug":"arch-intern-med-23-oct-2006","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2006\/11\/06\/arch-intern-med-23-oct-2006\/","title":{"rendered":"Arch Intern Med 23 Oct 2006"},"content":{"rendered":"<p>In an early episode of <em>Blackadder<\/em>, our hero has to fend off the eager amorous attentions of a large hairy <em>infanta <\/em>from Spain, played by Miriam Margoyles. This <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2081\">study <\/a>from Madrid shows that ladies of such physique are by no means rare in Spain: 28% of overweight and obese women there have <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2081\">polycystic ovarian syndrome<\/a>, and half of these are hirsute. Life imitating art, again.<!--more--><\/p>\n<p>All arteries are different. Some, like those of the heart and leg, block frequently; others, as in the arm and gut, rather rarely. This <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2095\">study <\/a>shows that <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2095\">mesenteric artery atheroma<\/a> is actually common in elderly people but carries <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2095\">no additional risk<\/a> for vascular events or death.<\/p>\n<p>We chaps know that our <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2124\">testosterone levels<\/a> are likely to fall with age, but does this really matter? Possibly, because we ourselves are more likely to <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2124\">fall <\/a>if our male hormone levels are low. Men with the lowest quartile of testosterone had 40% more falls than those with the highest.<\/p>\n<p>Don\u2019t forget the <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2132\">JVP<\/a>. The <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2132\">jugular venous pulse<\/a> is one of the most reproducible clinical signs if one takes the trouble to look for it. This <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2132\">study <\/a>was done in a critical care setting, showing that it correlated well with the central venous catheter pressure. But if you take off the coat and scarf and sit the patient back in good light, it\u2019s also a reliable way of ruling in heart failure in primary care.<\/p>\n<p>Say you are a male health professional with a reasonably healthy body mass index, a good diet, and adequate physical activity, can you still reduce your risk of <a href=\"http:\/\/archinte.ama-assn.org\/cgi\/content\/full\/166\/19\/2145\">myocardial infarction<\/a> by drinking alcohol? Indeed you can. Cheers.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In an early episode of Blackadder, our hero has to fend off the eager amorous attentions of a large hairy infanta from Spain, played by Miriam Margoyles. This study from [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2006\/11\/06\/arch-intern-med-23-oct-2006\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38363,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[111],"tags":[],"class_list":["post-32","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-lehmans-weekly-review-of-medical-journals"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Arch Intern Med 23 Oct 2006 - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2006\/11\/06\/arch-intern-med-23-oct-2006\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Arch Intern Med 23 Oct 2006 - The BMJ\" \/>\n<meta property=\"og:description\" content=\"In an early episode of Blackadder, our hero has to fend off the eager amorous attentions of a large hairy infanta from Spain, played by Miriam Margoyles. This study from [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2006\/11\/06\/arch-intern-med-23-oct-2006\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2006-11-06T11:09:16+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2006\\\/11\\\/06\\\/arch-intern-med-23-oct-2006\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2006\\\/11\\\/06\\\/arch-intern-med-23-oct-2006\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Arch Intern Med 23 Oct 2006\",\"datePublished\":\"2006-11-06T11:09:16+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2006\\\/11\\\/06\\\/arch-intern-med-23-oct-2006\\\/\"},\"wordCount\":277,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2006\\\/11\\\/06\\\/arch-intern-med-23-oct-2006\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/richard-lehman.jpg\",\"articleSection\":[\"Richard Lehman's weekly review of medical journals\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2006\\\/11\\\/06\\\/arch-intern-med-23-oct-2006\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2006\\\/11\\\/06\\\/arch-intern-med-23-oct-2006\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2006\\\/11\\\/06\\\/arch-intern-med-23-oct-2006\\\/\",\"name\":\"Arch Intern Med 23 Oct 2006 - 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