Jack W. McHugh MB BCh BAO , Eric O. Gomez MD , Omar M. Abu-Saleh MB BS , Cristina G. Corsini Campioli MD , Supavit Chesdachai MD , Saadiya Nazli MB BS , Nicholas T. Streck PhD , Shama Cash-Goldwasser MD , Agam K. Rao MD , Michelle L. Meyer PhD , Avni Y. Joshi MD , Kevin P. Boyd MD , Julian A. Villalba MD , Reade A. Quinton MD , Pritish K. Tosh MD , Aditya S. Shah MB BS
{"title":"Mpox in a Patient With a Signal Transducer and Activator of Transcription 1 Gain-of-Function Mutation","authors":"Jack W. McHugh MB BCh BAO , Eric O. Gomez MD , Omar M. Abu-Saleh MB BS , Cristina G. Corsini Campioli MD , Supavit Chesdachai MD , Saadiya Nazli MB BS , Nicholas T. Streck PhD , Shama Cash-Goldwasser MD , Agam K. Rao MD , Michelle L. Meyer PhD , Avni Y. Joshi MD , Kevin P. Boyd MD , Julian A. Villalba MD , Reade A. Quinton MD , Pritish K. Tosh MD , Aditya S. Shah MB BS","doi":"10.1016/j.mayocp.2024.11.022","DOIUrl":"10.1016/j.mayocp.2024.11.022","url":null,"abstract":"<div><div>We report a case of mpox in a patient with a signal transducer and activator of transcription 1 gain-of-function mutation. Despite initial improvement with intravenous immune globulin and tecovirimat, severe symptoms developed and the patient died. This underscores the need for immune system optimization and effective virucidal treatments for mpox.</div></div>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"100 3","pages":"Pages 534-539"},"PeriodicalIF":6.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Father Mathew Remedy, Temperance, and Private Die Revenue Stamps","authors":"David P. Steensma MD","doi":"10.1016/j.mayocp.2025.01.008","DOIUrl":"10.1016/j.mayocp.2025.01.008","url":null,"abstract":"","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"100 3","pages":"Pages 581-584"},"PeriodicalIF":6.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Steve R. Ommen MD , Rick A. Nishimura MD , Hartzell V. Schaff MD , Joseph A. Dearani MD
{"title":"Hypertrophic Cardiomyopathy: State of the Art","authors":"Steve R. Ommen MD , Rick A. Nishimura MD , Hartzell V. Schaff MD , Joseph A. Dearani MD","doi":"10.1016/j.mayocp.2024.07.013","DOIUrl":"10.1016/j.mayocp.2024.07.013","url":null,"abstract":"<div><div>Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiomyopathy. Patients with HCM who are treated according to modern guidelines can reasonably be expected to have normal longevity and good quality of life. Nevertheless, effort intolerance, heart failure, arrhythmias, and sudden cardiac death can occur in some patients. Comprehensive and longitudinal assessment with echocardiography, ambulatory electrocardiography, stress testing, and in some cases cardiac magnetic resonance imaging helps guide therapy. Symptomatic patients can be treated with medications including a new class, cardiac myosin inhibitors, developed specifically to treat the cellular pathophysiologic mechanism of HCM. For patients whose symptoms do not respond to medical therapy or in whom medical therapy is not desired, invasive options to relieve symptoms, when performed at expert centers, have robust data for successful outcomes. The goal of management is to encourage and help patients with HCM lead an active, healthy lifestyle that includes regular exercise similar to activity recommendations for the general public.</div></div>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"100 3","pages":"Pages 557-566"},"PeriodicalIF":6.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Highlights from the Current Issue – Audiovisual Summary","authors":"Karl A. Nath MBChB","doi":"10.1016/j.mayocp.2025.02.007","DOIUrl":"10.1016/j.mayocp.2025.02.007","url":null,"abstract":"","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"100 3","pages":"Page e1"},"PeriodicalIF":6.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adilson Marques PhD , Marcelo Maio Nascimento PhD , Gerson Ferrari PhD , Élvio R. Gouveia PhD , Paola Cortés Almanzar PhD , Miguel Peralta PhD
{"title":"Individual and Combined Association Between Healthy Behaviors and All-Cause and Premature Mortality","authors":"Adilson Marques PhD , Marcelo Maio Nascimento PhD , Gerson Ferrari PhD , Élvio R. Gouveia PhD , Paola Cortés Almanzar PhD , Miguel Peralta PhD","doi":"10.1016/j.mayocp.2024.07.025","DOIUrl":"10.1016/j.mayocp.2024.07.025","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the impact of individual and combined healthy behaviors on all-cause and premature mortality risk in Mexican adults.</div></div><div><h3>Methods</h3><div>Data on physical activity, fruit and vegetable intake, sleep hours, alcohol intake, and smoking from 95,142 adults from the MCPS (Mexico City Prospective Study) were used. All-cause mortality was monitored for up to 22 years, until December 31, 2020. Cox proportional hazards regression was used to assess mortality risk.</div></div><div><h3>Results</h3><div>Physical activity (HR, 0.88; 95% CI, 0.84 to 0.92), fruit and vegetable intake (HR, 0.94; 95% CI, 0.91 to 0.98), no excessive alcohol consumption (HR, 0.86; 95% CI, 0.81 to 0.92), and not smoking (HR, 0.93; 95% CI, 0.89 to 0.97) were individually associated with lower mortality. All-cause mortality risk decreased progressively by 8% (95% CI: 0.86 to 0.99) to 29% (95% CI, 0.63 to 0.81) for each additional healthy behavior attained. Similarly, premature mortality risk decreased by 13% (95% CI, 0.80 to 0.95) to 30% (95% CI, 0.59 to 0.83).</div></div><div><h3>Conclusion</h3><div>Over 22 years, adopting a healthier life was linked with lower all-cause and premature mortality risk, decreasing with the clustering of one additional healthy behavior. Law and policy changes as well as efforts to address the root causes of not adopting healthy behaviors in low- and middle-income countries, such as creating structural conditions for people to engage in physical activity or strong social marketing to raise awareness of the daily consumption of fruits and vegetables, are needed for improving health and delaying mortality.</div></div>","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"100 3","pages":"Pages 478-487"},"PeriodicalIF":6.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jenny J.L. Cao MB, BChir , Nader James Al-Shakarchi MBBS , Dayne Voelker MD
{"title":"67-Year-Old Man With Syncope","authors":"Jenny J.L. Cao MB, BChir , Nader James Al-Shakarchi MBBS , Dayne Voelker MD","doi":"10.1016/j.mayocp.2024.03.024","DOIUrl":"10.1016/j.mayocp.2024.03.024","url":null,"abstract":"","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"100 3","pages":"Pages 550-556"},"PeriodicalIF":6.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In the Limelight: March 2025","authors":"Karl A. Nath MBChB (Editor-in-Chief)","doi":"10.1016/j.mayocp.2025.01.016","DOIUrl":"10.1016/j.mayocp.2025.01.016","url":null,"abstract":"","PeriodicalId":18334,"journal":{"name":"Mayo Clinic proceedings","volume":"100 3","pages":"Pages 399-401"},"PeriodicalIF":6.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}