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Am Fam Physician. 2023;108(6):online

For patients with moderate to severe reversible ischemic heart disease, does adding an initial invasive strategy to medical therapy reduce mortality more than medical therapy alone?

Based on a large, randomized controlled trial, an early invasive strategy for patients with moderate to severe ischemic heart disease does not reduce mortality; at best, it shifts mortality from cardiovascular to noncardiovascular causes for those with multivessel disease.

How often should children be screened for hearing impairment according to guidelines?

The American Academy of Pediatrics Bright Futures guideline recommends universal hearing screening at birth; four, five, six, eight, and 10 years of age; and once between 11 and 14, 15 and 17, and 18 and 21 years of age.

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