Transformative Medicine (T-Med) is a quarterly, peer reviewed, open access journal published by Tower Health. The journal publishes original research, reviews, quality improvement, commentaries and case reports covering most aspects of medicine and biomedical research. The journal welcomes participation from physicians of all experience levels and encourages the submissions of residents, fellows and medical students

Current Issue: Volume 3, Number 1 (March 2024)

Cover Art

Transformative Medicine’s editorial team would like to thank Ren Hernandez, RN, for permitting us to use one of his amazing paintings for the cover art of this issue of Transformative Medicine.

The painting on the cover of this issue is titled Morning Light Click here to view a larger rendering of the painting, as well as information about the artist, Ren Hernandez.

Systematic Reviews and Meta-Analyses


Metformin Continuation Versus Holding Pre and Post Coronary Angiography with Normal Renal Function: A Systematic Review and Meta-Analysis
Mohammad Hamza, Yasar Sattar, Sadaf Fakhra, Neel Patel, Mubashar Karamat, Saman Razzaq, Aamir Saeed, Khaled M. Harmouch, Islam Elgendy, Mamas Mamas, Anand Prasad, Wael AlJaroudi, Ramesh Daggubati, and M Chadi Alraies
pages 1-15

Case Reports


New Onset Dyspnea in a Patient with Pacemaker, What Does the ECG Tracing Show?
Jakob Nypaver, Robert Libera DO, Arun Kundra, and Ravi Choxi


Aortic Dissection: The Insidious Menace
Muhammad Umer Riaz Gondal, John Lemoine, Mohammad Baig, Prem Parajuli, Zainab Kiyani, Hamza Khan, and Hassam Saif

ECG of the Quarter

Pharmacy Reviews


Novel Drug Approvals 2023
Emily Wagner, Christina Swiger, Mary Hoang, and Maley Zents

Quality Improvement Primer