Search results for "Aspirin"
Why internists should care about lipoprotein(a)
Lipoprotein(a) can be a significant risk factor for heart disease and requires consideration when developing a plan of care, especially in the highest risk patients.
https://immattersacp.org/archives/2020/05/why-internists-should-care-about-lipoproteina.htm
1 May 2020
Making space for preconception counseling in primary care
Internists have an obligation to provide care that aligns with patients' reproductive goals.
https://immattersacp.org/archives/2020/05/making-space-for-preconception-counseling-in-primary-care.htm
1 May 2020
MKSAP Quiz: Abdominal aortic aneurysm found during routine examination
A 69-year-old man is evaluated during a routine examination. He is asymptomatic. Medical history is significant for hypertension. On physical examination, vital signs are normal. A bruit is heard over the abdomen, and a pulsatile mass is present in the epigastrium. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2020/03/31/3.htm
31 Mar 2020
Dual therapy for afib after PCI may reduce bleeding risk better than triple therapy
Researchers reviewed four randomized controlled trials of 7,953 patients that compared the effects of dual versus triple therapy on bleeding, mortality, and ischemic events after percutaneous coronary intervention (PCI).
https://immattersacp.org/weekly/archives/2020/03/17/4.htm
17 Mar 2020
Pros, cons of prolonged anticoagulation after a clot
Experts debate about provoked vs. unprovoked venous thromboembolism, and whether a once-high-risk patient can have that status removed later.
https://immattersacp.org/archives/2020/02/pros-cons-of-prolonged-anticoagulation-after-a-clot.htm
1 Feb 2020
MKSAP Quiz: 5-month history of exertional chest discomfort
A 60-year-old man with hypertension and hyperlipidemia is evaluated for a 5-month history of exertional chest discomfort that improves with rest but has progressively worsened and reduced his activity. Medications are low-dose aspirin, losartan, hydrochlorothiazide, and atorvastatin. Based on physical and cardiac exam and results of a stress echocardiogram and coronary angiogram, what is the most appropriate next step in the patient's management?
https://immattersacp.org/weekly/archives/2019/12/10/3.htm
10 Dec 2019
MKSAP Quiz: Progressive malaise and weakness, aches, and stiffness
A 79-year-old man is evaluated for a 2-month history of progressive malaise and weakness, aching bilateral shoulders and hips, and stiffness. He recently noted aching in his jaw when chewing and reports new left-sided headaches. His erythrocyte sedimentation rate is elevated. What is the most appropriate initial management?
https://immattersacp.org/weekly/archives/2019/11/26/3.htm
26 Nov 2019
Adding colchicine after MI may reduce cardiovascular events
While a trial found that low-dose colchicine reduced cardiovascular events after myocardial infarction (MI) significantly more than placebo, there are unresolved questions about inflammation as a therapeutic target, an accompanying editorial noted.
https://immattersacp.org/weekly/archives/2019/11/26/1.htm
26 Nov 2019
MKSAP Quiz: Evaluation for a carotid bruit
A 67-year-old man is evaluated for a carotid bruit detected on routine medical examination. He reports no history of previous focal neurologic symptoms or visual loss. He has type 2 diabetes mellitus and hyperlipidemia treated with metformin, moderate-intensity pravastatin, and aspirin. Following a physical exam, neurological exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/11/12/3.htm
12 Nov 2019
Three months after PCI, discontinuing aspirin associated with less bleeding than continued dual antiplatelet therapy
High-risk patients who were randomized to switch to ticagrelor plus placebo had similar rates of cardiovascular events as those who continued ticagrelor plus aspirin, an industry-funded trial found.
https://immattersacp.org/weekly/archives/2019/10/08/2.htm
8 Oct 2019