Search results for "Cardiology"
MKSAP Quiz: Difficult-to-control hypertension
A 62-year-old man is evaluated during a follow-up visit for difficult-to-control hypertension. He also has chronic kidney disease and hyperlipidemia. Following a physical exam and lab studies, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2021/08/24/3.htm
24 Aug 2021
New studies analyze risk factors, treatments for afib
One study found that early rhythm control was better than rate control for low-risk patients, another found that age at menarche and menopause was associated with afib risk, and another indicated that women's lower risk for afib is due to their smaller body size compared with men.
https://immattersacp.org/weekly/archives/2022/09/06/1.htm
6 Sep 2022
Incidentally detected bradyarrhythmias not associated with worse outcomes in older patients
Bradyarrhythmias were found in 20.8% of patients ages 70 years and older who were given an implantable loop recorder compared to 3.8% in a control group, but detection and treatment were not associated with risk of syncope or sudden death, a Danish study found.
https://immattersacp.org/weekly/archives/2023/02/21/1.htm
21 Feb 2023
AHA scientific statement offers guidance on LV thrombus
Among other recommendations, clinicians should treat patients with left ventricular (LV) thrombus after myocardial infarction using oral anticoagulants for three months, the American Heart Association (AHA) said.
https://immattersacp.org/weekly/archives/2022/09/20/4.htm
20 Sep 2022
Cardiac societies issue new joint guideline on management of heart failure
The updated guideline recommends sodium-glucose cotransporter-2 inhibitors for many heart failure patients, regardless of their diabetes status, among other changes.
https://immattersacp.org/weekly/archives/2022/04/05/2.htm
5 Apr 2022
Discontinuing primary preventive aspirin didn't appear to increase mortality risk
Regular aspirin users who were switched to placebo in a randomized trial did not have increased risk of all-cause mortality or cardiovascular disease events compared with those who continued aspirin, but the findings of the post hoc analysis were inconclusive.
https://immattersacp.org/weekly/archives/2022/03/15/2.htm
15 Mar 2022
MKSAP Quiz: Preparticipation physical examination for sports
An 18-year-old man is evaluated during a preparticipation physical examination for his college soccer team. He is asymptomatic. He describes no limitation in his exercise capacity. Following a physical exam, what is the most appropriate test to perform?
https://immattersacp.org/weekly/archives/2022/09/20/3.htm
20 Sep 2022
MKSAP Quiz: 6-month history of intermittent claudication
A 68-year-old man is evaluated for a 6-month history of intermittent claudication. His symptoms have been slowly progressive but are not life limiting. Medical history is significant for hypertension, hyperlipidemia, and carotid artery stenosis treated with left carotid endarterectomy. He is a former smoker but quit 10 years ago. Following a physical exam and lab studies, what is the most appropriate treatment to reduce this patient's cardiovascular risk?
https://immattersacp.org/weekly/archives/2022/08/23/3.htm
23 Aug 2022
EHR alerts may help boost guideline-directed therapy for heart failure
An industry-funded cluster-randomized trial found that clinician alerts were associated with an over 40% increase in prescription of four recommended drug classes in patients with heart failure with reduced ejection fraction.
https://immattersacp.org/weekly/archives/2022/04/12/1.htm
12 Apr 2022
Review suggests optimal dose of omega-3 fatty acids for reducing blood pressure
The optimal intake for both systolic and diastolic blood pressure reduction is 2 to 3 g/d, according to a dose-response meta-analysis of 71 randomized controlled trials, although an editorial said omega-3s “are still not fully ready for prime time.”
https://immattersacp.org/weekly/archives/2022/06/07/2.htm
7 Jun 2022