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Statins, gout guidelines fuel debate on best practice

This issue covers the debate about statins guidelines, evidence-based guidelines for gout, and physicians-in-training who face discrimination.
https://immattersacp.org/archives/2017/04/editors.htm
1 Apr 2017

MKSAP quiz: Evaluation during a routine examination

A 59-year-old man is evaluated during a routine examination. He feels well and has no symptoms. Medical history is significant for hypertension. On physical examination, the patient is afebrile, blood pressure is 122/74 mm Hg, and pulse rate is 76/min. Cardiac examination is unremarkable. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/12/17/3.htm
17 Dec 2019

Gout flares may precede cardiovascular events

A retrospective study found that gout patients who experienced an acute myocardial infarction or stroke had significantly higher odds of a recent gout flare in the preceding four months than those who did not.
https://immattersacp.org/weekly/archives/2022/08/09/1.htm
9 Aug 2022

ADA updates diabetes standards of care for 2023

The American Diabetes Association (ADA) has changed its recommendations on hypertension cutoffs, use of statins, and treatment of patients with diabetes and chronic kidney disease, among other topics.
https://immattersacp.org/weekly/archives/2022/12/20/1.htm
20 Dec 2022

MKSAP Quiz: Follow-up for diabetes, hyperlipidemia, hypertension

A 68-year-old man is evaluated during a routine follow-up visit. Medical history is significant for type 2 diabetes mellitus, hyperlipidemia, hypertension, and aortofemoral bypass surgery 2 years ago. Following a physical exam, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2022/11/15/3.htm
15 Nov 2022

Assess statin-associated myalgia on a patient-by-patient basis

Statin-associated muscle pain is controversial and poorly understood. But the consequence of stopping cholesterol drugs has a much clearer downside. Counsel patients on potential side effects, and let them know that switching is preferable to stopping.
https://immattersacp.org/archives/2012/07/statins.htm
1 Jul 2012

Higher-potency statins associated with more new diabetes cases

Patients taking higher-potency statins for secondary prevention are more likely to develop diabetes than those on lower-potency statins, a new study found.
https://immattersacp.org/weekly/archives/2014/06/10/1.htm
10 Jun 2014

3 common drugs associated with reduced risk of hospitalization and harm in serious mental illness

Statins, calcium-channel blockers, and metformin are globally licensed, commonly used, inexpensive, and relatively safe, and therefore “ideal candidates for repurposing” for mental illness, the study authors wrote.
https://immattersacp.org/weekly/archives/2019/01/15/4.htm
15 Jan 2019

Updated guideline on cholesterol management focuses on detailed risk assessment

The guideline from the American College of Cardiology/American Heart Association recommends that physicians talk to patients about risk-enhancing factors that can help provide a more personalized risk assessment, in addition to such traditional risk factors as smoking and high blood pressure.
https://immattersacp.org/weekly/archives/2018/11/20/2.htm
20 Nov 2018

More medications in advanced life-limiting illness can lower quality of life, increase symptom burden

Polypharmacy may be particularly burdensome near the end of life as patients accumulate medications to treat and prevent multiple diseases.
https://immattersacp.org/weekly/archives/2019/02/12/2.htm
12 Feb 2019

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