Search results for "Heart failure"
MKSAP Quiz: Evaluation for progressive chest pain
A 56-year-old man is evaluated in the emergency department for progressive chest pain and dyspnea that began 3 hours ago. Medical history is significant for hypertension treated with lisinopril. Following a physical exam, electrocardiogram, and chest radiograph, what is the most appropriate immediate management?
https://immattersacp.org/archives/2020/09/mksap-quiz-evaluation-for-progressive-chest-pain.htm
1 Sep 2020
Managing HIV with testing, prevention
Antiretroviral therapy has made an impact in treating HIV, but preexposure prophylaxis has created a huge opportunity in preventing infection, with internists poised to play a role.
https://immattersacp.org/archives/2020/03/managing-hiv-with-testing-prevention.htm
1 Mar 2020
Kidney failure, CV events lower with canagliflozin than placebo, industry study finds
The trial was stopped early after an interim safety analysis found significantly better renal and cardiovascular outcomes among type 2 diabetes patients randomized to canagliflozin than those assigned to placebo.
https://immattersacp.org/weekly/archives/2019/04/23/2.htm
23 Apr 2019
Correcting medicine's use of race in clinical algorithms
Recent efforts have pushed institutions to reconsider the use of race not just in estimating kidney function, but in a variety of algorithms and scores.
https://immattersacp.org/archives/2021/05/correcting-medicines-use-of-race-in-clinical-algorithms.htm
1 May 2021
MKSAP Quiz: 12-hour history of fever
A 51-year-old man is evaluated in the emergency department for a 12-hour history of fever, chills, headache, and weakness. He works on his farm in Maine and spends a considerable part of most days outside, but he is not aware of any tick or mosquito bites. Following a physical exam and lab studies, a blood smear from this patient is most likely to show which of the following abnormalities?
https://immattersacp.org/archives/2020/11/mksap-quiz-12-hour-history-of-fever.htm
1 Nov 2020
Analyses from SPRINT examine cost-effectiveness, patient-reported outcomes with intensive BP control
The first analysis used a microsimulation model to apply findings from SPRINT to a hypothetical cohort of eligible patients. The second compared patient-reported outcomes from SPRINT in the intensive versus the standard treatment group.
https://immattersacp.org/weekly/archives/2017/08/29/2.htm
29 Aug 2017
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
Signs of congestion on physical exam accurately predict heart failure hospitalizations, death
The new analysis of a randomized trial reinforces the significant, ongoing clinical relevance of the physical exam in heart failure, as well as the notion that measuring natriuretic peptides does not substitute for a comprehensive physical exam for risk stratification, study authors said.
https://immattersacp.org/weekly/archives/2019/09/17/2.htm
17 Sep 2019
Updated advice on anxiety screening
The U.S. Preventive Services Task Force recently concluded that for adults up to age 65 years, including those who are pregnant or postpartum, screening for anxiety is beneficial and should be conducted routinely in primary care.
https://immattersacp.org/archives/2023/10/updated-advice-on-anxiety-screening.htm
1 Oct 2023
Afib guideline updates diagnosis, management strategies
An updated guideline from cardiology societies places new emphasis on lifestyle and risk factor modification in patients with atrial fibrillation and risk for recurrence when afib occurs after surgery, among other changes.
https://immattersacp.org/weekly/archives/2023/12/12/4.htm
12 Dec 2023