Search results for "Cardiovascular Disease"
Measure of coronary artery calcium might spare statins in some elderly patients
Coronary artery calcium-guided reclassification improved specificity for coronary heart disease events by 22% without any significant loss in sensitivity, while reclassification based on carotid plaque burden improved specificity 16% with a 7% loss in sensitivity, a study found.
https://immattersacp.org/weekly/archives/2016/08/23/1.htm
23 Aug 2016
Age only one consideration in post-MI drug therapy
To determine the best therapy for elderly patients after a heart attack, physicians should get to know their goals for their lives.
https://immattersacp.org/archives/2020/09/age-only-one-consideration-in-post-mi-drug-therapy.htm
1 Sep 2020
New category of OTC hearing aids; FMT and monkeypox
This column reviews recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2022/10/new-category-of-otc-hearing-aids-fmt-and-monkeypox.htm
1 Oct 2022
Getting patients to ‘yes' on COVID-19 vaccines
Experts believe practicing physicians are well positioned to take a lead role combating one of the biggest anticipated obstacles to widespread vaccination: vaccine hesitancy.
https://immattersacp.org/archives/2021/01/getting-patients-to-yes-on-covid-19-vaccines.htm
1 Jan 2021
Increased stroke risk may be associated with oral estrogen, but not transdermal forms
Up to 3,000 strokes per year per million hormone therapy users could be avoided by encouraging them to change from oral to transdermal estrogens and from synthetic progestins to micronized progesterone, the study concluded.
https://immattersacp.org/weekly/archives/2016/06/14/5.htm
14 Jun 2016
MKSAP Quiz: follow-up after hospitalization for a large bleeding gastric ulcer
A 50-year-old man is evaluated in follow-up after hospitalization 6 months ago for a large bleeding gastric ulcer. Tests performed for Helicobacter pylori infection at that time were negative. However, for the 3 months before hospitalization he had been taking ibuprofen for chronic back pain. He was discharged from the hospital on omeprazole, and his ibuprofen was discontinued. Following a physical exam and upper endoscopy, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2015/11/24/3.htm
24 Nov 2015
Preventive aspirin inflames opinions
Aspirin's long-standing role in cardiovascular health does not resolve its precise benefit in terms of cardiovascular prevention, specifically in patients who haven't had a myocardial infarction or stroke.
https://immattersacp.org/archives/2015/05/aspirin.htm
1 May 2015
MKSAP Quiz: declining exercise capacity over the past year
A 62-year-old man is evaluated for declining exercise capacity over the past year. He was diagnosed with moderate COPD 3 years ago. His symptoms had previously been well controlled with tiotropium and as-needed albuterol. He has not had any hospitalizations. He is adherent to his medication regimen, and his inhaler technique is good. Following a physical exam and review of previously performed chest radiographs and pulmonary function testing, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/06/28/3.htm
28 Jun 2016
MKSAP Quiz: Evaluation of risk for cardiovascular disease
A 49-year-old man is evaluated during a routine examination. He is asymptomatic but is concerned about his risk for cardiovascular disease. Medical history is notable for hypertension. He is a nonsmoker, and he works as an executive at a highly successful company. Family history is noncontributory. His only medication is hydrochlorothiazide. Following a physical exam and cholesterol and glucose testing, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/02/09/3.htm
9 Feb 2016
Silent epidemic: Alcohol and preventable death, despair
Alcohol use disorder is often linked to poverty, unemployment, social isolation, and other social determinants of health, and medicine must address these underlying factors to genuinely reduce the risks associated with alcohol.
https://immattersacp.org/archives/2023/07/silent-epidemic-alcohol-and-preventable-death-despair.htm
1 Jul 2023