Search results for "Cardiology"
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
High-sensitivity troponin testing could reduce stress testing for myocardial ischemia in stable CAD
A high-sensitivity cardiac troponin I level below 2.5 pg/mL indicated low risk of inducible myocardial ischemia in patients with stable coronary artery disease (CAD).
https://immattersacp.org/weekly/archives/2018/11/06/1.htm
6 Nov 2018
MKSAP Quiz: progressive exertional fatigue and dyspnea
A 77-year-old man with a 5-year history of idiopathic cardiomyopathy is evaluated for progressive exertional fatigue and dyspnea. He has recently stopped carrying groceries in from the car because of his exertional dyspnea. He had an implantable cardioverter-defibrillator placed 3 years ago. Medical history is also significant for hypertension. Medications are lisinopril, 40 mg/d; metoprolol succinate, 25 mg/d; furosemide, 40 mg/d; and spironolactone, 25 mg/d. Following a physical exam and electrocardiogram, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/01/31/3.htm
31 Jan 2017
Collaboration with heart failure patients key
Comanaging cardiology patients after heart failure requires small adjustments, following recent guidelines, and patient involvement in decisions.
https://immattersacp.org/archives/2021/07/collaboration-with-heart-failure-patients-key.htm
1 Jul 2021
Different patients, different doses
Some patients may metabolize certain drugs differently, requiring primary care physicians to know any safety or dosing issues for the most commonly used drugs.
https://immattersacp.org/archives/2019/05/different-patients-different-doses.htm
1 May 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
Stopping preventive aspirin associated with 37% increased risk of cardiovascular events
Patients who continued aspirin had a 4.1% yearly incidence of cardiovascular events, compared to 5.4% among those who stopped taking the drug, while the risk of discontinuation corresponded to one additional cardiovascular event for every 74 patients who stopped taking aspirin in a year.
https://immattersacp.org/weekly/archives/2017/10/03/4.htm
3 Oct 2017
New assessment tool may improve predictions of CV risk, impact of preventive treatments
The new three-step tool aims to provide a framework for delivering appropriate risk-reducing strategies to Medicare patients with a 10-year atherosclerotic cardiovascular disease risk greater than 30%.
https://immattersacp.org/weekly/archives/2016/11/08/4.htm
8 Nov 2016
Folic acid supplementation may help prevent first stroke in high-risk patients with hypertension
Among patients with low platelet count and high total homocysteine levels, receiving folic acid reduced the risk of first stroke by 73%, whereas there was no significant effect of folic acid among low-risk patients.
https://immattersacp.org/weekly/archives/2018/05/08/2.htm
8 May 2018
MKSAP Quiz: Routine office visit for patient with HIV
A 44-year-old man is evaluated in the office during a routine visit. Medical history is significant for HIV diagnosed at age 25 years, hypertension, and hyperlipidemia. He is a current smoker. Following a physical exam, lab tests, and electrocardiogram, what factors will result in underestimation of the risk for atherosclerotic cardiovascular disease in this patient?
https://immattersacp.org/weekly/archives/2018/12/18/3.htm
18 Dec 2018