Search results for "Coronary artery disease"
Reduced CAD risk noted over time in adult survivors of childhood cancer
Data from the Childhood Cancer Survivor Study were used to examine the cumulative incidence of reported heart failure, coronary artery disease (CAD), valvular heart disease, pericardial disease, and arrhythmias according to decade of treatment (1970s, 1980s, or 1990s).
https://immattersacp.org/weekly/archives/2020/01/28/5.htm
28 Jan 2020
MKSAP Quiz: 5-month history of exertional chest discomfort
A 60-year-old man with hypertension and hyperlipidemia is evaluated for a 5-month history of exertional chest discomfort that improves with rest but has progressively worsened and reduced his activity. Medications are low-dose aspirin, losartan, hydrochlorothiazide, and atorvastatin. Based on physical and cardiac exam and results of a stress echocardiogram and coronary angiogram, what is the most appropriate next step in the patient's management?
https://immattersacp.org/weekly/archives/2019/12/10/3.htm
10 Dec 2019
MKSAP Quiz: 6-week history of chest pressure
A 52-year-old woman is evaluated for a 6-week history of chest pressure that occurs during exercise and is relieved with rest. She also had chest pressure during a stressful work meeting last week. Medical history includes hypertension and hyperlipidemia, and medications are hydrochlorothiazide, lisinopril, and atorvastatin. After normal results on physical examination and electrocardiography, what diagnostic test should be performed next?
https://immattersacp.org/weekly/archives/2019/09/10/3.htm
10 Sep 2019
Readers respond on narrative medicine, low-dose aspirin
Readers offer feedback on narrative medicine, “low-dose” aspirin.
https://immattersacp.org/archives/2019/05/readers-respond-on-narrative-medicine-low-dose-aspirin.htm
1 May 2019
More than half of people taking statins may have suboptimal improvement in LDL cholesterol
There was a significantly increased risk of coronary artery disease, peripheral vascular disease, and cardiovascular disease-related death in patients with a suboptimal response to statins compared with those with an optimal response.
https://immattersacp.org/weekly/archives/2019/04/23/1.htm
23 Apr 2019
Weighing benefits, harms of cannabis
Marijuana use has risen, so internists need to understand its real risks as well as its potential clinical uses, such as for chronic pain, chemotherapy-induced nausea and vomiting, and multiple sclerosis spasticity symptoms.
https://immattersacp.org/archives/2019/04/weighing-benefits-harms-of-cannabis.htm
1 Apr 2019
MKSAP Quiz: Routine visit for 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, cardiac exam, and lab tests, what risk factors will result in underestimation of the risk for atherosclerotic cardiovascular disease in this patient?
https://immattersacp.org/weekly/archives/2019/03/19/3.htm
19 Mar 2019
A defense of proton-pump inhibitors
Data on their risks may seem persuasive, but one expert is not convinced.
https://immattersacp.org/archives/2019/01/a-defense-of-proton-pump-inhibitors.htm
1 Jan 2019
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
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