Search results for "Hypertension"
MKSAP Quiz: Follow-up for systemic lupus erythematosus
A 30-year-old woman is seen in follow-up. She was diagnosed with systemic lupus erythematosus 12 years ago. She was treated for lupus nephritis, which is now quiescent. What health risk assessment should be performed now?
https://immattersacp.org/weekly/archives/2022/04/05/3.htm
5 Apr 2022
MKSAP Quiz: Evaluation for osteoporosis
A 78-year-old woman is evaluated for osteoporosis. She was diagnosed 5 years ago following a fragility fracture in the left hip. Following medical treatment and dual-energy x-ray absorptiometry, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/04/19/3.htm
19 Apr 2022
MKSAP Quiz: 8-week history of postprandial abdominal pain
A 54-year-old man is evaluated for an 8-week history of postprandial, gnawing, epigastric abdominal pain after every meal. Pain begins 30 minutes after eating, persists for 1 hour, and gradually resolves. Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/05/10/3.htm
10 May 2022
Paternal metformin use associated with major birth defects
A prospective registry-based study in Denmark found that offspring of men who filled one or more prescriptions for metformin during the three months of developing fertilizing sperm were more likely to have a birth defect, while insulin and sulfonylureas were not associated with increased risk.
https://immattersacp.org/weekly/archives/2022/03/29/2.htm
29 Mar 2022
Incidentally detected bradyarrhythmias not associated with worse outcomes in older patients
Bradyarrhythmias were found in 20.8% of patients ages 70 years and older who were given an implantable loop recorder compared to 3.8% in a control group, but detection and treatment were not associated with risk of syncope or sudden death, a Danish study found.
https://immattersacp.org/weekly/archives/2023/02/21/1.htm
21 Feb 2023
Cardiac societies issue new joint guideline on management of heart failure
The updated guideline recommends sodium-glucose cotransporter-2 inhibitors for many heart failure patients, regardless of their diabetes status, among other changes.
https://immattersacp.org/weekly/archives/2022/04/05/2.htm
5 Apr 2022
SPRINT issues final report finding fewer cardiovascular events with intensive blood pressure control
Patients treated to a systolic blood pressure target less than 120 mm Hg instead of less than 140 mm Hg had lower rates of cardiovascular events but more incidence of some adverse events, according to new follow-up data.
https://immattersacp.org/weekly/archives/2021/05/25/5.htm
25 May 2021
Meta-analysis finds no association between beta-blocker therapy, depression
Beta-blockers did not appear to affect depression or other psychiatric adverse events, with the possible exception of sleep-related disorders, a recent study found.
https://immattersacp.org/weekly/archives/2021/03/23/5.htm
23 Mar 2021
MKSAP Quiz: COPD evaluated during a routine visit
A 66-year-old man with a history of COPD is evaluated during a routine visit. He is able to walk one flight of stairs and one block before he develops dyspnea. He was last treated for two acute exacerbations of COPD within the last year, one of which required hospitalization. Following a physical exam and other tests, what patient characteristics place him at highest risk for a recurrent acute exacerbation?
https://immattersacp.org/weekly/archives/2021/03/09/3.htm
9 Mar 2021
MKSAP Quiz: 1-week history of chest pressure
A 35-year-old woman is evaluated for a 4-month history of exertional dyspnea and a 1-week history of chest pressure. She has no sputum production, cough, or wheezes. She has never smoked. Following a physical examination, laboratory studies, electrocardiogram, and chest radiograph, what is the most appropriate initial test?
https://immattersacp.org/weekly/archives/2020/03/17/3.htm
17 Mar 2020