Search results for "Blood pressure"
MKSAP Quiz: Follow-up for hypertension, chronic kidney disease
A 74-year-old woman is evaluated during a follow-up visit for hypertension and slowly progressive chronic kidney disease. She reports that she feels well and has no symptoms. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/12/13/3.htm
13 Dec 2022
MKSAP Quiz: 2-year history of worsening hot flashes
A 56-year-old woman is evaluated for a 2-year history of worsening hot flashes and night sweats. She reports that the night sweats awaken her several times nightly, resulting in fatigue and missed work. Following a physical exam, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/12/20/3.htm
20 Dec 2022
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
Metoprolol not effective for reducing time to COPD exacerbation
A randomized placebo-controlled trial, which was stopped early due to safety and futility concerns, found no significant between-group difference in median time to first exacerbation of chronic obstructive pulmonary disease (COPD).
https://immattersacp.org/weekly/archives/2019/10/29/4.htm
29 Oct 2019
Stopping renin-angiotensin system inhibitors in advanced CKD did not appear to affect eGFR
A randomized open-label trial in the United Kingdom found that withdrawal of angiotensin-converting enzyme inhibitors and angiotensin-receptor blockers in patients with advanced chronic kidney disease (CKD) did not affect estimated glomerular filtration rate (eGFR).
https://immattersacp.org/weekly/archives/2022/11/08/2.htm
8 Nov 2022
MKSAP Quiz: Evaluation for a carotid bruit
A 67-year-old man is evaluated for a carotid bruit detected on routine medical examination. He reports no history of previous focal neurologic symptoms or visual loss. He has type 2 diabetes mellitus and hyperlipidemia treated with metformin, moderate-intensity pravastatin, and aspirin. Following a physical exam, neurological exam, and lab results, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/11/12/3.htm
12 Nov 2019
ADA updates diabetes standards of care for 2023
The American Diabetes Association (ADA) has changed its recommendations on hypertension cutoffs, use of statins, and treatment of patients with diabetes and chronic kidney disease, among other topics.
https://immattersacp.org/weekly/archives/2022/12/20/1.htm
20 Dec 2022
MKSAP Quiz: Flushing of the face of 1 year's duration
A 54-year-old woman is evaluated for flushing of the face of 1 year's duration. She went through menopause at age 50 and is on estrogen and progesterone hormone therapy. Following a physical exam, which medications should be discontinued prior to screening for secondary causes of hypertension?
https://immattersacp.org/weekly/archives/2019/09/24/3.htm
24 Sep 2019
MKSAP Quiz: 6-day history of lightheadedness, nightly fevers
A 19-year-old man is hospitalized with a 6-day history of lightheadedness and nightly fevers, as well as sore throat and other symptoms. A blotchy rash on his trunk and arms has recently resolved. He returned home 12 days ago from a trip to Vietnam, for which he did not receive specific immunizations or other prophylaxis. What is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2019/10/29/3.htm
29 Oct 2019
Social isolation during pandemic may have raised CV event risk, AHA says
A new scientific statement from the American Heart Association (AHA) reported research on social isolation published through July 2021 to examine the relationship between social isolation and cardiovascular and brain health.
https://immattersacp.org/weekly/archives/2022/08/09/2.htm
9 Aug 2022