Search results for "Anticoagulant therapy"
Anticoagulation not superior to placebo for calf DVT in low-risk patients, may increase bleeding risk
The randomized, double-blind, placebo-controlled trial examined a composite measure of extension of calf deep venous thrombosis (DVT) to proximal veins, contralateral proximal DVT, and symptomatic pulmonary embolism in a modified intention-to-treat population.
https://immattersacp.org/weekly/archives/2016/11/15/6.htm
15 Nov 2016
Optimizing medical therapy after stroke
Stroke survivors often leave the hospital with new prescriptions and substantial confusion about how, or even whether, to take them. This leaves internists with the sometimes formidable job of evaluating, prescribing, or tweaking these regimens, identifying and managing adverse effects, and reinforcing education about treatment risks, benefits, and adherence.
https://immattersacp.org/archives/2016/06/stroke.htm
1 Jun 2016
Oral anticoagulants for stroke prevention may be underprescribed in outpatients with AF
Specialists were more likely to prescribe an oral anticoagulant as the number of stroke risk factors increased as measured by the CHADS2 and CHA2DS2-VASc scores, the study noted.
https://immattersacp.org/weekly/archives/2016/03/22/2.htm
22 Mar 2016
MKSAP Quiz: evaluation for anticoagulation management
A 32-year-old woman is evaluated for anticoagulation management after an uncomplicated vaginal delivery of a healthy newborn. She was diagnosed with a bilateral pulmonary embolism at 25 weeks' gestation and was treated with therapeutic low-molecular-weight heparin (LMWH). The LMWH was discontinued at the onset of labor and was restarted 6 hours after delivery. Medical history is otherwise unremarkable, and her only medication is full-dose LMWH. Anticoagulation for 3 months is planned. The patient wishes to breastfeed her newborn. What is the most appropriate anticoagulation option for this patient?
https://immattersacp.org/weekly/archives/2016/02/23/3.htm
23 Feb 2016
ACP issues high-value care advice on evaluating hematuria
Among other recommendations, clinicians should include gross hematuria in their routine review of systems and specifically ask all patients with microscopic hematuria about any history of gross hematuria.
https://immattersacp.org/weekly/archives/2016/01/26/2.htm
26 Jan 2016
MKSAP Quiz: referral for newly diagnosed hypertension
A 48-year-old man with newly diagnosed hypertension is referred for an echocardiogram to assess findings of left ventricular hypertrophy noted on the electrocardiogram. He is asymptomatic, and his medical history is unremarkable other than hypertension. His only medication is chlorthalidone. Following a physical exam, cardiac exam, and transthoracic echocardiogram, what is the most appropriate management based on this patient's echocardiographic findings?
https://immattersacp.org/weekly/archives/2015/11/10/3.htm
10 Nov 2015
Vitamin K antagonists provide benefit in elderly patients with afib, study finds
Patients older than age 75 who have atrial fibrillation benefited from vitamin K antagonist therapy, although their risks for stroke and bleeding were higher than in younger patients, a recent study found.
https://immattersacp.org/weekly/archives/2014/12/09/6.htm
9 Dec 2014
More bleeds and clots in afib patients who took NSAIDs
Patients with atrial fibrillation who were prescribed NSAIDs had more serious bleeding and thromboembolic events than those not on NSAIDs, a new Danish study found.
https://immattersacp.org/weekly/archives/2014/11/18/1.htm
18 Nov 2014
AHA/ASA releases updated guidelines for primary prevention of stroke
The American Heart Association/American Stroke Association last week released updated guidelines on the primary prevention of stroke that included new recommendations on the use of statins, blood pressure management, and risk stratification for atrial fibrillation.
https://immattersacp.org/weekly/archives/2014/11/04/4.htm
4 Nov 2014
Guideline released on management of non-ST-elevation acute coronary syndromes
The American Heart Association (AHA) and the American College of Cardiology (ACC) released the “2014 Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes” (NSTE-ACS) last week.
https://immattersacp.org/weekly/archives/2014/09/30/6.htm
30 Sep 2014