Search results for "Coronary artery disease"
Societies stress shared decision making in updated lipids performance measures
Better patient outcomes are realized only if patients agree with, act on, and adhere to their doctors' advice for 5 to 10 years, but up to half of patients stop statins at 1 to 2 years.
https://immattersacp.org/weekly/archives/2015/12/15/5.htm
15 Dec 2015
MKSAP Quiz: Evaluation of risk for cardiovascular disease
A 49-year-old man is evaluated during a routine examination. He is asymptomatic but is concerned about his risk for cardiovascular disease. Medical history is notable for hypertension. He is a nonsmoker, and he works as an executive at a highly successful company. Family history is noncontributory. His only medication is hydrochlorothiazide. Following a physical exam and cholesterol and glucose testing, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/02/09/3.htm
9 Feb 2016
Morning home blood pressure strongly predicts coronary artery disease, stroke events, study finds
Patients in the study were instructed in guideline-directed home blood pressure (BP) measurement technique and were asked to measure BP twice in the morning on 2 different days for each measurement point.
https://immattersacp.org/weekly/archives/2016/03/29/4.htm
29 Mar 2016
New guidelines for dual antiplatelet therapy in patients with CAD
Clinicians should weigh ischemic risks and bleeding risks before adding a P2Y12 inhibitor to aspirin monotherapy or prolonging dual antiplatelet therapy, among other recommendations.
https://immattersacp.org/weekly/archives/2016/04/05/2.htm
5 Apr 2016
Managing depression is worth the effort
Depression's impact on health is often profound and far-reaching, potentially equaling that of coronary artery disease. To provide clinicians with guidance on treatment of depression, ACP has released a new clinical practice guideline that underscores the severe burden of depression and outlines viable treatment options for patients.
https://immattersacp.org/archives/2016/05/depression.htm
1 May 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
Atrial fibrillation patients often prescribed aspirin instead of anticoagulants, study finds
Cardiologists may be prescribing aspirin instead of oral anticoagulants because they think that aspirin is as efficacious as oral anticoagulants, or because they want to avoid the inconvenience of oral anticoagulation.
https://immattersacp.org/weekly/archives/2016/06/21/4.htm
21 Jun 2016
ACC, AHA release updated performance, quality measures for afib
There are 24 total measures, including 6 performance measures (3 inpatient and 3 outpatient) and 18 quality measures (10 inpatient and 8 outpatient), all designed to assess care quality for inpatients and outpatients with atrial fibrillation and atrial flutter.
https://immattersacp.org/weekly/archives/2016/06/28/2.htm
28 Jun 2016
MKSAP Quiz: Evaluation during a routine examination
A 74-year-old woman is evaluated during a routine examination. Her medical history is significant for hypertension and obesity. She is a former smoker, stopping 5 years ago. Medications are amlodipine, lisinopril, and aspirin. Following a physical exam and ankle-brachial index score, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/07/19/3.htm
19 Jul 2016
MKSAP Quiz: 3-month history of gradually progressive abdominal distention
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin. Following physical and abdominal exams, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/08/09/3.htm
9 Aug 2016