Search results for "Coronary artery disease"
Maintaining men's health in middle age
Adrenopause, somatopause, andropause... manopause? They all give internists pause when considering men's health as they reach middle age. As men try to maintain optimum health, doctors need to define what exactly that is.
https://immattersacp.org/archives/2014/04/mens-health.htm
1 Apr 2014
MKSAP Quiz: Evaluation for palpitations, fatigue
A 78-year-old man is evaluated for palpitations, worsening fatigue, and exercise intolerance. Two months ago, he was diagnosed with atrial flutter and subsequently underwent cardioversion to normal sinus rhythm. Following a physical exam, lab studies, and an electrocardiogram, what is the most appropriate treatment?
https://immattersacp.org/archives/2018/10/mksap-quiz-evaluation-for-palpitations-fatigue.htm
1 Oct 2018
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: Appropriate treatment for primary hyperaldosteronism
A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/07/19/3.htm
19 Jul 2022
Combat cardiac risks of cancer therapies
One challenge of treating cancer is preventing, diagnosing, and treating heart failure in at-risk patients, and figuring out which patients would benefit from intervention.
https://immattersacp.org/archives/2018/09/combat-cardiac-risks-of-cancer-therapies.htm
1 Sep 2018
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
Letters to the Editor
A reader offer support for the evidence base for nutritional supplements, while another cites anecdotal evidence on the benefits of fasting.
https://immattersacp.org/archives/2010/02/letters.htm
1 Feb 2010
Study finds low rates of CAD testing in patients with new-onset heart failure
Of 558,322 new heart failure patients, 34.8% received coronary artery disease (CAD) testing and 9.3% received revascularization within 90 days, which fell below expectations set by current guidelines, according to authors of a study of U.S. administrative claims data.
https://immattersacp.org/weekly/archives/2022/03/01/5.htm
1 Mar 2022
MKSAP Quiz: Evaluation for newly developed ascites
A 50-year-old man is evaluated for newly developed ascites. He has cirrhosis due to nonalcoholic steatohepatitis. Following a physical exam and lab studies, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2021/08/31/3.htm
31 Aug 2021
MKSAP Quiz: Chest pain of 4 months' duration
A 60-year-old man is evaluated for chest pain of 4 months' duration. He describes the pain as sharp, located in the left chest, with no radiation or associated symptoms; it occurs with walking one to two blocks and resolves with rest. Occasionally, the pain improves with continued walking or occurs during the evening hours. He has hypertension. Family history does not include cardiovascular disease in any first-degree relatives. His only medication is amlodipine. Following a physical examination and electrocardiogram, what is the most appropriate diagnostic test to perform next?.
https://immattersacp.org/archives/2014/10/mksap.htm
1 Oct 2014