Search results for "Heart Failure"
Adherence to sleep apnea treatment reduces health care use, costs in heart failure
Positive airway pressure-adherent patients with heart failure with preserved ejection fraction and obstructive sleep apnea had fewer health care visits, including ED and hospital visits, than nonadherent patients, according to a new industry-funded study.
https://immattersacp.org/weekly/archives/2023/07/18/2.htm
18 Jul 2023
MKSAP Quiz: Routine visit for a patient with chronic kidney disease
A 45-year-old man is evaluated during a routine visit in September. He has advanced chronic kidney disease due to IgA nephropathy. After his vaccination history is evaluated, what is the most appropriate additional vaccine to administer at this visit?
https://immattersacp.org/weekly/archives/2023/07/18/3.htm
18 Jul 2023
Intensive blood pressure control effective in older frail patients, study finds
Data from SPRINT indicated that frail patients were at higher risk for cardiovascular events than nonfrail patients and benefited similarly from a blood pressure target of less than 120 mm Hg, with no significant increase in adverse events.
https://immattersacp.org/weekly/archives/2023/07/11/2.htm
11 Jul 2023
Useful physical exam skills for inpatient assessment
This month's expert discusses measuring vital signs, orthostatic hypertension, and the cardiac exam in the context of inpatient care.
https://immattersacp.org/archives/2023/07/useful-physical-exam-skills-for-inpatient-assessment.htm
1 Jul 2023
Work toward equity in Black men's health
An expert discusses causes and effects of health disparities as well as ways to incorporate health equity into the practice of medicine.
https://immattersacp.org/archives/2023/07/work-toward-equity-in-black-mens-health.htm
1 Jul 2023
Frailer heart failure patients less likely to receive guideline-recommended therapy
A prospective analysis of patients with heart failure and reduced ejection fraction in Japan found that the proportion receiving angiotensin-converting enzyme inhibitors/angiotensin receptor blockers, beta-blockers, and mineralocorticoid receptor antagonists decreased as physical frailty increased.
https://immattersacp.org/weekly/archives/2023/06/20/4.htm
20 Jun 2023
Quadruple therapy for heart failure cost-effective compared to previous standard of care
Adding a sodium-glucose cotransporter-2 inhibitor to standard care had intermediate cost-effectiveness, but replacing an angiotensin-converting enzyme inhibitor with an angiotensin receptor-neprilysin inhibitor was only borderline cost-effective, a modeling study found.
https://immattersacp.org/weekly/archives/2023/06/13/1.htm
13 Jun 2023
A living guideline for depression treatment
ACP recommends choosing between a second-generation antidepressant or cognitive behavioral therapy for adults in the acute phase of moderate to severe major depressive disorder.
https://immattersacp.org/archives/2023/06/a-living-guideline-for-depression-treatment.htm
1 Jun 2023
Rapid uptitration of oral HF therapies after HF hospitalization was safe, effective across LVEF categories
A high-intensity care strategy was associated with a reduced risk of death or heart failure (HF) readmission at 180 days in patients hospitalized for acute HF, regardless of left ventricular ejection fraction (LVEF), a prespecified analysis of a randomized trial found.
https://immattersacp.org/weekly/archives/2023/05/30/4.htm
30 May 2023
MKSAP Quiz: Occasional premature heartbeats
A 72-year-old man is evaluated during a routine physical examination. He feels well and reports no exertional limitations. Following a physical exam, heart sounds are regular, with occasional premature beats associated with cannon a waves on neck examination. Following tests, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/05/30/3.htm
30 May 2023