Search results for "Heart failure"
HPV vaccination now impacts practice later
This issue covers such topics as HPV vaccination, news from ObesityWeek, and a preview of upcoming events at Internal Medicine Meeting 2017.
https://immattersacp.org/archives/2017/02/editors.htm
1 Feb 2017
MKSAP Quiz: progressive exertional fatigue and dyspnea
A 77-year-old man with a 5-year history of idiopathic cardiomyopathy is evaluated for progressive exertional fatigue and dyspnea. He has recently stopped carrying groceries in from the car because of his exertional dyspnea. He had an implantable cardioverter-defibrillator placed 3 years ago. Medical history is also significant for hypertension. Medications are lisinopril, 40 mg/d; metoprolol succinate, 25 mg/d; furosemide, 40 mg/d; and spironolactone, 25 mg/d. Following a physical exam and electrocardiogram, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2017/01/31/3.htm
31 Jan 2017
Evidence does not support giving renin angiotensin system inhibitors to all patients with stable CAD, review finds
For all primary outcomes studied, renin angiotensin system inhibitors reduced risk when compared to placebo but not when compared to active controls, a study found.
https://immattersacp.org/weekly/archives/2017/01/31/5.htm
31 Jan 2017
Intensive blood pressure control in older patients associated with decreased cardiovascular events
Intensive blood pressure control led to a decreased rate of major adverse cardiovascular events, including cardiovascular death and heart failure, in older adults with hypertension, the study concluded.
https://immattersacp.org/weekly/archives/2017/01/31/1.htm
31 Jan 2017
Alcohol abuse may increase risk of heart conditions as much as other risk factors
Researchers analyzed data from a Healthcare Cost and Utilization Project database in California to determine the association between a diagnosis of alcohol abuse and incident atrial fibrillation, myocardial infarction, and congestive heart failure.
https://immattersacp.org/weekly/archives/2017/01/10/4.htm
10 Jan 2017
Climate change and consultation training
Readers weigh in on climate change and the best way to prepare med students as future consultants.
https://immattersacp.org/archives/2017/01/letters.htm
1 Jan 2017
MKSAP Quiz: 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 a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/11/08/3.htm
8 Nov 2016
Advance care planning should be a standard
Good advance care planning should happen early in the treatment process to ensure that any treatment reflects the patient's values, goals, hopes, and fears.
https://immattersacp.org/archives/2016/11/end-of-life.htm
1 Nov 2016
Guidance issued on drug-drug interactions for statins, heart meds
A new statement from the American Heart Association recommends that in patients taking amlodipine combined with simvastatin or lovastatin, the dosage of either statin should not exceed 20 mg/d, and for patients in whom statin-fibrate therapy is indicated, fenofibrate or fenofibric acid is preferred because of a lower rate of drug-drug interactions.
https://immattersacp.org/weekly/archives/2016/10/25/2.htm
25 Oct 2016
MKSAP Quiz: evaluation of moderate aortic regurgitation
A 47-year-old man is evaluated during a routine examination. He has no symptoms. Medical history is significant for a bicuspid aortic valve. He is not taking any medications. Following a physical exam, cardiac exam, and echocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2016/10/18/3.htm
18 Oct 2016