The American Heart Association (AHA) recently released an expert consensus decision pathway that provides practical tips, tables, and figures to help physicians provide optimal care to patients with heart failure and reduced ejection fraction.
9 Jan 2018
An optimal regimen starting with nonpharmacologic measures can help patients achieve notable relief.
1 May 2021
A 68-year-old man is evaluated at a follow-up appointment. He has a 7-year history of heart failure secondary to ischemic cardiomyopathy. Over the past 6 months, he has had three hospitalizations for exacerbations of his heart failure. He currently has exertional dyspnea while getting dressed, and his maximal activity level is limited to riding to the store with his wife but staying in the car. Following a physical exam and lab studies, what is the most appropriate management?
13 Mar 2018
Physicians may try to overcome their discomfort in talking about death by delivering an overly optimistic prognosis. But the eventual, inevitable decline may actually make the patient feel much worse. An effective strategy incorporates the patient's expectations.
1 Jun 2011
Undocumented patients pose a challenge to medical care, as they have trouble accessing and affording services. The current political environment is making it tougher for those who need help.
1 Oct 2018
In the intervention, paramedics responding to a fall followed a protocol that involved phone consultation with a physician and that assigned patients to one of three tiers based on their need for additional care.
12 Dec 2017
The guidelines address ongoing monitoring, treatment agreements, and state prescription drug monitoring programs, among other areas.
23 May 2017
In an effort to curb the nation's opioid crisis, state legislators are pursuing laws to limit prescribing, resulting in pushback from some doctors worried about the clinical implications, or in some cases physicians backing off from treating chronic pain patients.
1 Oct 2016
The first update of “Principles and Practice of Hospital Medicine” exemplifies how hospital medicine has evolved and the skills that hospitalists need to have.
1 Feb 2017
A position paper noted that although there are arguments on both sides, the arguments against legalization of physician-assisted suicide “remain the most compelling.”
19 Sep 2017