Search results for "Syncope"
MKSAP Quiz: Dyspnea, exertional syncope
A 75-year-old man is evaluated for dyspnea and an episode of exertional syncope. He is diagnosed on clinical examination with aortic stenosis. Following an ECG, echocardiogram, and other data, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2023/10/31/3.htm
31 Oct 2023
MKSAP Quiz: Evaluation for recurrent syncope
A 25-year-old man is evaluated for recurrent syncope. The syncopal episodes are abrupt and without prodrome and have occurred several times during the past year. Following a physical exam, lab studies, and ECG, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/06/mksap-quiz-evaluation-for-recurrent-syncope.htm
1 Jun 2023
Orthostatic hypotension not a barrier to intensive hypertension treatment, meta-analysis finds
Researchers observed that more intensive blood pressure treatment lowered risk of cardiovascular disease or all-cause mortality regardless of whether patients had orthostatic hypotension.
https://immattersacp.org/weekly/archives/2023/10/24/1.htm
24 Oct 2023
Sorting out vertigo
A shift in diagnostic approach for vertigo involves asking about the timing and triggers for episodes rather than a description of symptoms.
https://immattersacp.org/archives/2024/01/sorting-out-vertigo.htm
1 Jan 2024
MKSAP Quiz: 2-week history of daily palpitations
A 41-year-old man is evaluated for a 2-week history of daily palpitations that last minutes at a time and resolve spontaneously. The palpitations are not associated with any specific activity. Following a physical exam, what is the most appropriate initial test?
https://immattersacp.org/weekly/archives/2024/04/09/3.htm
9 Apr 2024
Prioritize PE in high-risk patients with syncope
Emergency department physicians should always do a thorough workup on patients who present with syncope, although imaging for these patients in the ED does not appear to be necessary.
https://immattersacp.org/archives/2019/02/prioritize-pe-in-high-risk-patients-with-syncope.htm
1 Feb 2019
Intensive hypertension treatment associated with lower risk for orthostatic hypotension
Orthostatic hypotension should not be viewed as a reason to avoid or de-escalate hypertension treatments, according to the authors of a new systematic review of hypertension treatment trials.
https://immattersacp.org/weekly/archives/2020/09/15/2.htm
15 Sep 2020
MKSAP Quiz: Abrupt episode of syncope
A 40-year-old man is evaluated in the emergency department for syncope. He was attending a baseball game when he experienced a witnessed, abrupt episode of syncope while seated. He did not experience any prodromal symptoms. Following a physical exam, lab studies, and an electrocardiogram, what is the most appropriate management?
https://immattersacp.org/archives/2018/07/mksap-quiz-abrupt-episode-syncope.htm
1 Jul 2018
New Annals Consult Guys video addresses syncope
Annals Consult Guys videos are available to view for free online, and ACP members and Annals of Internal Medicine subscribers can earn CME for each video.
https://immattersacp.org/weekly/archives/2017/06/20/6.htm
20 Jun 2017
One-minute vs. three-minute assessment of orthostatic hypotension after standing may better predict adverse events, study suggests
Orthostatic hypotension was measured five times at 25-second intervals and was defined as a decrease in systolic blood pressure of at least 20 mm Hg or a decrease in diastolic blood pressure of at least 10 mm Hg from supine to standing position.
https://immattersacp.org/weekly/archives/2017/08/01/5.htm
1 Aug 2017