Search results for "Myocardial infarction"
ARBs may offer same efficacy, better tolerability than ACE inhibitors
Meta-regression analysis showed that the difference between angiotensin-converting enzyme (ACE) inhibitors and angiotensin-receptor blockers (ARBs) compared with placebo was due to a higher placebo event rate in the ACE inhibitor trials for the outcome of all-cause mortality, cardiovascular death, and myocardial infarction.
https://immattersacp.org/weekly/archives/2016/01/12/6.htm
12 Jan 2016
MKSAP Quiz: Evaluation of chest pain
A 75-year-old woman is evaluated in the hospital 4 hours after onset of chest pain with findings of an ST-elevation myocardial infarction. She was taken emergently to the catheterization laboratory and underwent emergency percutaneous coronary intervention for a totally occluded vessel. Her post-intervention ventriculogram demonstrated a left ventricular ejection fraction of 30%. One hour after the procedure, she developed an acute arrhythmia. Medications are aspirin, metoprolol, atorvastatin, and clopidogrel. Following a physical exam, cardiac exam and electrocardiogram, what is the most appropriate management?.
https://immattersacp.org/archives/2016/04/mksap.htm
1 Apr 2016
MKSAP Quiz: Routine follow-up for very severe COPD
A 75-year-old man is seen for routine follow-up for very severe COPD. He has constant dyspnea and air hunger and spends most of the day in a chair. He has had no change in baseline cough and sputum production. He has had multiple COPD exacerbations that required ICU admission and intubation. He has not benefited from pulmonary rehabilitation in the past. What is the most appropriate management?
https://immattersacp.org/weekly/archives/2017/11/07/3.htm
7 Nov 2017
Beta-blockers after MI associated with better survival but worsening function in nursing home patients
While some elderly patients can benefit from this guideline-directed therapy, costs and benefits need to be balanced in those with impairments, the authors said.
https://immattersacp.org/weekly/archives/2016/12/20/4.htm
20 Dec 2016
MKSAP Quiz: Evaluation for progressive chest pain
A 56-year-old man is evaluated in the emergency department for progressive chest pain and dyspnea that began 3 hours ago. Medical history is significant for hypertension treated with lisinopril. Following a physical exam, electrocardiogram, and chest radiograph, what is the most appropriate immediate management?
https://immattersacp.org/archives/2020/09/mksap-quiz-evaluation-for-progressive-chest-pain.htm
1 Sep 2020
Managing HIV with testing, prevention
Antiretroviral therapy has made an impact in treating HIV, but preexposure prophylaxis has created a huge opportunity in preventing infection, with internists poised to play a role.
https://immattersacp.org/archives/2020/03/managing-hiv-with-testing-prevention.htm
1 Mar 2020
A pre-flight check for patients
People with cardiopulmonary or hematologic disorders can be affected by the hypobaric environment aboard an aircraft, so they should undergo preflight evaluation before lift-off.
https://immattersacp.org/archives/2019/05/a-pre-flight-check-for-patients.htm
1 May 2019
ACC updates decision pathway on nonstatin drugs in ASCVD
Experts considered evidence from the FOURIER trial and the SPIRE-1 and SPIRE-2 trials, as well as evidence on addition of ezetimibe to statin therapy after acute coronary syndrome.
https://immattersacp.org/weekly/archives/2017/09/12/1.htm
12 Sep 2017
AHA releases scientific statement on acute MI in women
Differences in clinical presentation affect the timely identification, testing, and management of ischemic symptoms, leading to misdiagnosis, delayed revascularization, and higher acute myocardial infarction mortality rates.
https://immattersacp.org/weekly/archives/2016/02/02/2.htm
2 Feb 2016
Palliative care's place outside cancer
Integrated palliative care is important in offering comfort measures to patients with conditions that are expected to shorten their life spans.
https://immattersacp.org/archives/2019/06/palliative-cares-place-outside-cancer.htm
1 Jun 2019