Search results for "Cardiology"
MKSAP Quiz: Preparticipation physical examination for sports
An 18-year-old man is evaluated during a preparticipation physical examination for his college soccer team. He is asymptomatic. He describes no limitation in his exercise capacity. Following a physical exam, what is the most appropriate test to perform?
https://immattersacp.org/weekly/archives/2022/09/20/3.htm
20 Sep 2022
Discontinuing primary preventive aspirin didn't appear to increase mortality risk
Regular aspirin users who were switched to placebo in a randomized trial did not have increased risk of all-cause mortality or cardiovascular disease events compared with those who continued aspirin, but the findings of the post hoc analysis were inconclusive.
https://immattersacp.org/weekly/archives/2022/03/15/2.htm
15 Mar 2022
MKSAP Quiz: 6-month history of intermittent claudication
A 68-year-old man is evaluated for a 6-month history of intermittent claudication. His symptoms have been slowly progressive but are not life limiting. Medical history is significant for hypertension, hyperlipidemia, and carotid artery stenosis treated with left carotid endarterectomy. He is a former smoker but quit 10 years ago. Following a physical exam and lab studies, what is the most appropriate treatment to reduce this patient's cardiovascular risk?
https://immattersacp.org/weekly/archives/2022/08/23/3.htm
23 Aug 2022
Review suggests optimal dose of omega-3 fatty acids for reducing blood pressure
The optimal intake for both systolic and diastolic blood pressure reduction is 2 to 3 g/d, according to a dose-response meta-analysis of 71 randomized controlled trials, although an editorial said omega-3s “are still not fully ready for prime time.”
https://immattersacp.org/weekly/archives/2022/06/07/2.htm
7 Jun 2022
MKSAP Quiz: Treatment of elevated cholesterol levels
A 58-year-old man is evaluated during a routine visit. He has psoriatic arthritis and hypertension. Following a physical exam and lab studies, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2021/12/14/3.htm
14 Dec 2021
ACC pathway supports neprilysin inhibitor, SGLT-2 inhibitors for heart failure with reduced ejection fraction
The American College of Cardiology (ACC) offered this update to their expert consensus decision pathway from 2017 as interim guidance to physicians while comprehensive updates to heart failure guidelines remain in development.
https://immattersacp.org/weekly/archives/2021/01/26/4.htm
26 Jan 2021
ICD detection, treatment of arrhythmias not impacted by MRI
Evidence is accumulating that MRIs do not induce clinically significant functional changes in non-MRI-conditional implantable cardioverter-defibrillators (ICDs), according to the authors of a recent study that followed the devices' performance for about two years after an MRI.
https://immattersacp.org/weekly/archives/2023/01/31/1.htm
31 Jan 2023
ADA updates diabetes standards of care for 2023
The American Diabetes Association (ADA) has changed its recommendations on hypertension cutoffs, use of statins, and treatment of patients with diabetes and chronic kidney disease, among other topics.
https://immattersacp.org/weekly/archives/2022/12/20/1.htm
20 Dec 2022
Task Force finds insufficient evidence on screening for afib
The U.S. Preventive Services Task Force reviewed trials published since 2017 but did not deem them strong enough to show evidence of benefit or harm.
https://immattersacp.org/weekly/archives/2022/02/01/3.htm
1 Feb 2022
Guidance calls for increased awareness of drug-induced arrhythmias
Some arrhythmias caused by medications, such as bradyarrhythmias and atrial tachycardia, are notable mainly due to their symptoms, while others, such as Brugada syndrome and torsades de points, can lead to sudden death, a scientific statement from the American Heart Association said.
https://immattersacp.org/weekly/archives/2020/09/22/4.htm
22 Sep 2020