Search results for "Myocardial infarction"
Aspects of pregnancy, menstruation associated with higher CVD risk in later life
Results agreed with some, but not all, previous studies that reported that early menarche was associated with an increased risk of cardiovascular disease (CVD).
https://immattersacp.org/weekly/archives/2018/01/23/4.htm
23 Jan 2018
Daylight saving time may be linked to medical errors
The economic benefits of changing the clocks twice a year are miniscule and need to be weighed against increased motor vehicle accidents and the increased rate of myocardial infarction following the time change.
https://immattersacp.org/archives/2020/11/daylight-saving-time-may-be-linked-to-medical-errors.htm
1 Nov 2020
Beta-blockers not associated with lower risk of death after acute MI in patients without heart failure, study finds
The insignificant effect of beta-blockers on survival was also apparent at one month and six months after discharge, as well as in separate analyses of patients with STEMI and NSTEMI.
https://immattersacp.org/weekly/archives/2017/06/06/5.htm
6 Jun 2017
Weighing benefits, harms of cannabis
Marijuana use has risen, so internists need to understand its real risks as well as its potential clinical uses, such as for chronic pain, chemotherapy-induced nausea and vomiting, and multiple sclerosis spasticity symptoms.
https://immattersacp.org/archives/2019/04/weighing-benefits-harms-of-cannabis.htm
1 Apr 2019
SPRINT finds lower systolic BP targets associated with better outcomes in nondiabetic adults at high CV risk
The trial was stopped early because of a significantly lower rate of myocardial infarction, other types of acute coronary syndromes, stroke, heart failure, or death from CV causes in the intensive treatment group (systolic blood pressure target <120 mm Hg).
https://immattersacp.org/weekly/archives/2015/11/17/1.htm
17 Nov 2015
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
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
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