Search results for "Anticoagulation"
Target preop visits for efficiency, best outcomes
Internists can guide preoperative anticoagulation, ensure that patients are in optimal condition for procedures, and##mdash;perhaps most importantly##mdash;judiciously choose which tests to perform and which ones aren't needed.
https://immattersacp.org/archives/2014/09/preop.htm
1 Sep 2014
Warfarin-aspirin therapy associated with increased bleeding compared with warfarin only
Patients with atrial fibrillation or venous thromboembolism who received aspirin without a clear therapeutic indication in addition to warfarin had higher rates of bleeding and similar rates of thrombosis.
https://immattersacp.org/weekly/archives/2019/03/12/2.htm
12 Mar 2019
MKSAP Quiz: Follow-up for deep venous thrombosis
A 42-year-old man arrives for three-month follow-up of a proximal right leg DVT after right tibia fracture. Thrombophilia evaluation was done, although not recommended by guidelines, and found an elevated plasma homocysteine level; genetic testing then found homozygosity for the C677T methylene tetrahydrofolate reductase (MTHFR) polymorphism. His only medication is warfarin. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/07/17/3.htm
17 Jul 2018
Improving HCV treatment and screening in primary care
Amid global calls to eliminate viral hepatitis, efforts are underway to screen asymptomatic adults for hepatitis C and overcome barriers to treatment.
https://immattersacp.org/archives/2022/01/improving-hcv-treatment-and-screening-in-primary-care.htm
1 Jan 2022
Intentionally seek deviations to avoid early anchoring
In a new series, Pearls from I.M. Peers, Maria (Gaby) Frank, MD, FACP, explains how noting variations in expected patterns can help internists avoid early anchoring errors when making a diagnosis.
https://immattersacp.org/archives/2022/02/intentionally-seek-deviations-to-avoid-early-anchoring.htm
1 Feb 2022
MKSAP Quiz: Frequently fluctuating INRs
A 77-year-old woman is evaluated for frequently fluctuating INRs (<1.8 to >3.5) while taking warfarin therapy. She has undergone INR testing every 1 to 2 weeks and frequent warfarin dose adjustments. She reports a consistent dietary intake. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/05/01/3.htm
1 May 2018
Pharma payments to physicians associated with higher prescribing of 2 drug classes
Researchers calculated that 1 additional payment, of a median value of $13, was associated with 94 additional days of oral anticoagulant prescriptions and 107 days of noninsulin diabetes drugs in the hospital referral region where it was made.
https://immattersacp.org/weekly/archives/2016/08/23/5.htm
23 Aug 2016
Catheter ablation improved quality of life, but not major adverse cardiac events, versus medical therapy in afib
This research provides essential information to optimize the care of atrial fibrillation patients in a patient-centric way that allows for shared decision making when considering treatment options, an editorial noted.
https://immattersacp.org/weekly/archives/2019/03/19/2.htm
19 Mar 2019
Cardiologists highlight prevention, clopidogrel
Subspecialists leading the Internal Medicine 2010 cardiology pre-course offer advice, but also accept some from general internists about preventing cardiovascular events in high-risk patients.
https://immattersacp.org/archives/2010/06/cardiology.htm
1 Jun 2010
IDSA issues new clinical practice guideline for outpatient parenteral antimicrobial therapy
The new guideline updates 2004 recommendations from the Infectious Diseases Society of America (IDSA) with evidence from recent research, particularly on the safety of outpatient parenteral therapy.
https://immattersacp.org/weekly/archives/2018/11/20/5.htm
20 Nov 2018