Search results for "Heart Failure"
MKSAP Quiz: 1-year history of progressive fatigue, dyspnea, edema
A 62-year-old man is evaluated for a 1-year history of progressive fatigue, dyspnea on exertion, and lower-extremity edema. He has been hospitalized twice in the past year for heart failure. Following a physical exam and electrocardiogram, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2021/03/23/3.htm
23 Mar 2021
Telemonitoring no more effective than usual care after hospitalization in heart failure patients
Senate acts to prevent Medicare cut
https://immattersacp.org/weekly/archives/2010/11/23/5.htm
23 Nov 2010
Telmisartan does not improve walking performance in PAD
A randomized double-blind trial compared the angiotensin-receptor blocker with placebo in patients with peripheral artery disease (PAD) and found no difference in six-minute walk distance over six months.
https://immattersacp.org/weekly/archives/2022/10/11/2.htm
11 Oct 2022
Dapagliflozin associated with improved outcomes for HF with mildly reduced or preserved ejection fraction
An industry-funded study found patients with heart failure (HF) and an ejection fraction above 40% had a lower combined risk for worsening HF or cardiovascular death if they were randomly assigned to receive dapagliflozin versus placebo.
https://immattersacp.org/weekly/archives/2022/08/30/5.htm
30 Aug 2022
MKSAP Quiz: Follow-up visit for rheumatoid arthritis
A 58-year-old man is evaluated at a follow-up visit. He has had rheumatoid arthritis for 5 years. Increasing morning stiffness, fatigue, increasing joint pain, and swelling of small hand joints have developed in the past 6 months. Following a physical exam and other tests, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2022/08/16/3.htm
16 Aug 2022
MKSAP Quiz: worsening heart failure
A 78-year-old man was admitted to the hospital 5 days ago for worsening heart failure. There were bibasilar crackles and dullness to percussion at both posterior lung bases. Jugular venous distention, an S3, and lower extremity edema were present. Chest radiograph revealed cardiomegaly, vascular congestion, and moderate-sized bilateral pleural effusions. What is the most likely cause of this patient's pleural effusion?
https://immattersacp.org/weekly/archives/2013/06/25/3.htm
25 Jun 2013
Large review compares benefits, harms of drugs to treat type 2 diabetes
High-certainty evidence indicated that sodium-glucose cotransporter-2 inhibitors and glucagon-like peptide-1 receptor agonists reduce all-cause death, while finerenone probably also reduced mortality based on moderate-certainty evidence.
https://immattersacp.org/weekly/archives/2023/04/18/4.htm
18 Apr 2023
ARBs appear to have fewer side effects, same effectiveness compared to ACE inhibitors
Researchers used large international databases to compare outcomes among patients who initiated hypertension therapy with angiotensin-converting enzyme (ACE) inhibitors versus angiotensin receptor blockers (ARBs) and concluded that ARBs should be preferred.
https://immattersacp.org/weekly/archives/2021/08/03/2.htm
3 Aug 2021
Incidentally detected bradyarrhythmias not associated with worse outcomes in older patients
Bradyarrhythmias were found in 20.8% of patients ages 70 years and older who were given an implantable loop recorder compared to 3.8% in a control group, but detection and treatment were not associated with risk of syncope or sudden death, a Danish study found.
https://immattersacp.org/weekly/archives/2023/02/21/1.htm
21 Feb 2023
MKSAP Quiz: Difficult-to-control hypertension
A 62-year-old man is evaluated during a follow-up visit for difficult-to-control hypertension. He also has chronic kidney disease and hyperlipidemia. Following a physical exam and lab studies, what is the most appropriate additional treatment?
https://immattersacp.org/weekly/archives/2021/08/24/3.htm
24 Aug 2021