Search results for "Statins"
MKSAP Quiz: Follow-up for stable chronic kidney disease
A 57-year-old man is evaluated during follow-up for stable chronic kidney disease diagnosed 1 year ago. He also has type 2 diabetes mellitus, hyperlipidemia, and peripheral artery disease. On physical examination, blood pressure is 128/74 mm Hg, pulse rate is 65/min, and respiration rate is 18/min. Bilateral carotid and lower abdominal quadrant bruits are heard. Peripheral extremity pulses are diminished. The remainder of the examination is normal. After laboratory studies, what is the appropriate management?
https://immattersacp.org/weekly/archives/2021/11/09/3.htm
9 Nov 2021
MKSAP Quiz: Validity of a study
During a routine health examination, a patient asks about an article that recommended avoiding statin therapy because of the risk for memory loss. The findings were based on cross-sectional data analysis of a well-validated national health survey. What is the most likely threat to the validity of this study?
https://immattersacp.org/weekly/archives/2020/04/28/3.htm
28 Apr 2020
Adding colchicine after MI may reduce cardiovascular events
While a trial found that low-dose colchicine reduced cardiovascular events after myocardial infarction (MI) significantly more than placebo, there are unresolved questions about inflammation as a therapeutic target, an accompanying editorial noted.
https://immattersacp.org/weekly/archives/2019/11/26/1.htm
26 Nov 2019
MKSAP quiz: Evaluation during a routine examination
A 59-year-old man is evaluated during a routine examination. He feels well and has no symptoms. Medical history is significant for hypertension. On physical examination, the patient is afebrile, blood pressure is 122/74 mm Hg, and pulse rate is 76/min. Cardiac examination is unremarkable. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2019/12/17/3.htm
17 Dec 2019
Lipophilic statins associated with significantly reduced hepatocellular carcinoma incidence, mortality in hepatitis
Potential benefits of lipophilic statins appeared to be dose- and duration-dependent, with the greatest reduction in hepatocellular carcinoma risk seen with use of a moderate-dose statin for about two years, according to data from a registry of Swedish patients with hepatitis B or C.
https://immattersacp.org/weekly/archives/2019/08/20/1.htm
20 Aug 2019
Lack of access to PCSK9 inhibitors associated with cardiovascular events
Risk for myocardial infarction, unstable angina, acute ischemic heart disease, ischemic stroke, percutaneous coronary intervention, coronary artery bypass graft, and cardiac arrest was higher in patients whose prescription for a PCSK9 inhibitor was denied or abandoned.
https://immattersacp.org/weekly/archives/2019/07/30/2.htm
30 Jul 2019
Fasting may not be necessary before lipids testing, study finds
In this post hoc follow-up analysis of a randomized clinical trial, triglyceride levels were slightly higher in nonfasting samples than fasting samples, and cholesterol levels in both types of samples were similar.
https://immattersacp.org/weekly/archives/2019/06/04/4.htm
4 Jun 2019
Pinpoint patients' top priorities
An approach to decision making in older adults with multiple chronic conditions begins with identifying the patient's health priorities before deciding which treatments to continue, stop, or start to align care with these individual goals.
https://immattersacp.org/archives/2021/06/pinpoint-patients-top-priorities.htm
1 Jun 2021
Scientific statement reviews cardiovascular risks, prevention, and treatment in patients with HIV
Even when adequately controlled, HIV is associated with increased cardiovascular risk, said a recent scientific statement from the American Heart Association, which offered advice on risk assessment and preventive treatment.
https://immattersacp.org/weekly/archives/2019/06/11/2.htm
11 Jun 2019
Cardiology societies update guideline on management of chronic coronary disease
The guideline from the American Heart Association and the American College of Cardiology emphasizes coordinating care between cardiovascular and primary care professionals and prioritizing symptom relief and quality of life, among other recommendations.
https://immattersacp.org/weekly/archives/2023/08/01/2.htm
1 Aug 2023