Search results for "Syncope"
MKSAP Quiz: 2-week history of daily palpitations
A 41-year-old man is evaluated for a 2-week history of daily palpitations that last minutes at a time and resolve spontaneously. The palpitations are not associated with any specific activity. Following a physical exam, what is the most appropriate initial test?
https://immattersacp.org/weekly/archives/2024/04/09/3.htm
9 Apr 2024
Sorting out vertigo
A shift in diagnostic approach for vertigo involves asking about the timing and triggers for episodes rather than a description of symptoms.
https://immattersacp.org/archives/2024/01/sorting-out-vertigo.htm
1 Jan 2024
MKSAP Quiz: Dyspnea, exertional syncope
A 75-year-old man is evaluated for dyspnea and an episode of exertional syncope. He is diagnosed on clinical examination with aortic stenosis. Following an ECG, echocardiogram, and other data, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2023/10/31/3.htm
31 Oct 2023
Orthostatic hypotension not a barrier to intensive hypertension treatment, meta-analysis finds
Researchers observed that more intensive blood pressure treatment lowered risk of cardiovascular disease or all-cause mortality regardless of whether patients had orthostatic hypotension.
https://immattersacp.org/weekly/archives/2023/10/24/1.htm
24 Oct 2023
Universal health care, alcohol misuse, and the inpatient exam
Readers respond to recent coverage.
https://immattersacp.org/archives/2023/09/letters.htm
1 Sep 2023
Intensive blood pressure control effective in older frail patients, study finds
Data from SPRINT indicated that frail patients were at higher risk for cardiovascular events than nonfrail patients and benefited similarly from a blood pressure target of less than 120 mm Hg, with no significant increase in adverse events.
https://immattersacp.org/weekly/archives/2023/07/11/2.htm
11 Jul 2023
Useful physical exam skills for inpatient assessment
This month's expert discusses measuring vital signs, orthostatic hypertension, and the cardiac exam in the context of inpatient care.
https://immattersacp.org/archives/2023/07/useful-physical-exam-skills-for-inpatient-assessment.htm
1 Jul 2023
MKSAP Quiz: Evaluation for recurrent syncope
A 25-year-old man is evaluated for recurrent syncope. The syncopal episodes are abrupt and without prodrome and have occurred several times during the past year. Following a physical exam, lab studies, and ECG, what is the most likely diagnosis?
https://immattersacp.org/archives/2023/06/mksap-quiz-evaluation-for-recurrent-syncope.htm
1 Jun 2023
MKSAP Quiz: Occasional premature heartbeats
A 72-year-old man is evaluated during a routine physical examination. He feels well and reports no exertional limitations. Following a physical exam, heart sounds are regular, with occasional premature beats associated with cannon a waves on neck examination. Following tests, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2023/05/30/3.htm
30 May 2023
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