Search results for "Syncope"
EHR alerts may help boost guideline-directed therapy for heart failure
An industry-funded cluster-randomized trial found that clinician alerts were associated with an over 40% increase in prescription of four recommended drug classes in patients with heart failure with reduced ejection fraction.
https://immattersacp.org/weekly/archives/2022/04/12/1.htm
12 Apr 2022
MKSAP Quiz: 6-week history of shortness of breath
A 22-year-old man is evaluated for a 6-week history of shortness of breath and cough. He is otherwise healthy and takes no medications. Following a physical exam and chest CT, what is the most appropriate management?
https://immattersacp.org/archives/2022/04/mksap-quiz-6-week-history-of-shortness-of-breath.htm
1 Apr 2022
MKSAP Quiz: Syncopal and near-fainting events
A 68-year-old man is evaluated for an episode of syncope and repeated episodes of near-fainting when standing and working on his tractor. Current medical problems are hypertension and dyslipidemia. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2022/02/08/3.htm
8 Feb 2022
MKSAP Quiz: Follow-up discussion of test results
A 26-year-old woman is seen for follow-up discussion of test results. Three days ago, she was evaluated for a 1-week history of a nonpruritic rash that appears to be resolving since the initial evaluation. The patient reports no recent history of oral or genital ulcers. Following a physical exam and lab results, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2021/09/14/3.htm
14 Sep 2021
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
MKSAP Quiz: 3-year history of palpitations, fatigue
A 42-year-old woman is evaluated for a 3-year history of palpitations and fatigue. She reports no chest pain, dizziness, near-syncope, or syncope. Ambulatory 24-hour electrocardiographic monitoring shows frequent monomorphic premature ventricular contractions (22% of all beats) and frequent ventricular bigeminy. What is the most appropriate management?
https://immattersacp.org/archives/2021/06/mksap-quiz-3-year-history-of-palpitations-fatigue.htm
1 Jun 2021
SPRINT issues final report finding fewer cardiovascular events with intensive blood pressure control
Patients treated to a systolic blood pressure target less than 120 mm Hg instead of less than 140 mm Hg had lower rates of cardiovascular events but more incidence of some adverse events, according to new follow-up data.
https://immattersacp.org/weekly/archives/2021/05/25/5.htm
25 May 2021
Many recent studies reporting on COVID-19 vaccines' safety, effectiveness
New studies looked at the safety of the adenovirus COVID-19 vaccines, the effectiveness of almost all the vaccines, and the impacts of COVID-19 infection in pregnancy and on long-term cardiac function. A physician columnist addressed pandemic-related anger.
https://immattersacp.org/weekly/archives/2021/05/11/1.htm
11 May 2021
First device approved to treat congenital heart disease
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2021/05/first-device-approved-to-treat-congenital-heart-disease.htm
1 May 2021
Allergy may not be absolute obstacle to COVID-19 vaccine
Allergic reactions to COVID-19 vaccines are rare but remain a source of concern. Experts at a recent conference offered some advice on management.
https://immattersacp.org/archives/2021/04/allergy-may-not-be-absolute-obstacle-to-covid-19-vaccine.htm
1 Apr 2021