Search results for "Heart failure"
MKSAP Quiz: Gradually progressive abdominal distention
A 68-year-old woman is evaluated for a 3-month history of gradually progressive abdominal distention. Her medical history is notable for a 20-year history of obesity, type 2 diabetes mellitus, hyperlipidemia, and hypertension. She also has had a 10-year history of elevation of serum aminotransferase levels, which was attributed to nonalcoholic fatty liver disease. She does not consume alcohol. Her medications are metformin, lisinopril, low-dose aspirin, and simvastatin. Following a physical exam and lab studies, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2016/11/08/3.htm
8 Nov 2016
Antihypertensives associated with worse outcomes in diabetic patients with lower SBP
Blood pressure treatment goals should be less aggressive in people with diabetes than without diabetes, study authors said, because if systolic blood pressure is already less than 140 mm Hg, additional agents might be harmful.
https://immattersacp.org/weekly/archives/2016/03/01/2.htm
1 Mar 2016
Help COPD patients with more probing care
Patients with undiagnosed chronic obstructive pulmonary disease (COPD) can sometimes hide in plain sight.
https://immattersacp.org/archives/2022/09/help-copd-patients-with-more-probing-care.htm
1 Sep 2022
Frail elderly account for majority of potentially preventable Medicare spending
Among the many steps needed to provide high-value care for every high-need, high-cost older adult are a faster shift toward value-based health care; new data collection, analysis, and treatment planning; and new models for payment and patient assignment, an editorial stated.
https://immattersacp.org/weekly/archives/2017/10/17/4.htm
17 Oct 2017
MKSAP Quiz: evaluation for a heart murmur
A 60-year-old asymptomatic man is evaluated during a routine examination. He has a long history of heart murmur. With normal daily activities, he has not experienced shortness of breath, chest discomfort, or palpitations. Following a cardiac exam and electrocardiogram, what is the most appropriate treatment for this patient?
https://immattersacp.org/weekly/archives/2015/06/23/3.htm
23 Jun 2015
Solving mysterious chronic cough cases
Chronic cough is the third most common reason for ambulatory care visits, but not all affected patients can receive specialist care. A few pearls can help uncover the origins of the condition.
https://immattersacp.org/archives/2018/07/solving-mysterious-chronic-cough-cases.htm
1 Jul 2018
Kidney failure, CV events lower with canagliflozin than placebo, industry study finds
The trial was stopped early after an interim safety analysis found significantly better renal and cardiovascular outcomes among type 2 diabetes patients randomized to canagliflozin than those assigned to placebo.
https://immattersacp.org/weekly/archives/2019/04/23/2.htm
23 Apr 2019
MKSAP Quiz: Evaluation for progressive chest pain
A 56-year-old man is evaluated in the emergency department for progressive chest pain and dyspnea that began 3 hours ago. Medical history is significant for hypertension treated with lisinopril. Following a physical exam, electrocardiogram, and chest radiograph, what is the most appropriate immediate management?
https://immattersacp.org/archives/2020/09/mksap-quiz-evaluation-for-progressive-chest-pain.htm
1 Sep 2020
Managing HIV with testing, prevention
Antiretroviral therapy has made an impact in treating HIV, but preexposure prophylaxis has created a huge opportunity in preventing infection, with internists poised to play a role.
https://immattersacp.org/archives/2020/03/managing-hiv-with-testing-prevention.htm
1 Mar 2020
Signs of congestion on physical exam accurately predict heart failure hospitalizations, death
The new analysis of a randomized trial reinforces the significant, ongoing clinical relevance of the physical exam in heart failure, as well as the notion that measuring natriuretic peptides does not substitute for a comprehensive physical exam for risk stratification, study authors said.
https://immattersacp.org/weekly/archives/2019/09/17/2.htm
17 Sep 2019