Search results for "Anticoagulation"
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
MKSAP Quiz: evaluation for a rapidly enlarging neck mass
This week's quiz asks readers to evaluate a 78-year-old woman with a rapidly enlarging neck mass that has been present for 4 weeks and is associated with neck discomfort, dysphagia, and hoarseness.
https://immattersacp.org/weekly/archives/2015/07/07/3.htm
7 Jul 2015
Extended anticoagulant treatment prevents recurrent VTE after first unprovoked PE
An additional 18 months of warfarin treatment in patients with first unprovoked PE improves outcomes versus placebo, although the improvement was not sustained after anticoagulant treatment was discontinued.
https://immattersacp.org/weekly/archives/2015/07/14/2.htm
14 Jul 2015
Dual antiplatelet therapy may be safer than triple therapy in older patients with acute MI, afib after PCI
Older patients with acute myocardial infarction and atrial fibrillation who have undergone percutaneous coronary intervention appear to have a higher risk for major bleeding, both early and long-term, with triple therapy versus dual antiplatelet therapy.
https://immattersacp.org/weekly/archives/2015/08/04/4.htm
4 Aug 2015
Trial of apixaban with single and combination antiplatelet therapy in ACS stopped early due to observed increase in major bleeding events
Full-dose anticoagulation, in combination with antiplatelet therapy of any kind in patients with acute coronary syndrome, results in substantial bleeding without any clear additional benefit and should only be considered when required for another condition.
https://immattersacp.org/weekly/archives/2015/08/11/4.htm
11 Aug 2015
CHA2DS2-VASc modestly predicts ischemic stroke, thromboembolism, death in heart failure patients with and without afib
The poor prognosis of atrial fibrillation for ischemic stroke and death in patients with heart failure was evident, but the observation that additional risk factors in patients with heart failure are particularly significant among those without atrial fibrillation is an important result, authors noted.
https://immattersacp.org/weekly/archives/2015/09/01/4.htm
1 Sep 2015
Screening for PTSD after life-threatening medical events
Internists are in position to screen for and spot signs of post-traumatic stress disorder following life-threatening medical events such as heart attack and stroke. Yet this is not always part of usual care.
https://immattersacp.org/archives/2015/11/ptsd.htm
1 Nov 2015
MKSAP Quiz: referral for newly diagnosed hypertension
A 48-year-old man with newly diagnosed hypertension is referred for an echocardiogram to assess findings of left ventricular hypertrophy noted on the electrocardiogram. He is asymptomatic, and his medical history is unremarkable other than hypertension. His only medication is chlorthalidone. Following a physical exam, cardiac exam, and transthoracic echocardiogram, what is the most appropriate management based on this patient's echocardiographic findings?
https://immattersacp.org/weekly/archives/2015/11/10/3.htm
10 Nov 2015
Warning on HCV treatments; more cancer drugs approved
This update also covers a warning that combination drugs can cause serious liver injury and approval of new drugs for metastatic non-small-cell lung cancer that has progressed after other treatments.
https://immattersacp.org/archives/2016/01/fda.htm
1 Jan 2016
ACP issues high-value care advice on evaluating hematuria
Among other recommendations, clinicians should include gross hematuria in their routine review of systems and specifically ask all patients with microscopic hematuria about any history of gross hematuria.
https://immattersacp.org/weekly/archives/2016/01/26/2.htm
26 Jan 2016