Search results for "Anticoagulation"
MKSAP Quiz: slowly enlarging 1-cm plaque
A 53-year-old woman is evaluated for a slowly enlarging, telangiectatic, pearly, ulcerated 1-cm plaque on the left temple. It bleeds periodically when traumatized. Medical history is significant for atrial fibrillation. She takes warfarin daily. She is otherwise in good health. Following a physical exam, cardiac exam, and biopsy of the lesion, what is the most appropriate treatment for this lesion?
https://immattersacp.org/weekly/archives/2016/01/26/3.htm
26 Jan 2016
AHA releases scientific statement on acute MI in women
Differences in clinical presentation affect the timely identification, testing, and management of ischemic symptoms, leading to misdiagnosis, delayed revascularization, and higher acute myocardial infarction mortality rates.
https://immattersacp.org/weekly/archives/2016/02/02/2.htm
2 Feb 2016
MKSAP Quiz: evaluation for anticoagulation management
A 32-year-old woman is evaluated for anticoagulation management after an uncomplicated vaginal delivery of a healthy newborn. She was diagnosed with a bilateral pulmonary embolism at 25 weeks' gestation and was treated with therapeutic low-molecular-weight heparin (LMWH). The LMWH was discontinued at the onset of labor and was restarted 6 hours after delivery. Medical history is otherwise unremarkable, and her only medication is full-dose LMWH. Anticoagulation for 3 months is planned. The patient wishes to breastfeed her newborn. What is the most appropriate anticoagulation option for this patient?
https://immattersacp.org/weekly/archives/2016/02/23/3.htm
23 Feb 2016
Oral anticoagulants for stroke prevention may be underprescribed in outpatients with AF
Specialists were more likely to prescribe an oral anticoagulant as the number of stroke risk factors increased as measured by the CHADS2 and CHA2DS2-VASc scores, the study noted.
https://immattersacp.org/weekly/archives/2016/03/22/2.htm
22 Mar 2016
Optimizing medical therapy after stroke
Stroke survivors often leave the hospital with new prescriptions and substantial confusion about how, or even whether, to take them. This leaves internists with the sometimes formidable job of evaluating, prescribing, or tweaking these regimens, identifying and managing adverse effects, and reinforcing education about treatment risks, benefits, and adherence.
https://immattersacp.org/archives/2016/06/stroke.htm
1 Jun 2016
Atrial fibrillation patients often prescribed aspirin instead of anticoagulants, study finds
Cardiologists may be prescribing aspirin instead of oral anticoagulants because they think that aspirin is as efficacious as oral anticoagulants, or because they want to avoid the inconvenience of oral anticoagulation.
https://immattersacp.org/weekly/archives/2016/06/21/4.htm
21 Jun 2016
ACC, AHA release updated performance, quality measures for afib
There are 24 total measures, including 6 performance measures (3 inpatient and 3 outpatient) and 18 quality measures (10 inpatient and 8 outpatient), all designed to assess care quality for inpatients and outpatients with atrial fibrillation and atrial flutter.
https://immattersacp.org/weekly/archives/2016/06/28/2.htm
28 Jun 2016
Vitamin K antagonist use associated with higher risk of thrombosis than bleeding in patients ages 80 and older
Compared with patients ages 70 to 79 years, those ages 80 to 89 years had a similar risk of bleeding, whereas patients ages 90 years or older had a mildly increased risk of bleeding, the study found. Patients in their 80s and 90s had a markedly higher risk of thrombosis than did patients in their 70s.
https://immattersacp.org/weekly/archives/2016/07/12/4.htm
12 Jul 2016
CA-125-guided therapy may improve outcomes for acute heart failure vs. standard of care
A multicenter randomized trial compared postdischarge therapy in patients who were hospitalized for acute heart failure and had high CA-125 levels.
https://immattersacp.org/weekly/archives/2016/08/16/4.htm
16 Aug 2016
Pharma payments to physicians associated with higher prescribing of 2 drug classes
Researchers calculated that 1 additional payment, of a median value of $13, was associated with 94 additional days of oral anticoagulant prescriptions and 107 days of noninsulin diabetes drugs in the hospital referral region where it was made.
https://immattersacp.org/weekly/archives/2016/08/23/5.htm
23 Aug 2016