A 26-year-old woman with a mechanical mitral valve prosthesis visits to discuss anticoagulation management during pregnancy. Her last menstrual period was 6 weeks ago and her pregnancy was confirmed by laboratory testing in the office. Her mitral valve was replaced 5 years ago. Her medications are low-dose aspirin, metoprolol, and warfarin (4 mg/d). Which anticoagulation regimen will provide the greatest protection against thromboembolism during her pregnancy?
21 Nov 2017
An optimal regimen starting with nonpharmacologic measures can help patients achieve notable relief.
1 May 2021
Much confusion remains about perioperative management of anticoagulants, even though the drugs have been available for several years. And they are only going to become more prevalent, an expert said.
1 Jun 2014
ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
1 Sep 2022
An expert offered tips on helping patients who catch the novel coronavirus and then can't shake the symptoms.
1 Jan 2021
Amid global calls to eliminate viral hepatitis, efforts are underway to screen asymptomatic adults for hepatitis C and overcome barriers to treatment.
1 Jan 2022
First consider whether a deep venous thrombosis was provoked or unprovoked, as well as at the type of provoking factors.
1 Jun 2019
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?
10 Nov 2015
In a new series, Pearls from I.M. Peers, Maria (Gaby) Frank, MD, FACP, explains how noting variations in expected patterns can help internists avoid early anchoring errors when making a diagnosis.
1 Feb 2022
Subspecialists leading the Internal Medicine 2010 cardiology pre-course offer advice, but also accept some from general internists about preventing cardiovascular events in high-risk patients.
1 Jun 2010