Search results for "Anticoagulation"
Dual therapy for afib after PCI may reduce bleeding risk better than triple therapy
Researchers reviewed four randomized controlled trials of 7,953 patients that compared the effects of dual versus triple therapy on bleeding, mortality, and ischemic events after percutaneous coronary intervention (PCI).
https://immattersacp.org/weekly/archives/2020/03/17/4.htm
17 Mar 2020
Identify ischemic risks in stroke, TIA patients in latest Curbsiders podcast
Chris Favilla, MD, a stroke neurologist at the University of Pennsylvania, walks listeners through the inner workings of the brain.
https://immattersacp.org/weekly/archives/2019/08/06/6.htm
6 Aug 2019
MKSAP Quiz: INR management
A 61-year-old woman undergoes routine evaluation. She reports no recent changes in her medications. She has a history of idiopathic deep venous thrombosis. Her only medication is warfarin, initiated 2 months ago. Following a physical exam and international normalized ratio (INR) measurement of 7.2, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2020/07/28/3.htm
28 Jul 2020
New resource offers pearls for perioperative medicine
A recent book addresses perioperative medicine, including how to be a perioperative consultant, prophylaxis for venous thromboembolism, coexisting medical problems, and common postoperative complications.
https://immattersacp.org/archives/2022/02/new-resource-offers-pearls-for-perioperative-medicine.htm
1 Feb 2022
Clot concerns with adenovirus COVID-19 vaccines, antibody treatment recommendations and data
Based on reports of cerebral venous sinus thrombosis with the Johnson & Johnson (Janssen) COVID-19 vaccine, federal officials recommended a pause in its use, which will be reconsidered on April 23. The NIH updated its recommendations on monoclonal antibody treatments for outpatients.
https://immattersacp.org/weekly/archives/2021/04/20/1.htm
20 Apr 2021
Warfarin-aspirin therapy associated with increased bleeding compared with warfarin only
Patients with atrial fibrillation or venous thromboembolism who received aspirin without a clear therapeutic indication in addition to warfarin had higher rates of bleeding and similar rates of thrombosis.
https://immattersacp.org/weekly/archives/2019/03/12/2.htm
12 Mar 2019
MKSAP Quiz: Follow-up for deep venous thrombosis
A 42-year-old man arrives for three-month follow-up of a proximal right leg DVT after right tibia fracture. Thrombophilia evaluation was done, although not recommended by guidelines, and found an elevated plasma homocysteine level; genetic testing then found homozygosity for the C677T methylene tetrahydrofolate reductase (MTHFR) polymorphism. His only medication is warfarin. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/07/17/3.htm
17 Jul 2018
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
At-home monitoring with wearable ECG patch associated with higher rate of new afib diagnosis
As part of the industry-supported mHealth Screening to Prevent Strokes (mSToPS) trial, researchers randomized members of a large national health plan who had an increased likelihood of undiagnosed atrial fibrillation to immediately start active home-based monitoring or delay monitoring by four months.
https://immattersacp.org/weekly/archives/2018/07/17/4.htm
17 Jul 2018
MKSAP Quiz: Frequently fluctuating INRs
A 77-year-old woman is evaluated for frequently fluctuating INRs (<1.8 to >3.5) while taking warfarin therapy. She has undergone INR testing every 1 to 2 weeks and frequent warfarin dose adjustments. She reports a consistent dietary intake. Following a physical exam, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/05/01/3.htm
1 May 2018