Search results for "Coronary artery disease"
MKSAP Quiz: 8-week history of postprandial abdominal pain
A 54-year-old man is evaluated for an 8-week history of postprandial, gnawing, epigastric abdominal pain after every meal. Pain begins 30 minutes after eating, persists for 1 hour, and gradually resolves. Following a physical exam and upper endoscopy, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2022/05/10/3.htm
10 May 2022
Combat cardiac risks of cancer therapies
One challenge of treating cancer is preventing, diagnosing, and treating heart failure in at-risk patients, and figuring out which patients would benefit from intervention.
https://immattersacp.org/archives/2018/09/combat-cardiac-risks-of-cancer-therapies.htm
1 Sep 2018
MKSAP Quiz: Follow-up for microscopic hematuria
A 35-year-old woman is evaluated during a follow-up visit for recurrent microscopic hematuria without proteinuria. Following a physical exam, lab studies, and kidney ultrasound, what is the most likely diagnosis?
https://immattersacp.org/weekly/archives/2022/03/08/3.htm
8 Mar 2022
NOACs linked to lower rates of diabetes complications than warfarin in patients with afib and diabetes
A retrospective study from Taiwan found that patients who received non-vitamin K antagonist oral anticoagulants (NOACs) developed fewer macrovascular and microvascular complications, had fewer glycemic emergencies, and were less likely to die than those who received warfarin.
https://immattersacp.org/weekly/archives/2022/02/15/2.htm
15 Feb 2022
MKSAP Quiz: Chest pain of 4 months' duration
A 60-year-old man is evaluated for chest pain of 4 months' duration. He describes the pain as sharp, located in the left chest, with no radiation or associated symptoms; it occurs with walking one to two blocks and resolves with rest. Occasionally, the pain improves with continued walking or occurs during the evening hours. He has hypertension. Family history does not include cardiovascular disease in any first-degree relatives. His only medication is amlodipine. Following a physical examination and electrocardiogram, what is the most appropriate diagnostic test to perform next?.
https://immattersacp.org/archives/2014/10/mksap.htm
1 Oct 2014
Reduced CAD risk noted over time in adult survivors of childhood cancer
Data from the Childhood Cancer Survivor Study were used to examine the cumulative incidence of reported heart failure, coronary artery disease (CAD), valvular heart disease, pericardial disease, and arrhythmias according to decade of treatment (1970s, 1980s, or 1990s).
https://immattersacp.org/weekly/archives/2020/01/28/5.htm
28 Jan 2020
AI_Feb08_FINAL
Herresearch has found that understanding tobe fairly low. In one study, at best only 21%of patients could calculate the effect of adrug on baseline risk of disease. ... additional therapy, for example. Explain how risk changes over time. If a patient is decidingwhether to have surgery for coronary artery disease, it’s importantto explain that while the surgery increases
https://immattersacp.org/archives/2008/02/acpi-200802-risks_t1.pdf
28 Jan 2008
Pros, cons of prolonged anticoagulation after a clot
Experts debate about provoked vs. unprovoked venous thromboembolism, and whether a once-high-risk patient can have that status removed later.
https://immattersacp.org/archives/2020/02/pros-cons-of-prolonged-anticoagulation-after-a-clot.htm
1 Feb 2020
MKSAP Quiz: 5-month history of exertional chest discomfort
A 60-year-old man with hypertension and hyperlipidemia is evaluated for a 5-month history of exertional chest discomfort that improves with rest but has progressively worsened and reduced his activity. Medications are low-dose aspirin, losartan, hydrochlorothiazide, and atorvastatin. Based on physical and cardiac exam and results of a stress echocardiogram and coronary angiogram, what is the most appropriate next step in the patient's management?
https://immattersacp.org/weekly/archives/2019/12/10/3.htm
10 Dec 2019
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