Search results for "Acute coronary syndrome"
Ticagrelor monotherapy associated with less bleeding risk than dual antiplatelet therapy
In patients with acute coronary syndrome who received drug-eluting stents, ischemic outcomes did not differ with continued dual antiplatelet therapy versus de-escalation after a few weeks and up to three months to ticagrelor monotherapy, while bleeding risk was lower with the latter, according to a meta-analysis.
https://immattersacp.org/weekly/archives/2025/02/18/1.htm
18 Feb 2025
MKSAP Quiz: Intermittent recurrent chest pain
A 77-year-old woman is hospitalized for intermittent recurrent chest pain. The patient had a moderately severe ischemic stroke 2 years ago and has oxygen-dependent COPD. Medications are aspirin, atorvastatin, and inhaled albuterol and tiotropium. Following a physical exam and other tests, what is the most appropriate additional treatment?
https://immattersacp.org/archives/2024/09/mksap-quiz-intermittent-recurrent-chest-pain.htm
1 Sep 2024
Simple screening tool assesses frailty in elderly patients with acute coronary syndrome
The highest category of scores for the Edmonton Frail Scale (EFS) in elderly patients with acute coronary syndrome was associated with increased comorbidity, longer lengths of stay, and fewer procedures and was independently associated with mortality, a study found.
https://immattersacp.org/weekly/archives/2013/11/19/6.htm
19 Nov 2013
Weighing benefits, harms of cannabis
Marijuana use has risen, so internists need to understand its real risks as well as its potential clinical uses, such as for chronic pain, chemotherapy-induced nausea and vomiting, and multiple sclerosis spasticity symptoms.
https://immattersacp.org/archives/2019/04/weighing-benefits-harms-of-cannabis.htm
1 Apr 2019
MKSAP Quiz: Evaluation for increasingly frequent angina
A 68-year-old man is evaluated for increasingly frequent angina. One month ago, coronary angiography was performed because of the occurrence of angina at lower levels of exertion. Following coronary angiography, the patient increased his dosage of isosorbide mononitrate; however, his exertional chest discomfort worsened. Following a physical exam and electrocardiogram, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/01/16/3.htm
16 Jan 2024
Take a team approach to coronary disease
A major update to a cardiology guideline puts team-based, patient-centered care at the forefront of management and highlights the role of healthy diet and exercise habits in reducing cardiovascular risk.
https://immattersacp.org/archives/2024/02/take-a-team-approach-to-coronary-disease.htm
1 Feb 2024
Subclinical eGFR associated with cardiovascular disease in younger patients
A retrospective cohort study in Canada found that the relative risk for major cardiovascular events with or without heart failure increased in adults ages 18 to 39 years with an eGFR below 80 mL/min/1.73 m2.
https://immattersacp.org/weekly/archives/2023/09/19/2.htm
19 Sep 2023
MKSAP Quiz: Emergency visit for chest pain
A 66-year-old man is evaluated in the emergency department for chest pain. He describes a sharp pain in the midchest that does not radiate. The pain began suddenly at rest and has persisted for approximately 40 minutes. He has hypertension treated with amlodipine. Following a physical exam and lab results, what is the most appropriate diagnostic test to perform next?.
https://immattersacp.org/archives/2013/10/mksap.htm
1 Oct 2013
Intensive blood pressure control effective in older frail patients, study finds
Data from SPRINT indicated that frail patients were at higher risk for cardiovascular events than nonfrail patients and benefited similarly from a blood pressure target of less than 120 mm Hg, with no significant increase in adverse events.
https://immattersacp.org/weekly/archives/2023/07/11/2.htm
11 Jul 2023
MKSAP Quiz: Routine visit for a patient with chronic kidney disease
A 45-year-old man is evaluated during a routine visit in September. He has advanced chronic kidney disease due to IgA nephropathy. After his vaccination history is evaluated, what is the most appropriate additional vaccine to administer at this visit?
https://immattersacp.org/weekly/archives/2023/07/18/3.htm
18 Jul 2023