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Reassurance on ACE inhibitors, ARBs and COVID-19; new rules, advice from CMS and CDC

Also, ACP launched a new interactive CME program to help practices start and sustain telemedicine programs, and an ACP webinar on March 30 will offer advice from the front lines for maintaining physician well-being during the pandemic.
https://immattersacp.org/weekly/archives/2020/03/24/1.htm
24 Mar 2020

Smoking cessation study supports ‘never too early, never too late’

Smoking cessation was consistently related to lower risk of coronary heart disease, stroke, and peripheral artery disease (PAD), although a significantly elevated risk for PAD persisted up to 30 years after smoking cessation.
https://immattersacp.org/weekly/archives/2019/07/23/4.htm
23 Jul 2019

MKSAP Quiz: 6-week history of chest pressure

A 52-year-old woman is evaluated for a 6-week history of chest pressure that occurs during exercise and is relieved with rest. She also had chest pressure during a stressful work meeting last week. Medical history includes hypertension and hyperlipidemia, and medications are hydrochlorothiazide, lisinopril, and atorvastatin. After normal results on physical examination and electrocardiography, what diagnostic test should be performed next?
https://immattersacp.org/weekly/archives/2019/09/10/3.htm
10 Sep 2019

New guideline recommends low-dose aspirin for many fewer patients

Changes to the American College of Cardiology/American Heart Association guideline include no longer routinely giving low-dose aspirin for primary prevention to adults older than age 70 years or to younger patients who are not at high risk.
https://immattersacp.org/weekly/archives/2019/03/26/1.htm
26 Mar 2019

Lack of access to PCSK9 inhibitors associated with cardiovascular events

Risk for myocardial infarction, unstable angina, acute ischemic heart disease, ischemic stroke, percutaneous coronary intervention, coronary artery bypass graft, and cardiac arrest was higher in patients whose prescription for a PCSK9 inhibitor was denied or abandoned.
https://immattersacp.org/weekly/archives/2019/07/30/2.htm
30 Jul 2019

Why medicine should be a laughing matter

Laughter offers health benefits and can be creatively incorporated into clinical practice.
https://immattersacp.org/archives/2022/05/why-medicine-should-be-a-laughing-matter.htm
1 May 2022

U.S. statin use plateaued in 2013 to 2018

Most U.S. adults with the strongest guideline recommendations for primary prevention with statins are not receiving them, including those with diabetes, extremely high cholesterol levels, or 10-year risk of cardiovascular disease over 20%, a study found.
https://immattersacp.org/weekly/archives/2023/12/05/1.htm
5 Dec 2023

Fasting may not be necessary before lipids testing, study finds

In this post hoc follow-up analysis of a randomized clinical trial, triglyceride levels were slightly higher in nonfasting samples than fasting samples, and cholesterol levels in both types of samples were similar.
https://immattersacp.org/weekly/archives/2019/06/04/4.htm
4 Jun 2019

Concomitant influenza infection associated with worse in-hospital outcomes in heart failure patients

Rates of in-hospital mortality, acute respiratory failure with and without mechanical ventilation, and acute kidney injury with and without dialysis were significantly higher in patients admitted with heart failure and influenza infection compared to admissions for heart failure alone.
https://immattersacp.org/weekly/archives/2019/01/08/4.htm
8 Jan 2019

Internal Medicine Meeting 2022 goes hybrid

It will be the first in-person Internal Medicine Meeting since 2019 in Philadelphia and the first Internal Medicine Meeting held in the Windy City since 1990.
https://immattersacp.org/archives/2022/03/internal-medicine-meeting-2022-goes-hybrid.htm
1 Mar 2022

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