May 8th 2024
Results also showed that older adults, men, and Black adults face an increased risk of advanced stages of CKM syndrome.
Medical Crossfire®: Updates in Continuous Glucose Monitoring—Having the Important Conversations With Your Patients
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Surv.AI Says: Real-World Insights into the Journey for Patients with Pulmonary Arterial Hypertension
May 21, 2024
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Evaluating the Recent Advancements in Chronic Kidney Disease Treatment: A Case-Based Approach to Managing CKD and Related Comorbidities
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Elevating Care for PAH: Applying Recommended Management Approaches to Maximize Outcomes
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7th Annual New York Cardio-Endo-Renal Collaborative (NY CERC)
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‘REEL’ Time Patient Counseling™: Navigating the Complex Journey of Diagnosing and Managing Fabry Disease
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Expert Illustrations & Commentaries™: Envisioning Novel Therapeutic Approaches to Managing ANCA-associated Vasculitis
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Prolonged QT Interval: Causes, Consequences-and Prevention
January 1st 2007When the QT interval is prolonged, amultifocal ventricular tachycardiasyndrome (torsades de pointes) mayoccur and produce sudden cardiacdeath. QT prolongation can resultfrom congenital abnormalities, suchas the long QT interval syndrome, orfrom certain drugs. Other factors thatincrease the risk of a prolonged QTinterval and torsades de pointes includehypokalemia, hypomagnesemia,older age, female sex, low ventricularejection fraction, ischemia,and low heart rate.
Digital Clubbing in a Patient with Bronchogenic Carcinoma
January 1st 2007A 45-year-old man presents with a 1- to2-week history of low-grade fever and nonproductivecough. He has a long history of cigarette and alcoholabuse. The office nurse expresses her concern about thepatients cyanotic nail beds and requests your immediateevaluation.
Malnourished Elderly Woman With Worsening Anemia
January 1st 2007An 83-year-old woman is hospitalized for treatment of deep venous thrombosisin her left leg. She underwent left hip replacement surgery 2 months earlier.At that time, mild anemia (hemoglobin level, 10 g/dL) was noted, and iron therapywas initiated. An iron panel obtained shortly after the hip surgery revealeda serum iron level of 80 μg/dL, a transferrin level of 360 mg/dL, and a ferritinlevel of 50 ng/mL.
What Kind of Exercise Is Good -- or Bad -- for Patients With Hypertension?
January 1st 2007Q:Should hypertensive patients be discouraged from participating inmoderate to vigorous exercise?A:On the contrary, most patients with sustained hypertension should bestrongly encouraged to exercise regularly at moderate to vigorous levels.Randomized controlled clinical trials have demonstrated that increasedphysical activity can lower blood pressure (BP) and delay or prevent the developmentof hypertension and thus the need for antihypertensive medication.1In addition, physical activity can help reduce cardiovascular risk factors by improvinglipid profiles and reducing weight and blood glucose levels. In elderlypersons, exercise is associated with improvements in osteoporosis, depression,and physical functioning, as well as an enhanced sense of well-being.
Cataracts:The Case for Earlier Surgery
January 1st 2007Cataracts areone of themost importantcauses ofreversibleblindness in elderly persons.1 A recent report thatpredicts a surge in cataractincidence has heightenedawareness of the importanceof proper timing andtechniques for cataract extraction.The study, authoredby the Eye DiseasesPrevalence ResearchGroup, estimated that thenumber of Americans withcataracts will increase byapproximately 50% in thenext 20 years as the populationages.2 Cataracts werethe leading cause of low vision(less than 20/40 bestcorrected visual acuity inthe better-seeing eye)among whites, blacks, andHispanics.
Pediatric ECG Interpretation: Normal Tracings From Children of Various Ages
January 1st 2007Pediatric ECGs vary by age;tracings change considerablyfrom birth through adulthood.In the ECG tracing above, theT waves are inverted. Nevertheless,as we outline here, the tracingis normal in a 9-year-old child; theT waves may not revert to normaluntil he reaches puberty.
What’s Emerging on the Market and Under the Microscope?
January 1st 2007The FDA has approved injectable Acetadote (acetylcysteine)from Cumberland Pharmaceuticals Incto prevent or lessen liver damage resulting from an overdoseof acetaminophen. According to the FDA, unintentionalacetaminophen overdose is responsible for 100deaths and 56,000 emergency department visits per year.
A Photo Quiz to Hone Dermatologic Skills
January 1st 2007For several weeks, a 68-year-old man has had painful blisterson his hands that crusted as they healed. The patienthas diabetes mellitus, hypertension, and chronic renalfailure, for which he is undergoing hemodialysis. His longtermmedications include a hypoglycemic agent and adiuretic.
Rightward Shift in Axis or Right Axis Deviation?
January 1st 2007>Editor’s note: To clearly illustrate the difference between arightward shift of axis and right axis deviation, Dr RichardHarrigan, associate professor of emergency medicine atTemple University School of Medicine in Philadelphia anda regular contributor to CONSULTANT’s “ECG Challenge”feature, provided the 3 ECGs shown here.
Woman With Chest Pain, Fever, and Cough
January 1st 2007A 62-year-old woman presents with severe, sharp pain in her right mid chestthat worsens when she breathes. The pain began the previous night, shortlyafter she had been awakened by a shaking chill, followed by the sensationof fever. She also has a relatively nonproductive cough of recent onset.
High HDL-C Plus High LDL-C: To Treat or Not to Treat?
January 1st 2007A number of my patients have very high high-density lipoprotein cholesterol (HDL-C)levels as well as elevated total cholesterol and low-density lipoprotein cholesterol(LDL-C) levels. One such patient is a nonsmoking middle-aged woman whose weightand blood pressure are normal.
Two Cases of Rhythm Disturbance
January 1st 2007For 2 days, a 49-year-old man with hypertension and hypercholesterolemiahas experienced light-headedness and fatigue.Based on the presenting ECG, what is the most likely cause of hissymptoms?A. Accelerated junctional rhythm.B. First-degree atrioventricular (AV) block.C. Mobitz type I (Wenckebach) second-degree AV block.D. Mobitz type II second-degree AV block.E. Third-degree AV block (complete heart block).