July 2, 2025

Rise of GLP-1s reaches hospital care
The recent surge in popularity of glucagon-like peptide-1 (GLP-1) receptor agonists has required hospitalists to know about side effects and inpatient management of the drugs.
Smokey
A patient's chest X-ray made him unforgettable.
Catheter ablation beat medications, cardioversion, lifestyle for afib in recent studies
A recent trial compared catheter ablation to lifestyle modification plus rate and/or rhythm medications in patients with atrial fibrillation and obesity, while a meta-analysis compiled trials that compared catheter or surgical ablation to other interventions for atrial fibrillation.
Critically ill AMI patients who got morphine had higher mortality, study finds
A retrospective analysis of patients in the ICU after an acute myocardial infarction (AMI) found that receipt of opioids in general was associated with mortality, but after adjustment, the link was isolated to morphine specifically.
Early invasive strategy doesn't improve mortality in older adults with ACS, review finds
In older patients with acute coronary syndrome (ACS), an early invasive strategy was associated with lower risk of recurrent myocardial infarction and repeated coronary revascularization but increased risk of major bleeding compared to a conservative strategy, a meta-analysis concluded.
SNRIs associated with improved outcomes from Takotsubo cardiomyopathy
Patients who were on serotonin–norepinephrine reuptake inhibitors (SNRIs) and developed Takotsubo cardiomyopathy were less likely to die at seven days and one year, a propensity-matched cohort study found.
Take a quiz about the June 25 issue!
Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.