Search results for "Atrial Fibrillation"
When your patient is on dialysis
A nephrologist ran down the initial steps hospitalists should take after admitting a long-term dialysis patient during a lecture at Internal Medicine Meeting 2022.
https://acphospitalist.acponline.org/archives/2022/05/11/when-your-patient-is-on-dialysis.htm
11 May 2022
Continuing aspirin for no reason?
A speaker made the case for anticoagulant monotherapy in selected patients with stable coronary artery disease and atrial fibrillation during a “Things We Do For No Reason” session at SHM Converge 2022.
https://acphospitalist.acponline.org/archives/2022/04/27/continuing-aspirin-for-no-reason.htm
27 Apr 2022
Nurse-led mobile EKG monitoring in the hospital appears cost-effective after initial stroke
An Australian study found that mobile EKG monitoring was associated with marginally higher costs and more quality-adjusted life-years over a 20-year time horizon than 24-hour Holter monitoring during an index hospitalization for stroke.
https://acphospitalist.acponline.org/archives/2022/04/20/nurse-led-mobile-ekg-monitoring-in-the-hospital-appears-cost-effective-after-initial-stroke.htm
20 Apr 2022
Cardiac societies issue new joint guideline on management of heart failure
The updated guideline recommends sodium-glucose cotransporter-2 inhibitors for many heart failure patients, regardless of their diabetes status, among other changes.
https://acphospitalist.acponline.org/archives/2022/04/06/free/cardiac-societies-issue-new-joint-guideline-on-management-of-heart-failure.htm
6 Apr 2022
Rule developed for starting DOACs after stroke in patients with atrial fibrillation
Using a “1-2-3-4-day rule” to choose when to start direct-acting oral anticoagulants (DOACs) based on stroke severity appeared to decrease risk for recurrent stroke or systemic embolism without increasing bleeding risk.
https://acphospitalist.acponline.org/archives/2022/02/09/rule-developed-for-starting-doacs-after-stroke-in-patients-with-atrial-fibrillation.htm
9 Feb 2022
Nontraumatic myocardial injury
Myocardial injury is a relatively new term, necessary to know for documentation.
https://acphospitalist.acponline.org/archives/2021/11/coding-corner-myocardial-injury.htm
15 Nov 2021
Early cardioversion for newly diagnosed nonvalvular afib may lower mortality
Only 14.9% of patients received early cardioversion in the international registry study, which also found no major difference in outcomes by whether patients received direct-current cardioversion or pharmacological cardioversion.
https://acphospitalist.acponline.org/weekly/archives/2021/11/03/2.htm
3 Nov 2021
Review finds 18% mortality in severe DOAC-related bleeding treated with reversal agent
A systematic review looked at 60 studies that evaluated four-factor prothrombin complex concentrates, idarucizumab, or andexanet for the treatment of severe or uncontrolled bleeding in patients on a direct oral anticoagulant (DOAC).
https://acphospitalist.acponline.org/weekly/archives/2021/06/16/4.htm
16 Jun 2021
Elevated troponin I levels during sepsis may indicate risk for postsepsis CV complications
A U.S. retrospective study looked at rates of atherosclerotic disease, atrial fibrillation, and heart failure in the year after sepsis in patients with elevated troponin I levels and no previous diagnosis of cardiovascular (CV) disease.
https://acphospitalist.acponline.org/weekly/archives/2021/06/09/2.htm
9 Jun 2021
Cases from Oregon Health & Science University
Emphysematous pyelonephritis, copper deficiency, and more.
https://acphospitalist.acponline.org/archives/2021/04/brief-case-from-oregon-health-and-science-university.htm
15 Apr 2021