Cardiovascular Features Archive

Dietary fiber: The prebiotic connection

Dietary fiber: The prebiotic connection

Adequate fiber intake is critical for maintaining good health, but only 5% of Americans consume the recommended daily amount.

Inflamed foot in a patient with diabetes

Inflamed foot in a patient with diabetes

A patient diagnosed with type 2 diabetes, hypertension, hyperlipidemia presents to the foot clinic after one month of swelling, redness, and warmth in the left foot.

Managing type 2 diabetes in an outpatient setting

Managing type 2 diabetes in an outpatient setting

How would you help maximize this patient's diabetes therapy, hypertension management, and reduce leg cramps?

Preoperative management in a patient with type 2 diabetes

Preoperative management in a patient with type 2 diabetes

After a patient's elective surgery was postponed due to glucose readings, an assessment of his medical profile and history were evaluated to manage his type 2 diabetes mellitus complications.

Dyspnea and cough in an elderly woman with diabetes and CHF

Dyspnea and cough in an elderly woman with diabetes and CHF

Our patient had an extensive medical history, but were her new-onset symptoms the result of poor compliance?

The facts and fictions of chelation therapy

The facts and fictions of chelation therapy

Originally used to treat lead poisoning and hypercalcemia, chelation has shown promise among individuals with heart disease and other conditions.

Treating ­hypertension in older patients

Treating ­hypertension in older patients

In those older than age 65 years, high BP heightens risk for various forms of heart disease as well as for chronic kidney disease and diabetes mellitus.

Difficulty lifting the right arm drives a young man to seek help

Difficulty lifting the right arm drives a young man to seek help

An adolescent presented with persistent upper-extremity pain, redness, and 
axillary swelling upon lifting weights.

Evaluation and treatment of acute cerebral ischemia

Evaluation and treatment of acute cerebral ischemia

To ensure that therapeutic interventions begin in time, providers must be able to recognize the clinical presentation of an acute ischemic stroke.

Communicating Concerns About Nonspecific Changes on ECG

Communicating Concerns About Nonspecific Changes on ECG

Exercise caution when a patient presents with acute chest pain. The ability to explain the situation as clearly as possible is essential.

Updated standards for CCHD screening: Pulse-oximetry pearls and statewide protocols, Part 3

Updated standards for CCHD screening: Pulse-oximetry pearls and statewide protocols, Part 3

Improved pulse-oximetry standards translate into more sensitive critical congenital heart disease screening.

The effects of exercise on LDL

The effects of exercise on LDL

As LDL goals become more aggressive, therapeutic lifestyle changes are increasingly important in achieving recommended lipid levels.

CCHD screening guidelines: Implementation of standardized protocols, Part 2

CCHD screening guidelines: Implementation of standardized protocols, Part 2

Taking the pulse of neonatal screening for critical congenital heart disease.

Detection of hypoxemia: 
Visual observation 
versus pulse oximetry, Part 1

Detection of hypoxemia: 
Visual observation 
versus pulse oximetry, Part 1

Early diagnosis is essential to providing treatment in infants with critical congenital heart disease.

Minimize admissions for heart failure

Minimize admissions for heart failure

The need to educate patients and help them make difficult lifestyle changes requires clinicians to think differently and offer novel treatment approaches.

Severe dizziness, nausea and vomiting prompt an ED visit

Severe dizziness, nausea and vomiting prompt an ED visit

The patient's gait was affected 48 hours after onset and any slight head movement intensified the feeling of imbalance.

"Predisease": A concept whose time has come?

"Predisease": A concept whose time has come?

Treating patients before they develop a disease is tempting, but the old 
adage still applies: First, do no harm.

A practical guide to 
metabolic syndrome

A practical guide to 
metabolic syndrome

With obesity on the rise, more patients are at risk for metabolic 
syndrome, a diagnosis given to a set of simultaneous disorders.

Acute onset of pain and a noncompressible area in the anterior forearm

Acute onset of pain and a noncompressible area in the anterior forearm

After a high-impact fall, a middle-aged 
firefighter presents with ecchymosis and fixed flexion in the right arm and hand.

Evaluating heart risk in 
asymptomatic patients

Evaluating heart risk in 
asymptomatic patients

An evidence-based guideline is available to help primary-care clinicians lower the burden of coronary deaths in this adult population

New atrial fibrillation guidelines simplify primary care treatment

New atrial fibrillation guidelines simplify primary care treatment

Atrial fibrillation (AF) affects an estimated 2.3 million Americans and is becoming more widespread as the population ages. Read about guideline changes that simplify treating AF in primary care.

Acute onset of recent memory loss

Acute onset of recent memory loss

Suddenly unable to remember the year or the president's name, an otherwise healthy man is admitted for observation.

Interventions to reduce CVD risk in adults

Interventions to reduce CVD risk in adults

Evidence-based recommendations pay particular attention to ethnic minority and socioeconomically disadvantaged populations.

Treating giant cell arteritis to avoid complications

Treating giant cell arteritis to avoid complications

Seen primarily in individuals older than age 50 years, this inflammatory disorder is characterized by headache, jaw pain, and vision difficulties.

Early diagnosis key in cardiomyopathy

Early diagnosis key in cardiomyopathy

Routine testing helps identify the disease and lowers the risk of sudden death, but prompt referral to secondary and tertiary care is vital.

A practical guide to heart-failure diagnosis

A practical guide to heart-failure diagnosis

Characterized by impaired myocardial performance, heart failure is often misdiagnosed. Clinicians should focus on prevention and early detection

Controversy over fish oil's cardioprotective effects

Controversy over fish oil's cardioprotective effects

Trial results poured cold water on claims that omega-3s prevent heart attacks. What does the future hold for these popular supplements?

Akathisia and visual hallucintions in an elderly woman

Akathisia and visual hallucintions in an elderly woman

First diagnosed with Alzheimer's and Parkinson's, the patient could not tolerate antipsychotic meds.

Chest pain: When should I be worried?

Chest pain: When should I be worried?

Many sources of chest pain have nothing to do with the heart. Whether the pain is cardiac or noncardiac in nature dictates the next steps.

Cutaneous symptoms uncover unintentionally obscured disease

Cutaneous symptoms uncover unintentionally obscured disease

As a nurse, the patient had access to many informal opinions. Would a proper evaluation have led to a quicker diagnosis?

Treatment options for metabolic syndrome

Treatment options for metabolic syndrome

This common constellation of symptoms places patients at risk for CVD and diabetes. Here's what you can do to prevent further disease progression.

Should you set lower LDL targets?

Should you set lower LDL targets?

According to new studies, the answer is yes. But how good is the evidence, and what should the target be for which patients?

Statin therapy initiated in a man with hepatitis C and elevated cholesterol

Statin therapy initiated in a man with hepatitis C and elevated cholesterol

Given a family history of cardiovascular disease, the patient became concerned after an employee health screening.

Asthma and obesity—a complex relationship

Asthma and obesity—a complex relationship

In addition to being on the rise, asthma and obesity have other features in common. Will treatment for one condition also alleviate the other?

When patients' BP just won't come down

When patients' BP just won't come down

A wide-ranging evaluation is required to identify the multifactorial causes of resistant hypertension. Treatment goes beyond the usual antihypertensives.

Clinicians puzzled by an unusual, elusive postsurgical sequela

Clinicians puzzled by an unusual, elusive postsurgical sequela

Fatigue, fever, and chills plague a patient following valve replacement. The solution requires a multidisciplinary approach.

Rising home BP measurements in a hypertensive woman

Our patient's hypertension had been under moderate control for two decades. What was causing her BP to rise now?

Assessing pulmonary arterial hypertension

Assessing pulmonary arterial hypertension

You will want your patients to consult a specialist to slow progression of this debilitating disease. Here's what you should know before you refer.

Updating the latest in hypertension therapy

Most patients have no symptoms of hypertension until they suffer a major event. Here is a guide to help diagnose and manage this "silent killer."

Typical angina with an atypical diagnosis

The patient continued her aerobic workouts despite persistent chest pressure with an unknown etiology.

Preoperative evaluation: Take it step by step

Preoperative evaluation: Take it step by step

Identifying patients at higher risk for mortality and morbidity during the perioperative period can lead to strategies to minimize those risks.

Are you treating BP aggressively enough?

Are you treating BP aggressively enough?

According to new recommendations, patients once considered to be "prehypertensive" now require more than just lifestyle modification.

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