Cardiovascular Features Archive
Described as death within an hour of onset of any symptom
A 52-year-old man presents to the emergency department with dizziness and fatigue after a syncopal episode on a camping trip.
Primary prevention efforts such as exercise, weight control, cessation of smoking, and alcohol intake can greatly affect the development of CAD.
A 55-year-old obese woman with hypertension, diabetes, and scleroderma is referred for follow-up after a recent admission for new-onset heart failure.
A 69-year-old man with no prior medical history presents over the course of several months with new-onset nonspecific joint pain and swelling without evidence of erosions.
A 30-year-old woman presents with an increased heart rate, shortness of breath, and tingling in her right arm.
Primary care providers can help significantly reduce heart failure exacerbations and improve their patients' overall quality of life.
A 44-year-old man presents to his local urgent care clinic for chest pain radiating up into his neck that is gradually getting worse.
Resumption of antithrombotic therapy after gastrointestinal bleeding in patients with atrial fibrillation
Resuming antithrombotic therapy with in patients with atrial fibrillation and a serious gastrointestinal bleed results in better overall mortality outcomes.
Addressing factors that lead to lack of adherence to antihypertensive therapy in elderly patients is crucial to improving outcomes.
In patients without CVD or diabetes, pooled cohort equations may underestimate risk for CV event if other risk factors are present
Accurate prediction of cardiovascular disease risk is crucial for the success of preventive measures.
Doctors must assess for the presence of pulmonary hypertension in patients with lung disease, COPD, or emphysema, among other conditions.
Hypertensive disorders are the most common medical complications of pregnancy, affecting 5-8% of all pregnancies in the U.S.
A number of evidence-based, nonpharmacologic approaches are available for patients with hypertension.
Research is being done on the use of astragalus root for the treatment of cancer and congestive heart failure.
Adequate fiber intake is critical for maintaining good health, but only 5% of Americans consume the recommended daily amount.
Use the acronyms PASS and PAID to remember important murmurs
What do NPs and PAs working in primary care need to know about the different path that heart disease takes in men and women?
Antithrombotic therapy is consistently recommended for most patients with atrial fibrillation and until recently warfarin, a vitamin K antagonist, has been the antithrombotic of choice.
Extending duration of dual antiplatelet therapy in patients with drug-eluting stents yields mixed results
Extending the duration of DAPT may decrease the risk of stent thrombosis, but evidence on the efficacy of DAPT for greater than one year has been inconsistent.
NPs and PAs must work in collaboration with oral health clinicians to effectively educate patients in the prevention of periodontal disease.
Glucomannan can help treat obesity and comorbid conditions of type 2 diabetes, heart disease, and early mortality.
Beta-blockers are known to induce or aggravate psoriasis and should be avoided in these patients whenever possible.
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.
A woman complaining of seeing yellow lights is diagnosed with digoxin toxicity.
How would you help maximize this patient's diabetes therapy, hypertension management, and reduce leg cramps?
The first step in reducing the risk of cardiovascular disease is for health-care professionals to get a full understanding of a patient's risk.
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.
Patients were taught to identify atrial fibrillation by measuring the peripheral pulse at the radial artery to prevent a second stroke.
Half of the patients in the study were newly diagnosed with four or more symptoms of metabolic syndrome.
Airflow disturbances during sleep need to be recognized and evaluated before harm comes to the patients themselves or those around them.
Patients who ate nuts regularly had reduced diabetes, fatal and nonfatal ischemic heart disease.
Every 10% increase in serum 25-hydroxyvitamin D concentration was associated with a 0.24-mmHg decrease in diastolic blood pressure.
Magnesium is a common component of lightweight metals and is the fourth most abundant mineral in the body.
Multiple studies show that just about any low-meat or no-meat diet reduces almost all controllable risk factors for cardiovascular disease.
After listening to a patient, this clinician urged an in-person visit that led to an ED admission for atrial fibrillation and heart failure.
The longest time to achieve pregnancy occurred in couples in which both partners had high cholesterol levels.
A delay in filling the first clopidogrel prescription may lead to myocardial infarction or even death.
Of the patients, 19.1% of those using vasodilator medication developed early-stage AMD, compared with an estimated 8.2% of persons not taking such drugs.
Although azithromycin is usually first-line treatment, recent evidence has linked the drug with an increased risk of cardiovascular events.
Our patient had an extensive medical history, but were her new-onset symptoms the result of poor compliance?
Only about one-third of the coronary plaque detected showed calcification.
Complaints about lack of sleep and postnasal drip may describe worsening heart failure.
How do statins interact with calcium channel blockers?
Newer-generation drug-eluting stents reduce MI risk, target revascularization in women with coronary artery disease.
A straightforward simile to help young clinicians learn what to listen for when auscultating a patient.
Picking up such low-pitched heart sounds can be difficult. Read this tip for clearer listening.
Opsumit is indicated for treatment of pulmonary arterial hypertension to delay disease progression.
Originally used to treat lead poisoning and hypercalcemia, chelation has shown promise among individuals with heart disease and other conditions.
Differentiating systolic heart murmurs can be challenging.
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.
An adolescent presented with persistent upper-extremity pain, redness, and axillary swelling upon lifting weights.
Listening beyond a nonnative English speaker's words helped diagnose and treat a medical emergency.
A family faces a life and death decision when a patient is given a poor prognosis after experiencing a major stroke from eclampsia.
A patient is visibly frustrated after a stroke results in expressive aphasia.
Responding to a crisis inspires a clinician to pursue opportunities to improve nursing skills.
Is there any evidence that psychiatric medications contribute to a greater risk of pulmonary emboli?
Extended anticoagulation with apixaban or dabigatran reduces recurrent VTE and mortality without increasing major bleeding.
Ask patients who present with fatigue about abnormal cravings for ice.
Detecting deep vein thrombosis early can aid prevention efforts.
Measuring cardiac troponin T levels using a high-sensitivity assay twice, one hour apart can diagnose and rule out MI in most patients with chest pain.
Medication, ablation or rate control for a patient with first onset of atrial fibrillation?
Nursing protocols for fever, hyperglycemia, and swallowing management in patients with acute stroke may reduce dependence.
To ensure that therapeutic interventions begin in time, providers must be able to recognize the clinical presentation of an acute ischemic stroke.
Exercise caution when a patient presents with acute chest pain. The ability to explain the situation as clearly as possible is essential.
Many older patients take many medications, making contraindications a concern when trying to control hypertension.
Improved pulse-oximetry standards translate into more sensitive critical congenital heart disease screening.
As LDL goals become more aggressive, therapeutic lifestyle changes are increasingly important in achieving recommended lipid levels.
A woman in her early 60s presented with chest pain and was miscategorized in the emergency department.
Taking the pulse of neonatal screening for critical congenital heart disease.
A patient has elevated creatine and fasciculations. Could an electrolyte imbalance be the cause?
No differences in major cardiac adverse events or hospitalization for chest pain among women who underwent exercising plus MPI vs. exercising alone.
No significant differences observed in overall HF risk among patients with moderately prolonged QRS intervals who receive cardiac resynchronization therapy.
Early diagnosis is essential to providing treatment in infants with critical congenital heart disease.
Patients often complain they have a difficult time completely removing the adhesive from ECG pads. Pass on this simple tip for painless removal.
The need to educate patients and help them make difficult lifestyle changes requires clinicians to think differently and offer novel treatment approaches.
Using plumbing as an analogy for atherosclerosis can help improve treatment adherence.
While niacin is well known for preventing pellagra, it is only in the past 15 to 20 years that other medicinal uses for this common vitamin have emerged.
A growing body of evidence has linked the tart cherry to substantial anti-inflammatory benefits, including reduced arthritic and gout pain, and several cardiac benefits.
A helpful analogy for helping patients understand coronary anatomy.
What are the current evidence-based recommendations for aspirin and clopidogrel (Plavix) use following coronary artery bypass graft (CABG) surgery (both on- and off-pump procedures)?
A quick review of hypertensive emergency and hypertensive urgency using the best global evidence.
A 69-year-old man with multiple health conditions develops gynecomastia after hemodialysis. Are the two related?
The patient's gait was affected 48 hours after onset and any slight head movement intensified the feeling of imbalance.
Treating patients before they develop a disease is tempting, but the old adage still applies: First, do no harm.
With obesity on the rise, more patients are at risk for metabolic syndrome, a diagnosis given to a set of simultaneous disorders.
A nurse offers a surprising, yet effective solution for helping patients catch their breath.
Advise patients who are bothered by the fishy taste of omega-3 fish oil capsules to freeze the supplements.
Is there evidence showing that women taking statins saw little improvement in their lipid levels?
What treatment would you recommend for aborting a migraine in a patient with known coronary artery disease?
Current recommendations from the American Heart Association and the American Stroke Association classify percutaneous transluminal angioplasty with stenting (PTAS) as an investigational intervention with unknown utility for patients with transient ischemic attack or stroke.
Statins are widely used for treating elevated cholesterol for both primary and secondary prevention of coronary artery disease. One concern about their use has been the possibility of increasing the risk of diabetes.
A nurse practitioner offers an easy tip to help increase patient adherence to antihypertensive medication by enabling them to visualize their condition.
Which serologic measure of inflammation is the most cost-effective and reliable when monitoring inflammatory disease?
When is it appropriate to refer diabetic and hypertensive patients to a renal specialist?
Since 50% of patients admitted to the ED with deep vein thrombosis, should it be common practice to do a chest CT prior to discharge?
Is there any indication that taking too much fish oil — particularly green-lipped mussel oil — can cause stomach problems in a person with a history of gastroesophageal reflux disease?
An elderly man complains of feeling cold all the time, even though the weather is warm.