Heart Failure

Stopping meds post atrial fibrillation flutter

How long should a patient whose cardiac chambers show no evidence of enlargement remain on antiarrhythmic and anticoagulation medications after conversion from atrial fibrillation flutter to sinus rhythm?—NELSON C. YU, MD, Baxter, Ky. If this was an isolated instance, two weeks will do. If this is a recurrent problem, consideration should be given to continued…

Ambulatory BP betters office reads for CV risk

A recent report found that office BP has no value in predicting cardiovascular (CV) morbidity and mortality in patients with resistant hypertension. Higher ambulatory measurements, however, are good indicators of these outcomes, according to the same report.

Can ACE inhibitor diagnose heart failure?

Digitalis has been used to aid in the diagnosis of heart failure. Patients in failure often have a clinical response to digitalis within a few days. The reason for the failure may not be elucidated, but the diagnosis is supported. Do ACE inhibitors produce a similar quick response? If so, how long does it take?—EUGENE…

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