Search results for "Cardiology"
Immediate angiography after cardiac arrest did not provide benefit in a trial
Thirty-day mortality was the same in patients resuscitated for out-of-hospital cardiac arrest without ST-segment elevation, regardless of whether they received immediate coronary angiography or initial intensive care with delayed or selective angiography.
https://acphospitalist.acponline.org/weekly/archives/2021/09/01/2.htm
1 Sep 2021
New COVID-19 treatment recommendations, data on vaccines and delta variant
The NIH updated its recommendations on inpatient treatment to address medication availability, metoprolol showed promise in a small ICU study, and new research highlighted decreased vaccine effectiveness and increased illness severity with the delta variant.
https://acphospitalist.acponline.org/weekly/archives/2021/09/01/1.htm
1 Sep 2021
3-hour troponin level may help rule out NSTEMI in ED patients triaged to observation
A previously proposed cutoff for 3-hour change in high-sensitivity cardiac troponin T of 7 ng/L missed 66.7% of ED patients with non-ST-segment elevation myocardial infarction (NSTEMI), but a cutoff of 15 ng/L combined with a 0/3-hour absolute change of less than 4 ng/L missed less than 1%.
https://acphospitalist.acponline.org/weekly/archives/2021/08/18/3.htm
18 Aug 2021
Gender pay gap persists in internal medicine, especially in procedural subspecialties
Only general internal medicine, endocrinology, and geriatrics had more women than men, and only 26% of full professors were women, an analysis of U.S. internal medicine faculty in 2018 to 2019 found.
https://acphospitalist.acponline.org/weekly/archives/2021/07/21/3.htm
21 Jul 2021
12 tips for new academic hospitalists
Bradley Sharpe, MD, shared some of the actions that set him up for success.
https://acphospitalist.acponline.org/archives/2021/07/12-tips-for-new-hospitalists.htm
15 Jul 2021
Studies look at gap between practice and optimal pharmacotherapy after MI
Patients who have had a myocardial infarction (MI) may benefit from lower doses of beta-blockers than those used in clinical trials, and mineralocorticoid receptor antagonists are often not prescribed as recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/07/14/2.htm
14 Jul 2021
High-sensitivity troponin reduced the cascade of cardio interventions after chest pain
An analysis of ED patients found an increase in repeat troponin testing and EKGs, but reductions in CT scans, stress tests, cardiology evaluations, and hospitalizations associated with implementation of high-sensitivity cardiac troponin testing.
https://acphospitalist.acponline.org/weekly/archives/2021/06/23/4.htm
23 Jun 2021
Intubations during in-hospital cardiac arrest decreased from 2001 through 2018
The most substantial decline followed the American Heart Association's 2010 guideline update, which prioritized chest compressions over airway management for in-hospital cardiac arrest.
https://acphospitalist.acponline.org/weekly/archives/2021/06/23/3.htm
23 Jun 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
Care pathway with nurse screening for delirium may have reduced length of stay, 30-day readmissions
An academic tertiary care hospital in Northern California found that adjusted mean hospital length of stay decreased by 2% and the adjusted odds of 30-day readmission decreased by 14% after implementation of a delirium screening and care pathway for inpatients ages 50 years and older.
https://acphospitalist.acponline.org/weekly/archives/2021/06/16/3.htm
16 Jun 2021