Search results for "Atrial Fibrillation"
Analysis shows good adherence to stroke guidelines in stroke registry hospitals
The Get With The Guidelines study did identify some areas of potential improvement in inpatient stroke care, including more dysphagia screening and use of high-intensity statin therapy.
https://acphospitalist.acponline.org/archives/2022/07/27/analysis-shows-good-adherence-to-stroke-guidelines-in-stroke-registry-hospitals.htm
27 Jul 2022
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