Cardiology
- Do I need to treat supine hypertension in my hospitalized patient?
Inpatients with an elevated supine blood pressure should be evaluated for orthostatic changes before treatment is considered.
- New atrial fibrillation guideline: Modify risk, control rhythm, prevent progression
Key updates in the new American guideline include recommendations for aggressive lifestyle and risk-factor modifications, annual assessment of thromboembolic risk, and early rhythm control.
- The beat goes on: Highlights from the new American and European A-fib guidelines
The authors discuss and compare the latest atrial fibrillation guidelines from American and European medical societies.
Managing right ventricular failure in the setting of pulmonary embolismThe authors review current management strategies, including medical, percutaneous interventional, and surgical options, and discuss recent advances in the field.
- Prolonged venous filling time and dependent rubor in a patient with peripheral artery disease
Physical examination in a man who presented with foot pain revealed absent bilateral posterior tibial and dorsalis pedis pulses and dusky erythema of both feet.
- 2024 ACC/AHA guideline on perioperative cardiovascular management before noncardiac surgery: What’s new?
The author highlights key changes and recommendations of the new guideline, how they differ from previous and other society guidelines, and ongoing challenges and unresolved issues in perioperative care.
- Cardiovascular disease in people living with HIV: Risk assessment and management
Because people living with HIV develop coronary artery disease much earlier than the general population, careful attention must be given to assessment and management of their cardiovascular risk.
- Heart to heart: Progress in cardiovascular disease prevention for people living with HIV
The already higher cardiovascular risk in people living with HIV is exacerbated by social determinants of health such as socioeconomic status, access to healthcare, and systemic discrimination. Interventions that address this risk must be based in medical science and equity.
Coronary artery bypass grafting: Practice trends and projectionsFuture directions include expanding the use of multiarterial grafting, offering patients less-invasive approaches, and enhancing operative recovery.
Don’t judge a book by its cover: Unusual presentations of pericardial diseaseTaking a good history, performing a good physical examination, and properly reading an electrocardiogram and chest radiograph are the best starting points for diagnosing pericardial and mediastinal disease.