Tag Archives: cardiology

VA Resident Report: How often does endocarditis cause ANCA positivity?

The Bottom Line: Infective endocarditis remains a serious condition. In previous series, the clinical features, etiology, complications, and outcome have been documented in patients with IE, which resulted in most appropriate therapies, although mortality remains high in these patients.  Interestingly, few … Continue reading

Posted in VA | Tagged

VA Resident Report: What are the causes of QRS prolongation in an otherwise structurally normal heart?

Ventricular arrhythmia (VA) in structurally normal hearts can be broadly considered under non–life-threatening monomorphic and life-threatening polymorphic rhythms. Monomorphic VA is classified on the basis of site of origin in the heart, and the most common areas are the ventricular … Continue reading

Posted in VA | Tagged

EUH Resident Report: In arterial thromboembolic events, what percentage have cardiogenic sources versus other sources?

Bottom line: Three studies have attributed arterial thromboembolic events to cardiogenic sources in 33%, 51%, and 66% of cases. Studies of larger populations are needed. Sources: Mural thrombus of the aorta: an important, frequently neglected cause of large peripheral emboli. … Continue reading

Posted in Diagnosis, EUH | Tagged

EUH Resident Report: What are indications for anticoagulants for primary prevention of left ventricular thrombosis?

Bottom line: Indications for anticoagulants for primary prevention of left ventricular thrombosis include patients with the following traits: large anterior infarctions (particularly in the anterior location), heart failure, and high embolic risk (including those with echocardiographic evidence of mobile and … Continue reading

Posted in Applying evidence, Background question, EUH | Tagged

EUH Resident Report: Vitamin k administration routes for prevention of thrombosis

Bottom line: Evidence that is of low and moderate quality, respectively, is used in a guideline that recommends against routine vitamin K supplementation for patients taking vitamin K antagonists (VKAs) (grade 2c) and against routine vitamin K supplementation for patients taking VKAs … Continue reading

Posted in EUH, Therapy | Tagged

EUH Resident Report: The China Antihypertensive Trial in Acute Ischemic Stroke (CATIS) Study

The Bottom Line: The effect of antihypertensive treatment in patients with acute ischemic stroke is uncertain. This RCT concluded that bloodpressure reduction with antihypertensive medications, compared with the absence of hypertensive medication, did not reduce the likelihood of death and … Continue reading

Posted in Applying evidence, Background question, EUH | Tagged ,

VA Resident Report: What is the correlation between BNP and pneumonia?

The Bottom Line: In this study, the BNP level of the high-risk group (PSI classes IV and V) was significantly higher (P<0.01) than that of the low-risk group (PSI classes I-III). There was a significant positive correlation (r=0.782, P<0.001) between … Continue reading

Posted in Background question, VA | Tagged ,