General Hospital Medicine
Questions discussed in this category
If yes, what is the rationale?
For example, do you consider "cautious" IV fluids or otherwise consider early vasopressors?
Especially if Watchman is an option, which would still require temporary anticoagulation post-procedure.
Do you find them more helpful as predictors of perioperative risk or as a baseline to detect post-operative adverse cardiac events?
How does your approach vary by indication (critical illness, acute renal failure, hyponatremia, diuresis, etc.)?
As per the REDUCE-AMI trial. Are you routinely de-prescribing, selectively stopping based on symptoms or risk profile, or still continuing by def...
For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...
If it's reasonable to stop anticoagulation, how frequently should patients be monitored for AFib/atrial arrhythmia recurrence?
How do you consider prn antihypertensives while admitted and/or adjusting a home antihypertensive regimen?
For example, do you target K >4 and Mg >2?
Does your approach change depending on whether and how long the patient has been anticoagulated?
Would you initiate both medications at the same time?
Particularly with prolonged hospitalizations, do you have any concerns about exposing patients to bleeding risks associated with "triple therapy" even...
If these patients were already prescribed non-selective beta blockers outpatient, do you recommend withholding these medications in the acute phase?&n...
What additional assessments and considerations would you suggest to comprehensively evaluate the underlying cause of the rhythm disturbance and ensure...
ESC supports establishing the etiology for HFpEF, including ischemic evaluations. What would be a reasonable diagnostic test of choice if further work...
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Papers discussed in this category
The New England journal of medicine, 2023 Nov 11
Journal of the American College of Cardiology, 2025 Feb 27
Kidney international, 2019-04
Kidney360, 2023 Feb 10
Frontiers in medicine, 2022 Mar 17
The international journal of cardiovascular imaging, 2021 Feb 05
Journal of clinical hypertension (Greenwich, Conn.), 2015 Jul 30
Kidney international, 2019 Jan 31
Circulation research, 2020 Jun 18
Journal of the American College of Cardiology, 2024 Aug 29
JAMA, 2012-01-11
Mayo Clinic proceedings, 2015 Aug
Circulation, 2017 Oct 03
Heart rhythm, 2017 Oct 30
The New England journal of medicine, 2025 Aug 29
N Engl J Med, 2021 Aug 27
JACC. Heart failure, 2022 Mar
The New England journal of medicine, 2023 Aug 25
The New England journal of medicine, 2024 Nov 16
Journal of the American College of Cardiology, 2023 Apr 19
JAMA cardiology, 2021 Oct 01
The New England journal of medicine, 2020 Mar 30
Journal of cardiac failure, 2021 Oct
JAMA, 1989 Feb 10
JACC. Heart failure, 2024 Aug 31
JAMA internal medicine, 2021 Mar 01
Hypertension (Dallas, Tex. : 1979), 2024 May 28
Circulation, 2021 Oct 04
Circulation, 2024 Sep 24
The New England journal of medicine, 2023 Nov 02
Circulation, 2023 Nov 30
JAMA, 2025 Oct 14
PloS one, 2021 Jun 24
Journal of the American College of Cardiology, 2024 Aug 08
European journal of heart failure, 2019 May 24
American heart journal, 2024 Jul 31