Cardiology

For example, anticoagulation for recent, significant PE or dual antiplatelet therapy for recent MI, but requiring urgent procedures such as biopsy of ...

6 Answers available

What are your thoughts on the results of the ALONE-AF trial and the safety profile of discontinuing anticoagulation post-ablation, provided there is no atrial arrhythmia recurrence?

If it's reasonable to stop anticoagulation, how frequently should patients be monitored for AFib/atrial arrhythmia recurrence?

1 Answer available

Is there a role for routine stress testing in intermediate-high risk CAD patients with a significantly elevated coronary calcium score who are otherwise asymptomatic?

1 Answer available

Do you recommend starting a statin in patients above 75 years old with diabetes but no known ASCVD?

3 Answers available

How do you consider and approach transition to hospice in a patient with HFrEF who does not appear to tolerate GDMT?

3 Answers available

What class(es) of antihypertensives should be considered next for refractory hypertension in a patient compliant with high doses of Entresto, chlorthalidone, amlodipine, clonidine, and spironolactone if they previously did not have any improvement on beta blocker or hydralazine and work-up for secondary causes were unremarkable?

At what point should we consider referral for renal denervation therapy?

3 Answers available

How do you approach the management of extremely low LDL levels in older adult patients receiving statin therapy for primary prevention of cardiovascular disease?

1 Answer available

What is your approach to initiating spironolactone in patients with end stage kidney disease and heart failure?

5 Answers available

Do you take any special considerations when working up a pregnant patient for secondary causes of hypertension?

1 Answer available

How many days prior to surgery do you recommend stopping SGLT2 inhibitors and when is it safe to resume therapy?

2 Answers available

Do you counsel patients to take antihypertensives at specific times of day to maximize efficacy or minimize side effects?

2 Answers available

For patients over 70 with elevated ASCVD risk but no prior cardiovascular events, do you ever recommend continuing or initiating low-dose aspirin?

Aspirin Use to Prevent Cardiovascular Disease: Preventive Medication

1 Answer available

What is your systolic blood pressure target for patients over 80 with frailty and multiple comorbidities?

1 Answer available

How do you use NT-proBNP in patients with chronic kidney disease or end-stage kidney disease, given that these conditions can affect NT-proBNP levels?

1 Answer available

Do you recommend initiating treatment with an SGLT2 inhibitor or semaglutide first for a patient with obesity and heart failure with preserved ejection fraction?

Would you initiate both medications at the same time?

1 Answer available

When would you consider long-term cardiac monitoring to look for atrial fibrillation in patients with mitral stenosis given their baseline elevated risk for atrial fibrillation and thrombosis?

2 Answers available

How should we approach the recommendation of intermittent fasting for weight loss in patients with pre-existing cardiovascular conditions, given the observed association of increased CV mortality with eating durations of less than 8 hrs?

Chen & Zhong, AHA/ASA Journals 2024

2 Answers available

What are some practical ways to incorporate cardiac POCUS in the primary care setting?

For example, do you find it most useful for outpatient disease assessment/management, consideration of further imaging or specialist referral, or tria...

1 Answer available

What is your risk/benefit analysis when deciding on the appropriateness and timing for discontinuation of systemic anticoagulation in patients who underwent ablation for paroxysmal atrial fibrillation with CHADS2VASc score >2?

1 Answer available

Should we be more cautious with the use of GLP 1 R agonist therapy in patients with Type 1 diabetes mellitus and obesity given the increased risk of cardiovascular disease with high body weight variability?

Prattichizzo et al., PMID 39468384

1 Answer available