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Hospital Medicine

Preventive Cardiology   

Questions discussed in this category

What is your approach to determining the safety, appropriateness, and timing of SPECT or PET MPI in patients admitted with NSTEMI and who remain chest pain-free and hemodynamically stable? 
1 Answer available
What is your preferred choice of anticoagulant (VKA vs. DOAC) in patients with an LV thrombus and apical infarct? 
Would you extend length of time for anticoagulation if the apex remained akinetic on surveillance TTEs? 
2 Answers available
Should we recommend SGLT2i initiation at discharge to all patients hospitalized with acute myocardial infarction?
Butler et al., PMID 38587237
1 Answer available
For patients with high-risk stress test features with ischemic EKG changes and mild to no symptoms, what would be your threshold to directly admit them for coronary angiography, or pursue outpatient elective coronary angiogram?
1 Answer available
What is your approach to evaluating a patient with a suspected myocardial contusion?
1 Answer available
What would be your threshold to offer coronary angiography for patients presenting with atypical chest pain features and Wellens syndrome on EKG without a troponin elevation or dynamic EKG changes?
1 Answer available
What is your approach to counseling an octogenarian on the risks and benefits of LHC in the context of NSTEMI complicated by new-onset heart failure and AKI on CKD? 
If LHC is deferred, would you consider loading with plavix and treating for ACS for 48 hours (assuming acceptable bleeding risk) and optimizing GDMT p...
1 Answer available


Papers discussed in this category

The New England journal of medicine, 2001-08-16
Effects of clopidogrel in addition to aspirin in patients with acute coronary syndromes without ST-segment elevation.
The New England journal of medicine, 2024 Apr 06
Empagliflozin after Acute Myocardial Infarction.

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