In this trial of 614 patients with chronic afib, they were randomized to strict (<80 beats per minute at rest, <110 with exercise) or lenient control (<110 anytime). The primary composite outcome (CV death, CHF hospitalization, life threatening arrythmia, stroke, systemic embolism, bleeding) occurred in 13% of the lenient and 15% of the strict control (making lenient control non-inferior). Target heart rate was achieved in 98% of lenient and only 67% of strict control patients, and the lenient control patients had significantly fewer visits. Lenient control of afib is clinically equivalent and easier to attain (abstract).
Fill in the Blanks: Q: “The diagnosis of type 2 MI is associated with a _____ prognosis. ___% of patients will live five years after their diagnosis.” The answer is a) POOR and b) a staggering 40%. I did not know that. However, what I am aware of is the ambiguity around Type 2 MIs and […]
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc. Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them. If I am […]