In patients s/p MI with totally occluded vessels, a previous study found no benefit to PCI performed within 3-28 days post MI (4 year death, MI, or class 4 CHF) (abstract). In this f/u study, researchers found the mean functional index was slightly higher in the PCI group at 4 months than in the medical therapy group, but there was no difference at 12-24 months. PCI also had slightly lower rates of angina at 4 and 24 months, but the PCI group did not have better 2 year quality adjusted survival. There still does not appear to be a significant advantage of late PCI over medical therapy in patients post MI with occluded vessels (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 […]