In this single center trial of 364 adults with normal-EF CHF, they were randomized to 3 groups for 2 years: usual care, NT-proBNP-guided care, or intensive clinical assessment-guided care. 1 year mortality was less in the BNP and clinical management groups (9%) than the usual care group (19%). 3 year mortality was less in the BNP group (16%) than the other 2 groups (31%), but only patients <75 years old. BNP guided therapy does not alter short term mortality compared to intensive clinical management. More studies are needed to determine if BNP guided therapy is beneficial, and in what subgroups, but should not currently drive clinical management (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 […]