In this trial of 898 patients s/p MI at risk for sudden cardiac death (EF<40%, HR>90, or non-sustained Vtach on holter monitoring), they were randomized to ICD or usual therapy. The overall death rate was not significantly different between the 2 groups(although the ICD group had lower risk of sudden cardiac death, it was off-set by a higher risk of nonsudden cardiac death). Routine implantation of ICD’s after an MI is not beneficial in this sub-group of patients (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 […]