In patients with asymptomatic aortic stenosis (AS), predicting the risk of death or need for valve replacement would be useful. In this prospective cohort of 107 patients with moderate to severe AS (peak aortic-jet velocity>3 m/sec or valve area <1.5), the risk of death or valve replacement occurred in 58%. Factors independently associated with the outcome were female sex, BNP, and peak aortic jet velocity. Event free survival was 80% in the lowest risk quartile, and only 7% in the highest risk quartile. These 3 factors can be used to estimate risk of death or need for valve replacement in patients with asymptomatic AS (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 […]