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General Internal Medicine
Structural Heart Disease
Questions discussed in this category
In patients with moderate calcific mitral stenosis, possible HFpEF and dyspnea on exertion, how would you differentiate the etiology of the symptoms?
1 Answer available
What factors would influence your decision to use or avoid heparin bridging in patients with mechanical heart valves resuming anticoagulation after intracerebral hemorrhage?
In light of a publication by Sakusic et al., PMID 39102615 suggests an increased risk of ICH expansion in patients with heparin bridge compared to sta...
1 Answer available
Following cardiac MRI, what imaging modality would you consider to further evaluate mild aortic regurgitation (regurgitant fraction on cardiac MRI of 26%) and mild to moderate mitral regurgitation secondary to mild bi-leaflet mitral valve prolapse (RF 30%) with low-normal LVEF and incomplete RBBB?
1 Answer available
Which class(es) of antihypertensives do you recommend for first-line therapy for hypertension in severe aortic stenosis?
1 Answer available
Are there any indications to close a PFO during pregnancy if a woman had a cryptogenic stroke in her first trimester?
1 Answer available
Should we routinely include geriatric functional assessments to determine candidacy for TAVR?
(ie., assessing gait speed, cognition, physical function, fall history, orthostatic vital signs, etc.)
1 Answer available
What would be the utility of calcium scoring for the evaluation of low-flow low-gradient aortic stenosis, and what cut-off values typically fall within the severe range?
1 Answer available
Should vasodilatory therapies be considered first-line in the management of hypertension in patients with severe aortic regurgitation?
2 Answers available
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Papers discussed in this category
JACC. Cardiovascular interventions, 2014-07
Futility, benefit, and transcatheter aortic valve replacement.
Journal of cardiovascular imaging, 2018 Jun 22
Antihypertensive Treatment in Severe Aortic Stenosis.
Neurology, 2024 Aug 05
Timing of Anticoagulation Resumption and Risk of Ischemic and Hemorrhagic Complications in Patients With ICH and Mechanical Heart Valves.
Neurology, 2024 Aug 05
Are Prospective Studies Too Challenging to Execute for Timing of Resuming Anticoagulation After ICH in Patients With Mechanical Heart Valves?
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