Article
Comparing Efficacy and Safety Between Patients with AF Taking DOACs or Warfarin After a DOAC Failure
November 3, 2025
CLINICAL QUESTION: Is warfarin better as a second-line anticoagulant than another direct oral anticoagulant (DOAC) in patients with atrial-fibrillation-induced ischemic strokes after failure of a...
Article
Beta-Blockers Didn’t Reduce Mortality After Acute MI in Patients with Preserved Ejection Fraction
November 3, 2025
CLINICAL QUESTION: Do beta-blockers still reduce mortality after acute myocardial infarction (MI) in the modern era of faster and better reperfusion strategies? BACKGROUND: Beta-blockers have...
Article
Anticoagulation Safety in Patients with Cirrhosis and AF
November 3, 2025
CLINICAL QUESTION: Do patients with cirrhosis and AF who are treated with anticoagulation have increased adverse safety events compared with patients with cirrhosis and AF who are not treated with...
Article
Coding Corner: Type 1 MI, Type 2 MI, or Non-Ischemic Myocardial Injury
October 1, 2025
An 82-year-old female with a history of hypertension and stage 3 chronic kidney disease (CKD) was admitted with fever, hypotension, and confusion. The workup revealed Escherichia coli bacteremia due...
Article
IV Iron Lowers the Risk of HF Hospitalization for Patients with HF (EF <50%) and Iron Deficiency
October 1, 2025
CLINICAL QUESTION: Does IV iron reduce the risk of heart failure (HF) hospitalization and/or cardiovascular mortality in patients with systolic heart failure (EF <50%) and iron...
Article
Liberal Fluid Intake Does Not Worsen Outcomes in CHF
October 1, 2025
CLINICAL QUESTION: Does advising liberal fluid intake, compared to fluid restriction, improve health status without compromising safety in stable chronic heart failure (CHF)? BACKGROUND: Fluid...
Article
Cardiac POCUS: A Bedside Window View of the Heart
October 1, 2025
Heart ultrasound image on a computer screen. In many hospitals across the nation, hospitalists assume leadership roles during rapid response and code blue events, especially in settings where...
Article
Early Thoracentesis Does Not Improve Clinical Outcomes in Acute HF
September 3, 2025
Clinical question: Does upfront thoracentesis improve short-term clinical outcomes for patients with acute heart failure (HF)? Background: Thoracentesis is being performed at increasing rates in...
Article
Pre-Treatment with IV Calcium Prior to IV Diltiazem Prevents Hypotension in AF
September 3, 2025
Clinical question: Can pre-treatment with IV calcium prevent hypotension in patients receiving IV diltiazem for atrial fibrillation (AF) or atrial flutter? Background: AF is the most commonly...
Article
As-Needed BP Medication and Increased Adverse Outcomes in VA Hospitals
September 3, 2025
Clinical question: What are the adverse effects of as-needed BP medication on asymptomatic hypertension in hospitalized patients at risk of ischemic events due to high cardiovascular disease...