Archives: Commentaries

Β-Blockers And Hypertension: Where Are The Data?

Compelling indications in JNC7 that warrant β-blocker therapy include heart failure with reduced ejection fraction (HFrEF)2,3, acute myocardial infarction (AMI)4, high coronary disease risk, and diabetes. While there is...

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Will Insulin Be The Death Of Our Patients?

Does insulin worsen cardiovascular outcomes and cause cancer? Should insulin be reserved as the last resort? In 2008, ACCORD raised questions about the cardiovascular safety of insulin, at least in patients with type 2...

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Dronedarone Flatlines …. Again

Dronedarone (Multaq®), a guideline recommended drug therapy option for paroxysmal and persistent atrial fibrillation (AF), has failed to deliver on the initial hopes and hype as the safer alternative to...

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4 Vs 12 Weeks? Enticing Holiday Or Inviting Havoc?

“See you in four weeks!” This has been a common ending to most anticoagulation clinic appointments over the years.  But perhaps it’s time for this routine to change?  A welcomed 12-week holiday may be coming for many...

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Polls


CASE: 83 year old frail female on warfarin for stroke prevention. Stable INR for 6+ months. New PCP wants to switch to DOAC. Patient amendable. What's the safest choice?

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