Latest Updates

Hypertension

Marc P Bonaca, MD, MPH
    • Increasing recognition of the importance of home-based and ambulatory blood pressure monitoring reflected in expanded indications for use
    • Specific guidance from professional societies with regard to patients with chronic kidney disease
    • Recent clinical outcomes trials adding important data about optimal treatment targets
    • Recent clinical outcomes trials adding important data regarding treatment in the elderly

Substance Use Disorders

F Gerard Moeller, MD

    Approach to the Patient with Cough

    Christopher H. Fanta, MD
      • A number of subjective and objective tools have been developed recently to assess cough severity. An encouraging development to aid in the assessment of new antitussives is the automated cough counter. Researchers will now be able to make objective measurements of cough frequency rather than relying exclusively on reported cough symptoms such as recorded in cough diaries and visual analogue scales describing cough severity.
      • Approved devices are available that appear to accurately distinguish cough from throat clearing, snoring, and ambient background noises. They are compact and noninvasive, with a long battery life for extended recording times. Their role is currently limited to cough research rather than clinical practice.

    Approach to the Patient with Cough

    Christopher H. Fanta, MD
      • A number of subjective and objective tools have been developed recently to assess cough severity. An encouraging development to aid in the assessment of new antitussives is the automated cough counter.
      • Researchers will now be able to make objective measurements of cough frequency rather than relying exclusively on reported cough symptoms such as recorded in cough diaries and visual analogue scales describing cough severity.
      • Approved devices are available that appear to accurately distinguish cough from throat clearing, snoring, and ambient background noises. They are compact and noninvasive, with a long battery life for extended recording times. Their role is currently limited to cough research rather than clinical practice.

    Depressive Disorders: Update on Diagnosis, Etiology, and Treatment

    Isabelle E. Bauer, PhD, Marsal Sanches, MD, PhD, Jair C. Soares, MD, Antonio L Teixeira, MD, PhD
      • 2017 Japan Society for Equilibrium Research guideline on classification, diagnostic criteria, and management of benign paroxysmal positional vertigo
      • Latest American Physical Therapy Association guideline on vestibular rehabilitation for peripheral vestibular hypofunction

    Assessment and Management of the Geriatric Patient

    Tia Kostas, MD, James L Rudolph, MD, SM, Mark Simone, MD

      When investigating malnutrition and weight loss in older patients, clinicians should screen for physiologic, psychological, and social risk factors. Malnutrition may be caused by social isolation and lack of awareness regarding healthy eating and may be associated with depression, bereavement, dementia, or alcohol use. Patients with malignancy, nonmalignant gastrointestinal diseases, psychiatric conditions, and diseases that become more common with aging (such as diabetes mellitus and cancer) should be considered high risk for unintentional weight loss.

    Irritable Bowel Syndrome with Diarrhea

    Judy Nee, MD, Jacqueline L. Wolf, MD

      Chronic Stable Angina

      J. Antonio T. Gutierrez, MD, Benjamin J Scirica, MD, MPH
        • 2017 ACC/AATS/AHA/ASE/ASNC/SCAI/SCCT/STS appropriate use criteria for coronary revascularization in stable ischemic heart disease
        • Latest ACCF/AHA focused update of the guideline for unstable angina/non–ST elevation myocardial infarction
        • Published Guidelines as at May 2017
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