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This Month's CME Article in Clinical Geriatrics

The Role and Utility of BNP in Older Patients with Heart Failure
Bibban Bant K. Deol, MD, Peter V. Vaitkevicius, MD, and Lavoisier J. Cardozo, MD

Despite advances in management and therapies, heart failure (HF) remains a major health and economic concern in the United States and around the world. Currently, there are approximately 5.3 million people with HF, with approximately 550,000 new cases diagnosed annually. There has been a significant increase of nearly 171% in the number of patients discharged from hospitals with the diagnosis of HF. Additionally, for 2008, the direct and indirect costs of HF in the United States is estimated to be $34.8 billion.

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In The June Issue


Common Skin Conditions in Geriatric Dermatology

Robert A. Norman, DO, MPH, FAAIM

According to current U.S. Census statistics, the population is getting older, with a greater percentage of the population in the over-65 age group. This trend is expected to continue well into the 21st century. Additionally, with the population of those age 80 and over also rapidly increasing, an increased emphasis on geriatric medicine is inevitable. Geriatric dermatology is a specialty that will receive particular attention.

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Working Together to Assure the “Right” Medication for the “Right” Patient

Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD

Think of the world of accessing medications as a big bull’s eye. In Medicare’s perception, that is exactly the way that the market for pharmaceuticals should be viewed. Medicare believes it must play a very active role, as it believes that many key players will aim poorly, completely missing their desired target.

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Q & A With the Expert on: Coronary Artery Disease Management of an Older Person With Unrecognized Q-Wave Myocardial Infarction Detected by a Routine Electrocardiogram

Wilbert S. Aronow, MD

Q: A 73-year-old asymptomatic woman with no history of myocardial infarction (MI) is seen by her physician. She is a nonsmoker. Her blood pressure is 150/80 mm Hg. Her heart rhythm is regular with a ventricular rate of 82 beats per minute. Her body mass index is 25 kg/m2. Her physical examination is normal except for her blood pressure.

A routine electrocardiogram shows evidence of an old anterior wall MI not present on a routine electrocardiogram obtained 1 year previously. A 2-dimensional echocardiogram shows a left ventricular ejection fraction (LVEF) of 39%. Her complete blood count, fasting blood sugar, and estimated glomerular filtration rate are normal. Her serum lipids show a total cholesterol of 194 mg/dL, a serum low-density lipoprotein (LDL) cholesterol of 120 mg/dL, a serum high-density lipoprotein (HDL) cholesterol of 50 mg/dL, and serum triglycerides of 120 mg/dL. She is not taking any medications.

How should this patient be treated?

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Click here to view this month's complete table of contents

 

Journal Supplements

An Algorithim for Managing Type 2 Diabetes: A Focus on the Disease Process, Not Just the Sugar

Postherpetic Neuralgia in the Elderly

An Update on Parkinson's Disease and Its Psychiatric Complications

Pharmacologic Treatment of Chronic Pain in the Elderly
 

Continuing Medical Education


Prevention and Management of Herpes Zoster and Postherpetic Neuralgia in Long-Term Care

A Complimentary CME-Accredited Live Lunch Meeting

Date: Thursday, March 6, 2008
Location: Salt Palace Convention Center
Salt Lake City, UT
Ballrooms B & D

Time: 11:30am–1:00pm

Audience: Physician Medical Directors
Program Information



NUTRITION AND THE OLDER PERSON

Table of Contents

• Introduction to Weight Loss in Older Persons
• Diagnosis and Management of Oropharyngeal Dysphagia in the Elderly
• The Danger of Weight Loss in the Elderly
• Nutrients and Frailty

TARGET AUDIENCE: Physicians, nurses, and dietitians who treat geriatric patients
Program Information

About Annals of Long-Term Care

Annals of Long-Term Care: Clinical Care and Aging is a monthly, peer-reviewed clinical journal of the American Geriatrics Society, focusing on the diagnosis and management of LTC residents. Timely, high-quality articles discuss medical and practice management issues encountered by medical directors, attending physicians, consultant pharmacists, directors of nursing, nurse practitioners, physician assistants, and geriatric psychiatrists who practice in the LTC setting. Evidence-based review articles, ethical issues articles, special articles, case reports, abstracts from geriatric literature, and more provide up-to-minute information for health care professionals.




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