Jones & Bartlett Learning Medicine Blog

    Smart Pill Helps Doctors Monitor From Within

    Posted by Jennifer Sharp on Jun 26, 2013 11:41:18 PM

     

    Proteus Digital Health is creating medicines with mobile technology to make healthcare more accessible, manageable and innovative for patient and provider. In July 2012, the FDA approved Proteus Digital Health's microchip, an ingestible pill containing a tiny sensor that can communicate, via their Digital Health Feedback System, vital information about medication-taking behaviors and how the patient's body is responding.
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    Topics: mobile medicine, oncology, FDA, medication, primary care, Physician, CorTemp, doctors, General Medicine, HQ Inc, mobile medicine, pill, Prescribing, Proteus, Pyschiatry & Mental Health, Cardiology, Hospital Medicine Blog

    Treatment & Management of Acute Coronary Syndrome

    Posted by admin on Apr 25, 2011 1:15:24 PM

    Dr. Joseph Esherick Monthly Blog - April 2011

    The leading cause of death in the United States is cardiovascular mortality.  Therefore, the early identification and appropriate management of acute coronary syndrome is essential for all hospital-based physicians.  The American College of Cardiology Foundation and the American Heart Association have recently updated their practice guidelines on the management of patients with unstable angina (UA) and non-ST-elevation myocardial infarction (NSTEMI)1.

    This blog will focus on the primary changes in the management of non-ST-elevation acute coronary syndrome.  The Level 1 recommendations are that patients with definite UA/NSTEMI at medium to high risk should receive 325 mg of aspirin and a second antiplatelet agent on presentation.  Dual antiplatelets should be given regardless of whether an invasive or conservative strategy is chosen.  The second antiplatelet agent could be either a loading dose of clopidogrel, prasugrel, or a GP IIb/IIIa inhibitor (preferably eptifibatide or tirofiban).  The major change in the recommendations is that dual antiplatelet therapy is now routinely recommended upstream of percutaneous coronary intervention (PCI).  In patients undergoing PCI, both aspirin and a thienopyridine, clopidogrel or prasugrel, should be continued for at least 12 months.  For those treated conservatively, dual antiplatelet therapy should continue for at least 1 month and ideally for 1 year.

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    Topics: medication, American Heart Association, American college of cardiology, Cardiology, cardiology, Hospital Medicine Blog

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