What is the prognosis of postherpetic neuralgia?

Postherpetic neuralgia occurs rarely among patients aged 70 years, 25% had some pain at 3 months, but only 10% had pain at 1 year, and none had severe pain. Only a few patients have pain that persists for years (strength of recommendation: A, based on a well-done prospective cohort study)

How should patients with mitral regurgitation be followed?

Patients with mild to moderate mitral regurgitation should be assessed periodically for a worsening condition; those with severe mitral regurgitation should be monitored for development of congestive heart failure, atrial fibrillation, and decline in left ventricular ejection fraction or increase in left ventricular end-diastolic diameter (strength of recommendation [SOR]=B). Cardiologists and general internists perform equally well in identifying severe mitral regurgitation among patients with known mitral regurgitation. Grade I or II murmurs indicate mild or moderate mitral regurgitation; grade IV or greater murmurs indicate severe mitral regurgitation, and grade III murmurs are indeterminate (SOR=B). The optimal frequency of evaluation is uncertain. Patients with severe regurgitation should be followed more frequently, with a combination of physical examination and echocardiography (SOR=B)