May 2000

 

 Which patients to screen for BRCA mutations

 Improving communication about DNR orders

 How low should the LDL go? A debate

 New findings in treating the acute respiratory distress syndrome

 Keeping the very old healthy

 In heart-healthy eating, moderation kills

 TEE: The new standard 
in aortic imaging

  Effective treatment of Alzheimer disease

  The ALLHAT trial:  Alpha blockers and heart failure risk

 

 

 

 

 

 

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The Cleveland Clinic Foundation
Cleveland Clinic Journal of Medicine
9500 Euclid Avenue, NA32
Cleveland, Ohio 44195

216.444.2661, FAX 216.444.9385
  ccjm@ccf.org
May 03, 2002

 

Caveat tester
The unintended consequences of scattershot testing.
J.D. CLOUGH

 

  Brief answers to specific clinical questions

 How should a patient with an isolated GGT elevation be evaluated?
Given GGT’s extremely low specificity, do not get on a merry-go-round of testing when this liver enzyme is elevated.
W.D. CAREY

 

Screening for renal artery stenosis: Which patients? Which test?
For a patient with persistently high blood pressure despite multiple medications, which screening test for renovascular hypertension is best?
D.G. VIDT

 

Appropriate use of second-generation antihistamines
The newer antihistamines, with little or no effect on the central nervous system, have largely replaced older agents.
L.C. PIEN

   UPDATE ON ACUTE CORONARY SYNDROMES ......................................................... 

‘Rescue’ angioplasty for failed thrombolysis
Although data are few, a strategy of angioplasty-after-thrombolysis seems reasonable and beneficial.
D. MUKHERJEE and S.G. ELLIS

  

Using viral load, CD4+ levels, and clinical response to guide antiviral therapy for HIV
A summary of the most recent guidelines from the International AIDS Society.
L.H. CALABRESE

 

Recognizing and managing depression in women throughout the stages of life
To treat depression in women effectively, one needs to appreciate how it is linked to the cycle of women’s lives.
J.M. CARANDANG, K. FRANCO-BRONSON, and S. KAMAREI

  

Infective endocarditis: Prevention, diagnosis, treatment, referral
With proper diagnosis and treatment, the cure rate for this challenging condition is over 80%.
T.F. KEYS

   

Rapid assessment of rehabilitation options for functional disability
A simple, stepwise protocol to rapidly assess functional disabilities.
H. HOENIG, D.R. GATER, and J. GALBRAITH