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Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablationThe authors review the evidence supporting periprocedural modification of risk factors such as hypertension, diabetes mellitus, and obesity to reduce atrial fibrillation recurrence after catheter ablation.
- Classic diabetic ketoacidosis and the euglycemic variant: Something old, something new
The authors review differences in the pathophysiology and management of classic diabetic ketoacidosis and the euglycemic variant, the latter of which has become more common with the increasing use of sodium-glucose cotransporter 2 inhibitors.
- How can I better recognize and manage delirium in my hospitalized patients?
By knowing common precipitants and mimickers of delirium and considerations for workup, clinicians can implement nonpharmacologic preventive strategies, better identify patients experiencing delirium, and optimize symptom management.
- Sleep is like Rodney Dangerfield
Sleep quantity (and, in some cases, quality) has been shown to impact memory and learning, mood, appetite, and pain, yet many patients and clinicians do not give sleep the respect it deserves.
- Shortness of breath in a 52-year-old man with HIV and severe mitral regurgitation
The patient presented with 3 weeks of acute on chronic dyspnea on exertion with progression to dyspnea at rest and associated orthopnea.
- Common electrolyte imbalance, uncommon cause
A 47-year-old woman presented with 10 days of weakness, wide purple striae on the abdomen, and hyperpigmentation on the knuckles.
- Insomnia in older adults: A review of treatment options
Cognitive behavioral therapy for insomnia is the gold standard in all age groups, but it is time-intensive and does not offer immediate results.
- Matter of the heart: Prioritizing harm reduction in managing infective endocarditis associated with injection drug use
Despite specialty society recommendations, many patients do not receive treatment for substance use disorder in conjunction with heart disease treatment.
- Managing urogenital tract disorders: 10 urology pearls for primary care physicians
These pearls offer evidence-based guidance on issues that physicians are likely to encounter in practice with some frequency.
- The causes of vascular insufficiency and Hickam vs Ockham
Is our reflexive search for a single explanatory diagnosis always reasonable and warranted—or is it truly “just” an academic intellectual exercise?
Cleveland Clinic Journal of Medicine, published by Cleveland Clinic, provides busy clinicians with practical information to promote better patient care.