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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Cardiology

  • Resistant hypertension: A stepwise approach
    You have access
    Resistant hypertension: A stepwise approach
    CME article
    Jordana Yahr, DO, George Thomas, MD, Juan Calle, MD and Jonathan J. Taliercio, DO
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 115-125; DOI: https://doi.org/10.3949/ccjm.90a.22046

    The authors review the definition and prevalence of resistant hypertension and its diagnostic workup and management, including lifestyle modifications, drugs, and experimental therapies.

  • You have access
    A 50-year-old man presents with shortness of breath
    Kaylee Watson, MD, David Wolinsky, MD, Mauricio Velez, MD and David Snipelisky, MD, FACC
    Cleveland Clinic Journal of Medicine February 2023, 90 (2) 95-101; DOI: https://doi.org/10.3949/ccjm.90a.22021

    Red flags included low voltage, normal sinus rhythm, and Q waves on electrocardiography, a history of carpal tunnel syndrome, and evidence of renal dysfunction.

  • You have access
    Some complexities of diabetes and the heart
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2023, 90 (1) 13-14; DOI: https://doi.org/10.3949/ccjm.90b.01023

    Patients with diabetes are at greater risk of coronary artery disease than their peers without diabetes. That’s straight and simple. But there the simplicity ends.

  • You have access
    Statins may increase diabetes, but benefit still outweighs risk
    Byron J. Hoogwerf, MD, FACP, FACE
    Cleveland Clinic Journal of Medicine January 2023, 90 (1) 53-62; DOI: https://doi.org/10.3949/ccjm.90a.22069

    The weight of the evidence suggests that statin use is associated with an increased risk of new-onset diabetes mellitus, but the magnitude of the effect has varied across studies.

  • You have access
    Decongesting heart failure with diuretics: Easier to prescribe than to fully understand
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2022, 89 (10) 545-546; DOI: https://doi.org/10.3949/ccjm.89b.10022

    Digging deep into the pathophysiology of diuretic resistance reveals complex interacting pathways. But none of these pathways can fully explain or be used to safely reverse diuretic resistance.

  • You have access
    How do we maximize diuresis in acute decompensated heart failure?
    CME article
    Saeid Mirzai, DO, Christopher N. Kanaan, MD, Felix Berglund, MD, Maria Mountis, DO and Heba Wassif, MD, MPH
    Cleveland Clinic Journal of Medicine October 2022, 89 (10) 561-565; DOI: https://doi.org/10.3949/ccjm.89a.22016

    The initial goal is to maximize loop diuretic therapy using urine output or urinary sodium for guidance. Combination therapy can be used when patients respond poorly to escalating loop diuretic doses.

  • Atrial fibrillation: Rate control or rhythm control?
    You have access
    Atrial fibrillation: Rate control or rhythm control?
    Radhika Deshpande, MBBS, Yasser Al Khadra, MD, Raad Al-Tamimi, MBBS, Nour Albast, MBBS and Mohamed Labedi, MD
    Cleveland Clinic Journal of Medicine October 2022, 89 (10) 567-571; DOI: https://doi.org/10.3949/ccjm.89a.21093

    Rate control has been preferred as the primary approach, but the pendulum is swinging in favor of rhythm control.

  • You have access
    Primary and secondary prevention of atherosclerotic cardiovascular disease: A case-based approach
    CME article
    Essa H. Hariri, MD, MS, Mazen M. Al Hammoud, BS, Steven E. Nissen, MD and Donald F. Hammer, MD
    Cleveland Clinic Journal of Medicine September 2022, 89 (9) 513-522; DOI: https://doi.org/10.3949/ccjm.89a.21103

    The authors present commonly encountered clinical scenarios that pose challenges in decision-making in primary and secondary prevention.

  • You have access
    Xanthomas: Differentiating atherogenic from nonatherogenic
    Vy Mai, MD and Hossein Akhondi, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 429-431; DOI: https://doi.org/10.3949/ccjm.89a.21088

    The patient had tendinous xanthomas on the dorsal joints of the hand and eruptive xanthomas on the buttock, as well as xanthoma striatum palmare on the volar aspect of the hand.

  • You have access
    Is exercise restriction necessary in patients with pericarditis?
    Felix Berglund, MD and Allan L. Klein, MD
    Cleveland Clinic Journal of Medicine August 2022, 89 (8) 437-441; DOI: https://doi.org/10.3949/ccjm.89a.21120

    The authors review current recommendations and illustrate possible approaches through a case scenario.

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