Cardiology
- Decongesting heart failure with diuretics: Easier to prescribe than to fully understand
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.
- How do we maximize diuresis in acute decompensated heart failure?
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?Rate control has been preferred as the primary approach, but the pendulum is swinging in favor of rhythm control.
- Primary and secondary prevention of atherosclerotic cardiovascular disease: A case-based approach
The authors present commonly encountered clinical scenarios that pose challenges in decision-making in primary and secondary prevention.
- Xanthomas: Differentiating atherogenic from nonatherogenic
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.
- Is exercise restriction necessary in patients with pericarditis?
The authors review current recommendations and illustrate possible approaches through a case scenario.
- An unexpected turn
The following article in the July 2022 issue contained an error: Ganeshan S, Kelemen B, Dhaliwal G, Zier L. An unexpected turn: A 71-year-old man with myocardial infarction. Cleve Clin J Med. 2022;89(7):401–407. doi:10.3949/ccjm.89a.21030
An unexpected turn: A 71-year-old man with myocardial infarctionThe patient’s temperature was elevated, pulse rate 98 beats per minute, respiratory rate 16 breaths per minute, and blood pressure 100/60 mm Hg. Cardiac and pulmonary examinations were normal.