Cardiology
- Wolff-Parkinson-White syndrome: Diagnostic and management strategies
The challenge lies in managing those with the Wolff-Parkinson-White pattern on electrocardiogram but no symptoms.
- 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.
- 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.
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.
- 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?
- 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.
Myocardial infarction with nonobstructive coronary arteries: Current management strategiesIntracoronary imaging and cardiac magnetic resonance imaging are key tests in the diagnosis.
- The diagnostic dilemma of myocardial infarction without obstructive coronary artery disease: Advanced imaging to the rescue!
Advances in cardiac and coronary imaging and physiologic assessment now allow for a thorough, accurate workup of this condition that accounts for up to 15% of all myocardial infarctions.
- It’s time for a little history of medicine—introducing a new feature in CCJM
This month, we debut a feature focused on topics in the history of medicine, authored by Cleveland Clinic rheumatologist Adam Brown, MD.
- Skin manifestations in a patient with acute bacterial infective endocarditis
During a dialysis session, the patient experienced the onset of rigors accompanied by the appearance of painless purpuric lesions, which developed into petechiae.