Cardiology

  • Anti-Xa assays: What is their role today in antithrombotic therapy?
    Erika Hutt Centeno, MD, Michael Militello, PharmD, RPH, BCPS and Marcelo P. Gomes, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 417-425; DOI: https://doi.org/10.3949/ccjm.86a.18029

    Should clinicians abandon the aPTT for monitoring heparin therapy in favor of anti-Xa assays?

  • Dabigatran-induced esophagitis
    Yusaku Kajihara, MD, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 303; DOI: https://doi.org/10.3949/ccjm.86a.18117

    The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.

  • Evaluating and managing postural tachycardia syndrome
    Lucy Y. Lei, Derek S. Chew, MD, Robert S. Sheldon, MD, PhD and Satish R. Raj, MD, MSCI, FRCPC
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 333-344; DOI: https://doi.org/10.3949/ccjm.86a.18002

    Therapy rarely cures it, but a multifaceted approach can substantially improve quality of life.

  • Is neuroimaging necessary to evaluate syncope?
    Erika Hutt-Centeno, MD, Robert Wilson, DO and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 240-242; DOI: https://doi.org/10.3949/ccjm.86a.18016

    If the diagnosis is unclear after the history and examination, then electroencephalography during tilt-table testing can help.

  • Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
    Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
    Nureddin K. Almaddah, MD, Mohamed S. Morsy, MD, Dwight Dishmon, MD and Rami N. Khouzam, MD, FACC, FACP, FASNC, FASE, FSCAI
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 252-256; DOI: https://doi.org/10.3949/ccjm.86a.18078

    SCAD accounts for up to 35% of acute myocardial infarctions in women 50 or younger, and even more in pregnant women.

  • Does early repolarization on ECG increase the risk of cardiac death in healthy people?
    Ziad Sayedahmad, MD, Fahed Darmoch, MD, Yasser Al-Khadra, MD, Amjad Kabach, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 165-166; DOI: https://doi.org/10.3949/ccjm.86a.17032

    No. In patients without symptoms, early repolarization is nearly always a benign incidental finding.

  • A paraneoplastic potassium and acid-base disturbance
    Samuel P. Wiles, MD, Matthew Kiczek, DO and Gregory W. Rutecki, MD
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 187-197; DOI: https://doi.org/10.3949/ccjm.86a.18014

    A 55-year-old smoker with COPD presents with malaise, paresthesias, and severe hypertension. What is the cause?

  • Hypertension guidelines January 2019
    Cleveland Clinic Journal of Medicine March 2019, 86 (3) 210;

    The article Aleyadeh W, Hutt-Centeno E, Ahmed HM, Shah NP. Hypertension guidelines: treat patients, not numbers. Cleve Clin J Med 2019; 86(1):47–56. doi:10.3949/ccjm.86a.18027 contained an error.

  • Heart failure guidelines: What you need to know about the 2017 focused update
    Lee Rodney Haselhuhn, MD, Daniel J. Brotman, MD and Ilan Shor Wittstein, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 123-139; DOI: https://doi.org/10.3949/ccjm.86a.18022

    Prevention, preserved ejection fraction, hypertension, iron, sleep apnea, and acute decompensation.

  • Dancing sternal wires: A radiologic sign of sternal dehiscence
    Mohamed M. Gad, MD and Amit Gupta, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 87-88; DOI: https://doi.org/10.3949/ccjm.86a.18091

    Loose fragments of bone and wire pose a danger of puncturing the heart, making sternal dehiscence a surgical emergency.

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