Cardiology

  • Aortic aneurysm: Fluoroquinolones, genetic counseling, June 2018
    Houriya Ayoubieh, MD and Gretchen MacCarrick, MS, CGC
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 661-662; DOI: https://doi.org/10.3949/ccjm.85c.09002
  • In reply: Aortic aneurysm: Fluoroquinolones, genetic counseling
    Vidyasagar Kalahasti, MD, Frank Cikach, MD, Milind Y. Desai, MD, FACC, FAHA, FESC and Eric E. Roselli, MD, FACS
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 662; DOI: https://doi.org/10.3949/ccjm.85c.09003
  • Shortness of breath, fever, cough, and more in an elderly woman
    Brody D. Slostad, MD, Megha Prasad, MD and Nandan S. Anavekar, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 685-692; DOI: https://doi.org/10.3949/ccjm.85a.18030

    The patient’s many problems include ventricular tachycardia, requiring an implanted cardioverter-defi brillator and amiodarone.

  • Coronary artery calcium scoring: Its practicality and clinical utility in primary care
    Coronary artery calcium scoring: Its practicality and clinical utility in primary care
    Parth Parikh, MD, Nishant Shah, MD, Haitham Ahmed, MD, MPH, Paul Schoenhagen, MD and Maan Fares, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 707-716; DOI: https://doi.org/10.3949/ccjm.85a.17097

    It outperforms other risk-stratifi cation tools. Drawbacks include the possibility of unnecessary testing and incidental fi ndings.

  • Coronary artery calcium scoring: A valuable tool in primary care
    Michael B. Rothberg, MD, MPH
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 717-719; DOI: https://doi.org/10.3949/ccjm.85a.18077

    Coronary calcium scoring is safe and accurate, but who should be tested?

  • Wolff-Parkinson-White pattern unmasked by severe musculoskeletal pain
    Rishi Raj, MD, Leon O’Neill, MD and Nasreen Shaikh, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 507-509; DOI: https://doi.org/10.3949/ccjm.85a.17131

    WPW pattern can be asymptomatic, whereas the syndrome is characterized by symptomatic arrhythmias.

  • When does S aureus bacteremia require transesophageal echocardiography?
    Aibek E. Mirrakhimov, MD, Michael E. Jesinger, MD, Taha Ayach, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 517-520; DOI: https://doi.org/10.3949/ccjm.85a.16095

    TTE is a good starting point, but TEE is indicated in patients with a high pretest probability of endocarditis.

  • S aureus bacteremia: TEE and infectious disease consultation
    Susan J. Rehm, MD, FIDSA, FACP
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 521-522; DOI: https://doi.org/10.3949/ccjm.85a.18061

    Staphylococcus aureus bacteremia demands further evaluation, as up to 25% of people who have it may have endocarditis.

  • Cardiac rehabilitation: A class 1 recommendation
    Margo Simon, DO, Kaitlyn Korn, DO, Leslie Cho, MD, Gordon G. Blackburn, PhD and Chad Raymond, DO
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 551-558; DOI: https://doi.org/10.3949/ccjm.85a.17037

    Despite proven benefi ts, referral and participation rates remain low. Efforts to boost usage are underway.

  • Renal disease and the surgical patient: Minimizing the impact
    Kanav Sharma, MBBS, MPH and Barbara Slawski, MD, MS, SFHM
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 559-567; DOI: https://doi.org/10.3949/ccjm.85a.17009

    Chronic kidney disease is associated with adverse surgical outcomes, including acute kidney injury.

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