Cardiology

  • What can I do when first-line measures are not enough for vasovagal syncope?
    Erika Hutt-Centeno, MD and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 920-922; DOI: https://doi.org/10.3949/ccjm.85a.17112

    Second-line measures include midodrine, fludrocortisone, beta-blockers, and SSRIs, but evidence is limited.

  • Do all hospital inpatients need cardiac telemetry?
    Motaz Baibars, MD, Yasser Al-Khadra, MD, Zaher Fanari, MD, Homam Moussa Pacha, MD, Mohamad Soud, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine December 2018, 85 (12) 925-927; DOI: https://doi.org/10.3949/ccjm.85a.17114

    Routine cardiac telemetry raises costs and does little.

  • Which patients with pulmonary embolism need echocardiography?
    Rama Hritani, MD, Abdulah Alrifai, MD, Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 826-828; DOI: https://doi.org/10.3949/ccjm.85a.17094

    The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging fi ndings.

  • Renal vein thrombosis and pulmonary embolism
    Alice Chedid, MD, Mohamad Hanouneh, MD and C. John Sperati, MD, MHS
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 833-834; DOI: https://doi.org/10.3949/ccjm.85a.18064

    A man with membranous nephropathy presents with dyspnea, cough, and epigastric discomfort.

  • Back pain as a sign of inferior vena cava filter complications
    Michael Lause, BS, Alisha Kamboj, BS, Ryan Schwieterman, MD and Vijay Duggirala, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 835-836; DOI: https://doi.org/10.3949/ccjm.85a.18046

    Complications can include filter movement, fracture, occlusion, and penetration.

  • Perioperative cardiovascular medicine: 5 questions for 2018
    Kunjam Modha, MD, FACP, Kay M. Johnson, MD, MPH, Ethan Kuperman, MD, FHM, Paul J. Grant, MD, SFHM, FACP, Barbara Slawski, MD, MS, SFHM, Kurt Pfeifer, MD, FACP, SFHM and Steven L. Cohn, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 853-859; DOI: https://doi.org/10.3949/ccjm.85a.18066

    Findings of recent studies regarding aspirin, troponin T, hypotension, patent foramen ovale, and recurrent stroke.

  • Hypertrophic cardiomyopathy (May 2018)
    Moustafa Elsheshtawy, MD, Mahmoud Abdelghany, MD and Jacob Shani, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 735; DOI: https://doi.org/10.3949/ccjm.85c.10001

    Readers comment on hypertrophic cardiomyopathy (May 2018) and on hypoparathyroidism (March 2018).

  • 2017 ACC/AHA hypertension guidelines: Toward tighter control
    Rebecca Blonsky, MD, Marc Pohl, MD, Joseph V. Nally, MD and George Thomas, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 771-778; DOI: https://doi.org/10.3949/ccjm.85a.18028

    Under the new defi nition (≥ 130/80 mm Hg), 46% of US adults have hypertension.

  • Bicuspid aortic valve: Basics and beyond
    Shailee Y. Shah, MD, Andrew Higgins, MD and Milind Y. Desai, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 779-784; DOI: https://doi.org/10.3949/ccjm.85a.17069

    What further testing does this 34-year-old patient need? Can he play sports? Does his newborn son need evaluation?

  • Transcatheter aortic valve replacement for bicuspid aortic valve stenosis
    Waleed T. Kayani, MD, Alvin Blaustein, MD, Ali Denktas, MD and Hani Jneid, MD, FACC, FAHA, FSCAI
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 786-788; DOI: https://doi.org/10.3949/ccjm.85a.18101

    Surgery remains the standard of care, but transcatheter aortic valve replacement is an emerging, viable option for some.

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