Cardiology
- Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
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?
No. In patients without symptoms, early repolarization is nearly always a benign incidental finding.
- A paraneoplastic potassium and acid-base disturbance
A 55-year-old smoker with COPD presents with malaise, paresthesias, and severe hypertension. What is the cause?
- Hypertension guidelines January 2019
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
Prevention, preserved ejection fraction, hypertension, iron, sleep apnea, and acute decompensation.
- Dancing sternal wires: A radiologic sign of sternal dehiscence
Loose fragments of bone and wire pose a danger of puncturing the heart, making sternal dehiscence a surgical emergency.
- Repeating blood cultures after initial bacteremia: When and how often?
Repeating blood cultures after an initial positive result is superfluous except in certain situations.
- Follow-up blood cultures are often needed after bacteremia
Without follow-up cultures, the adequacy of treatment can be difficult to assess.
- When can I stop dual antiplatelet therapy in patients with drug-eluting stents?
The decision requires balancing the risk of thrombosis against the risk of bleeding. A cardiologist can help.
- MGUS: It’s about the protein, not just the marrow
What is a cause of a high erythrocyte sedimentation rate with a normal C-reactive protein and a low anion gap?