Cardiology
- Severely frail elderly patients do not need lipid-lowering drugs
Statins have no role as primary prevention in this population, and a minor role as secondary prevention.
- Statin therapy in the frail elderly: A nuanced decision
Clinicians—and patients—may reasonably feel there is value in statin therapy—even in advanced frailty.
- Cardiopulmonary exercise testing: A contemporary and versatile clinical tool
It has a class I recommendation for evaluating dyspnea of uncertain cause and in candidates for heart transplant.
- Porcelain heart in a uremic patient
Constrictive pericarditis due to secondary hyperparathyroidism occurs in up to 4% of patients with end-stage renal disease.
- Cardiopulmonary exercise testing February 2017
Errors occurred in Leclerc K. Cardiopulmonary exercise testing: A contemporary and versatile clinical tool Cleve Clin J Med 2017; 84:161–168.
- Cardiogenic shock: From ECMO to Impella and beyond
Several devices can serve as a bridge to recovery, transplant, or a long-term device.
- A broken pacemaker lead in a 69-year-old woman
The patient presented with fatigue, cough, light-headedness, and a heart rate of 30 beats per minute.
- Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance
The decision-making process is complex and should be shared with the patient and the patient’s family and caregivers.