Cardiology

  • In reply: Blood pressure targets (March 2016)
    George Thomas, MD, FACP, FASN, Joseph V. Nally, MD and Marc A. Pohl, MD
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 488-489; DOI: https://doi.org/10.3949/ccjm.83c.07003
  • Premature ventricular contractions: Reassure or refer?
    Baris Akdemir, MD, Hirad Yarmohammadi, MD, MPH, M. Chadi Alraies, MD, FACP and Wayne O. Adkisson, MD, FHRS, FACC
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 524-530; DOI: https://doi.org/10.3949/ccjm.83a.15090

    Many patients need only reassurance and do not need to see a cardiologist.

  • Cognitive bias and diagnostic error (November 2015)
    Morton H. Field, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 407-408; DOI: https://doi.org/10.3949/ccjm.83c.06003

    Readers comment on cognitive bias and diagnostic error (November 2015).

  • In reply: Cognitive bias and diagnostic error (November 2015)
    Nikhil Mull, MD, James B. Reilly, MD, MS and Jennifer S. Myers, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 408; DOI: https://doi.org/10.3949/ccjm.83c.06004
  • Anticoagulation in dental surgery: Is it rude to interrupt?
    Michael J. Wahl, DDS
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 409-413; DOI: https://doi.org/10.3949/ccjm.83a.15014

    Anticoagulation should not be interrupted for dental surgery.

  • Should I suspect obstructive sleep apnea if a patient has hard-to-control hypertension?
    Harneet K. Walia, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 419-421; DOI: https://doi.org/10.3949/ccjm.83a.15112

    Yes. Obstructive sleep apnea is common and is associated with hypertension and resistant hypertension.

  • Predicting is tough, especially about the future
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 324; DOI: https://doi.org/10.3949/ccjm.83b.05016

    All risk calculators—not just for anticoagulation—are based on the “average” patient. And no patient is average.

  • This is not an acute coronary syndrome
    Adam M. May, MD, Korosh Sharain, MD, Jorge Brenes-Salazar, MD and Lawrence J. Sinak, MD
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 335-336; DOI: https://doi.org/10.3949/ccjm.83a.15060

    Stress cardiomyopathy—broken heart syndrome—typically affects older women exposed to a stressful life event.

  • How can I predict bleeding in my elderly patient taking anticoagulants?
    Gene R. Quinn, MD, MS and Margaret C. Fang, MD, MPH
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 345-348; DOI: https://doi.org/10.3949/ccjm.83a.15002

    We have tools, but their predictive value is modest. Clinical judgment is important.

  • An 85-year-old woman with respiratory failure and positional hypoxemia
    Alpana Senapati, DO, Hardeep Rai, MD and Abhijit Duggal, MD, MPH
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 349-354; DOI: https://doi.org/10.3949/ccjm.83a.15079

    Her oxygen saturation was more than 93% when lying down but dropped to less than 85% when she was upright.

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