Cardiology

  • Infective endocarditis: Beyond the usual tests
    Infective endocarditis: Beyond the usual tests
    Nkemdilim Mgbojikwe, MD, Steven R. Jones, MD, Thorsten M. Leucker, MD, PhD and Daniel J. Brotman, MD
    Cleveland Clinic Journal of Medicine August 2019, 86 (8) 559-567; DOI: https://doi.org/10.3949/ccjm.86a.18120

    Newer imaging tests are increasingly used as alternatives or adjuncts to echocardiography for selected patients.

  • A right atrial mass
    Zeel Shah, MD, M. Chadi Alraies, MD, Ameer Harp, MD, Salam Khalil, MD, Amir Kaki, MD and Mahir Elder, MD
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 445-447; DOI: https://doi.org/10.3949/ccjm.86a.18131

    A woman with a history of endometrial adenocarcinoma presented with occasional shortness of breath and dizziness.

  • Ambulatory ECG monitoring in the age of smartphones
    David Sanders, MD, Leo Ungar, MD, Michael A. Eskander, MD and Arnold H. Seto, MD, MPA
    Cleveland Clinic Journal of Medicine July 2019, 86 (7) 483-493; DOI: https://doi.org/10.3949/ccjm.86a.18123

    Many devices are available; the best one to use depends on the specific clinical context.

  • In reply: Complete blood cell count March 2019
    Jori E. May, MD, Marisa B. Marques, MD, Vishnu V. B. Reddy, MD and Radhika Gangaraju, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 368; DOI: https://doi.org/10.3949/ccjm.86c.06002
  • Complete blood cell count March 2019
    Howard Homler, MD, FACP
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 368; DOI: https://doi.org/10.3949/ccjm.86c.06001

    A reader comments about use of the red blood cell distribution width in the complete blood cell count (March 2019).

  • Is chest radiography routinely needed after thoracentesis?
    Aibek E. Mirrakhimov, MD, Aram Barbaryan, MD, Taha Ayach, MD, Fabrizio Canepa Escaro, MD, Goutham Talari, MD and Adam Gray, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 371-373; DOI: https://doi.org/10.3949/ccjm.86a.17058

    No, it should be done only in certain situations, for example, if pneumothorax is suspected.

  • Anti-Xa assays: What is their role today in antithrombotic therapy?
    Erika Hutt Centeno, MD, Michael Militello, PharmD, RPH, BCPS and Marcelo P. Gomes, MD
    Cleveland Clinic Journal of Medicine June 2019, 86 (6) 417-425; DOI: https://doi.org/10.3949/ccjm.86a.18029

    Should clinicians abandon the aPTT for monitoring heparin therapy in favor of anti-Xa assays?

  • Dabigatran-induced esophagitis
    Yusaku Kajihara, MD, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 303; DOI: https://doi.org/10.3949/ccjm.86a.18117

    The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.

  • Evaluating and managing postural tachycardia syndrome
    Lucy Y. Lei,, Derek S. Chew, MD, Robert S. Sheldon, MD, PhD and Satish R. Raj, MD, MSCI, FRCPC
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 333-344; DOI: https://doi.org/10.3949/ccjm.86a.18002

    Therapy rarely cures it, but a multifaceted approach can substantially improve quality of life.

  • Is neuroimaging necessary to evaluate syncope?
    Erika Hutt-Centeno, MD, Robert Wilson, DO and Kenneth A. Mayuga, MD, FHRS, FACC, FACP
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 240-242; DOI: https://doi.org/10.3949/ccjm.86a.18016

    If the diagnosis is unclear after the history and examination, then electroencephalography during tilt-table testing can help.

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