Cardiology

  • Follow-up blood cultures are often needed after bacteremia
    Marisa Tungsiripat, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 93-94; DOI: https://doi.org/10.3949/ccjm.86a.18114

    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?
    Juan Simon Rico-Mesa, MD, Carlos Uribe, MD, FACC, FSCAI, Megha Prasad, MD and Sushil Allen Luis, MBBS, FRACP
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 13-16; DOI: https://doi.org/10.3949/ccjm.86a.17033

    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
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 4-5; DOI: https://doi.org/10.3949/ccjm.86b.01019

    What is a cause of a high erythrocyte sedimentation rate with a normal C-reactive protein and a low anion gap?

  • Hypertension guidelines: Treat patients, not numbers
    Wesam Aleyadeh, MD, Erika Hutt-Centeno, MD, Haitham M. Ahmed, MD, MPH and Nishant P. Shah, MD
    Cleveland Clinic Journal of Medicine January 2019, 86 (1) 47-56; DOI: https://doi.org/10.3949/ccjm.86a.18027

    When treating high blood pressure, how low should we try to go? Debate continues.

  • 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.

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