Cardiology
- Should my older adult patients take aspirin for primary prevention of cardiovascular disease?
For patients age 70 and older, recent evidence shows that the harms outweigh the benefits.
- We have a greater understanding of ‘cardiac syndrome X,’ but questions remain
A better understanding of angina due to ischemia and no obstructive coronary artery disease has led to recognition of coronary microvascular dysfunction in many of these patients.
- Chest pain: The importance of serial ECGs
Repeat electrocardiograms in a 44-year-old man who presented with severe hypertension revealed de Winter and Wellens patterns.
Coronary microvascular dysfunction: Considerations for diagnosis and treatmentA review of pathophysiology, considerations for invasive and noninvasive coronary function testing, management, and remaining knowledge gaps.
- The initial viral infection may be only part of the story
We clearly see that the coronavirus elicits syndromes far afield from respiratory tissues. But a virus eliciting effects seemingly distinct from the primary infection is nothing new.
- Leriche syndrome
Physical examination revealed pallor of the toes, cold extremities, dry skin, and absence of bilateral femoral pulses. The patient also disclosed erectile dysfunction.
Stress testing and noninvasive coronary imaging: What’s the best test for my patient?A review of current tests, what they measure, their diagnostic and prognostic value, and their limitations.
- How do you effectively evaluate the elderly for alcohol use disorder?
A brief review of clues to an underrecognized and underdiagnosed problem with physical as well as emotional and social consequences.
- The obesity paradox in heart failure: What is the role of cardiorespiratory fitness?
What should these patients be advised about weight management and about cardiorespiratory fitness, a major factor influencing the paradox?