Table of Contents

December 01, 2010; Volume 77,Issue 12

From the Editor

  • Why is fixing the plumbing so difficult?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2010, 77 (12) 840; DOI: https://doi.org/10.3949/ccjm.77b.10012

    For carotid stenosis, a catheter-based procedure would seem safer than endarterectomy, but reality is not always so simple.

The Clinical Picture

  • Cornflake-like scales on the ankles and feet
    Cristina Gómez-Fernández, MD, Beatriz Casado Verrier, MD, Leticia Sanz Canalejas, MD, Ricardo Moreno Alonso De Celada, MD and Pedro Herranz Pinto, MD
    Cleveland Clinic Journal of Medicine December 2010, 77 (12) 848-849; DOI: https://doi.org/10.3949/ccjm.77a.10055

    An 81-year-old woman presents with slowly growing, asymptomatic lesions on both feet and ankles. Which test should be ordered to establish the diagnosis?

Current Drug Therapy

  • MAO inhibitors: Risks, benefits, and lore
    Molly Wimbiscus, MD, Olga Kostenko, MD and Donald Malone, MD
    Cleveland Clinic Journal of Medicine December 2010, 77 (12) 859-882; DOI: https://doi.org/10.3949/ccjm.77a.09103

    Monoamine oxidase inhibitors were the first antidepressants introduced. Interest in their use is reviving.

1-Minute Consult

  • Should alpha-blockers ever be used as antihypertensive drugs?
    Giacomo Rossitto, MD, Ganesh Kamath, MD and Franz H. Messerli, MD
    Cleveland Clinic Journal of Medicine December 2010, 77 (12) 884-888; DOI: https://doi.org/10.3949/ccjm.77a.10058

    They are not first-line drugs, but they can be second-line or third-line add-on drugs if blood pressure is not under control.

Interpreting Key Trials

  • Understanding the CREST results
    Understanding the CREST results
    Olcay Aksoy, MD, Samir R. Kapadia, MD, Christopher Bajzer, MD, Wayne M. Clark, MD and Mehdi H. Shishehbor, DO, MPH
    Cleveland Clinic Journal of Medicine December 2010, 77 (12) 892-902; DOI: https://doi.org/10.3949/ccjm.77a.10074

    For patients with carotid artery stenosis, percutaneous intervention with stenting is as good as surgery—with some qualifications.

Medical Grand Rounds

  • Vitamin D and the heart: Why we need large-scale clinical trials
    Joann E. Manson, MD, DrPH, FAHA
    Cleveland Clinic Journal of Medicine December 2010, 77 (12) 903-910; DOI: https://doi.org/10.3949/ccjm.77gr.10004

    Despite enthusiasm for vitamin D, no large-scale primary prevention trial has used cardiovascular disease or cancer as a prespecified primary outcome.

Review

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