Table of Contents
From the Editor
- To Phil, adieu with many thanks and much gratitude
Phil Canuto, the executive editor of the Cleveland Clinic Journal of Medicine for almost 20 years, is retiring.
1-Minute Consult
- Can an ARB be given to patients who have had angioedema on an ACE inhibitor?
Proceed with caution. ARBs can also cause angioedema, but the benefit may outweigh the risk if the patient truly needs the drug.
Editorial
- Dense breasts and legislating medicine
As with accelerated drug approval, mandated disclosure of breast density has uncertain efficacy.
Im Board Review
- Ascites in a 42-year-old woman
She has had worsening shortness of breath, leg edema, and ascites for 4 months. What is the cause?
Review
- Third universal definition of myocardial infarction: Update, caveats, differential diagnoses
Troponin levels are elevated in nearly everyone having a myocardial infarction—but also in many who are not. Hence, clinical judgment is needed.
- Antiplatelet therapy to prevent recurrent stroke: Three good options
Aspirin, dipyridamole, and clopidogrel are important parts of therapy to prevent recurrent stroke of atherosclerotic origin.
Departments
- The FREEDOM trial (August 2013)
Readers comment on the FREEDOM trial (August 2013) and on electronic health records (July 2013).
- In Reply: The FREEDOM trial (August 2013)
Readers comment on the FREEDOM trial (August 2013) and on electronic health records (July 2013).
- Electronic health records (July 2013)
Readers comment on the FREEDOM trial (August 2013) and on electronic health records (July 2013).
Commentary
Several states have mandated that, after mammography, patients be informed if their breasts are dense. Explaining what this means is a challenge.