Table of Contents
From the Editor
- It is not a ‘mini’-stroke, it is a call to action
Although patients may call transient ischemic attacks “mini-strokes,” there is nothing mini about their significance.
1-Minute Consult
- Which lower-extremity DVTs should be removed early?
This controversial therapy is best considered in cases of proximal deep vein thrombosis in younger patients.
The Clinical Picture
- Chronic itch on the upper back, with pain
An otherwise healthy man has had itchy, grayish-brown patches on his back for 2 years, characteristic of notalgia paresthetica.
- Fever, dyspnea, and a new heart murmur
In cases of recurrent persistent fever and a new heart murmur, infective endocarditis must always be considered.
Review
- Transient ischemic attack: Omen and opportunity
A transient ischemic attack (TIA) is often the precursor of stroke. As such, every TIA deserves to be taken seriously.
- Biomarkers in the emergency workup of chest pain: Uses, limitations, and future
Cardiac biomarkers are only one piece of the clinical picture, albeit an important one.
Addressing Disparities in Health Care
- Cardiovascular disease in women: Prevention, symptoms, diagnosis, pathogenesis
Notable sex differences exist in the underlying mechanisms, presentation, and response to aspirin, statins, and exercise stress.
Commentary
We need not abandon this drug, but we should see if our patients have risk factors, and take precautions.