More articles from 1-Minute consult

  • Are there alternatives to surgery for Zenker diverticulum?
    Nitin Aggarwal, MD and Prashanthi N. Thota, MD, FACG
    Cleveland Clinic Journal of Medicine September 2016, 83 (9) 645-647; DOI: https://doi.org/10.3949/ccjm.83a.15006

    High rates of complications in elderly patients have led to the development of endoscopic procedures.

  • Should patients with stable ischemic heart disease undergo revascularization?
    Michael Chenier, MD, MPH and A. Michael Lincoff, MD
    Cleveland Clinic Journal of Medicine August 2016, 83 (8) 567-570; DOI: https://doi.org/10.3949/ccjm.83a.15093

    The benefi t is much less clear for stable disease than for acute coronary syndromes.

  • A female liver transplant recipient asks: Can I become pregnant?
    Lydia Chelala, MD, Ghassan Ilaiwy, MD and Ibrahim A. Hanouneh, MD
    Cleveland Clinic Journal of Medicine July 2016, 83 (7) 498-499; DOI: https://doi.org/10.3949/ccjm.83a.14102

    Pregnancy is possible, but not immediately after transplant, and it involves risks.

  • Should I suspect obstructive sleep apnea if a patient has hard-to-control hypertension?
    Harneet K. Walia, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 419-421; DOI: https://doi.org/10.3949/ccjm.83a.15112

    Yes. Obstructive sleep apnea is common and is associated with hypertension and resistant hypertension.

  • When does chest CT require contrast enhancement?
    Camila Piza Purysko, MD, Rahul Renapurkar, MD and Michael A. Bolen, MD
    Cleveland Clinic Journal of Medicine June 2016, 83 (6) 423-426; DOI: https://doi.org/10.3949/ccjm.83a.15037

    It may be needed in cases of suspected cancer or thoracovascular disease.

  • How can I predict bleeding in my elderly patient taking anticoagulants?
    Gene R. Quinn, MD, MS and Margaret C. Fang, MD, MPH
    Cleveland Clinic Journal of Medicine May 2016, 83 (5) 345-348; DOI: https://doi.org/10.3949/ccjm.83a.15002

    We have tools, but their predictive value is modest. Clinical judgment is important.

  • What is the best approach to a high systolic pulmonary artery pressure on echocardiography?
    Mostafa Ahmed, MD, Raed A. Dweik, MD and Adriano R. Tonelli, MD
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 256-260; DOI: https://doi.org/10.3949/ccjm.83a.14186

    This is a common incidental finding. What to do depends on clinical presentation, comorbidities, and results of other tests.

  • Can patients with infectious endocarditis be safely anticoagulated?
    Mandeep Singh Randhawa, MD, James Pile, MD and Marcelo Gomes, MD
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 169-171; DOI: https://doi.org/10.3949/ccjm.83a.15027

    New infectious endocarditis is not an indication for starting anticoagulation, and whether to continue it is a diffi cult decision.

  • Can patients opt to turn off implantable cardioverter-defibrillators near the end of life?
    M. Motaz Baibars, MD, M. Chadi Alraies, MD, FACP, Amjad Kabach, MD and Marc Pritzker, MD, FACC
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 97-98; DOI: https://doi.org/10.3949/ccjm.83a.15007

    Yes, it is reasonable to consider deactivation near the end of life if the patient or family wishes.

  • Obstructive sleep apnea: Who should be tested, and how?
    Mahesh B. Manne, MD, MPH and Gregory Rutecki, MD
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 25-27; DOI: https://doi.org/10.3949/ccjm.83a.14074

    Only 10% of people with obstructive sleep apnea are diagnosed—a dismal statistic, considering the consequences.

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