More articles from Cardiology Dialogues
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Lowering LDL in patients with heart disease: How aggressive should you be?
Thomas A. Pearson, MD, PHD and Fredric J. Pashkow, MD- Cleveland Clinic Journal of Medicine July 2000, 67 (7) 489-496;
A debate on whether to use a fixed or an individualized LDL target
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Cardioversion or rate control for atrial fibrillation: balancing risks and benefits
James D. Thomas, MD, Kenneth A. Ellenbogen, MD and Patrick J. Tchou, MD- Cleveland Clinic Journal of Medicine January 1997, 64 (1) 31-36;
In managing atrial fibrillation, should physicians try to restore and maintain sinus rhythm, or take a more conservative approach and try only to control the heart rate and prevent thromboembolism?
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Preoperative evaluation before noncardiac vascular surgery
Kim A. Eagle, MD, Michael S. Lauer, MD and James Thomas, MD- Cleveland Clinic Journal of Medicine October 1996, 63 (6) 325-330;
How to assess a patient’s perioperative risk, deciding when clinical factors are sufficient to gauge risk and when pharmacologic stress testing is needed.
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Preventive cardiology: Whose job is it? Who will pay for it? What is the best strategy?
James Thomas, MD, Daniel Levy, MD and Dennis L. Sprecher, MD- Cleveland Clinic Journal of Medicine September 1996, 63 (5) 275-279;
Should cardiologists, internists, or nurse practitioners lead prevention efforts? What is the role of diet in the era of the statins?
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Practice guidelines and physician scorecards: grading the graders
James Thomas, MD, Robert A. Vogel, MD and Eric J. Topol, MD- Cleveland Clinic Journal of Medicine March 1996, 63 (2) 124-128;
A discussion of the pros and cons of different tools to assess the quality of medical care.
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Should community hospitals perform angioplasty for acute myocardial infarction?
James Thomas, MD, W. Douglas Weaver, MD and Joseph M. Sutton, MD- Cleveland Clinic Journal of Medicine January 1996, 63 (1) 57-61;
A debate about the advantages and disadvantages of community hospitals performing angioplasty for myocardial infarction, even if they have no facilities for heart surgery.
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Assessing myocardial ischemia, hibernation, and viability: stress echocardiography and nuclear imaging
James Thomas, MD, George A. Beller, MD and Thomas H. Marwick, MD- Cleveland Clinic Journal of Medicine March 1995, 62 (2) 89-94;
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Angioplasty or thrombolysis in acute myocardial infarction: dilate or dissolve?
James Thomas, MD, Bernard J. Gersh, MB, ChB, Dphil and Eric J. Topol, MD- Cleveland Clinic Journal of Medicine January 1995, 62 (1) 15-19;
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Transesophageal echocardiography: why and when to use it
James Thomas, MD, Anthony Demaria, MD, Allan Klein, MD, Guido Belli, MD and Kingsley Annan, MD- Cleveland Clinic Journal of Medicine May 1994, 61 (3) 211-218;
In this open discussion of an important health care utilization issue, panelists expound on the appropriateness of TEE in several clinical situations.
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Dilate or debulk?
James Thomas, MD, David R. Holmes Jr., MD and Eric J. Topol, MD- Cleveland Clinic Journal of Medicine March 1994, 61 (2) 124-126;
In this first in a new series of informal dialogues on controversial and emerging topics in cardiac diagnosis and therapy, two internationally known investigators tally the relative merits of atherectomy and angioplasty for percutaneous therapy of coronary artery disease.