Latest Articles

  • Which test for CAD should be used in patients with left bundle branch block?
    Bo Xu, MBBS (Hons), Paul Cremer, MD, Wael Jaber, MD, Stuart Moir, MBBS, PhD, Serge C. Harb, MD and L. Leonardo Rodriguez, MD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 224-230; DOI: https://doi.org/10.3949/ccjm.85a.17051

    CT angiography is the fi rst-line test in those under 65; for older patients there are SPECT and dobutamine echocardiography.

  • Alzheimer dementia: Starting, stopping drug therapy
    Luke D. Kim, MD, FACP, CMD and Ronan M. Factora, MD, FACP, AGSF
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 209-214; DOI: https://doi.org/10.3949/ccjm.85a.16080

    It is reasonable to consider discontinuing therapy when a patient has progressed to advanced dementia.

  • Hypertension in older adults: What is the target blood pressure?
    Anu Garg, MD and Barbara J. Messinger-Rapport, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 193-195; DOI: https://doi.org/10.3949/ccjm.85a.17064

    Goal: systolic pressure below 130 mm Hg if the patient can take multiple medications and be followed closely.

  • Treatment Options for Stable Chronic Obstructive Pulmonary Disease: Current Recommendations and Unmet Needs
    Barbara Yawn, MD, MSc, FAAFP and Victor Kim, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2 suppl 1) S28-S37; DOI: https://doi.org/10.3949/ccjm.85.s1.05
  • Dyspnea and Hyperinflation in Chronic Obstructive Pulmonary Disease: Impact on Physical Activity
    Nathaniel Marchetti, DO and Alan Kaplan, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2 suppl 1) S3-S10; DOI: https://doi.org/10.3949/ccjm.85.s1.02
  • Gas under the right diaphragm
    Hiroki Matsuura, MD and Hidenori Hata, MD, PhD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 98-100; DOI: https://doi.org/10.3949/ccjm.85a.16139

    The patient was found to have volvulus and obstruction of the bowel.

  • Can a shared decision be wrong if made for the ‘right’ reasons?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 90-91; DOI: https://doi.org/10.3949/ccjm.85b.02018

    Providing information alone is not enough; we need to understand the patient’s biases, fears, and priorities.

  • Transient neurologic syndromes: A diagnostic approach
    Justin R. Abbatemarco, MD and Alexander D. Rae-Grant, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 155-163; DOI: https://doi.org/10.3949/ccjm.85a.17022

    Diagnosing TIA, migraine, partial seizures, hypoglycemia, hyperventilation, transient global amnesia, and others.

  • Kidney transplant: New opportunities and challenges
    Joshua Augustine, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 138-144; DOI: https://doi.org/10.3949/ccjm.85gr.18001

    Kidney transplant improves survival and long-term outcomes in patients with renal failure.

  • Medication management in older adults
    Luke D. Kim, MD, FACP, CMD, Kenneth Koncilja, MD and Craig Nielsen, MD, FACP
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 129-135; DOI: https://doi.org/10.3949/ccjm.85a.16109

    Some drugs may become unnecessary or even dangerous as the patient ages. Periodic medication review is needed.

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