Latest Articles

  • Treating hypertension in older patients: special considerations
    Sheldon G. Sheps, MD
    Cleveland Clinic Journal of Medicine January 1994, 61 (1) 77;
  • Labetalol and other agents that block both alpha- and beta-adrenergic receptors
    Donald G. Vidt, MD, Alan Bakst, PharmD, Carolyn J. Pearce, MD and J. David Wallin, MD
    Cleveland Clinic Journal of Medicine January 1994, 61 (1) 59-69;

    A review of how these agents can be used in managing difficult-to-control hypertension.

  • Durability of bipolar coaxial endocardial pacemaker leads compared with unipolar leads
    Marcelo E. Helguera, MD, Sergio L. Pinski, MD, James D. Maloney, MD, Javier R. Woscoboinik, MD, Richard G. Trohman, MD, Victor A. Morant, MD, Bruce L. Wilkoff, MD and Lon W. Castle, MD
    Cleveland Clinic Journal of Medicine January 1994, 61 (1) 25-28;

    Bipolar coaxial leads are preferable to unipolar leads in most aspects. Yet survival of bipolar coaxial leads in long-term follow-up studies seems worse than that of unipolar leads, indicating the need to reevaluate the risk-benefit ratio of the coaxial design.

  • Ovarian cancer update: management challenges and advances
    Maurie Markman, MD
    Cleveland Clinic Journal of Medicine January 1994, 61 (1) 51-58;

    Suspicion of ovarian cancer is especially important when working up postmenopausal women with vague abdominal complaints or a palpable ovary.

  • Diagnostic evaluation of the patient with coronary artery disease
    Fredric J. Pashkow, MD
    Cleveland Clinic Journal of Medicine January 1994, 61 (1) 43-48;

    Evaluation of patients with possible CAD involves balancing conflicting considerations, such as test sensitivity and accuracy, cost, and access.

  • Mortality of patients transferred to a tertiary care hospital
    John D. Clough, MD, Robert Kay, MD, William R. Gombeski, MPH, MBA, Daniel E. Nickelson, MA and Floyd D. Loop, MD
    Cleveland Clinic Journal of Medicine November 1993, 60 (6) 449-454;

    A look at the effect of transfers on patient outcome and on hospital mortality statistics, and how superficial review of these statistics could lead to mistaken conclusions about the quality of hospitals to which patients are transferred.

  • Early-onset prosthetic valve endocarditis
    Thomas F. Keys, MD
    Cleveland Clinic Journal of Medicine November 1993, 60 (6) 455-459;

    Despite advances in surgical expertise and antibiotic prophylaxis, this complication occurs in about 1% of patients with implanted heart valves, with a mortality of 30% to 50%.

  • Systemic diseases associated with intermediate uveitis
    Steven A. Boskovich, MD, Careen Y. Lowder, MD, PhD, David M. Meisler, MD and Froncie A. Gutman, MD
    Cleveland Clinic Journal of Medicine November 1993, 60 (6) 460-465;

    Multiple sclerosis, inflammatory bowel disease, thyroid abnormalities, and possible Epstein-Barr virus infection were among the findings in 26 of 83 intermediate uveitis patients.

  • Associated ulcerative colitis, sclerosing cholangitis, and insulin-dependent diabetes mellitus
    Marsha Kay, MD, Robert Wyllie, MD, William Michener, MD, Maureen Caulfield, MD and Rita Steffen, MD
    Cleveland Clinic Journal of Medicine November 1993, 60 (6) 473-478;
  • Management of variceal bleeding in the 1990s
    J. Michael Henderson, MB, CHB, William D. Carey, MD, David P. Vogt, MD, David S. Barnes, MD, Margaret G. Zelch, MD and Cathy Blake, MSN, RN
    Cleveland Clinic Journal of Medicine November 1993, 60 (6) 431-438;

    Therapeutic options now include pharmacologic reduction of portal hypertension, endoscopic obliteration of varices, placement of decompressive shunts, and liver transplantation.

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