Latest Articles

  • 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.

  • Enteropathic arthritis
    Verna Wright, MD
    Cleveland Clinic Journal of Medicine January 1994, 61 (1) 14-16;

    A brief overview of intestinal diseases associated with arthropathy, including ulcerative colitis, Crohn’s disease, dysentery, and Whipple’s disease.

  • 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.

  • Tales of a Gypsy Doc: perspectives on social and medical aspects of care of the American Gypsy Population
    James D. Thomas, MD
    Cleveland Clinic Journal of Medicine November 1993, 60 (6) 427-428;

    Understanding a patient’s culture and outlook is critical to any doctor-patient interaction, but perhaps especially so when dealing with the Gypsy population.

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