Latest Articles

  • Coronary artery disease in diabetes: Which (if any) test is best?
    Michael S. Lauer, MD
    Cleveland Clinic Journal of Medicine January 2005, 72 (1) 6-9;

    Until randomized trials are done, the optimal testing strategy in patients with diabetes will remain subject to lively inferential debate.

  • Diabetes and coronary artery disease: The role of stress myocardial perfusion imaging
    Frans J. Th. Wackers, MD
    Cleveland Clinic Journal of Medicine January 2005, 72 (1) 21-33;

    Stress myocardial perfusion imaging holds promise but needs to undergo cost-effectiveness analysis.

  • Three rheumatologic emergencies: A sore toe, a cough, hypertension
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2005, 72 (1) 50-56;

    Rheumatologic emergencies are not always obvious, be it joint pain in a healthy patient or mild blood pressure elevation in a patient with scleroderma.

  • Should adults with suspected acute bacterial meningitis get adjunctive corticosteroids?
    James C. Pile, MD and David L. Longworth, MD
    Cleveland Clinic Journal of Medicine January 2005, 72 (1) 67-70;

    Yes, they should receive dexamethasone starting with or immediately before the first dose of antibiotics.

  • CCJM’s further evolution
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2005, 72 (1) 1;

    The honor of succeeding Dr. John Clough as Editor-in-Chief comes with the responsibility of shepherding the continued evolution of the Journal.

  • HIV update 2005
    Wendy Armstrong, MD, Leonard Calabrese, DO and Alan J. Taege, MD
    Cleveland Clinic Journal of Medicine January 2005, 72 (1) 73-78;

    Therapy is out of reach for most people who need it in developing nations. Side effects of long-term therapy include fat redistribution, insulin resistance, dyslipidemia, and increased cardiovascular risk.

  • Cardiovascular problems and pregnancy: An approach to management
    Samuel Siu, MD and Jack M. Colman, MD
    Cleveland Clinic Journal of Medicine December 2004, 71 (12) 977-985;

    We review the impact of pregnancy on a number of heart diseases (and vice versa) and offer recommendations for their management.

  • Benefits of more aggressive VTE prophylaxis in hospitalized medical patients
    L. Bernardo Menajovsky, MD, MS and John Spandorfer, MD
    Cleveland Clinic Journal of Medicine December 2004, 71 (12) 947-960;

    Most hospitalized medical patients who should be receiving anticoagulants to prevent VTE according to current guidelines are not getting them, or are receiving subtherapeutic doses.

  • The sad story of Vioxx, and what we should learn from it
    Juhana Karha, MD and Eric J. Topol, MD
    Cleveland Clinic Journal of Medicine December 2004, 71 (12) 933-939;

    The withdrawal of rofecoxib (Vioxx) has important implications both for patients with arthritis and for the pharmaceutical field in general.

  • A guide to assessing decision-making capacity
    Roger C. Jones, MD and Timothy Holden, MD
    Cleveland Clinic Journal of Medicine December 2004, 71 (12) 971-975;

    Physicians must care for many patients who are neither fully capable nor totally incapable of understanding and expressing choices about their treatment. We present an algorithm for assessing decision-making capacity.

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