Latest Articles

  • V1: The most important lead in inferior STEMI
    Vijaiganesh Nagarajan, MD, MRCP and Donald A. Underwood, MD
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 682-683; DOI: https://doi.org/10.3949/ccjm.79a.11135

    A 63-year-old woman with diabetes and hypertension developed chest tightness. Her electrocardiogram showed ST-segment elevation in leads II, III, aVF, V1, and V2.

  • Hypertension in the elderly: Some practical considerations
    Kashif N. Chaudhry, MD, Patricia Chavez, MD, Jerzy Gasowski, MD, Tomasz Grodzicki, MD and Franz H. Messerli, MD, FACC, FACP
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 694-704; DOI: https://doi.org/10.3949/ccjm.79a.12017

    Treatment is challenging because of comorbidities and age-related changes. Some common scenarios are presented.

  • Hypertensive chronic kidney disease in African Americans: Strategies for improving care
    David Martins, MD, MS, Lawrence Agodoa, MD and Keith C. Norris, MD, FACP, FASN
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 726-734; DOI: https://doi.org/10.3949/ccjm.79a.11109

    Factors responsible for its rapid progression in African Americans are detectable by screening and modifiable with prompt therapy.

  • A 60-year-old man with abdominal bruising
    Deepan Dalal, MD and Sharon E. Mace, MD, FACEP, FAAP
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 688-689; DOI: https://doi.org/10.3949/ccjm.79a.10039

    A man with liver cancer developed abdominal ecchymoses resembling the Cullen sign and flank ecchymoses resembling the Grey Turner sign.

  • Home testing for HIV: Hopefully, a step forward
    Christine E. Koval, MD
    Cleveland Clinic Journal of Medicine October 2012, 79 (10) 713-716; DOI: https://doi.org/10.3949/ccjm.79a.12128

    An over-the-counter at-home test has been approved. Will it lower the number of infected people unaware of their infection?

  • Fever, dyspnea, and hepatitis in an Iraq veteran
    Ramiro L. Gutiérrez, MD, MPH and Joshua D. Hartzell, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 623-630; DOI: https://doi.org/10.3949/ccjm.79a.11136

    About 8 weeks after returning home, he presents with a cough, myalgia, headaches, fever, chills, drenching night sweats, and dyspnea on exertion. What is the most likely diagnosis?

  • The role of aldosterone receptor antagonists in the management of heart failure: An update
    Vijaiganesh Nagarajan, MD, Mohammed Chamsi-Pasha, MD and W. H. Wilson Tang, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 631-639; DOI: https://doi.org/10.3949/ccjm.79a.12014

    Spironolactone (Aldactone) and eplerenone (Inspra) are now part of standard therapy. Still, they must be used cautiously, as they can cause hyperkalemia.

  • The apples and oranges of cost-effectiveness: A rejoinder
    Vinay Prasad, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 610-611; DOI: https://doi.org/10.3949/ccjm.79a.12129

    The author of the commentary replies.

  • The apples and oranges of cost-effectiveness: A rejoinder
    Chiedozie I. Udeh, MD, MHLTHEC and Belinda L. Udeh, PhD, MPH
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 608-610; DOI: https://doi.org/10.3949/ccjm.79a.12123

    A recent CCJM commentary used straw men to indict cost-effectiveness research.

  • Flashing lights, floaters, and reduced vision
    Abdul Hamid Alraiyes, MD, M. Chadi Alraies, MD, Francisco Aécio Almeida, MD, MS and Arun D. Singh, MD
    Cleveland Clinic Journal of Medicine September 2012, 79 (9) 616-618; DOI: https://doi.org/10.3949/ccjm.79a.11141

    A 62-year-old woman has numerous lobulated, yellowish, choroidal lesions in the left eye, and two similar but smaller lesions in the right eye. What is the cause?

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