Latest Articles

  • Incidence, outcomes, and management of bleeding in non-ST-elevation acute coronary syndromes
    Antonio Gutierrez, MD and Sunil V. Rao, MD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 369-379; DOI: https://doi.org/10.3949/ccjm.77a.09142

    Powerful antithrombotic and antiplatelet drugs and percutaneous interventions pose risks of bleeding. Fortunately, the risk can be managed.

  • LVH and hypertension: Is treating the pressure not enough?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 344; DOI: https://doi.org/10.3949/ccjm.77a.06001

    I am not sure the weight of current evidence supports routinely screening hypertensive patients for left ventricular hypertrophy using echocardiography, but the concept warrants consideration and study.

  • Should patients with mild asthma use inhaled steroids?
    Susan Razavi Abouhassan, MD and David M. Lang, MD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 364-368; DOI: https://doi.org/10.3949/ccjm.77a.09074

    Yes—but only if we consider the severity of the asthma, the goals of therapy, and the benefits and risks.

  • Left ventricular hypertrophy: An overlooked cardiovascular risk factor
    Left ventricular hypertrophy: An overlooked cardiovascular risk factor
    Michael A. Bauml, MD and Donald A. Underwood, MD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 381-387; DOI: https://doi.org/10.3949/ccjm.77a.09158

    Antihypertensive treatment that causes left ventricular hypertrophy to regress also decreases rates of cardiovascular morbidity and death, independently of how much the blood pressure is lowered.

  • An erythematous plaque on the arm
    Salvador Arias-Santiago, MD, José Aneiros-Fernández, MD, Husein Husein El-Ahmed, MD, Pilar Burkhardt-Pérez, MD and Ramón Naranjo-Sintes, PhD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 351-352; DOI: https://doi.org/10.3949/ccjm.77a.09073

    A 68-year-old farmer presents with an asymptomatic lesion that appeared spontaneously 5 months ago and has grown progressively. What is the diagnosis?

  • Update on the management of hirsutism
    Shannon Harrison, MBBS, MMed, FACD, Najwa Somani, MD and Wilma F. Bergfeld, MD
    Cleveland Clinic Journal of Medicine June 2010, 77 (6) 388-398; DOI: https://doi.org/10.3949/ccjm.77a.08079

    Hirsutism causes considerable anxiety in women. Although it is itself benign, it is often the sign of an underlying and possibly serious endocrine condition.

  • Preventing and treating orthostatic hypotension: As easy as A, B, C
    Juan J. Figueroa, MD, Jeffrey R. Basford, MD, PhD and Phillip A. Low, MD
    Cleveland Clinic Journal of Medicine May 2010, 77 (5) 298-306; DOI: https://doi.org/10.3949/ccjm.77a.09118

    Easy-to-remember management recommendations, using a combination of effective drug and nondrug treatments.

  • Noninvasive positive pressure ventilation: Increasing use in acute care
    Loutfi S. Aboussouan, MD and Basma Ricaurte, MD
    Cleveland Clinic Journal of Medicine May 2010, 77 (5) 307-316; DOI: https://doi.org/10.3949/ccjm.77a.09145

    How this mode has evolved, and its indications and contraindications in specific acute care conditions.

  • A rare complication of infective endocarditis
    Megan J. DeKam, DO, Jeremiah P. Depta, MD and A. Michael Lincoff, MD
    Cleveland Clinic Journal of Medicine May 2010, 77 (5) 296-297; DOI: https://doi.org/10.3949/ccjm.77a.09114

    An 85-year-old woman presents with a 2-hour history of dyspnea, dizziness, generalized weakness, nausea, and diaphoresis. What is the cause?

  • Laryngopharyngeal reflux: More questions than answers
    Laryngopharyngeal reflux: More questions than answers
    David W. Barry, MD and Michael F. Vaezi, MD, PhD, MS(Epi)
    Cleveland Clinic Journal of Medicine May 2010, 77 (5) 327-334; DOI: https://doi.org/10.3949/ccjm.77a.09121

    Most patients with suspected laryngopharyngeal reflux are given a 2-month trial of a proton pump inhibitor. Yet we still have little or no solid evidence on which to base the diagnosis or the treatment.

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