Emergency Medicine

  • We have a greater understanding of ‘cardiac syndrome X,’ but questions remain
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 532-533; DOI: https://doi.org/10.3949/ccjm.88b.10021

    A better understanding of angina due to ischemia and no obstructive coronary artery disease has led to recognition of coronary microvascular dysfunction in many of these patients.

  • Chest pain: The importance of serial ECGs
    Rene Jansen van Rensburg, MBChB, MD, Jason Schutte, MBChB and Thomas de Beenhouwer, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 538-540; DOI: https://doi.org/10.3949/ccjm.88a.20183

    Repeat electrocardiograms in a 44-year-old man who presented with severe hypertension revealed de Winter and Wellens patterns.

  • Coronary microvascular dysfunction: Considerations for diagnosis and treatment
    Coronary microvascular dysfunction: Considerations for diagnosis and treatment
    CME article
    Benita Tjoe, MD, Lili Barsky, MD, Janet Wei, MD, Bruce Samuels, MD, Babak Azarbal, MD, C. Noel Bairey Merz, MD and Chrisandra Shufelt, MD, MS
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 561-571; DOI: https://doi.org/10.3949/ccjm.88a.20140

    A review of pathophysiology, considerations for invasive and noninvasive coronary function testing, management, and remaining knowledge gaps.

  • Rapid cognitive decline and myoclonus in a 52-year-old woman
    CME article
    William Gravley, MS, Caleb Murphy, MD, MBA, Chia-Dan Kang, MD and Badrunnisa Hanif, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 572-583; DOI: https://doi.org/10.3949/ccjm.88a.20004

    Symptoms also included confusion, blank staring, blurred vision, incoordination of the extremities, decreased verbal communication, and holding her left hand in a fist.

  • An uncommon cause of chest pain
    Salman Salahuddin, MD, DM, MRCP (UK)
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 487-488; DOI: https://doi.org/10.3949/ccjm.88a.20160

    Re-review of a “normal” chest radiograph provided valuable clues.

  • Medical, ethical, and legal aspects of end-of-life dilemmas in the intensive care unit
    Jonathan Wiesen, MD, Christopher Donatelli, MD, Martin L. Smith, STD, Laurel Hyle, JD, MPH and Eduardo Mireles-Cabodevila, MD
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 516-527; DOI: https://doi.org/10.3949/ccjm.88a.14126

    Three hypothetical cases elucidate medical, ethical, and legal considerations in common end-of-life situations encountered in the ICU.

  • ‘Guidelines to Practice’ series: Asthma in adults
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 365; DOI: https://doi.org/10.3949/ccjm.88b.07021

    A clinically useful summary, highlighting the practical and newer conceptual aspects of the guidelines.

  • Aspiration of a partial denture after an ischemic stroke
    Alisha Kamboj, MD, MBA, Zi Yu Liu, MD, Sharmila Price, MD and Michael Sun, MD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 375-376; DOI: https://doi.org/10.3949/ccjm.88a.20132

    A bedside evaluation inaccurately led to the conclusion that it was safe to advance to a dysphagia diet.

  • Outpatient management of asthma in adults: A snapshot of the 2020 GINA report
    Kavya Kommaraju, MD and Mani Latifi, MD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 377-380; DOI: https://doi.org/10.3949/ccjm.88a.20167

    A review of the guidelines, with a focus on what’s new and clinically important.

  • What antithrombotic therapy should I use for my patient with atrial fibrillation who underwent percutaneous coronary intervention or had an acute coronary syndrome?
    What antithrombotic therapy should I use for my patient with atrial fibrillation who underwent percutaneous coronary intervention or had an acute coronary syndrome?
    Andrew S. Tseng, MD, MPH, Fadi E. Shamoun, MD, Lisa A. Marks, MLS and Neera Agrwal, MD, PhD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 389-392; DOI: https://doi.org/10.3949/ccjm.88a.19081

    The risk of thrombosis should be balanced with the risk of bleeding.

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