Geriatrics

  • Phrenic nerve paralysis induced by brachial plexus block
    Aaron C. Hamilton, MD, MBA and Christopher Pleyer, MD
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 250-251; DOI: https://doi.org/10.3949/ccjm.83a.15032

    The patient developed shortness of breath 1 day after undergoing arthroscopic repair of a rotator cuff.

  • When does asymptomatic aortic stenosis warrant surgery? Assessment techniques
    When does asymptomatic aortic stenosis warrant surgery? Assessment techniques
    Cian P. McCarthy, MB, BCh, BAO, Dermot Phelan, MD, PhD and Brian Griffin, MD
    Cleveland Clinic Journal of Medicine April 2016, 83 (4) 271-280; DOI: https://doi.org/10.3949/ccjm.83a.15069

    We review the guidelines for valve replacement and the traditional and novel variables to consider.

  • Interpreting SPRINT: How low should you go?
    George Thomas, MD, FACP, FASN, Joseph V. Nally, MD and Marc A. Pohl, MD
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 187-195; DOI: https://doi.org/10.3949/ccjm.83a.15175

    In treating hypertension, lower systolic pressure is better than higher—but with caveats.

  • Blood pressure management in the wake of SPRINT
    Edward J. Filippone, MD, FACP and Andrew J. Foy, MD
    Cleveland Clinic Journal of Medicine March 2016, 83 (3) 196-198; DOI: https://doi.org/10.3949/ccjm.83a.16015

    SPRINT should be interpreted in the context of prior trials and of its inclusion and exclusion criteria.

  • Common neurologic emergencies for nonneurologists: When minutes count
    Mohan Kottapally, MD and S. Andrew Josephson, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 116-126; DOI: https://doi.org/10.3949/ccjm.83a.14121

    Recognizing and treating acute stroke, status epilepticus, subarachnoid hemorrhage, and others.

  • Can patients opt to turn off implantable cardioverter-defibrillators near the end of life?
    M. Motaz Baibars, MD, M. Chadi Alraies, MD, FACP, Amjad Kabach, MD and Marc Pritzker, MD, FACC
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 97-98; DOI: https://doi.org/10.3949/ccjm.83a.15007

    Yes, it is reasonable to consider deactivation near the end of life if the patient or family wishes.

  • The ethics of ICDs: History and future directions
    Martin L. Smith, STD and Eric Kodish, MD
    Cleveland Clinic Journal of Medicine February 2016, 83 (2) 99-100; DOI: https://doi.org/10.3949/ccjm.83a.15122

    There is no ethical requirement that treatment, once started, must continue against the patient’s wishes.

  • Obstructive sleep apnea: Who should be tested, and how?
    Mahesh B. Manne, MD, MPH and Gregory Rutecki, MD
    Cleveland Clinic Journal of Medicine January 2016, 83 (1) 25-27; DOI: https://doi.org/10.3949/ccjm.83a.14074

    Only 10% of people with obstructive sleep apnea are diagnosed—a dismal statistic, considering the consequences.

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