Hospital Medicine

  • How soon should patients with infective endocarditis be referred for valve surgery?
    Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 362-364; DOI: https://doi.org/10.3949/ccjm.85a.17052

    Refer sooner rather than later if the patient has heart failure, uncontrolled infection, or embolic risk.

  • Infective endocarditis: Refer for expert team care as soon as possible
    Gösta B. Pettersson, MD, PhD, Brian Griffin, MD, Steven M. Gordon, MD and Eugene H. Blackstone, MD
    Cleveland Clinic Journal of Medicine May 2018, 85 (5) 365-366; DOI: https://doi.org/10.3949/ccjm.85a.18019

    Infectious endocarditis needs multidisciplinary care. if surgery is indicated, it is best done sooner.

  • Perioperative interruption of dual antiplatelet therapy (November 2017)
    Elias B. Hanna, MD and Eliana Hanna Deschamps, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 261; DOI: https://doi.org/10.3949/ccjm.85c.04001

    Readers comment on perioperative interruption of dual antiplatelet therapy (November 2017).

  • In reply: Perioperative interruption of dual antiplatelet therapy (November 2017)
    Ryan Munyon, Steven L. Cohn, MD, FACP, SFHM, Barbara Slawski, MD, MS, SFHM, Gerald W. Smetana, MD, MACP and Kurt Pfeifer, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 262; DOI: https://doi.org/10.3949/ccjm.85c.04002
  • A 71-year-old woman with shock and a high INR
    Raja Y. Zaghlol, MD, Michael E. Tierney, MD, BMedSc, Louay Y. Zaghlol and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 303-312; DOI: https://doi.org/10.3949/ccjm.85a.17031

    She presents with an acute change in mental status, blood pressure 80/40 mm Hg, pulse 130, INR 6.13.

  • Acute cardiorenal syndrome: Mechanisms and clinical implications
    Acute cardiorenal syndrome: Mechanisms and clinical implications
    Guramrinder S. Thind, MD, Mark Loehrke, MD, FACP and Jeffrey L. Wilt, MD, FACP, FCCP
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 231-239; DOI: https://doi.org/10.3949/ccjm.85a.17019

    Volume overload is central to its pathogenesis, and accurate assessment of volume status is critical.

  • Hemodynamically, the kidney is at the heart of cardiorenal syndrome
    Justin L. Grodin, MD, MPH
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 240-242; DOI: https://doi.org/10.3949/ccjm.85a.17126

    In heart failure, the heart and the kidneys share a rocky relationship.

  • Do cardiac risk stratification indexes accurately estimate perioperative risk in noncardiac surgery patients?
    Rohan Mandaliya, MD, FACP and Geno Merli, MD, MACP
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 35-39; DOI: https://doi.org/10.3949/ccjm.85a.16117

    Neither of the 2 indexes most often used is completely accurate, and neither is better than the other.

  • 2017 Update in perioperative medicine: 6 questions answered
    Ryan Munyon, MD, Steven L. Cohn, MD, FACP, SFHM, Barbara Slawski, MD, MS, SFHM, Gerald W. Smetana, MD, MACP and Kurt Pfeifer, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 863-872; DOI: https://doi.org/10.3949/ccjm.84a.17068

    Topics: cardiac risk assessment, surgery after percutaneous intervention, statins, sleep apnea, bridging anticoagulation, and frailty.

  • Navigating the anticoagulant landscape in 2017
    James D. Douketis, MD, FRCP(C), FACP, FCCP
    Cleveland Clinic Journal of Medicine October 2017, 84 (10) 768-778; DOI: https://doi.org/10.3949/ccjm.84gr.17005

    What is the best strategy in acute venous thromboembolism? How should anticoagulation be managed before surgery?

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