Imaging

  • 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.

  • Fungus among us: A poster child for diagnostic stewardship
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 541-542; DOI: https://doi.org/10.3949/ccjm.88a.21065

    When interpreting the significance of Aspergillus species in respiratory culture, first ask if the culture was clinically indicated, or if this was an incidental finding.

  • Is Aspergillus isolated from respiratory cultures clinically significant?
    Firas El-Baba, MD, Donovan Watza, PhD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 543-546; DOI: https://doi.org/10.3949/ccjm.88a.20188

    Aspergillus is ubiquitous, so the significance of the finding depends on the patient’s symptoms, underlying lung condition, immune status, and radiologic fi ndings.

  • 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.

  • Stress testing and noninvasive coronary imaging: What’s the best test for my patient?
    Stress testing and noninvasive coronary imaging: What’s the best test for my patient?
    Milad Matta, MD, Serge C. Harb, MD, Paul Cremer, MD, Rory Hachamovitch, MD, MSc and Chadi Ayoub, MD, PhD, FACC, FASE, FSCCT
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 502-515; DOI: https://doi.org/10.3949/ccjm.88a.20068

    A review of current tests, what they measure, their diagnostic and prognostic value, and their limitations.

  • Pseudopathologic vertebral body enhancement
    Yi Pan, MD, Peixin Tan, MD, Songxi Xie, MD, Jiewen Chen, MMed and Yi-Long Wu, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 424-425; DOI: https://doi.org/10.3949/ccjm.88a.20150

    Contrast-enhanced computed tomography revealed sclerotic enhancement of the T1 vertebral body and the vertebral bodies from C2 to T2.

  • The obesity paradox in heart failure: What is the role of cardiorespiratory fitness?
    Asad Khan, MD, Erik H. Van Iterson, PhD and Luke J. Laffin, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 449-458; DOI: https://doi.org/10.3949/ccjm.88a.20098

    What should these patients be advised about weight management and about cardiorespiratory fitness, a major factor influencing the paradox?

  • 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.

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