Preventive Care

  • Cardiac rehabilitation: A class 1 recommendation
    Margo Simon, DO, Kaitlyn Korn, DO, Leslie Cho, MD, Gordon G. Blackburn, PhD and Chad Raymond, DO
    Cleveland Clinic Journal of Medicine July 2018, 85 (7) 551-558; DOI: https://doi.org/10.3949/ccjm.85a.17037

    Despite proven benefi ts, referral and participation rates remain low. Efforts to boost usage are underway.

  • Is Pap testing still needed after hysterectomy?
    Halle G. Sobel, MD, Elise Everett, MD and Laura D. Lipold, MD
    Cleveland Clinic Journal of Medicine June 2018, 85 (6) 456-458; DOI: https://doi.org/10.3949/ccjm.85a.17063

    There is no need to continue Pap testing after hysterectomy for a benign indication.

  • Hidden lesion easily missed on chest radiography
    Kamolyut Lapumnuaypol, MD and Jessica M. Stempel, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 270-273; DOI: https://doi.org/10.3949/ccjm.85a.17067

    Chest radiography showed an opacity behind the heart, and CT angiography revealed it to be an aortic aneurysm.

  • Are serum troponin levels elevated in conditions other than acute coronary syndrome?
    Kiran Sebastian, MD, Alexander Wester, BS, Anupama Kottam, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 274-277; DOI: https://doi.org/10.3949/ccjm.85a.17011

    Yes. Troponin elevation is a nonspecific sign.

  • The female athlete triad: It takes a team
    Jaya Mehta, MD, Bithika Thompson, MD and Juliana M. Kling, MD, MPH
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 313-320; DOI: https://doi.org/10.3949/ccjm.85a.16137

    An energy deficit from increased exercise, decreased intake, or both can suppress the menstrual cycle and lead to bone loss.

  • Make no bones about it!
    Elizabeth Matzkin, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 321-322; DOI: https://doi.org/10.3949/ccjm.85a.17071

    It is important to diagnose and treat the female athlete triad to maintain optimal bone health.

  • Hypertension in older adults: What is the target blood pressure?
    Anu Garg, MD and Barbara J. Messinger-Rapport, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 193-195; DOI: https://doi.org/10.3949/ccjm.85a.17064

    Goal: systolic pressure below 130 mm Hg if the patient can take multiple medications and be followed closely.

  • What is the hepatitis B vaccination regimen in chronic kidney disease?
    Kheng Yong Ong, BSc (Pharm) (Hons), Hong Yun Wong, BSc (Pharm) (Hons) and Giat Yeng Khee, PharmD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 32-34; DOI: https://doi.org/10.3949/ccjm.85a.17017

    For those with advanced chronic kidney disease, the authors recommend a higher dose, more doses, or both.

  • Preventing cardiovascular disease in older adults: One size does not fit all
    Ariela R. Orkaby, MD, MPH, Oyere Onuma, MD, MSc, Saadia Qazi, DO, MPH, J. Michael Gaziano, MD, MPH and Jane A. Driver, MD, MPH
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 55-64; DOI: https://doi.org/10.3949/ccjm.85a.16119

    The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fi t and the other is frail.

  • Frailty and cardiovascular disease: A two-way street?
    Emer Joyce, MD, PhD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 65-68; DOI: https://doi.org/10.3949/ccjm.85a.17075

    Frailty may be both a cause and a consequence of cardiovascular disease.

Pages