topic

  • When should we consider SGLT-2 inhibitors in patients with acute decompensated heart failure?
    Osamah Z. Badwan, MD, Lorenzo Braghieri, MD, Warren Skoza, MD, Ankit Agrawal, MD, Venu Menon, MD and W. H. Wilson Tang, MD
    Cleveland Clinic Journal of Medicine January 2024, 91 (1) 47-51; DOI: https://doi.org/10.3949/ccjm.91a.23034

    Evidence from clinical trials supports starting these medications as early as possible in patients hospitalized with acute decompensated heart failure who do not have clear contraindications to them.

  • Nonstatin therapy to reduce low-density lipoprotein cholesterol and improve cardiovascular outcomes
    Abhayjit Singh, MD and Leslie S. Cho, MD
    Cleveland Clinic Journal of Medicine January 2024, 91 (1) 53-63; DOI: https://doi.org/10.3949/ccjm.91a.23058

    Several new nonstatin medications have been approved in recent years, with robust data from clinical trials supporting their use in atherosclerotic disease.

  • Why I, as a rheumatologist, am happy to make the diagnosis of obstructive sleep apnea
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 712-713; DOI: https://doi.org/10.3949/ccjm.90b.12023

    Why should a rheumatologist have special interest in this disorder? The answer lies in 2 major reasons patients are referred for a rheumatology consultation: fatigue and inflammation.

  • Oral lichen planus
    Sanjana Mathew, MBBS, Carol Lobo, MBBS, MD and Meryl Antony, MBBS, MD
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 717-718; DOI: https://doi.org/10.3949/ccjm.90a.23048

    Risk factors include medications, dental materials, and viral infections such as hepatitis C.

  • Stiff hands in a man with type 1 diabetes
    Rhea Ahuja, MD and Purn Pragya, MBBS
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 721-722; DOI: https://doi.org/10.3949/ccjm.90a.23046

    The patient had been on injectable insulin for the past 6 years, with frequent dose titrations because of poor control. A recent hemoglobin A1c was 7.2%.

  • Should my patients take their blood pressure medications in the evening to enhance cardiovascular benefit?
    Elias Bassil, MD, George Thomas, MD, Jagmeet Dhingra, MD and Ali Mehdi, MD, MEd, FACP, FASN
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 725-727; DOI: https://doi.org/10.3949/ccjm.90a.23043

    The focus should be to achieve blood pressure control and facilitate adherence, regardless of the timing of the medications.

  • Hey, Doc: Could the 2023–2024 cold and flu season finally be the calm after the storm?
    Sherif Beniameen Mossad, MD, FACP, FIDSA, FAST
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 729-734; DOI: https://doi.org/10.3949/ccjm.90a.23088

    The author answers questions patients may have about the currently available influenza, COVID-19, and respiratory syncytial virus vaccines.

  • The drop of a pin: Accidental ingestion of a sharp foreign body
    Mina Rismani, MD, Adrian Pona, MD and Monia E. Werlang, MD
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 737-742; DOI: https://doi.org/10.3949/ccjm.90a.23029

    If endoscopic retrieval fails, conservative management may be appropriate with daily abdominal radiography.

  • Contemporary surgical and procedural management of benign prostatic hyperplasia
    Ayodeji E. Sotimehin, MD, Eiftu Haile, MD and Bradley C. Gill, MD, MS
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 745-753; DOI: https://doi.org/10.3949/ccjm.90a.23026

    The authors provide an overview of currently available and guideline-backed treatments.

  • Treatments for obstructive sleep apnea: CPAP and beyond
    Treatments for obstructive sleep apnea: CPAP and beyond
    Loutfi S. Aboussouan, MD, Aparna Bhat, MD, Todd Coy, DMD and Alan Kominsky, MD
    Cleveland Clinic Journal of Medicine December 2023, 90 (12) 755-765; DOI: https://doi.org/10.3949/ccjm.90a.23032

    Options include behavioral interventions, oral appliances, nasal expiratory positive airway pressure, negative pressure interventions, and surgical procedures. Certain drugs are also promising.

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