Vascular Medicine
Chronic venous outflow obstruction: An important cause of chronic venous diseaseA review of the key factors to consider in management of chronic venous outflow obstruction, and advice on how best to get patients the care they need.
- We have a greater understanding of ‘cardiac syndrome X,’ but questions remain
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
Repeat electrocardiograms in a 44-year-old man who presented with severe hypertension revealed de Winter and Wellens patterns.
Coronary microvascular dysfunction: Considerations for diagnosis and treatmentA review of pathophysiology, considerations for invasive and noninvasive coronary function testing, management, and remaining knowledge gaps.
- The initial viral infection may be only part of the story
We clearly see that the coronavirus elicits syndromes far afield from respiratory tissues. But a virus eliciting effects seemingly distinct from the primary infection is nothing new.
- Leriche syndrome
Physical examination revealed pallor of the toes, cold extremities, dry skin, and absence of bilateral femoral pulses. The patient also disclosed erectile dysfunction.
- An 86-year-old man with unexplained right-sided headache and vision loss
Steroid treatment for suspected giant cell arteritis brought no improvement in vision or headache severity.
Stress testing and noninvasive coronary imaging: What’s the best test for my patient?A review of current tests, what they measure, their diagnostic and prognostic value, and their limitations.