Vascular Medicine
- Severely frail elderly patients do not need lipid-lowering drugs
Statins have no role as primary prevention in this population, and a minor role as secondary prevention.
- Statin therapy in the frail elderly: A nuanced decision
Clinicians—and patients—may reasonably feel there is value in statin therapy—even in advanced frailty.
- Bleeding esophageal varices: Who should receive a shunt?
A transjugular intrahepatic portosystemic shunt can prevent repeated variceal bleeding and control refractory ascites.
- Imaging suggestive, but symptoms atypical
Pseudosubarachnoid hemorrhage is an artifact of CT imaging.
- Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance
The decision-making process is complex and should be shared with the patient and the patient’s family and caregivers.
- Whether to anticoagulate: Toward a more reasoned approach
The patient’s life expectancy and personal preferences are important and affect the decision.
- A 68-year-old man with a blue toe
The patient had undergone coronary artery bypass grafting, which caused cholesterol crystal embolism.
- A large mass in the right ventricle: Tumor or thrombus?
A 69-year-old woman with ovarian cancer presents with worsening dyspnea, lower-extremity edema, and dizziness.