Vascular Medicine

  • Severely frail elderly patients do not need lipid-lowering drugs
    Laurie Herzig Mallery, MD, FRCPC, MSM, Paige Moorhouse, MD, MPH, FRCPC, MSM, Pam McLean Veysey, BSc (Pharm), Michael Allen, MD, MSc and Isobel Fleming, BScPharm, ACPR
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 131-142; DOI: https://doi.org/10.3949/ccjm.84a.15114

    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
    Donald Clark, MD and Leslie S. Cho, MD
    Cleveland Clinic Journal of Medicine February 2017, 84 (2) 143-145; DOI: https://doi.org/10.3949/ccjm.84a.16036

    Clinicians—and patients—may reasonably feel there is value in statin therapy—even in advanced frailty.

  • Bleeding esophageal varices: Who should receive a shunt?
    Ghassoub Rifai, MD, Zade Akras and Ibrahim A. Hanouneh, MD
    Cleveland Clinic Journal of Medicine March 2017, 84 (3) 199-201; DOI: https://doi.org/10.3949/ccjm.84a.15149

    A transjugular intrahepatic portosystemic shunt can prevent repeated variceal bleeding and control refractory ascites.

  • Imaging suggestive, but symptoms atypical
    Mohammad Afzalimoghaddam, MD, Maryam Edalatifard, MD, Shervin Farahmand, MD, Shahram Bagheri-Hariri, MD and Hadi Mirfazaelian, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 25-26; DOI: https://doi.org/10.3949/ccjm.84a.15144

    Pseudosubarachnoid hemorrhage is an artifact of CT imaging.

  • Management of coronary chronic total occlusion
    Jaikirshan Khatri, MD, Mouin Abdallah, MD and Stephen Ellis, MD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12 suppl 3) 27-38; DOI: https://doi.org/10.3949/ccjm.84.s3.03
  • Fall risk and anticoagulation for atrial fibrillation in the elderly: A delicate balance
    Tracy Hagerty, MD and Michael W. Rich, MD
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 35-40; DOI: https://doi.org/10.3949/ccjm.84a.16016

    The decision-making process is complex and should be shared with the patient and the patient’s family and caregivers.

  • Update on the management of venous thromboembolism
    John R. Bartholomew, MD
    Cleveland Clinic Journal of Medicine December 2017, 84 (12 suppl 3) 39-46; DOI: https://doi.org/10.3949/ccjm.84.s3.04
  • Whether to anticoagulate: Toward a more reasoned approach
    Theodore T. Suh, MD, PhD, MHS
    Cleveland Clinic Journal of Medicine January 2017, 84 (1) 41-42; DOI: https://doi.org/10.3949/ccjm.84a.16086

    The patient’s life expectancy and personal preferences are important and affect the decision.

  • A 68-year-old man with a blue toe
    Kiyoshi Shikino, MD, PhD, Takahiro Ota, MD, Takanori Uehara, MD, PhD and Masatomi Ikusaka, MD, PhD
    Cleveland Clinic Journal of Medicine June 2017, 84 (6) 436-437; DOI: https://doi.org/10.3949/ccjm.84a.16059

    The patient had undergone coronary artery bypass grafting, which caused cholesterol crystal embolism.

  • A large mass in the right ventricle: Tumor or thrombus?
    Soumya Patnaik, MD, Mahek Shah, MD, Saurabh Sharma, MD, Pradhum Ram, MD, Harish Seetha Rammohan, MD and Alexander Rubin, MD
    Cleveland Clinic Journal of Medicine July 2017, 84 (7) 517-519; DOI: https://doi.org/10.3949/ccjm.84a.16115

    A 69-year-old woman with ovarian cancer presents with worsening dyspnea, lower-extremity edema, and dizziness.

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