Vascular Medicine
- 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 treatment
A 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.
- Can I place a peripherally inserted central catheter in my patient with chronic kidney disease?
Future need for permanent dialysis access is an important consideration.
- How do you effectively evaluate the elderly for alcohol use disorder?
A brief review of clues to an underrecognized and underdiagnosed problem with physical as well as emotional and social consequences.
- Antiobesity drug therapy: An individualized and comprehensive approach
As part of a comprehensive plan, these drugs can provide lasting obesity control and additional health benefits, including decreased cardiovascular risk.
- The obesity paradox in heart failure: What is the role of cardiorespiratory fitness?
What should these patients be advised about weight management and about cardiorespiratory fitness, a major factor influencing the paradox?