Vascular Medicine

  • Can I place a peripherally inserted central catheter in my patient with chronic kidney disease?
    Nora Hilda Hernandez Garcilazo, MD, Mohamed Hassanein, MD, Tushar J. Vachharajani, MD and Evamaria Anvari, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 431-433; DOI: https://doi.org/10.3949/ccjm.88a.20173

    Future need for permanent dialysis access is an important consideration.

  • How do you effectively evaluate the elderly for alcohol use disorder?
    Moronkeji Fagbemi, MD, FASAM
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 434-439; DOI: https://doi.org/10.3949/ccjm.88a.20123

    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
    Yael Mauer, MD, MPH, Marcie Parker, PharmD, BCACP and Sangeeta R. Kashyap, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 440-448; DOI: https://doi.org/10.3949/ccjm.88a.20080

    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?
    Asad Khan, MD, Erik H. Van Iterson, PhD and Luke J. Laffin, MD
    Cleveland Clinic Journal of Medicine August 2021, 88 (8) 449-458; DOI: https://doi.org/10.3949/ccjm.88a.20098

    What should these patients be advised about weight management and about cardiorespiratory fitness, a major factor influencing the paradox?

  • Fever, rash, pruritus: Sweet syndrome
    Giovani M. Zelada, MD and Paul B. Aronowitz, MD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 371-373; DOI: https://doi.org/10.3949/ccjm.88a.20053

    The patient received intramuscular and oral antibiotics at an urgent care center, but the symptoms worsened.

  • Aspiration of a partial denture after an ischemic stroke
    Alisha Kamboj, MD, MBA, Zi Yu Liu, MD, Sharmila Price, MD and Michael Sun, MD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 375-376; DOI: https://doi.org/10.3949/ccjm.88a.20132

    A bedside evaluation inaccurately led to the conclusion that it was safe to advance to a dysphagia diet.

  • Statin intolerance and new lipid-lowering treatments
    Oltion Mesi, MD, Charlie Lin, MD, Haitham Ahmed, MD, MPH and Leslie S. Cho, MD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 381-387; DOI: https://doi.org/10.3949/ccjm.88a.20165

    The benefits and safety of statin therapy are clear, but adverse effects continue to pose diagnostic and therapeutic challenges.

  • What antithrombotic therapy should I use for my patient with atrial fibrillation who underwent percutaneous coronary intervention or had an acute coronary syndrome?
    What antithrombotic therapy should I use for my patient with atrial fibrillation who underwent percutaneous coronary intervention or had an acute coronary syndrome?
    Andrew S. Tseng, MD, MPH, Fadi E. Shamoun, MD, Lisa A. Marks, MLS and Neera Agrwal, MD, PhD
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 389-392; DOI: https://doi.org/10.3949/ccjm.88a.19081

    The risk of thrombosis should be balanced with the risk of bleeding.

  • The current state of tobacco cessation treatment
    Humberto K. Choi, MD, FCCP, Jorge Ataucuri-Vargas, MD, Charlie Lin, MD and Amanda Singrey, PharmD, BCACP, CTTS
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 393-404; DOI: https://doi.org/10.3949/ccjm.88a.20099

    Behavioral interventions and pharmacotherapy increase success rates. Alternative treatments should not replace or delay the use of known effective therapies.

  • Promoting physical activity in older women to maximize health
    Augustine Chavez, MD, Robert Scales, PhD and Juliana M. Kling, MD, MPH
    Cleveland Clinic Journal of Medicine July 2021, 88 (7) 405-415; DOI: https://doi.org/10.3949/ccjm.88a.20170

    The optimal type, intensity, and level required to achieve specific health outcomes depend on the disease the patient and clinician are trying to prevent or manage.

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