Vascular Medicine

  • Dabigatran-induced esophagitis
    Yusaku Kajihara, MD, FACP
    Cleveland Clinic Journal of Medicine May 2019, 86 (5) 303; DOI: https://doi.org/10.3949/ccjm.86a.18117

    The tablets contain tartaric acid, and if they get stuck in the esophagus, the acid leaching out can damage the mucosa.

  • Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
    Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome
    Nureddin K. Almaddah, MD, Mohamed S. Morsy, MD, Dwight Dishmon, MD and Rami N. Khouzam, MD, FACC, FACP, FASNC, FASE, FSCAI
    Cleveland Clinic Journal of Medicine April 2019, 86 (4) 252-256; DOI: https://doi.org/10.3949/ccjm.86a.18078

    SCAD accounts for up to 35% of acute myocardial infarctions in women 50 or younger, and even more in pregnant women.

  • Repeating blood cultures after initial bacteremia: When and how often?
    Ammara Mushtaq, MD, Bryce X. Bredell, MS and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 89-92; DOI: https://doi.org/10.3949/ccjm.86a.18001

    Repeating blood cultures after an initial positive result is superfluous except in certain situations.

  • Follow-up blood cultures are often needed after bacteremia
    Marisa Tungsiripat, MD
    Cleveland Clinic Journal of Medicine February 2019, 86 (2) 93-94; DOI: https://doi.org/10.3949/ccjm.86a.18114

    Without follow-up cultures, the adequacy of treatment can be difficult to assess.

  • Which patients with pulmonary embolism need echocardiography?
    Rama Hritani, MD, Abdulah Alrifai, MD, Mohamad Soud, MD, Homam Moussa Pacha, MD and M. Chadi Alraies, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 826-828; DOI: https://doi.org/10.3949/ccjm.85a.17094

    The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging fi ndings.

  • Renal vein thrombosis and pulmonary embolism
    Alice Chedid, MD, Mohamad Hanouneh, MD and C. John Sperati, MD, MHS
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 833-834; DOI: https://doi.org/10.3949/ccjm.85a.18064

    A man with membranous nephropathy presents with dyspnea, cough, and epigastric discomfort.

  • Back pain as a sign of inferior vena cava filter complications
    Michael Lause, BS, Alisha Kamboj, BS, Ryan Schwieterman, MD and Vijay Duggirala, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 835-836; DOI: https://doi.org/10.3949/ccjm.85a.18046

    Complications can include filter movement, fracture, occlusion, and penetration.

  • Pulmonary infarction due to pulmonary embolism
    Melda Sonmez, MD, Loutfi S. Aboussouan, MD, Carol Farver, MD, Sudish C. Murthy, MD, PhD and Roop Kaw, MD
    Cleveland Clinic Journal of Medicine November 2018, 85 (11) 848-852; DOI: https://doi.org/10.3949/ccjm.85a.17132

    A 76-year-old man is admitted with pleuritic chest pain and shortness of breath 48 hours after undergoing surgery.

  • When stroke runs in the family
    Nellowe Candelario, MD and Kevin Bryan Lo, MD
    Cleveland Clinic Journal of Medicine October 2018, 85 (10) 743-744; DOI: https://doi.org/10.3949/ccjm.85a.18055

    CADASIL—cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy—is due to a mutation in NOTCH3.

  • Aortic aneurysm: Fluoroquinolones, genetic counseling, June 2018
    Mark R. Goldstein, MD, FACP and Luca Mascitelli, MD
    Cleveland Clinic Journal of Medicine September 2018, 85 (9) 661; DOI: https://doi.org/10.3949/ccjm.85c.09001

    Readers comment on the pathogenesis and management of aortic aneurysm (June 2018).

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