Cardiology
- 2024 ACC/AHA guideline on perioperative cardiovascular management before noncardiac surgery: What’s new?
The author highlights key changes and recommendations of the new guideline, how they differ from previous and other society guidelines, and ongoing challenges and unresolved issues in perioperative care.
- Cardiovascular disease in people living with HIV: Risk assessment and management
Because people living with HIV develop coronary artery disease much earlier than the general population, careful attention must be given to assessment and management of their cardiovascular risk.
- Heart to heart: Progress in cardiovascular disease prevention for people living with HIV
The already higher cardiovascular risk in people living with HIV is exacerbated by social determinants of health such as socioeconomic status, access to healthcare, and systemic discrimination. Interventions that address this risk must be based in medical science and equity.
Coronary artery bypass grafting: Practice trends and projectionsFuture directions include expanding the use of multiarterial grafting, offering patients less-invasive approaches, and enhancing operative recovery.
- Don’t judge a book by its cover: Unusual presentations of pericardial disease
Taking a good history, performing a good physical examination, and properly reading an electrocardiogram and chest radiograph are the best starting points for diagnosing pericardial and mediastinal disease.
- Wolff-Parkinson-White syndrome: Diagnostic and management strategies
The challenge lies in managing those with the Wolff-Parkinson-White pattern on electrocardiogram but no symptoms.
- How can I better recognize and manage delirium in my hospitalized patients?
By knowing common precipitants and mimickers of delirium and considerations for workup, clinicians can implement nonpharmacologic preventive strategies, better identify patients experiencing delirium, and optimize symptom management.
- Shortness of breath in a 52-year-old man with HIV and severe mitral regurgitation
The patient presented with 3 weeks of acute on chronic dyspnea on exertion with progression to dyspnea at rest and associated orthopnea.
- Risk-factor modification to prevent recurrent atrial fibrillation after catheter ablation
The authors review the evidence supporting periprocedural modification of risk factors such as hypertension, diabetes mellitus, and obesity to reduce atrial fibrillation recurrence after catheter ablation.
- The causes of vascular insufficiency and Hickam vs Ockham
Is our reflexive search for a single explanatory diagnosis always reasonable and warranted—or is it truly “just” an academic intellectual exercise?
