Cardiology
- Matter of the heart: Prioritizing harm reduction in managing infective endocarditis associated with injection drug use
Despite specialty society recommendations, many patients do not receive treatment for substance use disorder in conjunction with heart disease treatment.
- Myocardial infarction with nonobstructive coronary arteries: Current management strategies
Intracoronary imaging and cardiac magnetic resonance imaging are key tests in the diagnosis.
- The diagnostic dilemma of myocardial infarction without obstructive coronary artery disease: Advanced imaging to the rescue!
Advances in cardiac and coronary imaging and physiologic assessment now allow for a thorough, accurate workup of this condition that accounts for up to 15% of all myocardial infarctions.
- It’s time for a little history of medicine—introducing a new feature in CCJM
This month, we debut a feature focused on topics in the history of medicine, authored by Cleveland Clinic rheumatologist Adam Brown, MD.
- Skin manifestations in a patient with acute bacterial infective endocarditis
During a dialysis session, the patient experienced the onset of rigors accompanied by the appearance of painless purpuric lesions, which developed into petechiae.
- The history of blood cultures: From the research laboratory to the bedside
Efforts to prove that bacteria cause endocarditis paved the way for use of blood cultures in the clinic.
- The PRECISE trial: How should patients with chest pain be tested?
Can a risk score identify individuals with chest pain who can safely forego testing?
- A man with chronic limb-threatening ischemia and no revascularization options: Can we save his foot?
The patient’s right foot was edematous with extensive, dry-appearing gangrene of the big toe, and no pedal pulses were felt.
- Incidentally detected noninfectious thoracic aortitis: A clinical approach
The author reviews how aortitis is detected, its many possible causes, and the workup and treatment of patients who are found to have it.
- Sorting out aortic aneurysms: A team enterprise
Aortic aneurysms present considerable diagnostic and treatment challenges owing to their diverse causes, incomplete understanding of pathogenesis, and variations in presentation and disease course.