Cardiology

  • Perioperative interruption of dual antiplatelet therapy (November 2017)
    Elias B. Hanna, MD and Eliana Hanna Deschamps, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 261; DOI: https://doi.org/10.3949/ccjm.85c.04001

    Readers comment on perioperative interruption of dual antiplatelet therapy (November 2017).

  • In reply: Perioperative interruption of dual antiplatelet therapy (November 2017)
    Ryan Munyon, Steven L. Cohn, MD, FACP, SFHM, Barbara Slawski, MD, MS, SFHM, Gerald W. Smetana, MD, MACP and Kurt Pfeifer, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 262; DOI: https://doi.org/10.3949/ccjm.85c.04002
  • Hidden lesion easily missed on chest radiography
    Kamolyut Lapumnuaypol, MD and Jessica M. Stempel, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 270-273; DOI: https://doi.org/10.3949/ccjm.85a.17067

    Chest radiography showed an opacity behind the heart, and CT angiography revealed it to be an aortic aneurysm.

  • Are serum troponin levels elevated in conditions other than acute coronary syndrome?
    Kiran Sebastian, MD, Alexander Wester, BS, Anupama Kottam, MD and Ayman O. Soubani, MD
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 274-277; DOI: https://doi.org/10.3949/ccjm.85a.17011

    Yes. Troponin elevation is a nonspecific sign.

  • A 71-year-old woman with shock and a high INR
    Raja Y. Zaghlol, MD, Michael E. Tierney, MD, BMedSc, Louay Y. Zaghlol and Ayman A. Zayed, MD, MSc, FACE, FACP
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 303-312; DOI: https://doi.org/10.3949/ccjm.85a.17031

    She presents with an acute change in mental status, blood pressure 80/40 mm Hg, pulse 130, INR 6.13.

  • Physical examination in dyspnea (December 2017)
    Cleveland Clinic Journal of Medicine April 2018, 85 (4) 332;

    Errors occurred in Shellenberger RA, Balakrishnan B, Avula S, Ebel A, Shaik S. Diagnostic value of the physical examination in patients with dyspnea. Cleve Clin J Med 2017; 84(12):943–950.

  • Hypertension in older adults: What is the target blood pressure?
    Anu Garg, MD and Barbara J. Messinger-Rapport, MD, PhD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 193-195; DOI: https://doi.org/10.3949/ccjm.85a.17064

    Goal: systolic pressure below 130 mm Hg if the patient can take multiple medications and be followed closely.

  • Which test for CAD should be used in patients with left bundle branch block?
    Bo Xu, MBBS (Hons), Paul Cremer, MD, Wael Jaber, MD, Stuart Moir, MBBS, PhD, Serge C. Harb, MD and L. Leonardo Rodriguez, MD
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 224-230; DOI: https://doi.org/10.3949/ccjm.85a.17051

    CT angiography is the fi rst-line test in those under 65; for older patients there are SPECT and dobutamine echocardiography.

  • Acute cardiorenal syndrome: Mechanisms and clinical implications
    Acute cardiorenal syndrome: Mechanisms and clinical implications
    Guramrinder S. Thind, MD, Mark Loehrke, MD, FACP and Jeffrey L. Wilt, MD, FACP, FCCP
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 231-239; DOI: https://doi.org/10.3949/ccjm.85a.17019

    Volume overload is central to its pathogenesis, and accurate assessment of volume status is critical.

  • Hemodynamically, the kidney is at the heart of cardiorenal syndrome
    Justin L. Grodin, MD, MPH
    Cleveland Clinic Journal of Medicine March 2018, 85 (3) 240-242; DOI: https://doi.org/10.3949/ccjm.85a.17126

    In heart failure, the heart and the kidneys share a rocky relationship.

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