Cardiology

  • PCI for stable angina: A missed opportunity for shared decision-making
    PCI for stable angina: A missed opportunity for shared decision-making
    Michael B. Rothberg, MD, MPH
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 105-121; DOI: https://doi.org/10.3949/ccjm.85gr.17004

    Patients mistakenly believe that PCI saves lives. They need clear information to give informed consent.

  • Having the COURAGE to include PCI in shared decision-making for stable angina
    Umesh N. Khot, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 124-127; DOI: https://doi.org/10.3949/ccjm.85a.17113

    In a select group, a PCI-first strategy does not reduce the risk of death, but it does relieve angina sooner.

  • Kidney transplant: New opportunities and challenges
    Joshua Augustine, MD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 138-144; DOI: https://doi.org/10.3949/ccjm.85gr.18001

    Kidney transplant improves survival and long-term outcomes in patients with renal failure.

  • Can a shared decision be wrong if made for the ‘right’ reasons?
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine February 2018, 85 (2) 90-91; DOI: https://doi.org/10.3949/ccjm.85b.02018

    Providing information alone is not enough; we need to understand the patient’s biases, fears, and priorities.

  • Hypothermia and severe first-degree heart block
    Kevin Bryan Uy Lo, MD and Alison Nelson, MD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 10-11; DOI: https://doi.org/10.3949/ccjm.85a.17003

    A 96-year-old woman with hypertension, diabetes, and dementia was found unresponsive and was transferred to the hospital.

  • Do cardiac risk stratification indexes accurately estimate perioperative risk in noncardiac surgery patients?
    Rohan Mandaliya, MD, FACP and Geno Merli, MD, MACP
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 35-39; DOI: https://doi.org/10.3949/ccjm.85a.16117

    Neither of the 2 indexes most often used is completely accurate, and neither is better than the other.

  • Preventing cardiovascular disease in older adults: One size does not fit all
    Ariela R. Orkaby, MD, MPH, Oyere Onuma, MD, MSc, Saadia Qazi, DO, MPH, J. Michael Gaziano, MD, MPH and Jane A. Driver, MD, MPH
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 55-64; DOI: https://doi.org/10.3949/ccjm.85a.16119

    The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fi t and the other is frail.

  • Frailty and cardiovascular disease: A two-way street?
    Emer Joyce, MD, PhD
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 65-68; DOI: https://doi.org/10.3949/ccjm.85a.17075

    Frailty may be both a cause and a consequence of cardiovascular disease.

  • Detecting and managing device leads inadvertently placed in the left ventricle
    Detecting and managing device leads inadvertently placed in the left ventricle
    Richard G. Trohman, MD, MBA and Parikshit S. Sharma, MD, MPH
    Cleveland Clinic Journal of Medicine January 2018, 85 (1) 69-75; DOI: https://doi.org/10.3949/ccjm.85a.17012

    How it happens, how to prevent it, how to detect and correct it immediately, and how to manage cases discovered long after.

  • Toward understanding chronic kidney disease in African Americans
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine November 2017, 84 (11) 824-825; DOI: https://doi.org/10.3949/ccjm.84b.11017

    African Americans respond differently to some treatments than the white male patients who participated in the clinical trials.

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