Cardiology
- This is not an acute coronary syndrome
Stress cardiomyopathy—broken heart syndrome—typically affects older women exposed to a stressful life event.
- How can I predict bleeding in my elderly patient taking anticoagulants?
We have tools, but their predictive value is modest. Clinical judgment is important.
- An 85-year-old woman with respiratory failure and positional hypoxemia
Her oxygen saturation was more than 93% when lying down but dropped to less than 85% when she was upright.
Extracorporeal membrane oxygenation in adults: A practical guide for internistsPrinciples, patient selection, monitoring, and complications of this form of life support.
- What is the best approach to a high systolic pulmonary artery pressure on echocardiography?
This is a common incidental finding. What to do depends on clinical presentation, comorbidities, and results of other tests.
- When does asymptomatic aortic stenosis warrant surgery? Assessment techniques
We review the guidelines for valve replacement and the traditional and novel variables to consider.
- The PARADIGM-HF trial (October 2015)
A reader comments on the fi ndings of the PARADIGM-HF trial (October 2015).
- Can patients with infectious endocarditis be safely anticoagulated?
New infectious endocarditis is not an indication for starting anticoagulation, and whether to continue it is a diffi cult decision.
- Advances in the treatment of dyslipidemia
Current guidelines do not set specifi c targets for LDL-C, but evidence supports the concept that lower is better.
