Background: Myocardial infarction (MI) with non-obstructive coronary arteries (MINOCA) is common. There are limited data on the mechanisms and prognosis…
Complicated Necrotizing Otitis Externa Progressing to Coalescent Mastoiditis and Temporal Lobe Abscess
A 77-year-old man with a history of hypertension, chronic kidney disease, and poorly controlled type 2 diabetes mellitus presented to…
Prevalence, Echocardiographic Correlations, and Clinical Outcome of Tricuspid Regurgitation in Patients with Significant Left Ventricular Dysfunction
We initiated this study to evaluate the prevalence and clinical significance of tricuspid regurgitation in patients with left ventricular dysfunction.
Telltale T Waves
Although the patient’s electrocardiogram (ECG) contained a well-known marker for severe stenosis of the left anterior descending artery, it was…
Autonomic Disorders
Autonomic complaints are frequently encountered in clinical practice. They can be due to primary autonomic disorders or secondary to other…
Team-Based Primary Care for the Multimorbid Patient: Matching Complexity With Complexity
Complex, multimorbid patients are individuals within whom multiple chronic diagnoses (usually, more than two)1 intersect additional complications—diminished function, cognitive impairment,…
Transitional Care Interventions for Heart Failure: What Are the Mechanisms?
Two decades ago, heart failure clinics were proposed widely as an effective means of improving care.1 Despite dozens of trials…
Aspirin to Prevent Sudden Cardiac Death in Athletes with High Coronary Artery Calcium Scores
While proficient cardiac resuscitation has improved survival following cardiac arrest during road races in Japan, this accomplishment does not address…
Inferior Vena Cava Filters in Patients with Recurrent Pulmonary Embolism
There are sparse data to support the recommendation for inferior vena cava (IVC) filters in patients with recurrent pulmonary embolism…
Spinal Emergencies in Primary Care Practice
Atraumatic spinal emergencies often present a diagnostic and management dilemma for health care practitioners. Spinal epidural abscess, cauda equina syndrome,…