The efficacy of mineralocorticoid receptor antagonists or aldosterone antagonists in heart failure with reduced ejection fraction (HFrEF) is well known.…
The Computerized ECG: Friend and Foe
Computerized interpretation of the electrocardiogram (ECG) began in the 1950s when conversion of its analog signal to digital form became…
Lift Then Shift: Thyrotoxic Periodic Paralysis
A transient paralysis was precipitated by thyroid dysfunction. The patient, a 29-year-old man, woke up with diffuse muscle pain and…
Doubling of Hemoglobin A1c on PCSK9 Inhibitor Therapy
A 70-year-old man with history of cerebrovascular accident, hyperlipidemia, and type 2 diabetes mellitus presented with polyuria, polydipsia, and weight…
Betrixaban: Safely Reducing Venous Thromboembolic Events with Extended Prophylaxis
Although venous thromboembolism prophylaxis of acute medically ill patients is commonly employed, a percentage of high-risk patients still have venous…
Keep an Eye on the Eye Symptoms of Your Dialysis Patient
A 73-year-old man with a history of end-stage renal disease (on hemodialysis for 6 years), hypertension, and diabetes mellitus type…
Monitoring of Apixaban in a Super Obese Patient
Direct oral anticoagulants (DOACs) are considered advantageous compared to vitamin K antagonists in eligible atrial fibrillation patients.1 Increased body weight…
Medicine in the Artistry of Menzel
Adolph Menzel (1815-1905) was a German artist whose eminence shone brightest in the later years of the 19th century. His…
Novel and Emerging Therapeutics for Primary Prevention of Cardiovascular Disease
Cardiovascular disease is responsible for 205 deaths per 100,000 persons annually and is the leading cause of death worldwide. The…
The Case for Confirmation: Atrial Flutter
Although computerized electrocardiogram (ECG) interpretation is a valuable and widespread clinical aid, it can be imperfect.1,2 The case of a…