Posts Tagged ‘anticoagulation’

The Hidden Lesion

Posted by • June 3rd, 2016

The repeated occurrences of clots involving the veins in the proximal left leg raise suspicion for the May–Thurner syndrome (compression of the left iliac vein by the overlying right iliac artery). A 24-year-old woman presented to the ED with pain in the left leg. She had been training for a 5-km race when, 2 days before presentation,… Read More…

Rate Control versus Rhythm Control for Atrial Fibrillation after Cardiac Surgery

Posted by • May 18th, 2016

Whether you are a resident on the cardiology, surgery, or general medicine service, encountering patients with atrial fibrillation is common. Many patients, particularly after cardiac surgery, go in and out of atrial fibrillation so often that residents caring for them often ignore the blinking lights and loud alarms from telemetry machines after a while. However,… Read More…

Aphasia during a Transatlantic Flight

Posted by • April 28th, 2016

In more than 60% of patients with ischemic stroke, the cause is readily established and is most often atherosclerosis or heart disease. However, in a young patient with no traditional vascular risk factors and a large clot burden, the search can be broadened to include, at minimum, thrombophilia, arterial dissection, paradoxical embolism, and unusual arteriopathies. A… Read More…

Aortic-Valve Stenosis — From Patients at Risk to Severe Valve Obstruction

Posted by • August 22nd, 2014

A new review article on aortic-valve stenosis comes from Dr. Catherine Otto at the University of Washington School of Medicine in Seattle and Dr. Bernard Prendergast at John Radcliffe Hospital in Oxford, UK. Valvular aortic stenosis is a progressive disease in which the end stage is characterized by obstruction of left ventricular outflow, resulting in inadequate… Read More…

Benefits of Aspirin for Prevention of Recurrent VTE

Posted by • November 9th, 2012

For thousands of years the bark and leaves of the willow tree have been used for alleviation of fever, aches and pains.  The Ebers Papyrus, which dates from 1500 BC and is one of the oldest surviving medical texts, mentions the use of  willow as an important component of Ancient Egyptian pharmacopeia. However, it wasn’t… Read More…

Oral Rivaroxaban for Symptomatic Venous Thromboembolism

Posted by • December 22nd, 2010

“I do not like to state an opinion on a matter unless I know the precise facts.” –    Albert Einstein, quoted in The New York Times, August 12, 1945. Well, Professor, the facts are these: Venous thromboembolism (VTE) is a common and potentially fatal problem.  Once clinicians have overcome the hurdle of accurate diagnosis and… Read More…

Acute Pulmonary Embolism

Posted by • July 16th, 2010

Pulmonary embolism should be suspected in all patients who present with new or worsening dyspnea, chest pain, or sustained hypotension without an obvious alternative cause. The diagnostic workup should be tailored to the severity of the clinical presentation on the basis of whether the patient is hemodynamically stable or unstable.  A review by Agnelli et… Read More…