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Cleveland Clinic Journal of Medicine最新文献

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No surprise, all inflammation is not created equal as it relates to cardiovascular disease. 毫无疑问，所有炎症与心血管疾病的关系都是不一样的。
IF 4.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2025-10-01 DOI: 10.3949/ccjm.92b.10025
Brian F Mandell
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引用次数: 0
Hold ACE inhibitors and ARBs before noncardiac surgery? Emerging evidence suggests a patient-specific approach. 非心脏手术前使用ACE抑制剂和arb ？新出现的证据建议采取针对患者的方法。
IF 4.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2025-10-01 DOI: 10.3949/ccjm.92a.25035
Maureen Keshock, Elise Zhang, Christopher Whinney, Kenneth C Cummings
{"title":"Hold ACE inhibitors and ARBs before noncardiac surgery? Emerging evidence suggests a patient-specific approach.","authors":"Maureen Keshock, Elise Zhang, Christopher Whinney, Kenneth C Cummings","doi":"10.3949/ccjm.92a.25035","DOIUrl":"https://doi.org/10.3949/ccjm.92a.25035","url":null,"abstract":"<p><p>Although withholding these drugs before noncardiac surgery reduces the risk of intraoperative hypotension, recent trials suggest that it leads to harm in sicker patients. An individualized approach is safest, particularly in patients with heart failure. This review examines the emerging evidence regarding the impact of pausing vs continuing these drugs on intraoperative hypotension, myocardial injury, acute kidney injury, and postoperative outcomes.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 10","pages":"619-626"},"PeriodicalIF":4.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MDA5 dermatomyositis: Unveiling a potentially life-threatening disease. MDA5皮肌炎：揭示一种潜在威胁生命的疾病。
IF 4.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2025-10-01 DOI: 10.3949/ccjm.92a.25018
Soumya Chatterjee
{"title":"MDA5 dermatomyositis: Unveiling a potentially life-threatening disease.","authors":"Soumya Chatterjee","doi":"10.3949/ccjm.92a.25018","DOIUrl":"https://doi.org/10.3949/ccjm.92a.25018","url":null,"abstract":"<p><p>Melanoma differentiation-associated gene 5 (MDA5) dermatomyositis, characterized by antibodies targeting MDA5, has recently emerged as a distinct subset of the idiopathic inflammatory myopathies. It is identified by distinctive clinical manifestations, including fever, characteristic skin lesions, nonerosive symmetrical polyarthritis, and rapidly progressive interstitial lung disease (ILD); often there is minimal to no muscle involvement. Classifying the disease into rapidly progressive ILD, rheumatic, and vasculopathic subtypes, as reported in some studies, may help predict prognosis. Prompt recognition of its unique clinical manifestations and initiation of aggressive immunosuppressive therapy are vital to improve outcomes in this potentially life-threatening condition.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 10","pages":"627-637"},"PeriodicalIF":4.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benign migratory glossitis. 良性移动性舌炎。
IF 4.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2025-10-01 DOI: 10.3949/ccjm.92a.24074
Jimena Pérez-Rubio, Ana Laura Ramírez-Terán
{"title":"Benign migratory glossitis.","authors":"Jimena Pérez-Rubio, Ana Laura Ramírez-Terán","doi":"10.3949/ccjm.92a.24074","DOIUrl":"https://doi.org/10.3949/ccjm.92a.24074","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 10","pages":"591-592"},"PeriodicalIF":4.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nearly a century of using glucocorticoids in patients with active infection. 在活动性感染患者中使用糖皮质激素近一个世纪。
IF 4.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2025-10-01 DOI: 10.3949/ccjm.92a.25074
Adam J Brown
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引用次数: 0
Low-dose colchicine for management of coronary artery disease. 低剂量秋水仙碱治疗冠状动脉疾病。
IF 4.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2025-10-01 DOI: 10.3949/ccjm.92a.25005
Abhayjit Singh, Vikas Sunder, Leslie Cho
{"title":"Low-dose colchicine for management of coronary artery disease.","authors":"Abhayjit Singh, Vikas Sunder, Leslie Cho","doi":"10.3949/ccjm.92a.25005","DOIUrl":"https://doi.org/10.3949/ccjm.92a.25005","url":null,"abstract":"<p><p>Cardiovascular disease remains a leading cause of morbidity and mortality worldwide. Though inflammation plays an important role in atherogenesis, treatments directly targeting inflammatory pathways have had mixed results on improving clinical outcomes. Low-dose colchicine has been studied recently for the management of atherosclerotic cardiovascular disease. We explore the history of colchicine as an anti-inflammatory agent, review clinical trial data of colchicine for atherosclerotic cardiovascular disease, and discuss practical considerations for adding low-dose colchicine in this setting.</p>","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 10","pages":"609-618"},"PeriodicalIF":4.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Glucagon-like peptide-1 receptor agonists and pancreatitis: A reconcilable divorce. 胰高血糖素样肽-1受体激动剂和胰腺炎：可调和的离婚。
IF 4.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2025-10-01
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引用次数: 0
Do patients with severe community-acquired bacterial pneumonia benefit from systemic corticosteroids? 严重社区获得性细菌性肺炎患者是否受益于全身糖皮质激素治疗？
IF 4.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2025-10-01 DOI: 10.3949/ccjm.92a.25023
Alejandro Chapa-Rodriguez, Tark Abou-Elmagd, Cody O'Rear, Shraddha Narechania
{"title":"Do patients with severe community-acquired bacterial pneumonia benefit from systemic corticosteroids?","authors":"Alejandro Chapa-Rodriguez, Tark Abou-Elmagd, Cody O'Rear, Shraddha Narechania","doi":"10.3949/ccjm.92a.25023","DOIUrl":"https://doi.org/10.3949/ccjm.92a.25023","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 10","pages":"600-604"},"PeriodicalIF":4.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Should glucagon-like peptide 1 receptor agonists be withheld during the preoperative period? 胰高血糖素样肽1受体激动剂是否应在术前停用？
IF 4.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2025-10-01
{"title":"Should glucagon-like peptide 1 receptor agonists be withheld during the preoperative period?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 10","pages":"593"},"PeriodicalIF":4.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Collaborative musculoskeletal care: The role for chiropractors. 协同肌肉骨骼护理：指压治疗师的角色。
IF 4.1 4区 医学
Cleveland Clinic Journal of Medicine Pub Date : 2025-10-01
{"title":"Collaborative musculoskeletal care: The role for chiropractors.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":10245,"journal":{"name":"Cleveland Clinic Journal of Medicine","volume":"92 10","pages":"593"},"PeriodicalIF":4.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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