Article

Does early repolarization on ECG increase the risk of cardiac death in healthy people?
- Author:
- Ziad SayedAhmad, MD
- Fahed Darmoch, MD
- Yasser Al-Khadra, MD
- Amjad Kabach, MD
- M. Chadi Alraies, MD, FACP
In patients without symptoms, early repolarization is nearly always a benign incidental finding.
Article

Do all hospital inpatients need cardiac telemetry?
- Author:
- Motaz Baibars, MD
- Yasser Al-Khadra, MD
- Zaher Fanari, MD
- Homam Moussa Pacha, MD
- Mohamad Soud, MD
- M. Chadi Alraies, MD, FACP
Routine cardiac telemetry raises costs and does little.
Article

Which patients with pulmonary embolism need echocardiography?
- Author:
- Rama Hritani, MD
- Abdulah Alrifai, MD
- Mohamad Soud, MD
- Homam Moussa Pacha, MD
- M. Chadi Alraies, MD, FACP
The decision should be based on clinical presentation, burden of pulmonary embolism, and other imaging findings.
Article

How soon should patients with infective endocarditis be referred for valve surgery?
- Author:
- Mohamad Soud, MD
- Homam Moussa Pacha, MD
- M. Chadi Alraies, MD, FACP
Refer sooner rather than later if the patient has heart failure, uncontrolled infection, or embolic risk.
Article

Premature ventricular contractions: Reassure or refer?
- Author:
- Baris Akdemir, MD
- Hirad Yarmohammadi, MD, MPH
- M. Chadi Alraies, MD, FACP
- Wayne O. Adkisson, MD, FHRS, FACC
Many patients need only reassurance and do not need to see a cardiologist.
Article

Can patients opt to turn off implantable cardioverter-defibrillators near the end of life?
- Author:
- M. Motaz Baibars, MD, FACP
- M. Chadi Alraies, MD, FACP
- Amjad Kabach, MD
- Marc Pritzker, MD, FACC
Yes, it is reasonable to consider deactivation near the end of life if the patient or family wishes.
Article

Does stenting of severe renal artery stenosis improve outomes compared with medical therapy alone?
- Author:
- Amjad Kabach, MD
- Osama Qasim Agha, MD
- M. Motaz Baibars, MD, FACP
- Abdul Hamid Alraiyes, MD, FCCP
- M. Chadi Alraies, MD, FACP
Added to drug therapy, it can modestly improve blood pressure control, but has no significant effect on outcomes.
Article

When does pericarditis merit a workup for autoimmune or inflammatory disease?
- Author:
- M. Chadi Alraies, MD, FACP
- M. Motaz Baibars, MD, FACP
- Allan L. Klein, MD
Further evaluation is required for recurrent pericarditis resistant to conventional therapy or for manifestations of systemic disease.
Article

Does massive hemoptysis always merit diagnostic bronchoscopy?
- Author:
- Abdul Hamid Alraiyes, MD, FCCP
- M. Chadi Alraies, MD, FACP
- Michael S. Machuzak, MD, FCCP
The procedure can control the airway, find the source of the bleeding, and in some cases stop it.
Article
A serious complication of a common stress test
- Author:
- M. Chadi Alraies, MD, FACP
Article
In reply: Stress ulcer prophylaxis
- Author:
- Fateh Bazerbachi, MD
- Naseem Eisa, MD
- Abdul Hamid Alraiyes, MD, FCCP
- M. Chadi Alraies, MD, FACP
Article
Is hemoglobin A1c an accurate measure of glycemic control in all diabetic patients?
- Author:
- Fateh Bazerbachi, MD
- Shaban Nazarian, MD
- Abdul Hamid Alraiyes, MD, FCCP
- M. Chadi Alraies, MD, FACP
Regard its values with suspicion, especially when they do not agree with the patient’s blood glucose levels.
Article
Do all hospitalized patients need stress ulcer prophylaxis?
- Author:
- Naseem Eisa, MD
- Fateh Bazerbachi, MD
- Abdul Hamid Alraiyes, MD, FCCP
- M. Chadi Alraies, MD, FACP
No. Only critically ill patients who meet specific criteria should receive it.
Article

Deep T waves and chest pain
- Author:
- M. Chadi Alraies, MD, FACP
- Wael Aljaroudi, MD
- Usman Ayub Khan, MBBS
- Abdul Hamid Alraiyes, MD, FCCP
After 3 hours of chest pain, a 67-year-old man presented with deep symmetric T-wave inversions in the precordial leads, a prognostically...
Article

Peripheral opacity on plain chest radiography
- Author:
- Mohammed A.R. Chamsi-Pasha, MBBS
- Abdul Hamid Alraiyes, MD, FCCP
- Ihsan Mamoun, MD
- M. Chadi Alraies, MD, FACP
Sometimes, careful observation can detect unusual signs of a common and serious condition.