Clinical Cardiology Alert – November 1, 2002

November 1, 2002

• Warfarin After Myocardial Infarction: The Case is Reopened

  A number of clinical trials have been reported using warfarin alone or in combination with aspirin in patients with coronary artery disease. In the aggregate, they have been relatively inconclusive.

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• Cardioversion for Atrial Fibrillation

  Recent studies of atrial fibrillation patients have shown that a strategy of heart rate control and chronic anticoagulation is equivalent to a cardioversion strategy with efforts to maintain sinus rhythm with regards to longevity.

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• Incidence and Prognosis of Syncope

  In this report from the Framingham study, Sote-riades and colleagues report the incidence, causes, and prognosis of syncope among participants in the study. The Framingham Heart Study is a longitudinal epidemiologic study of residents of Framingham, Mass. Middle aged men and women were enrolled in the study and were followed periodically with an emphasis on the development of cardiovascular diseases.

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• Police Car Deployment of Automated External Defibrillators

  This paper describes the results of community-wide deployment of automatic external defibrillators (AEDs) to police officers.

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• A Simple Approach to Enhancing the Safety of CABG

  The incidence of hemodynamically significant subclavian artery stenosis in patients referred for coronary artery bypass graft (CABG) surgery has been estimated to be 0.5-2.3%.

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• Clinical Briefs in Primary Care Supplement

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