Clinical Cardiology Alert – July 1, 2007
July 1, 2007
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Prophylactic Revascularization Before Vascular Surgery
The value of revascularization before major vascular surgery in patients with stress induced myocardial ischemia has not been tested. -
Coronary Calcification and Perfusion Imaging
After a positive coronary ct scan, patients often undergo stress myocardial perfusion scanning, but the relationship between these two tests in relation to prognosis is poorly understood. -
Transvenous Defibrillation Lead Defects in ICDs
Kleemann and his colleagues from Ludwigshafen, Germany, report on survival of transvenous defibrillation leads during long-term follow-up. -
Major Hemorrhage on Warfarin in Elderly Patients With Atrial Fibrillation
Recently, the importance of anticoagulation with warfarin in patients with atrial fibrillation and risk factors for stroke has been established in clinical trials and emphasized in recent guidelines. -
Prognosis of Normal Coronary Arteries
Up to 20% of patients undergoing coronary angiography have normal arteries or mild luminal irregularities. -
MAC and Aortic Atheroma in Stroke
Although Mitral Annular Calcium (MAC) is a risk for stroke, the mechanism is unclear. MAC is associated with complex proximal aorta (before the left subclavian) aorta atheromatous plaques and is seen in patients with risk factors for atherosclerosis. -
Pericardial Fluid Analysis: How Valuable Is It?
The biochemical analysis of pericardial fluid is often done routinely, but there is little data on its value. Thus, these investigators from Israel retrospectively analyzed all pericardiocentesis patients over a 9-year period by chart review and phone calls. -
Coenzyme Q10 for Statin Myopathic Symptoms
Mild muscle symptoms occasionally prevent some patients from taking statin drugs. -
Pharmacology Watch
GlaxoSmithKline's rosiglitazone (Avandia) will receive a black box warning by the FDA because of concerns over heart failure associated with use of the drug. -
Clinical Briefs in Primary Care Supplement