Clinical Cardiology Alert – January 1, 2017
January 1, 2017
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White-coat Hypertension:Does It Predict Cardiovascular Disease?
The risk of cardiovascular events in white-coat hypertension subjects is comparable to age and risk-adjusted normotensive controls.
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The Happy Heart Syndrome
Stress cardiomyopathy can be triggered by positive as well as negative emotions; the midventricular pattern of wall motion abnormality was more prevalent among happy hearts.
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Sacubitril/Valsartan Associated with Reduced Risk of Hyperkalemia
In a secondary analysis of the PARADIGM-HF trial, the risk of severe hyperkalemia in heart failure patients taking a mineralocorticoid receptor antagonist was lower among patients treated with sacubitril/valsartan compared to those receiving enalapril.
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Ablation of the Left Atrial Appendage for Long-standing, Persistent Atrial Fibrillation
Addition of left atrial appendage ablation to pulmonary vein isolation, and extensive other ablation, improved freedom from atrial arrhythmias in patients with long-standing persistent atrial fibrillation without increasing complications.
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Do the Benefits of a Bioabsorbable Coronary Scaffold Also Disappear Over Time?
In the longest-term randomized, controlled study of coronary bioresorbable vascular scaffolds to date, the Absorb bioresorbable vascular scaffold was outperformed by its metallic drug-eluting stent counterpart.