Clinical Cardiology Alert – August 1, 2017
August 1, 2017
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Requiem for Beta-blockers Post-Myocardial Infarction?
A propensity score analysis of all hospital survivors of acute myocardial infarction in the United Kingdom from 2007-2013 showed that one-year survival in hospital patients without heart failure or left ventricular dysfunction treated with beta-blockers did not differ from survival in those patients not so treated.
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Prevention of Myocardial Infarction in Atrial Fibrillation Patients
A large observational study showed that the primary prevention of myocardial infarction and stroke in patients with atrial fibrillation is better with vitamin K antagonists alone as compared to aspirin alone and dual therapy.
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Early Diuretic Administration Associated With Improved Survival in Acute Heart Failure Patients
Among patients presenting to the ED with acute heart failure, those who received the first dose of intravenous furosemide within 60 minutes of arrival demonstrated lower in-hospital mortality compared to those receiving the first dose after 60 minutes.
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Alcohol Septal Ablation in Younger HCM Patients: Should We Relax Guidelines?
Current guidelines recommend surgical myectomy over septal ablation for younger hypertrophic cardiomyopathy patients. A new study bridges part of the data gap, showing safety and efficacy of the procedure in young patients.
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Going Wireless: Combining the Subcutaneous ICD With a Leadless Pacemaker
A system incorporating an entirely subcutaneous implantable cardioverter defibrillator that can command a novel leadless anti-tachycardia pacemaker unidirectionally showed success and promise in an early, short-term animal trial.