Cardiology
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Homeopathy for Cold Symptoms in Young Children
A cough syrup containing homeopathic remedies improved cold symptoms more than placebo during the first day of treatment only.
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Predicting Electrical Cardioversion Failure
A study of the 30-day success rate of electrical cardioversion of acute atrial fibrillation revealed five clinical predictors of recurrence. These were combined into a risk score that could be useful to avoid unnecessary cardioversions in the acute setting.
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Tolvaptan Fails to Improve Dyspnea in Acute Heart Failure
In patients hospitalized for acute heart failure, adding tolvaptan to furosemide lead to increased weight and fluid loss, but did not improve dyspnea at 24 hours.
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Restricting Fluoroquinolone Use Reduces CDI More Than Infection Control Methods
An observational study from England showed that restricting fluoroquinolone use reduced incidence of Clostridium difficile infection more than would be predicted by improved infection control methods alone.
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Risk Factors for Hospital Readmissions Ending in Death or Transition to Hospice
In this retrospective cohort study, multiple factors were identified during initial hospitalization, including sepsis and shock, that were associated with a hospital readmission within 30 days resulting in death or transition to hospice. Infection was a frequent cause for readmissions that ended in death.
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Value of Monitoring ECG Lead aVR in Exercise Stress Testing
Analysis of ST transients in aVR during exercise ECG testing can provide additional diagnostic information in patients suspected of having ischemic heart disease.
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ECG Criteria for Left Ventricular Hypertrophy Revisited
In comparison to other popular criteria for the ECG diagnosis of left ventricular hypertrophy, the newly proposed Peguero-Lo Presti criteria, when tested in patients with proximate ECGs and echocardiograms, showed superior sensitivity and accuracy.
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Primary Aldosteronism in Hypertensive Patients
Primary aldosteronism was discovered in 6% of hypertensive patients in a group of primary care practices in Italy, and these patients exhibited more target organ damage.
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Remote Hemodynamic Monitoring for Heart Failure Effective in ‘Real-world’ Setting
In a retrospective study of Medicare claims data, use of the CardioMEMS implantable pulmonary artery pressure sensor was associated with reductions in both heart failure hospitalizations and comprehensive heart failure costs.
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What Cardiologists Need to Know About Instantaneous Wave-free Ratio
Two trials defined instantaneous wave-free ratio as the new standard for physiologic lesion assessment in the cardiac cath lab.