Cardiology
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ICH May Clinically Mimic TIA
In a large retrospective review of 2137 patients with intracerebral hemorrhage, 34 presented with transient symptoms that could have been misclassified as “transient ischemic attack” if brain imaging had not been performed.
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Selecting Patients for Statin Primary Prevention
The new vascular disease risk calculator discriminates who will experience a vascular event in the near future better than using a trial entry criteria approach or a hybrid approach.
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Is Anticoagulant Bridging Needed in Patients with Atrial Fibrillation Going to Surgery?
In patients with atrial fibrillation who had warfarin treatment interrupted for an elective operation or other elective invasive procedure, forgoing bridging anticoagulation was not inferior to perioperative bridging with low molecular weight heparin for the prevention of arterial thromboembolism and decreased the risk of major bleeding.
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The Current Outlook for Cardiac Tamponade
In the modern era, cardiac tamponade is most commonly caused by malignancies with poor prognosis. As compared to older literature, iatrogenic causes have increased, most resulting from complications of percutaneous coronary intervention.
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Ventricular Tachycardia Ablation for Recurrent Arrhythmia and Coronary Artery Disease
Acute and long-term success rates with ventricular tachycardia ablation in patients with coronary artery disease are relatively high with an acceptably low complication rate.
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Cardiopulmonary Exercise Testing and Survival in Systolic Heart Failure
A large study of patients with chronic systolic heart failure undergoing cardiopulmonary exercise testing found peak oxygen uptake, exercise duration, and percent predicted peak oxygen uptake were the strongest predictors of survival.
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Prognostic Value of Coronary Calcium on Standard Chest CT Scans
Coronary calcium scan on standard CT scans performed for other indications is of equivalent prognostic value to that seen on ECG-gated coronary studies and should be included in radiology test reports.
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TAVR Still a Viable Option for Many Left Main Disease Patients
Performing planned left main percutaneous intervention before or during transcatheter aortic valve replacement does not confer increased risk of short- or intermediate-term adverse outcomes.
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Outcome of PCSK9 Inhibitor-treated Patients
In a recent study, proprotein convertase subtilisin-kexin type 9 serine protease inhibitors significantly improve lipid profiles and reduce all-cause mortality, but were associated with more neurocognitive adverse events than placebo.
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Potatoes Increase Risk of Type 2 Diabetes Mellitus
Few would question the recommendation to increase daily vegetable intake. Yet, an important question arises — are all vegetables created equal?