Cardiology
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Emergent Vascular Access: Is Intraosseous Better Than Central Venous Catheter Placement?
In this single-center, prospective, observational study, intraosseous access outperformed central venous catheter placement in terms of first-pass success rates, mean placement times, and complication rates.
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Is Peripheral Intravenous Administration of Vasopressors Really Safe?
The administration of vasoactive medications by peripheral intravenous access is safe and feasible in critically ill, hypotensive patients.
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What's in a Name: Should Protocols for Sepsis Treatment Be So Complete?
ABSTRACT & COMMENTARY: Early and aggressive goal-directed therapy treatment for sepsis leads to a decrease in mortality.
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Surgery for All Papillary Fibroelastomas?
Patients with papillary fibroelastomas on echo who do not undergo surgical removal have an increased risk of stroke.
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When to Repair the Tricuspid Valve with Mitral Surgery
In patients undergoing mitral valve repair with moderate tricuspid regurgitation or tricuspid annular dilatation, tricuspid annuloplasty is safe and is associated with improved long-term right ventricular function.
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Two Studies Weaken the Case for Drug-Eluting Balloon Treatment of Coronary In-stent Restenosis
Repeat stenting with drug-eluting stents should, for now, be considered the default treatment for in-stent restenosis.
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Refining Stroke Risk Prediction in Heart Failure Without Atrial Fibrillation
ABSTRACT & COMMENTARY: A high-risk subgroup of heart failure patients without atrial fibrillation can be identified using simple clinical variables.
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Are Beta-blockers Post-CABG Indicated?
In post-coronary artery bypass graft surgery patients, long-term beta-blocker use was associated with lower rates of death and major adverse cardiac and cerebrovascular events.
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Time to Shelve Warfarin for Atrial Fibrillation Patients?
Patients with atrial fibrillation taking oral anticoagulants exhibited a decline in renal function that was greatest with warfarin use vs dabigatran use.
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Cryptogenic Stroke and Atrial Fibrillation
In large prospective databases of ischemic stroke, cryptogenic stroke occurs in as many as 30% of all ischemic stroke patients. Many of these patients have the characteristics of cardioembolic stroke, and there has always been a strong suspicion that some of these patients have atrial fibrillation.