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Many laboratories have changed their practice to perform some procedures without stopping warfarin anticoagulation, but trial evidence supporting this practice has been lacking. In this paper, investigators from 17 centers in Canada and one in Brazil report the results of a trial comparing continued warfarin with heparin bridging in high-risk patients undergoing device procedures.
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N-3 polyunsaturated fatty acids (n-3 FA) from fish have been reputed to prevent the development of cardiovascular disease (CVD) and have demonstrated some benefits in secondary prevention studies. Thus, this community-based investigator group in Italy conducted a double-blind, placebo-controlled trial of subjects with multiple risk factors for CVD (at least four, or one if diabetic) or evidence of atherosclerotic vascular disease, but without myocardial infarction (MI).
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Statin therapy has multiple beneficial effects on coronary plaque, including prevention of plaque progression and reduction in thrombotic events. It is not clear if the beneficial effect on clinical events is due to reduction in lipid content of plaque.
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Most physicians who travel will encounter one or more emergencies during air travel. This paper reviews the experience of a medical communication center that serves five domestic and international airlines over a 34-month period.
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Patients with diabetes have twice the stroke risk of those without diabetes.
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In severe aortic stenosis (AS) with symptoms, aortic valve replacement is recommended.
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Evidence-based updates in primary care medicine By Louis Kuritzky, MD
Supplement to Clinical Cardiology Alert, Clinical Oncology Alert, Critical Care Alert, Hospital Medicine Alert, Infectious Disease Alert, Neurology Alert, OB/GYN Clinical Alert, Primary Care Reports.
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The left bundle branch supplies a coordinated electrical impulse to the left ventricle.
