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Clinical Cardiology

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Articles

  • Exercise Pulmonary Hypertension in MR

    Current guidelines recommend mitral-valve surgery for severe organic mitral regurgitation in asymptomatic patients if exercise pulmonary hypertension (PASP > 60 mmHg) is demonstrated.
  • Chest Compression-only CPR

    The dispatcher-assisted resuscitation trial (DART) tested the hypothesis that 911 dispatcher instructions to provide chest compressions only would be superior to similar instructions that included both chest compressions and rescue breathing.
  • Stent Thrombosis Post Non-cardiac Surgery

    There is considerable concern regarding in-stent thrombosis of drug-eluting stents (DES) when aspirin and clopidogrel are stopped for non-cardiac surgery (NCS), but a paucity of data.
  • Viability Studies Before Selecting Revascularization?

    Although ischemic left ventricular (LV) dysfunction is an indication for revascularization, little is known about the long-term benefits of revascularization and the value of viability studies.
  • Pharmacology Watch

    WHO recommendations for antiviral use for H1N1 flu; antibiotic use trends for acute respiratory tract infection; denosumab clears FDA Expert Panel; FDA Actions.
  • Pharmacology Watch

    Aggressive approach to CVD reduces MI, folic acid and vitamin B12 for CAD, corticosteroids for acute exacerbations of COPD, prescription drug abuse among young adults, and ARBs and cancer risk.
  • Exercise Training for POTS

    Postural orthostatic tachycardia syndrome (POTS) is a disabling orthostatic intolerance that mainly occurs in pre-menopausal women.
  • Management of Recalled ICD Leads

    The Medtronic Sprint-Fidelis ICD-lead family is associated with an increased risk for lead fracture.
  • Left Main PCI vs. CABG: Five-year Follow-up of Two Registries

    The evolution of percutaneous coronary intervention (PCI) techniques has resulted in PCI becoming a reasonable alternative to coronary artery bypass graft (CABG) surgery in selected patients with unprotected left-main coronary artery (ULMCA) stenosis.
  • Management of Antithrombotic Therapy with Device Placement

    Many patients who receive pacemakers or implantable cardioverter defibrillators (ICDs) are chronically treated with antiplatelet agents, warfarin, or a combination of the two. In this paper, Tompkins and colleagues from the Johns Hopkins Hospital report the results of a retrospective review of antiplatelet and anticoagulant management in patients receiving cardiac-rhythm devices.