Clinical Cardiology
RSSArticles
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Is There a Role for Surgery in Isolated Severe Tricuspid Regurgitation?
A retrospective single-center analysis of patients with isolated severe tricuspid regurgitation revealed no survival benefit from tricuspid surgery.
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Is It Safe to Stop Digoxin for Heart Failure?
In a large older patient heart failure with reduced ejection fraction hospitalizations database, the outcome of withdrawing digoxin vs. continuing digoxin was examined at 30 days and up to four years of follow-up. Withdrawing preadmission digoxin in hospital resulted in higher mortality at 30 days and more readmissions at six months, one year, and four years.
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Complete Revascularization After STEMI: Do We Finally Know the Answer?
In this largest trial to date, patients who were randomized to complete revascularization by percutaneous coronary intervention (PCI) following successful intervention at the time of ST-elevation myocardial infarction (STEMI) had a lower risk of cardiovascular death, myocardial infarction, and ischemia-driven revascularization vs. patients who underwent culprit lesion-only PCI.
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Do Defibrillators Improve Mortality in Dialysis Patients?
In patients with left ventricular ejection fraction ≥ 35% undergoing dialysis, the insertion of a prophylactic implantable cardioverter defibrillator carries a relatively high risk for adverse events and does not significantly decrease sudden cardiac death or mortality.
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Lower Systolic Blood Pressure Associated With Increased Mortality in Systolic Heart Failure Patients
Systolic blood pressure less than 130 mmHg was associated with increased mortality in a Medicare population with systolic heart failure.
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More Experience Leads to Better Outcomes With MitraClip
In this analysis of MitraClip procedures from the Transcatheter Valve Therapy registry, the authors demonstrated improvements in procedure success and safety with increasing institutional experience with the device.
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Enterococcus faecalis Endocarditis Risk Factors
A large, prospective observational study of echocardiography in all patients with Enterococcus faecalis bacteremia showed a high incidence of infective endocarditis.
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Life Expectancy After Aortic Valve Replacement
This Swedish national study of longevity following aortic valve surgery showed that, overall, life expectancy declined by about two years, but was higher for patients younger than 50 years of age.
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Treating Infective Endocarditis in Moderate-Risk Patients
There are patients with a moderate risk of infective endocarditis who may warrant consideration of antibiotic prophylaxis.