Clinical Cardiology
RSSArticles
Permanent Pacemaker After TAVR: A Modifiable Risk?
A study of the latest-generation balloon-expandable valves demonstrates a higher rate of new conduction abnormalities and pacemaker implants than previous models.
One Procedure or Two? Study Examines Staging for Multi-vessel PCI in NSTEMI
In patients with non-ST elevation myocardial infarction and multi-vessel disease, single-stage percutaneous coronary intervention during the initial procedure is superior to multiple procedures in terms of major adverse cardiovascular and cerebrovascular events and minor bleeding at 1 year.
Nitrate Therapy Shows Possible Harm in Heart Failure with Preserved Ejection Fraction
In heart failure with preserved ejection fraction, the use of isosorbide mononitrate was associated with a nonsignificant decrease in physical activity level, and no improvement in symptoms or quality of life.
The Portal of Bacterial Entry in Infective Endocarditis
ABSTRACT & COMMENTARY: A comprehensive, systematic search for the portal of bacterial entry in infective endocarditis is frequently successful.
Prescient Warning Symptoms: A New Target for Sudden Cardiac Death Prevention
Typical cardiac symptoms frequently precede sudden cardiac arrest and are frequently unheeded, but when acted on are associated with decreased mortality.
Five-year EVEREST II Results Allay Long-term Safety and Durability Concerns About MitraClip
Although MitraClip patients had higher rates of re-operation in the first year, adverse event rates in the 1- to 5-year range were reassuringly low and were comparable with surgery.
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.
Blood Transfusion in Cardiac Disease Patients
In patients admitted to the ICU with comorbid cardiac disease, the hemoglobin level below which transfusion was associated with lower hospital mortality was < 8-9 g/dL and < 9-10 g/dL if the admitting diagnosis was acute myocardial infarction.
Is Sodium Restriction Detrimental in Chronic Heart Failure?
Dietary sodium restriction may have a detrimental effect on outcome in patients with symptomatic chronic heart failure. They stress that a randomized clinical trial is warranted to resolve the issue.
Echo Diagnosis of Left Ventricular Non-compaction
The echocardiographic diagnosis of left ventricular non-compaction is difficult, and experienced readers disagree frequently. Careful attention to suggested criteria and the use of other imaging modalities in difficult cases resolves most diagnostic disagreements.