Clinical Cardiology
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Role of Transthoracic Echo in Staph Bacteremia
In patients without community-acquired Staph bacteremia, a high-risk cardiac condition, or IV drug use, a negative transthoracic echo excluded infective endocarditis.
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Echocardiographic Parameters Predict Outcome in Peripartum Cardiomyopathy
Poor baseline left ventricular ejection fraction, greater degree of left ventricular dilation, and black race predict poorer subsequent recovery with conventional therapy.
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MATRIX Reloaded: Bivalirudin Fails to Best Heparin in ACS
Among patients with acute coronary syndromes referred for percutaneous intervention, bivalirudin did not lower rates of major adverse cardiovascular events or net adverse clinical outcomes as compared with unfractionated heparin.
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A Revolution in Pacing?
Leadless pacemakers appeared to be effective and relatively safe in short-term follow-up.
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Serum Chloride Level Predicts Mortality in Acute Heart Failure
Serum chloride levels measured during hospitalization for acute decompensated heart failure are independently and inversely associated with long-term mortality, independent of serum sodium levels.
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New Study Calls for Caution in Use of Triple Anticoagulant Therapy
Approximately one in four older patients with atrial fibrillation undergoing percutaneous coronary intervention for acute myocardial infarction were discharged on triple therapy, which was associated with higher rates of major bleeding without a measurable benefit in terms of major adverse cardiac events.
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RITA-3 Reports 10-year Mortality Outcomes: Time to Rethink the Guidelines, or Much Ado About Nothing?
The mortality benefit of the routine early invasive strategy seen at 5 years is attenuated at later follow-up, suggesting further trials of more contemporary treatment strategies in non-ST elevation acute coronary syndromes are needed.
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Doppler Echo Risk Stratification in Aortic Stenosis
The dimensionless index is an accurate indicator of aortic stenosis severity of clear prognostic value.
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Valve Disease and Thromboembolic Risk
ABSTRACT & COMMENTARY: In non-valvular atrial fibrillation patients, left ventricular valve disease increased the risk of thromboembolic events.
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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.