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Cardiac death and perioperative myocardial infarctions occur in 2-20% (mean 6) of major noncardiac vascular surgery. Statins have been shown to have a protective effect, but the exact mechanism of this benefit is unclear.
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Off-pump CABG avoids the complications of cardiopulmonary bypass (CPB), but is technically demanding.
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This report from the merlin-timi 36 investigators describes the effects of ranolazine on spontaneous arrhythmias in patients with acute coronary syndrome (ACS).
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An interesting therapeutic concept that has been put into clinical practice in the past several years is the use of nitric oxide donors for pulmonary hypertension.
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Weight gain has long been used as a marker of fluid retention in heart failure patients. It is a cheap, simple test that can be performed daily in patients' homes.
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Cognitive decline after surgery requiring cardio-pulmonary bypass (CPB) may be due to cellular debris picked up by the cardiotomy suction device.
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Benefits of Coronary Prevention: WOSCOPS, Topiramate for Alcohol Dependence, and Job Strain and Recurrent CHD
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Collaborative efforts between faculties of medicine and theater can be effective in teaching clinical empathy.
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Over half of patients with atrial fibrillation are over age 75 years, yet there is concern about the risk of serious hemorrhage in these patients on warfarin. Thus, the results of the Birmingham Atrial Fibrillation Treatment of the Aged (BAFTA) study are of interest.