Coronary Disease/Myocardial Infarction
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DAPT Trial Adds Both Clarity and Confusion to the Debate Over Optimal Duration of Dual Antiplatelet Therapy
Dual antiplatelet therapy (DAPT) following coronary stenting is essential for the prevention of stent thrombosis, which can occur due to a response to the vascular scaffold, as well as to the local inflammation that occurs after angioplasty. DAPT after drug-eluting stent (DES) implantation is currently recommended for at least 12 months in the United States and for 6 months in Europe. -
Alcohol Septal Ablation vs Surgical Myectomy for HOCM
Symptomatic left ventricular outflow tract (LVOT) obstruction is common in patients with hypertrophic obstructive cardiomyopathy (HOCM), and medical therapy does not always relieve the symptoms. In such cases, septal reduction therapies are indicated, and both alcohol septal ablation (ASA) and surgical myectomy have been proven to reduce symptoms effectively. -
Carotid Artery Stenting Bested by Endarterectomy in Asymptomatic Patients
Although carotid artery stenting (CAS) is a less invasive means of carotid revascularization, multiple trials have demonstrated an increased risk of post-procedural stroke in patients with symptomatic carotid stenosis, as compared to carotid endarterectomy (CEA). -
Can Intracardiac Echo Be Used As a Substitute for Transesophageal Echo Prior to Atrial Fibrillation Ablation?
Transesophageal echocardiography (TEE) is commonly performed prior to atrial fibrillation (AF) ablation to exclude left atrial appendage thrombus. -
Paradoxical Low-flow, Low-gradient AS
Low-flow, low-gradient aortic stenosis (AS) is usually associated with reduced left ventricular (LV) performance. When LV systolic function is normal, it has been labelled paradoxical. -
Risk of Non-Cardiac Surgery with Severe Aortic Stenosis
Perioperative risk of major non-cardiac surgery in patients with severe aortic stenosis: a reappraisal in contemporary practice. -
Aortic Prosthetic Valve Type and Survival
Survival and long-term outcomes following bioprosthetic vs mechanical aortic valve replacement in patients aged 50 to 69 years. -
Is it Time to Consider Catheter Ablation for Asymptomatic WPW?
The authors prospectively collected data from a single center in Italy including symptomatic and asymptomatic Wolff-Parkinson-White ([WPW]pre-excited) patients.
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Revascularization of Chronic Total Occlusions After Successful Primary PCI Shows Mortality Benefit in Registry Study
Impact of chronic total occlusion revascularization in patients with acute myocardial infarction treated by primary percutaneous coronary intervention. -
Late-Breaking Trial
The following reports from the annual scientific sessions of the American Heart Association (AHA) meeting held November 17-20, 2002, in Chicago were obtained by handwritten notes, discussions with investigators, and news reports.