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Cardiology

Your essential source for clinically relevant perspectives – from physician opinion leaders – on the most important research and guidelines in cardiovascular medicine

Troponin Levels and Prognosis in Patients with Acute Heart Failure

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In an observational study, elevations in cardiac troponin predicted poor outcome — but does routine testing substantially affect treatment decisions?

• By Harlan M. Krumholz, MD, SM
• May 14, 2008
• Covering N Engl J Med 2008 May 15

Cardiovascular Risk Prediction: Beyond the Established Risk Factors

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The inclusion of four biomarkers may improve risk stratification — at least among older men.

• By Beat J. Meyer, MD
• May 14, 2008
• Covering N Engl J Med 2008 May 15

Delayed Presentation for ST-Segment-Elevation MI: Which Patients Are at Greatest Risk?

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An analysis of nationwide data profiles the most vulnerable; whether targeted interventions can improve outcomes remains to be seen.

• By Frederick A. Masoudi, MD, MSPH
• May 14, 2008
• Covering Arch Intern Med 2008 May 12

Early Repolarization in Survivors of Idiopathic Ventricular Fibrillation

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In a case-control study, nearly one third of patients who survived sudden cardiac arrest had marked early repolarization.

• By Mark S. Link, MD
• May 14, 2008
• Covering N Engl J Med 2008 May 8

Surgical Sympathetic Denervation for Catecholaminergic Polymorphic Ventricular Tachycardia

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Sometimes the best treatment is not the newest.

• By Mark S. Link, MD
• May 14, 2008
• Covering N Engl J Med 2008 May 8

Can Adjustment of Clopidogrel Dosing Reduce Ischemic Events After Stent Implantation?

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In a small but promising trial, adjusting the loading dose according to platelet reactivity improved clinical outcomes.

• By Howard C. Herrmann, MD
• May 14, 2008
• Covering J Am Coll Cardiol 2008 Apr 8

In Stent Recipients Taking Clopidogrel, High Platelet Reactivity Predicts Ischemic Events

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In a prospective observational study, results of a point-of-care platelet-function assay correlated well with thrombotic risk after DES implantation.

• By Beat J. Meyer, MD
• May 14, 2008
• Covering Eur Heart J 2008 Apr

A New Drug-Eluting Stent on the Horizon

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Everolimus-eluting stents perform well in a comparison with paclitaxel-eluting stents, setting the stage for FDA approval and — more important — long-term outcome studies.

• By Howard C. Herrmann, MD
• May 7, 2008
• Covering JAMA 2008 Apr 23

Genetic Causes of Cardiac Hypertrophy

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An analysis of affected children identifies mutations in several genes previously implicated in adult-onset disease.

• By Harlan M. Krumholz, MD, SM
• May 7, 2008
• Covering N Engl J Med 2008 May 1

Are High-Dose Tirofiban and Drug-Eluting Stents Best for STEMI?

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Results of a randomized study favor SES over BMS and show a high-dose bolus of tirofiban to be as good as abciximab.

• By Howard C. Herrmann, MD
• April 30, 2008
• Covering JAMA 2008 Apr 16

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Editor's Picks from across Journal Watch

Journal Watch Cardiology summarizes important medical journal articles about a wide variety of cardiovascular subjects including angina, atrial fibrillation, coronary artery disease, heart failure, hypertension, myocardial infarction, stents, stroke and ventricular fibrillation.