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Journal Watch condenses summaries of key research across specialties from more than 250 medical journals into concise yet comprehensive articles, incorporating clinical commentary from prominent physician-editors in the field.
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Featured Article
SUMMARY AND COMMENT
Acute Kidney Injury in Myocardial Infarction
- February 2, 2012
- Kirsten E. Fleischmann, MD, MPH
- General Medicine
Even relatively small increases in serum creatinine were associated with adverse outcomes.
- Reviewing:
- Fox CS et al. Circulation 2012 Jan 24; 125:497
Recent Cardiology Articles
SUMMARY AND COMMENT
U-Shaped Association Between Potassium Level and Acute-MI Mortality
- February 8, 2012
- Joel M. Gore, MD
Hypokalemia was associated with increased mortality, but so were serum potassium levels 
4.5 mEq/L, suggesting that repletion measures should be moderated.
- Reviewing:
- Goyal A et al. JAMA 2012 Jan 11; 307:157
SUMMARY AND COMMENT
Programmed Electrical Stimulation of Little Use in Brugada Work-Up
- February 8, 2012
- Mark S. Link, MD
The induction of ventricular fibrillation is not prognostic in patients with Brugada syndrome.
- Reviewing:
- Priori SG et al. J Am Coll Cardiol 2012 Jan 3; 59:37
FEATURE
Discussion on CardioExchange: The Biggest Opportunities for Cost Savings in Cardiology — Take IIFree
- February 8, 2012
- The Editors
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SUMMARY AND COMMENT
Readmission Rates in the U.S. vs. the Rest of the World
- February 1, 2012
- Harlan M. Krumholz, MD, SM
Trial data suggest that readmission after STEMI is more common — and length of initial hospital stay, shorter — in the U.S. than in other countries; but the picture may be skewed.
- Reviewing:
- Kociol RD et al. JAMA 2012 Jan 4; 307:66
SUMMARY AND COMMENT
PCI Safe at Centers With or Without On-Site CABG
- February 1, 2012
- Beat J. Meyer, MD
A new meta-analysis suggests that on-site backup surgical capability is not necessary for either primary or elective PCI.
- Reviewing:
- Singh M et al. JAMA 2011 Dec 14; 306:2487
SUMMARY AND COMMENT
What's Really Important in a Woman's Lipid Profile?
- February 1, 2012
- Joel M. Gore, MD
Prospective data from the Women's Health Initiative suggest that HDL level is a significant inverse predictor of coronary events, regardless of LDL level.
- Reviewing:
- Mora S et al. Ann Intern Med 2011 Dec 6; 155:742
FEATURE
Discussion on CardioExchange: Plaque Rupture with Thrombosis, After Shooting HoopsFree
- February 1, 2012
- The Editors
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SUMMARY AND COMMENT
Gout and Diuretics in Hypertensive PatientsFree
- January 26, 2012
- Allan S. Brett, MD
- General Medicine
Diuretic use raised risk for gout by several percentage points.
- Reviewing:
- McAdams DeMarco MA et al. Arthritis Rheum 2012 Jan; 64:121
SUMMARY AND COMMENT
Adjuvant Radiation Therapy for Breast Cancer Affects Coronary Arteries
- January 24, 2012
- William J. Gradishar, MD
- Oncology and Hematology
Stenosis occurred in certain regions of the arterial tree, but contemporary RT has evolved to minimize this risk.
- Reviewing:
- Nilsson G et al. J Clin Oncol 2011 Dec 27
CLINICAL PRACTICE GUIDELINE WATCH
New Guidelines for the Management of Hypertrophic CardiomyopathyFree
- January 25, 2012
- Frederick A. Masoudi, MD, MSPH, FACC, FAHA
An important consensus document on a potentially fatal disorder that, while often clinically silent, is increasingly identified CME
- Reviewing:
- Gersh BJ et al. J Am Coll Cardiol 2011 Dec 13/20; 58:e212
Editor's Picks from across Journal Watch
SUMMARY AND COMMENT
No Excess Risk for Cardiac Events with ADHD Medications in Adults
- January 10, 2012
- By Thomas L. Schwenk, MD
- General Medicine
Results support the FDA decision against a black box warning on attention-deficit/hyperactivity disorder drugs.
- Reviewing:
- JAMA 2011 Dec 28; 306:2673
SUMMARY AND COMMENT
Intraosseous vs. Intravenous Access for Adults with Out-of-Hospital Cardiac ArrestFree
- January 6, 2012
- By Daniel J. Pallin, MD, MPH
- Emergency Medicine
Tibial intraosseous access is clearly the best.
- Reviewing:
- Ann Emerg Med 2011 Dec; 58:509
SUMMARY AND COMMENT
After CCTA: More Follow-Up Procedures, Higher Costs
- January 3, 2012
- By Kirsten E. Fleischmann, MD, MPH
- General Medicine
Downstream data for coronary computed tomographic angiography were compared with those for stress testing.
- Reviewing:
- JAMA 2011 Nov 16; 306:2128
SUMMARY AND COMMENT
Statins Don't Lower Risk for Infections
- December 27, 2011
- By Paul S. Mueller, MD, MPH, FACP
- General Medicine
A meta-analysis of 11 randomized trials showed no benefit.
- Reviewing:
- BMJ 2011 Nov 29; 343:d7281
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.
