You'll Faint When You See the Bill
SUMMARY AND COMMENT
The most expensive tests for evaluating syncope usually don't influence diagnosis or management, and the least expensive — and most useful — test is underused.
CME
Reviewing:
Mendu ML et al., Arch Intern Med 2009 Jul 27; 169:1299
Active Commuting and Cardiovascular Risk
SUMMARY AND COMMENT
Walking or biking to work is associated with some favorable risk markers, but whether these practices confer a benefit is unclear.
Reviewing:
Gordon-Larsen P et al., Arch Intern Med 2009 Jul 13; 169:1216
Cost-Effectiveness of Abdominal Aortic Aneurysm Screening
SUMMARY AND COMMENT
Conflicting results in two different populations illustrate the difficulty of forecasting the effects of an intervention in a changing environment.
Reviewing:
Thompson SG et al., BMJ 2009 Jun 27; 338:1538
Ehlers L et al., BMJ 2009 Jun 27; 338:1542
Buxton MJ., BMJ 2009 Jun 27; 338:1509
Statins for Primary Prevention: Homing in on Effectiveness
SUMMARY AND COMMENT
A new meta-analysis bolsters the case for benefit.
Reviewing:
Brugts JJ et al., BMJ 2009 Jun 30; 338:b2376
PR Prolongation: Not Always Benign
SUMMARY AND COMMENT
In a large population-based cohort, longer PR intervals were associated with significantly increased risks for AF, pacemaker implantation, and mortality.
Reviewing:
Cheng S et al., JAMA 2009 Jun 24; 301:2571
Cardiovascular Events in Canada, 1994–2004
SUMMARY AND COMMENT
Findings from a nationwide study reveal significant declines in mortality and hospital admissions.
Reviewing:
Tu JV et al., CMAJ 2009 Jun 23; 180:e118
"Drive-By" Closure of Patent Foramen Ovale
SUMMARY AND COMMENT
In a retrospective, case-control series, repair of PFO found incidentally during cardiothoracic surgery conferred no short- or long-term benefit.
Reviewing:
Karsuski RA et al., JAMA 2009 Jul 15; 302:290
What Tests Should I Order for Suspected Arrhythmogenic RV Dysplasia?
SUMMARY AND COMMENT
An international prospective study demonstrates the difficulty of diagnosing this rare disease.
Reviewing:
Marcus FI et al., Heart Rhythm 2009 Jul; 6:984
Smoking Cessation: How Much Evidence Do We Need to Act?
SUMMARY AND COMMENT
In patients hospitalized for MI or CABG, an intensive intervention produced higher abstinence rates than a typical intervention.
CME
Reviewing:
Smith PM and Burgess E., CMAJ 2009 Jun 23; 180:1297
Rigotti NA., CMAJ 2009 Jun 23; 180:1283
Coronary Aneurysm After Drug-Eluting Stent Implantation
SUMMARY AND COMMENT
A prospective case-series study enhances our understanding of a rare complication.
Reviewing:
Alfonso F et al., J Am Coll Cardiol 2009 Jun 2; 53:2053