Cardiology: Archives

SUMMARY AND COMMENT

A Closer Look at Aspirin for Primary Prevention

• May 28, 2009
• Harlan M. Krumholz, MD, SM

A meta-analysis of individual patient data from six trials uncovers no clear benefit.

• Reviewing:
• Collins R et al. for the Antithrombotic Trialists’ (ATT) Collaboration., Lancet 2009 May 30; 373:1849 Algra A and Greving JP., Lancet 2009 May 30; 373:1821

SUMMARY AND COMMENT

Ablation for Atrial Fibrillation: Not Risk Free

• May 27, 2009
• Mark S. Link, MD

The risk for death after AF ablation is 1 in 1000 patients or 1 in 1385 procedures. CME

• Reviewing:
• Cappato R et al., J Am Coll Cardiol 2009 May 12; 53:1798 Belhassen B., J Am Coll Cardiol 2009 May 12; 53:1804

SUMMARY AND COMMENT

Which Drug-Eluting Stent Is Best for Left Main Lesions?

• May 27, 2009
• Howard C. Herrmann, MD

In a randomized trial, PES and SES produced similarly good results.

• Reviewing:
• Mehilli J et al., J Am Coll Cardiol 2009 May 12; 53:1760 Alfonso F., J Am Coll Cardiol 2009 May 12; 53:1769

SUMMARY AND COMMENT

Estradiol and Mortality in Men with Heart Failure

• May 27, 2009
• Frederick A. Masoudi, MD, MSPH

In an observational study, both high and low estradiol levels were associated with increased mortality.

• Reviewing:
• Jankowska EA et al., JAMA 2009 May 13; 301:1892

SUMMARY AND COMMENT

Where Should I Go for My Cardiac Surgery?

• May 27, 2009
• Joel M. Gore, MD

In an observational study, outcomes correlated better with adherence to six quality-of-care measures than with hospital or operator volume.

• Reviewing:
• Auerbach AD et al., Ann Intern Med 2009 May 19; 150:696 Bach PB., Ann Intern Med 2009 May 19; 150:729

SUMMARY AND COMMENT

Glycoprotein IIb/IIIa Inhibition After Clopidogrel Loading for Primary Percutaneous Coronary Intervention

• May 20, 2009
• Howard C. Herrmann, MD

In a randomized trial, abciximab showed no benefit in clopidogrel-treated STEMI patients.

• Reviewing:
• Mehilli J et al., Circulation 2009 Apr 14; 119:1933

SUMMARY AND COMMENT

We Are What We Eat

• May 20, 2009
• JoAnne M. Foody, MD

A MESA analysis reveals substantial differences among four ethnic groups in reaching adherence targets for eight components of the DASH diet.

• Reviewing:
• Gao SK et al., Arch Intern Med 2009 Apr 13; 169:702

SUMMARY AND COMMENT

Physical Activity Advice from Primary Care Physicians

• May 20, 2009
• JoAnne M. Foody, MD

In a randomized trial, systematically advising patients improved their activity levels.

• Reviewing:
• Grandes G et al., Arch Intern Med 2009 Apr 13; 169:694

SUMMARY AND COMMENT

Ventricular Tachycardia or Fibrillation and ST-Segment-Elevation MI: Does Percutaneous Coronary Intervention Improve Outcomes?

• May 20, 2009
• Mark S. Link, MD

In the era of primary PCI for STEMI, VT/VF is still an ominous prognostic indicator.

• Reviewing:
• Mehta RH et al. for the APEX AMI Investigators., JAMA 2009 May 6; 301:1779

SUMMARY AND COMMENT

Early or Delayed Intervention for Acute Coronary Syndromes Without ST-Segment-Elevation?

• May 20, 2009
• Beat J. Meyer, MD

In a randomized trial, only high-risk patients clearly benefited from invasive treatment within 24 hours.

• Reviewing:
• Mehta SR et al. for the TIMACS Investigators., N Engl J Med 2009 May 21; 360:2165