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Heart: Official Journal of the British Cardiac Society

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https://www.readbyqxmd.com/read/29991505/is-incentivising-stroke-prevention-therapy-in-atrial-fibrillation-the-key
#1
EDITORIAL
Roopinder K Sandhu, Justin A Ezekowitz
No abstract text is available yet for this article.
July 10, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29991504/prevalence-and-treatment-of-atrial-fibrillation-in-uk-general-practice-from-2000-to-2016
#2
Nicola Jaime Adderley, Ronan Ryan, Krishnarajah Nirantharakumar, Tom Marshall
OBJECTIVE: Atrial fibrillation (AF) is the most common cardiac arrhythmia and an important risk factor for stroke. Treatment with anticoagulants substantially reduces risk of stroke. Current prevalence and treatment rates of AF in the UK as well as changes in recent years are not known. The aim of this analysis was to determine trends in age-sex specific prevalence and treatment of AF in the UK from 2000 to 2016. METHODS: 17 sequential cross-sectional analyses were carried out between 2000 and 2016 using a large database of electronic primary care records of patients registered with UK general practitioners...
July 10, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29973341/heart-failure-resulting-from-cancer-treatment-still-serious-but-an-opportunity-for-prevention
#3
EDITORIAL
Alexander R Lyon
No abstract text is available yet for this article.
July 4, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29973340/performance-of-the-bmj-learning-training-modules-for-ecg-interpretation-in-athletes
#4
Nathan R Riding, Jonathan A Drezner
To assess the accuracy of interpreting the athlete's ECG both pre and post a series of online training modules among a range of healthcare professionals. 10 512 healthcare professionals from 138 different nations commenced the online course. These were primarily doctors (43%), nurses (18.4%) and other healthcare professionals (3.9%). The users came from 102 different specialities, with General Practice/Family Medicine (24.5%), Cardiology (10.6%), Emergency Medicine (8.7%) and Sports Medicine (6.6%) predominating...
July 4, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29954857/a-42-year-old-woman-with-acute-myocardial-infarction
#5
James K Fahey, Abdul Rahman Ihdayhid, Anthony John White
No abstract text is available yet for this article.
June 28, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29954856/pacing-a-new-look-don-t-be-deceived
#6
Chee Loong Chow, Barveen Abu Baker, Uwais Mohamed
No abstract text is available yet for this article.
June 28, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29954855/reaching-cardiovascular-prevention-guideline-targets-with-a-polypill-based-approach-a-meta-analysis-of-randomised-clinical-trials
#7
Vanessa Selak, Ruth Webster, Sandrine Stepien, Chris Bullen, Anushka Patel, Simon Thom, Bruce Arroll, Michiel L Bots, Alex Brown, Sue Crengle, Prabhakaran Dorairaj, C Raina Elley, Diederick E Grobbee, Matire Harwood, Graham S Hillis, Tracey-Lea Laba, Bruce Neal, David Peiris, Natasha Rafter, Christopher Reid, Alice Stanton, Andrew Tonkin, Tim Usherwood, Angela Wadham, Anthony Rodgers
OBJECTIVE: The aim of this study was to determine the effect of polypill-based care on the achievement of 2016 European Society of Cardiology (ESC) guideline targets for blood pressure (BP), low-density lipoprotein (LDL) cholesterol and antiplatelet therapy. METHODS: We conducted an individual participant data meta-analysis of three randomised clinical trials that compared a strategy using a polypill containing aspirin, statin and antihypertensive therapy with usual care in patients with a prior cardiovascular disease (CVD) event or who were at high risk of their first event...
June 28, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29941505/minimally-invasive-perventricular-versus-open-surgical-ventricular-septal-defect-closure-in-infants-and-children-a-randomised-clinical-trial
#8
Hong Liu, Feng-Xia Lu, Jie Zhou, Fei Yan, Si-Chong Qian, Xin-Ya Li, Si-Qiang Zheng, Jun-Quan Chen, Ji-Sheng Zhong, Qiao-Ling Feng, Tong Ding, Jun Fan, Hai-Tao Gu, Xiao-Cheng Liu
BACKGROUND: Robust evidence is lacking regarding the clinical efficacy, safety and cardiopulmonary performance of perventricular closure. This study investigated the perioperative efficacy, safety and cardiorespiratory performance of perventricular closure of perimembranous ventricular septal defects (pmVSDs). METHODS: Operation-naïve infants and young children aged 5-60 months with isolated pmVSDs were randomised to receive either standard open surgical or minimally invasive perventricular closure via direct entry into the ventricle with a catheter from a subxiphoid incision...
June 25, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29934371/facility-level-association-of-preoperative-stress-testing-and-postoperative-adverse-cardiac-events
#9
Javier A Valle, Laura Graham, Thejasvi Thiruvoipati, Gary Grunwald, Ehrin J Armstrong, Thomas M Maddox, Mary T Hawn, Steven M Bradley
BACKGROUND: Despite limited indications, preoperative stress testing is often used prior to non-cardiac surgery. Patient-level analyses of stress testing and outcomes are limited by case mix and selection bias. Therefore, we sought to describe facility-level rates of preoperative stress testing for non-cardiac surgery, and to determine the association between facility-level preoperative stress testing and postoperative major adverse cardiac events (MACE). METHODS: We identified patients undergoing non-cardiac surgery within 2 years of percutaneous coronary intervention in the Veterans Affairs (VA) Health Care System, from 2004 to 2011, facility-level rates of preoperative stress testing and postoperative MACE (death, myocardial infarction (MI) or revascularisation within 30 days)...
June 22, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29934370/young-man-presenting-with-out-of-hospital-cardiac-arrest
#10
Hans David Huang, William L Lombardi, Zachary Louis Steinberg
CLINICAL INTRODUCTION: A man in his early 30s with remote history of a febrile rash as a toddler presented to the emergency room following an out-of-hospital cardiac arrest while riding his bicycle. He received bystander cardiopulmonary resuscitation and one shock from an automatic external defibrillator, successfully restoring sinus rhythm. On arrival, he was haemodynamically stable without ECG evidence of ST segment changes to suggest active ischaemia, and an initial troponin I was mildly elevated at 0...
June 22, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29934369/evaluation-of-an-incidental-cardiac-finding-in-a-patient-with-bronchitis
#11
Andrew J Bradley, Jannet F Lewis, Andrew D Choi
CLINICAL INTRODUCTION: A 63-year-old man with HIV presented with 1 month of dyspnoea and productive cough without orthopnoea. He was afebrile with normal blood pressure, borderline tachycardia and mild pulmonary wheezing. He had exertional hypoxia requiring 4 L per minute of oxygen. No murmurs, jugular venous distention or lower extremity oedema was noted. Clinical evaluation included transthoracic echocardiography (TTE), which showed mild left ventricular hypertrophy with normal size and systolic function...
June 22, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29925543/use-of-routinely-captured-echocardiographic-data-in-the-diagnosis-of-severe-aortic-stenosis
#12
Steven M Bradley, Katie Foag, Khua Monteagudo, Pam Rush, Craig E Strauss, Mario Gössl, Paul Sorajja
OBJECTIVE: To determine the implications of applying guideline-recommended definitions of aortic stenosis to echocardiographic data captured in routine clinical care. METHODS: Retrospective observational study of 213 174 patients who underwent transthoracic echocardiographic imaging within Allina Health between January 2013 and October 2017. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of echocardiographic measures for severe aortic stenosis were determined relative to the documented interpretation of severe aortic stenosis...
June 20, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29925542/bernard-and-joan-marshall-awards-at-the-autumn-meeting-of-the-british-society-for-cardiovascular-research-2017
#13
Carolyn A Carr, Michael S Dodd, Lisa C Heather
No abstract text is available yet for this article.
June 20, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29925541/new-approaches-to-detection-of-atrial-fibrillation
#14
EDITORIAL
Jeroen M Hendriks, Celine Gallagher, Melissa E Middeldorp, Prashanthan Sanders
No abstract text is available yet for this article.
June 20, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29921571/marital-status-and-risk-of-cardiovascular-diseases-a-systematic-review-and-meta-analysis
#15
Chun Wai Wong, Chun Shing Kwok, Aditya Narain, Martha Gulati, Anastasia S Mihalidou, Pensee Wu, Mirvat Alasnag, Phyo Kyaw Myint, Mamas A Mamas
BACKGROUND: The influence of marital status on the incidence of cardiovascular disease (CVD) and prognosis after CVD is inconclusive. We systematically reviewed the literature to determine how marital status influences CVD and prognosis after CVD. METHODS: A search of MEDLINE and Embase in January 2018 without language restriction was performed to identify studies that evaluated the association between marital status and risk of CVD. Search terms related to both marital status and CVD were used and included studies had to be prospective in design...
June 19, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29915144/explanatory-power-of-gender-relations-in-cardiovascular-outcomes-the-missing-piece-of-the-puzzle
#16
EDITORIAL
Valeria Raparelli, Marco Proietti, Stefania Basili
No abstract text is available yet for this article.
June 18, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29915143/a-propensity-matched-analysis-of-robotic-minimally-invasive-and-conventional-mitral-valve-surgery
#17
Robert B Hawkins, J Hunter Mehaffey, Matthew M Mullen, Wiley L Nifong, W Randolph Chitwood, Marc R Katz, Mohammed A Quader, Andy C Kiser, Alan M Speir, Gorav Ailawadi
OBJECTIVES: Institutional studies suggest robotic mitral surgery may be associated with superior outcomes. The objective of this study was to compare the outcomes of robotic, minimally invasive (mini), and conventional mitral surgery. METHODS: A total of 2300 patients undergoing non-emergent isolated mitral valve operations from 2011 to 2016 were extracted from a regional Society of Thoracic Surgeons database. Patients were stratified by approach: robotic (n=372), mini (n=576) and conventional sternotomy (n=1352)...
June 18, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29907645/global-rising-trends-of-atrial-fibrillation-a-major-public-health-concern
#18
EDITORIAL
Nileshkumar J Patel, Varunsiri Atti, Raul D Mitrani, Juan F Viles-Gonzalez, Jeffrey J Goldberger
No abstract text is available yet for this article.
June 15, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29903805/different-defibrillation-strategies-in-survivors-after-out-of-hospital-cardiac-arrest
#19
Jolande A Zijlstra, Rudolph W Koster, Marieke T Blom, Freddy K Lippert, Leif Svensson, Johan Herlitz, Jo Kramer-Johansen, Mattias Ringh, Mårten Rosenqvist, Thea Palsgaard Møller, Hanno L Tan, Stefanie G Beesems, Michiel Hulleman, Andreas Claesson, Fredrik Folke, Theresa Mariero Olasveengen, Mads Wissenberg, Carolina Malta Hansen, Soren Viereck, Jacob Hollenberg
BACKGROUND: In the last decade, there has been a rapid increase in the dissemination of automated external defibrillators (AEDs) for prehospital defibrillation of out-of-hospital cardiac arrest patients. The aim of this study was to study the association between different defibrillation strategies on survival rates over time in Copenhagen, Stockholm, Western Sweden and Amsterdam, and the hypothesis was that non-EMS defibrillation increased over time and was associated with increased survival...
June 14, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29875140/validity-of-inducible-ischaemia-as-a-surrogate-for-adverse-outcomes-in-stable-coronary-artery-disease
#20
Adam Timmis, Antony Raharja, R Andrew Archbold, Anthony Mathur
Regional myocardial ischaemia is commonly expressed as exertional angina in patients with stable coronary artery disease (CAD). It also associates with prognosis, risk tending to increase with the severity of ischaemia. The validity of myocardial ischaemia as a surrogate for adverse clinical outcomes, however, has not been well established. Thus, in cohort studies, ischaemia testing has failed to influence rates of myocardial infarction and coronary death. Moreover, in clinical studies, pharmacological and interventional treatments that are effective in correcting ischaemia have rarely been shown to reduce cardiovascular (CV) risk...
June 6, 2018: Heart: Official Journal of the British Cardiac Society
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