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https://www.readbyqxmd.com/read/29928863/use-of-statins-for-primary-prevention-selection-of-risk-threshold-and-implications-across-race-and-gender
#1
Abhishek Goyal, Howard A Cooper, Wilbert S Aronow, Prashant Nagpal, Sriktanth Yandrapalli, Christopher C Nabors, William F Frishman
BACKGROUND: The 2016 US Preventive Services Task Force (USPSTF) guidelines for primary prevention statin therapy are more restrictive than the 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines. There are important differences in how application of the risk thresholds from these guidelines would impact particular segments of the US population. METHODS: Data from the National Health and Nutrition Examination Surveys (NHANES - 2005-14) were used to determine statin eligibility across age, gender and racial/ethnic groups using criteria from the 2013 ACC/AHA and 2016 USPSTF guidelines...
June 18, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29928812/young-investigator-award-session-i-sport-cardiology
#2
(no author information available yet)
No abstract text is available yet for this article.
June 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/29928314/anticoagulant-therapy-for-acute-coronary-syndromes
#3
REVIEW
Eunice Nc Onwordi, Amr Gamal, Azfar Zaman
Anticoagulation in conjunction with antiplatelet therapy is central to the management of acute coronary syndromes (ACS). When used effectively it is associated with a reduction in recurrent ischaemic events including myocardial infarction and stent thrombosis as well as a reduction in death. Effective ischaemic risk reduction whilst balancing bleeding risk remains a clinical challenge. This article reviews the current available evidence for anticoagulation in ACS and recommendations from the European Society of Cardiology...
May 2018: Interventional Cardiology
https://www.readbyqxmd.com/read/29927782/is-the-time-between-first-diagnosis-of-paroxysmal-atrial-fibrillation-and-cryoballoon-ablation-a-predictor-of-efficacy
#4
Maurizio Lunati, Giuseppe Arena, Saverio Iacopino, Roberto Verlato, Claudio Tondo, Antonio Curnis, Stefano Porcellini, Luigi Sciarra, Giulio Molon, Gaetano Senatore, Loira Leoni, Giovanni Battista Perego, Werner Rauhe, Patrizia Pepi, Maurizio Landolina
AIMS: Cryoablation is an indicated therapy for the treatment of recurrent atrial fibrillation through pulmonary vein isolation; however, the optimal time between first diagnosis of atrial fibrillation and cryoablation is still unknown. We aimed to assess the clinical efficacy and safety of early versus later treatment of patients with paroxysmal atrial fibrillation by cryoablation. METHODS: Five hundred and ten patients underwent atrial fibrillation cryoablation and were prospectively followed for at least 6 months in 43 Italian cardiology centers...
June 20, 2018: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/29927711/a-systematic-review-of-asynchronous-provider-to-provider-electronic-consultation-services-to-improve-access-to-specialty-care-available-worldwide
#5
Clare Liddy, Isabella Moroz, Ariana Mihan, Nikhat Nawar, Erin Keely
BACKGROUND: Electronic consultation (eConsult) is an asynchronous electronic communication tool allowing primary care providers to obtain a specialist consultant's expert opinion in a timely manner, thereby offering a potential solution to excessive wait times for specialist care, which remain a serious concern in many countries. INTRODUCTION: Our 2014 review of eConsult services demonstrated feasibility and high acceptability among patients and providers. However, gaps remain in knowledge regarding eConsult's impact on system costs and patient outcomes...
June 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29926102/jama-cardiology
#6
(no author information available yet)
No abstract text is available yet for this article.
June 1, 2018: JAMA Cardiology
https://www.readbyqxmd.com/read/29925608/respectful-care-of-human-dignity-how-is-it-perceived-by-patients-and-nurses
#7
Rahime Aydın Er, Aysel İncedere, Selda Öztürk
OBJECTIVE: Dignified care protects the patient's rights and provides appropriate ethical care while improving the quality of nursing care. In this context, the opinions of nurses and patients who receive nursing care about dignified care are important. The aim of this study was to explore the opinions and experiences of Turkish patients and nurses about respectful care of human dignity. METHODS: This descriptive cross-sectional study was conducted in Turkey. Participants were inpatients at cardiology, neurology and neurosurgery clinics and nurses working in these clinics...
June 20, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29925455/examining-variation-in-interstage-mortality-rates-across-the-national-pediatric-cardiology-quality-improvement-collaborative-do-lower-mortality-centres-have-lower-risk-patients
#8
Katherine E Bates, Sunkyung Yu, Ray Lowery, Sara K Pasquali, David W Brown, Peter B Manning, Karen Uzark
BACKGROUND: Although interstage mortality for infants with hypoplastic left heart syndrome has declined within the National Pediatric Cardiology Quality Improvement Collaborative, variation across centres persists. It remains unclear whether centres with lower interstage mortality have lower-risk patients or whether differences in care may explain this variation. We examined previously established risk factors across National Pediatric Cardiology Quality Improvement Collaborative centres with lower and higher interstage mortality rates...
June 21, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29925178/-chinese-expert-consensus-on-use-of-parenteral-anticoagulants-during-the-peri-percutaneous-coronary-intervention-period
#9
(no author information available yet)
No abstract text is available yet for this article.
June 24, 2018: Zhonghua Xin Xue Guan Bing za Zhi
https://www.readbyqxmd.com/read/29924787/-staged-treatment-of-a-multilevel-lesion-of-brachiocephalic-arteries-in-combination-with-coronary-and-valvular-pathology-of-the-heart
#10
M A Cherniavskiĭ, A A Gusev, D V Chernova, I V Iarkov, M L Gordeev
Prevention of neurological complications in cardiosurgical and reconstructive vascular surgery is one of the priority tasks of preserving ability to work and decreasing invalidization of patients in the postoperative period. Presented in the article is a clinical case report regarding multiple-stage treatment of a female patient with a combined aortic defect, coronary pathology, and a multilevel bilateral lesion of the brachiocephalic arteries. The first stage consisted in performing a hybrid operation, i. e...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29924371/discrepancy-between-the-european-clinical-guidelines-and-myocardial-revascularization-in-patients-with-stable-coronary-artery-disease-in-russia
#11
Anton R Kiselev, Alexey S Korotin, Olga M Posnenkova, Yulia V Popova, Mikhail D Prokhorov, Vladimir I Gridnev
Objective: In European Society of Cardiology/European Association for Cardio-Thoracic Surgery (ESC/EACTS) guidelines, six indications have been proposed for making a decision on myocardial revascularization in patients with stable coronary artery disease (CAD). Our aim was to study a discrepancy between the actual clinical situation and ESC/EACTS indications on performing the revascularization in patients with CAD in Russia. Design and setting: We used retrospective clinical data on patients with stable CAD enrolled in the 2012-2015 Russian Registry of Hypertension, Coronary Artery Disease, and Chronic Heart Failure...
June 19, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29923127/pregnancy-associated-myocardial-infarction
#12
REVIEW
Michael C Honigberg, Nandita S Scott
PURPOSE OF REVIEW: To educate clinicians about the epidemiology, etiologies, diagnosis, and management of pregnancy-associated myocardial infarction (PAMI). RECENT FINDINGS: The risk of myocardial infarction is increased more than threefold around the time of pregnancy. In the recent series, PAMI is most commonly caused by spontaneous coronary artery dissection, followed by atherosclerosis. Percutaneous coronary intervention or coronary artery bypass grafting may be required, but conservative management with medical therapy is generally advised when possible, particularly in cases of coronary dissection...
June 19, 2018: Current Treatment Options in Cardiovascular Medicine
https://www.readbyqxmd.com/read/29923105/guidelines-in-review-comparison-of-esc-and-aha-guidance-for-the-diagnosis-and-management-of-infective-endocarditis-in-adults
#13
David J Murphy, Munaib Din, Fadi G Hage, Eliana Reyes
Over recent years, new evidence has led a rethinking of the available guidance on the diagnosis and management of infective endocarditis (IE). This review compares the most recently available guidance provided by the American Heart Association (AHA) IE Writing Committee, and the Task Force for the management of IE of the European Society of Cardiology (ESC). This represents the sixth of a new series of comparative guidelines review published in the Journal.
June 19, 2018: Journal of Nuclear Cardiology: Official Publication of the American Society of Nuclear Cardiology
https://www.readbyqxmd.com/read/29922729/the-heart-score-a-guide-to-its-application-in-the-emergency-department
#14
REVIEW
William Brady, Katya de Souza
Chest pain is one of the most common, potentially serious presenting complaints for adult emergency department (ED) visits. The challenge of acute coronary syndrome (ACS) identification with appropriate disposition is quite significant. Many of these patients are low risk and can be managed non-urgently in the outpatient environment; other patients, however, are intermediate to high risk for ACS and should be managed more aggressively, likely with inpatient admission and cardiology consultation. The HEART score, a recently derived clinical decision rule aimed at the identification of risk in the undifferentiated chest pain patient, is potentially quite useful as an adjunct to physician medical decision-making...
June 2018: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29922535/exploring-the-difference-in-post-procedural-stroke-rates-between-patients-with-aortic-stenosis-who-undergo-transcatheter-aortic-valve-replacement-versus-surgical-aortic-valve-replacement
#15
REVIEW
Heather Burke, Agnieszka Boron, Jung-Hyun Lee, Kudrit Riana Kahlon
Transcatheter aortic valve replacement (TAVR) is a newer alternative to surgical aortic valve replacement (SAVR) for patients with severe aortic stenosis. Clinical trials have investigated TAVR's safety and effectiveness. Cerebral embolization is a common complication leading to stroke after TAVR and SAVR; different cerebral protection methods have been studied to prevent this. This paper evaluates the rate of post-procedural stroke rates between TAVR and SAVR and investigates the effect of cerebral protective methods on the stroke risk post-TAVR...
April 17, 2018: Curēus
https://www.readbyqxmd.com/read/29921927/the-level-of-rock1-and-rock2-in-patients-with-pulmonary-hypertension-in-plateau-area
#16
Bing Liu, Rong Chang, Zhili Duan, Xiaofei Zhang, Yusong Shen, Xiangbo Liu, Jinchun Wu, Yajun Tuo, Junming Luo
Pulmonary hypertension (PH) is defined as the mean pulmonary artery pressure (mPAP) ≥25 mmHg under the sea level in resting state. ROCK1 and ROCK2 can be combined to cause the damage of vascular endothelial function. To explore the differences of ROCK1 and ROCK2 in subjects with pulmonary hypertension or normal pulmonary artery pressure in plateau area, and to further understand the mechanism of Rho/rho-kinase pathway activation for promoting pulmonary hypertension, we collected 64 patients with pulmonary hypertension and 87 normal pulmonary artery healthy controls...
June 19, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29920371/cysteinyl-leukotriene-pathway-as-a-new-therapeutic-target-for-the-treatment-of-atherosclerosis-related-to-obstructive-sleep-apnea-syndrome
#17
Elodie Gautier-Veyret, Magnus Bäck, Claire Arnaud, Elise Belaïdi, Renaud Tamisier, Patrick Lévy, Nathalie Arnol, Marion Perrin, Jean-Louis Pépin, Françoise Stanke-Labesque
AIMS: Obstructive sleep apnea (OSA) characterized by nocturnal intermittent hypoxia (IH) is associated with atherosclerosis and cysteinyl-leukotrienes (CysLT) pathway activation. We aimed to identify the determinants of CysLT pathway activation and the role of CysLT in OSA-related atherosclerosis. METHODS AND RESULTS: Determinants of the urinary excretion of LTE4 (U-LTE4 ) including history of cardiovascular events, polysomnographic and biological parameters were studied in a cohort of 170 OSA patients and 29 controls, and in a subgroup of OSA patients free of cardiovascular event (n = 136)...
June 16, 2018: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/29916568/-the-suspension-trauma-syndrome-preventive-features
#18
Giuseppe Taino, Concetta R P Buonocore, Maria C Mongiovi, Enrico Oddone, Marcello Imbriani
OBJECTIVES: The suspension trauma syndrome is a clinical condition that could lead to death, also in short time, by coupling the suspension with loss of consciousness and multiorgan failure. Health risks linked to temporary work in suspension are characterized both by infortunistic ones (for instance: trauma, falls, etc.) and by clinical ones, like the suspension trauma syndrome or compressive issues due to different fall protection systems. METHODS: This study deal with the technical and medical meseasures devoted to the prevention of the suspension trauma syndrome...
December 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29916566/-chronicity-and-aging-in-cardiology-geriatric-cardiology-cardiac-rehabilitation-or-care-related-cardiogeriatric-rehabilitation-delle-cure-correlate
#19
Roberto F E Pedretti
OBJECTIVES: The population of elderly adults is constantly increasing and age is a strong determinant of the development of chronic diseases, especially cardiovascular diseases; therefore old subjects represent a very high proportion of cardiac patients. Since cardiology is progressively more and more involved in the care of aged patients, a new area of Cardiology has been identified, the Geriatric Cardiology (GC). METHODS: On the other hand, Cardiac Rehabilitation (CR) and GC show a wide overlap, and GC seems to be the application in the aged cardiac patient of the core-components that CR has already tested in younger cardiac patients...
February 2018: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29916428/prophylactic-hydration-to-protect-renal-function-from-intravascular-iodinated-contrast-material
#20
Akshay D Baheti, Bhavin Jankharia
Nijssen EC, Rennenberg RJ, Nelemans PJ, Essers BA, Janssen MM, Vermeeren MA, van Ommen V, Wildberger JE. (Departments of Radiology and Nuclear Medicine, Internal Medicine, Epidemiology, Clinical Epidemiology and Medical Technology Assessment, and Cardiology, Maastricht University Medical Centre, Maastricht, The Netherlands.) Prophylactic hydration to protect renal function from intravascular iodinated contrast material in patients at high risk of contrast-induced nephropathy (AMACING): A prospective, randomised, phase 3, controlled, open-label, non-inferiority trial...
September 2017: National Medical Journal of India
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