Interventional

Transcatheter vs Surgical Aortic Valve Replacement in COPD

Transcatheter vs Surgical Aortic Valve Replacement in COPD

In patients with COPD, transcatheter aortic valve replacement was associated with fewer respiratory-related complications than surgical aortic valve replacement.

Loading Atorvastatin Doses Before and After PCI in ACS for MACE Prevention

Loading Atorvastatin Doses Before and After PCI in ACS for MACE Prevention

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Major adverse cardiovascular events were not reduced in patients with acute coronary syndrome undergoing planned percutaneous coronary intervention when given 2 loading doses of atorvastatin.

Delayed Coronary Obstruction Rare After TAVR

Delayed Coronary Obstruction Rare After TAVR

Although rare, delayed coronary obstruction after transcatheter aortic valve replacement was tied to a 50% in-hospital mortality rate.

Improved Outcomes With CABG vs PCI for Diabetes With LV Dysfunction

Improved Outcomes With CABG vs PCI for Diabetes With LV Dysfunction

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Aim of study was to determine whether treatment with percutaneous coronary intervention or coronary artery bypass grafting leads to improved outcomes in patients with diabetes, coronary artery disease, and left ventricular dysfunction.

Rapid Deployment Valve for Aortic Stenosis Ups Stroke Risk

Rapid Deployment Valve for Aortic Stenosis Ups Stroke Risk

Rapid deployment valve use linked to increased rates of pacemaker implantation and disabling stroke, but not mortality.

Variation in Quality of ICD Advice on Patient Message Boards

Variation in Quality of ICD Advice on Patient Message Boards

Overall, 24.4% of instances of medical advice regarding implanted cardiac defibrillators were considered inappropriate for most patients.

Pulmonary Hypertension Mortality Following Cardiac Catheterization

Pulmonary Hypertension Mortality Following Cardiac Catheterization

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Patients with pulmonary hypertension have a high risk for adverse events during and following cardiac catheterization, but high case volume may help ameliorate this risk.

Smartphone Application Shows Promise for Assessing Ulnar Artery Patency

Smartphone Application Shows Promise for Assessing Ulnar Artery Patency

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The smartphone heart rate monitoring application had higher diagnostic accuracy compared with standard physical examination for determining ulnar artery patency prior to radial access.

Genotype-Guided Antiplatelet Therapy Feasible, Effective

Genotype-Guided Antiplatelet Therapy Feasible, Effective

Genotype-guided therapy improved outcomes in patients who were CYP2C19 intermediate and poor metabolizers.

Aortic Valve Replacement in Elderly Tied to High Mortality

Aortic Valve Replacement in Elderly Tied to High Mortality

Clinically relevant and subclinical structural valve degeneration seen in 6.6% and 30.1%, respectively.

Lower Thromboembolic Risk With New Afib After CABG vs NVAF

Lower Thromboembolic Risk With New Afib After CABG vs NVAF

For patients post coronary artery bypass graft surgery, new-onset postoperative atrial fibrillation is associated with lower long-term thromboembolic risk than that seen among patients with nonvalvular atrial fibrillation.

Patent Foramen Ovale Characteristics May Predict Benefits of PFO Closure

Patent Foramen Ovale Characteristics May Predict Benefits of PFO Closure

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Patent foramen ovale closure resulted in a lower recurrence of stroke in patients with cryptogenic stroke and high-risk PFO characteristics.

Magnetically Levitated Centrifugal- vs Continuous-Flow Pump for Advanced HF

Magnetically Levitated Centrifugal- vs Continuous-Flow Pump for Advanced HF

A magnetically levitated centrifugal-flow pump was superior to a mechanical-bearing axial continuous-flow pump in patients with advanced heart failure.

FDA Approves Mechanical Heart Valve for Use in Infants

FDA Approves Mechanical Heart Valve for Use in Infants

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The FDA has approved a new size of the Masters Series Mechanical Heart Valve with Hemodynamic Plus Sewing Cuff for use in newborn patients with heart defects.

PCI: Prevalence and Effect of Silent Diabetes

PCI: Prevalence and Effect of Silent Diabetes

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Abnormal glucose metabolism may be present in patients with undetected diabetes after percutaneous coronary intervention.

LVAD Shared Decision-Making Program Demonstrates Improved Patient Knowledge

LVAD Shared Decision-Making Program Demonstrates Improved Patient Knowledge

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A shared decision-making program between patients with end-stage heart failure being considered for destination therapy left ventricular assist device and their caregivers was associated with improvement in patient knowledge.

CABG May Have Better Outcomes Than PCI in Diabetes With LV Dysfunction

CABG May Have Better Outcomes Than PCI in Diabetes With LV Dysfunction

In patients with diabetes, multivessel coronary artery disease, and left ventricular dysfunction, coronary artery bypass grafting was associated with a reduction in major adverse cardiac and cerebrovascular events and mortality.

Safety, Effectiveness of Drug-Eluting Stents in Left Main CAD

Safety, Effectiveness of Drug-Eluting Stents in Left Main CAD

There were no significant differences for the observed 3-year rates of target vessel failure for different types of drug-eluting stents in patients with left main coronary artery disease.

Cardiac Catheterization Labs May Be More Efficient With Quality Improvement Initiative

Cardiac Catheterization Labs May Be More Efficient With Quality Improvement Initiative

A quality improvement intervention can reduce inefficiencies in the cardiac catheterization lab.

Patent Foramen Ovale May Increase Ischemic Stroke Risk Before Noncardiac Surgery

Patent Foramen Ovale May Increase Ischemic Stroke Risk Before Noncardiac Surgery

Preoperatively diagnosed patent foramen ovale is associated with increased risk for perioperative ischemic stroke in adults undergoing noncardiac surgery.

Patent Foramen Ovale Closure Does Not Reduce Migraine Headaches

Patent Foramen Ovale Closure Does Not Reduce Migraine Headaches

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Percutaneous closure of patent foramen ovale is not associated with a reduction in migraine headaches in patients with and without aura.

Post-CABG, PCI Medical Therapy Adherence

Post-CABG, PCI Medical Therapy Adherence

Compliance with guideline-directed medical therapy is low, but remains higher in PCI than in CABG.

TAVR, SAVR Mortality Risk Increased With Depression

TAVR, SAVR Mortality Risk Increased With Depression

The presence of depressive symptoms among older adults undergoing TAVR or SAVR increases the risk of mortality.

Distance From Cardiac Catheterization Center Affects Survival in ACS With Cardiogenic Shock

Distance From Cardiac Catheterization Center Affects Survival in ACS With Cardiogenic Shock

Distance from cardiac catheterization center independently predicts survival in ACS with cardiogenic shock.

A 35-Year-Old Pregnant Woman Presents With Progressive Dyspnea and Palpitations

A 35-Year-Old Pregnant Woman Presents With Progressive Dyspnea and Palpitations

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A 35-year-old pregnant woman presents to the emergency department with progressive dyspnea and palpitations that have worsened during the last 3 weeks.

Atrial Fibrillation With Heart Failure: Better Outcomes With Ablation

Atrial Fibrillation With Heart Failure: Better Outcomes With Ablation

Catheter ablation was associated with a significant reduction in a composite end point of death from any cause or hospitalization for worsening heart failure in patients with atrial fibrillation.

CABG Offers Better Long-Term Outcomes in Younger Adults With CAD

CABG Offers Better Long-Term Outcomes in Younger Adults With CAD

Percutaneous coronary intervention is associated with increased rates of adverse outcomes compared with CABG in patients with 3-vessel CAD.

Anticoagulation During Cardiopulmonary Bypass: First-Ever Guidelines Released

Anticoagulation During Cardiopulmonary Bypass: First-Ever Guidelines Released

Clinical practice guidelines for anticoagulation therapy for cardiopulmonary bypass have been developed.

Percutaneous patent foramen ovale closure is superior to medical treatment alone in preventing recurrent stroke

Patent foramen ovale (PFO) closure was superior to medical treatment alone in preventing transient ischemic attack and recurrent stroke. However, PFO closure also raised the risk for atrial fibrillation or atrial flutter in people with PFO and cryptogenic stroke.

Thrombectomy between 6 and 24 hours after acute stroke reduces disability: The DAWN trial

Thrombectomy performed between 6 and 24 hours after onset of acute stroke in patients with a mismatch between stroke symptoms and infarct volume results in better disability outcomes compared to standard care alone.

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