Clinical Cardiology Alert – April 1, 2010
April 1, 2010
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STEMI Patients with Multi-vessel Disease — Culprit Vessel PCI Vs. Multi-vessel PCI
Patients presenting with ST-segment elevation myocardial infarction (STEMI) often have co-existing lesions in the non-infarct arteries (i.e., they have multi-vessel disease). -
Sirolimus-eluting Stents for Restenosis of Bare-metal Stents
In-stent restenosis (ISR) is the Achilles' heel of bare-metal stents (BMS). -
Management of Asymptomatic Severe Aortic Stenosis
Calcific aortic stenosis (AS) in older subjects is an important problem, but should the aortic valve be replaced? It is widely accepted that severe symptomatic AS patients should be seriously, even urgently, considered for AV replacement, particularly if there is evidence of early heart failure. -
NT-pro BNP
Natriuretic peptide levels (BNP, NT-proBNP) are of prognostic value in general populations, but whether they add information to other known risk factors for cardiovascular outcomes is less clear. -
ICDs and Hospice
The authors sent a survey questionnaire to almost 800 hospices. Responses were obtained from 414. The survey asked an administrator whether or not their facility had admitted patients with active ICDs, whether any of these patients had been shocked in the past year, and whether any patient had received multiple shocks. -
Atrial Fibrillation Ablation in Women
In this paper, Patel et al, from five major ablation centers, report on the results of catheter ablation for atrial fibrillation in women. -
Clinical Briefs in Primary Care Supplement
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Pharmacology Watch
FDA is reviewing safety of TZDs; SSRI use with tamoxifen; Metformin smells like fish; FDA Actions.