Clinical Cardiology Alert – January 1, 2016
January 1, 2016
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Spironolactone for Resistant Hypertension
ABSTRACT & COMMENTARY: A study says spironolactone is superior to doxazosin and bisoprolol for lowering blood pressure.
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Remote Hemodynamic Monitoring Shows Long-term Benefit in Heart Failure Patients
Remote pulmonary artery pressure monitoring in New York Heart Association class III heart failure patients resulted in fewer subsequent hospitalizations and was well tolerated.
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Management of Functional Mitral Regurgitation
In symptomatic patients with coronary artery disease, left ventricular ejection fraction < 30%, and significant mitral valve regurgitation, coronary bypass graft surgery (CABG) or CABG plus mitral valve repair should be considered.
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FAME Data Shows Durability of Fractional Flow Reserve Strategy at 5 Years
The 5-year results of the FAME study did not show any late catch up in major adverse cardiac events in the fractional flow reserve-guided group, supporting the long-term safety of the fractional flow reserve-guided approach to percutaneous coronary interventions.
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Echo Diagnosis of Left Ventricular Non-compaction
The echocardiographic diagnosis of left ventricular non-compaction is difficult, and experienced readers disagree frequently. Careful attention to suggested criteria and the use of other imaging modalities in difficult cases resolves most diagnostic disagreements.