Clinical Cardiology Alert – February 1, 2017
February 1, 2017
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NOACs in Patients Requiring Anticoagulation Post-PCI
In patients with atrial fibrillation post-percutaneous coronary intervention with stent placement, recently studied regimens conferred a significantly lower risk of clinically important bleeding compared to standard triple therapy with full-dose warfarin.
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Orbiting the Truth of Heart Failure Incidence and Implications in Those with Prevalent Atrial Fibrillation
Patients presenting with atrial fibrillation are at elevated risk for the development of heart failure, typically with preserved ejection fraction, which is associated with increased risk of death and hospitalization.
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A New Risk Score for Stroke in Atrial Fibrillation
A new, simpler score for stroke risk prediction in atrial fibrillation patients uses biomarkers to supplant many clinical variables and outperforms the CHA2DS2-VASc score in two large cohorts.
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Utility of Serial Coronary Calcium Scores
Researchers determined recently that if serial scans are performed, the most recent scan should be used for risk assessment, and the degree of CT calcium score progression adds no further prognostic information.
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Troponin Highly Prognostic in Decompensated Heart Failure with Preserved Ejection Fraction
Among patients with acute decompensated heart failure and preserved ejection fraction, elevated troponin is associated with worse in-hospital outcomes and long-term survival, independent of other predictors.