Clinical Cardiology Alert – September 1, 2019
September 1, 2019
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Life Expectancy After Aortic Valve Replacement
This Swedish national study of longevity following aortic valve surgery showed that, overall, life expectancy declined by about two years, but was higher for patients younger than 50 years of age.
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Enterococcus faecalis Endocarditis Risk Factors
A large, prospective observational study of echocardiography in all patients with Enterococcus faecalis bacteremia showed a high incidence of infective endocarditis.
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More Experience Leads to Better Outcomes With MitraClip
In this analysis of MitraClip procedures from the Transcatheter Valve Therapy registry, the authors demonstrated improvements in procedure success and safety with increasing institutional experience with the device.
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Lower Systolic Blood Pressure Associated With Increased Mortality in Systolic Heart Failure Patients
Systolic blood pressure less than 130 mmHg was associated with increased mortality in a Medicare population with systolic heart failure.
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Do Defibrillators Improve Mortality in Dialysis Patients?
In patients with left ventricular ejection fraction ≥ 35% undergoing dialysis, the insertion of a prophylactic implantable cardioverter defibrillator carries a relatively high risk for adverse events and does not significantly decrease sudden cardiac death or mortality.