Clinical Cardiology Alert – March 1, 2022
March 1, 2022
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CABG Wins Again for Multivessel Disease
In this contemporary trial of revascularization for multivessel disease, fractional flow reserve-guided percutaneous coronary intervention failed to meet noninferiority guidelines vs. coronary artery bypass grafting.
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Coronary Calcium Score Zero: Are You Home Free?
Among those with a coronary calcium score of 0 after a median follow-up of 16 years, current cigarette smoking, diabetes, and hypertension were independently associated with the development of atherosclerotic cardiovascular disease.
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Does Electrode Position Affect the Results of Cardioversion?
A randomized trial of anteroposterior vs. anterolateral electrode positioning for the biphasic energy cardioversion of atrial fibrillation showed the anterolateral positioning is most effective.
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How Certain is a Negative Echocardiogram for Excluding Infective Endocarditis?
Applying the proposed strict negative criteria for infective endocarditis (IE) on the first echocardiogram indicated this approach largely prevented unnecessary repeat tests unless clinically indicated for continued suspicion of IE.
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Is Cannabis Use a Marker for Atherosclerotic Cardiovascular Disease?
Admitted cannabis use was associated with an increase in the pooled risk of atherosclerosis score in a graded fashion based on the frequency of use, which was consistent across subgroups based on the presence of hypertension, obesity, and hyperlipidemia.