Cardiology
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Inpatient and Outpatient Care Providers: Why Can’t We Just Work Together?
The authors of this paper did a qualitative study to analyze the barriers and solutions to care coordination between hospitalists and primary care providers in North Carolina.
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Efficacy of Folic Acid Therapy in Primary Prevention of Stroke
Among adults with hypertension in China without a history of stroke or myocardial infarction, the combined use of enalapril and folic acid, compared with enalapril alone, significantly reduced the risk of first stroke.
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Right Heart Protective Ventilation Strategies
ABSTRACT & COMMENTARY: Right ventricle performance is vulnerable to the effects of both pulmonary disease and positive pressure ventilation.
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Clinical Briefs
This article covers the following topics: the saga of homocysteine and vasculopathy; roflumilast for acute exacerbations in COPD; and treatment of OSA reduces risk of repeat revascularization after PCI.
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Insights into the Association of Atrial Fibrillation and Myocardial Infarction
Given the mounting evidence suggesting that stroke, MI, and AF have pathophysiologic mechanisms in common, the presence of any one should at a minimum heighten suspicion for the others.
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The Echo Calcium Score
Aortic valve sclerosis and mitral annular calcification detected by echocardiography are known to be associated with atherosclerosis and are predictive of cardiovascular morbidity and mortality.
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Antibiotic Prophylaxis Guidelines and Endocarditis Rates
Despite the limitations of this type of study, it supports the U.S. view of treating high-risk patients with antibiotic prophylaxis.
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Endovascular Intervention Takes Center Stage in Treatment of Acute Stroke
Two studies join a growing body of recent evidence supporting improved clinical outcomes with interventional treatment of acute stroke.
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Valve Thrombosis After TAVR: Is It as Rare as We Thought?
A CT study demonstrates that valve thrombosis may be more common than earlier thought.
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FDA Approves Ivabradine for Systolic Heart Failure
ABSTRACT & COMMENTARY: In HF patients with a heart rate above 70 bpm, despite truly maximum-tolerated doses of beta-blockers, ivabradine is an option.