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More recent trials, and meta-analyses of all trials, have shown a reduction in death and myocardial infarction (MI) with a routine invasive strategy vs an ischemia or symptom-driven invasive strategy over 6-24 months for patients with non-ST elevation (E) acute coronary syndrome (ACS). However, an increase in death during the initial hospitalization in the routine invasive arm makes long-term outcome data important. Thus, the British Heart Foundation RITA 3 trial 5-year data are of interest.
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In patients presenting with high-risk STEMI, TNK plus immediate angioplasty reduced the risk of recurrent ischemic events compared with TNK alone and was not associated with an increase in major bleeding complications.
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Arrhythmia is the primary problem rather than a marker of an underlying cardiomyopathy.
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Left atrial remodeling in competitive athletes may be regarded as a physiologic adaptation to exercise conditioning, largely without adverse clinical consequences.
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QRS duration does not predict occurrence of VT or VF necessitating ICD therapy.
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Aortic stenosis increases the risk of MI, but not overall mortality with noncardiac surgery.
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Kiefer D. Black cohosh and menopause: Is it still hot? Altern Med Alert 2006;9(12):133-137.
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O'Mathuna DP. Exercise during and after cancer treatment. Altern Med Alert 2006;9(12):137-140.
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Greenfield RH. Gut reaction: Curcumin and colorectal cancer. Altern Med Alert 2006;9(12):140-142. Greenfield RH. Popeye was right! Olive oil (Oyl?) and the heart. Altern Med Alert 2006;9(12):142-143. Greenfield RH. D better it is: D2 or D3? Altern Med Alert 2006;9(12):143-144. Greenfield RH. Pomegranates Mess? A brief report. Altern Med Alert 2006;9(12):144.
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Physical activity at work or during leisure time is linked to a 50% lower risk of getting colon cancer. Both vigorous and moderate levels of physical activity appear to reduce this risk.
