Clinical
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When to Repair the Tricuspid Valve with Mitral Surgery
In patients undergoing mitral valve repair with moderate tricuspid regurgitation or tricuspid annular dilatation, tricuspid annuloplasty is safe and is associated with improved long-term right ventricular function.
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Two Studies Weaken the Case for Drug-Eluting Balloon Treatment of Coronary In-stent Restenosis
Repeat stenting with drug-eluting stents should, for now, be considered the default treatment for in-stent restenosis.
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Refining Stroke Risk Prediction in Heart Failure Without Atrial Fibrillation
ABSTRACT & COMMENTARY: A high-risk subgroup of heart failure patients without atrial fibrillation can be identified using simple clinical variables.
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Are Beta-blockers Post-CABG Indicated?
In post-coronary artery bypass graft surgery patients, long-term beta-blocker use was associated with lower rates of death and major adverse cardiac and cerebrovascular events.
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Time to Shelve Warfarin for Atrial Fibrillation Patients?
Patients with atrial fibrillation taking oral anticoagulants exhibited a decline in renal function that was greatest with warfarin use vs dabigatran use.
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Mammography and the Overdiagnosis of Breast Cancer: What to Do?
A new study reports that the incidence of breast cancer is higher in counties with high rates of mammography screening, but screening is not associated with a decrease in breast-cancer deaths. The decision of whether and how often to perform mammography requires a discussion of the potential consequences of both true positive and false positive screening tests.
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Vulvar Lichen Sclerosus: How Long Should Women Be Treated?
In this prospective cohort study, women with vulvar lichen sclerosus who were compliant with preventive topical corticosteroids were significantly less likely to develop vulvar intraepithelial neoplasia and squamous cell carcinoma than women who were partially compliant with therapy.
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Reviewing VTE Risk with Newer Progestins — Journal Watch, We Think You're Wrong
We disagree with a review of a new study on the elevated risk of VTE in users of combined pills. Our abstract & commentary digs deep.
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Measuring the Quality of Care Provided to Women with Pelvic Organ Prolapse
Quality can be measured for women with pelvic organ prolapse, and in many areas the care of women with this condition can be improved.
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Cryptogenic Stroke and Atrial Fibrillation
In large prospective databases of ischemic stroke, cryptogenic stroke occurs in as many as 30% of all ischemic stroke patients. Many of these patients have the characteristics of cardioembolic stroke, and there has always been a strong suspicion that some of these patients have atrial fibrillation.