Daily Archive: November 9, 2011

Nov 09

Antithrombotic therapy for patients with atrial fibrillation

In patients with atrial fibrillation for whom anticoagulant therapy is chosen, if available and affordable one should use a direct thrombin inhibitor (dabigatran) or a factor Xa inhibitor (apixaban or rivaroxaban) rather than warfarin. The randomized RE-LY trial (2009) has shown that dabigatran 150 mg twice daily was more effective for stroke prevention than adjusted-dose …

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Nov 09

Sickle cell patient can have open heart surgery

Sickle Cell Anemia is common in India especially in the Vidharba area. Doing open heart surgery in them is a challenge during and after the procedure due to induced hypoxia, acidosis and hypovolumia. Doctors from Fortis Escorts Heart Institute Delhi have shown that taking care of hypoxia. Acidosis and hypovolumia and using exchange blood transfusion, …

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Nov 09

Smoking and health

Until now smoking was linked to ulcerative colitis and Alzheimer’s disease. But a new study has shown that the combination of smoking and drinking reduces the risk of multiple myeloma, with most of the effect coming from alcohol consumption. As compared with people who neither smoked nor drank alcohol, people who did both had a …

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Nov 09

TCT 2011 update

1. Team Work more important than fight in treating stable angina 2. Cooperation is rapidly replacing competition in the cardiovascular world as both surgeons and interventionalists are signing on to the “heart team” for treatment of patients with stable coronary disease. 3. Trans radial or transfemoral: Same radiation exposure Transradial access for angiography or stenting …

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Nov 09

TCT Update:ACEF new tool for assessment PCI Outcome

A risk assessment score that uses age, creatinine level, and ejection fraction (ACEF) was a good predictor of death in patients undergoing PCI in routine clinical practice. The ACEF score is calculated by dividing age by ejection fraction and then adding 1 to the score if creatinine level is greater than 2 mg/dL. Low tertile …

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Nov 09

Rotational angiography (dynact) in ablation procedures in chambers other than LA

In a study to be presented by Dr Vikas Kataria and colleagues (Amitabh Yaduvanshi, Manoj Kumar, Mohan Nair) from Max Super Specialty Hospital, Delhi in the forthcoming g 63rd Annual CSI meeting to be held in Mumbai later this year the Use of DynaCT to create real-time 3D images of any chamber of the heart …

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