Monthly Archive: February 2016

Feb 29

Circulation: Cardiovascular Quality and Outcomes Update – Young women at greater risk of adverse outcomes post-PCI

Young women, despite having less severe angiographic coronary artery disease (CAD), are at an increased risk of target vessel and target lesion failure following percutaneous coronary intervention (PCI). Although procedural success rates were similar by sex, the cumulative rate of major adverse cardiovascular events (MACE) at 1 year was higher in young women (27.8 vs …

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Feb 28

JACC: Cardiovascular Imaging Update – CCTA and QCA show comparable results

A prospective comparative study published online Feb 10 in the Journal of the American College of Cardiology: Cardiovascular Imaging has concluded that coronary computed tomography angiography (CTA) and invasive quantitative coronary angiography (QCA) performed equally well in the detection and exclusion of lesion-specific ischemia. No differences between CTA and QCA existed for discrimination of ischemia …

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Feb 21

Study links CKD to cardiovascular and overall mortality in patients with type 2 diabetes

A new study in the March 2016 issue of the Journal of Diabetes and Complications has pointed out baseline chronic kidney disease (CKD) and CKD stage as an independent risk factor for cardiovascular and all-cause mortality in Spanish patients with type 2 diabetes mellitus including separate subsamples of men and women as well as in …

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Feb 20

Screening for carotid plaque, a better tool to detect stroke risk in asymptomatic patients with type 2 diabetes

All patients with type 2 diabetes mellitus are not at an equal risk of developing cardiovascular disease. A prospective study evaluated various imaging modalities and clinical data to screen for cardiovascular disease in asymptomatic diabetics. The study found that most patients in this group did not have coronary artery disease when screened with coronary computed …

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Feb 18

Journal of American College of Cardiology Update – Hospital survivors of acute MI with cardiogenic shock have a higher risk of death in the early post-discharge period

A national registry has shown that 33.9% of patients with cardiogenic shock had been re-hospitalized or died at 60 days as compared with 24.9% of myocardial infarction (MI) patients who did not go into shock. But this difference was not evident after this period. At one year, both groups had similar rates, 59.1% and 52.3%, …

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Feb 11

Ticagrelor provides more potent platelet inhibition vs clopidogrel

A pharmacodynamics study provides evidence for the superior pharmacodynamic potency of ticagrelor over clopidogrel and has shown that in low-risk troponin-negative patients with acute coronary syndrome undergoing ad hoc PCI, ticagrelor loading dose provides more prompt and potent platelet inhibition and lower HPR rates compared with clopidogrel loading dose. In their study, Roxana Mehran, MD, …

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Feb 09

Study identified Risk factors of mortality after surgical repair of post-AMI VSDs

Surgical repair of ventricular septal defects (VSDs) following acute myocardial infarction carries a high operative mortality. This was the conclusion drawn from a Retrospective analysis and review of the literature that analyzed the associated risk factors and outcomes of surgical repair of post-infarction VSDs. Alexandre Cinq-Mars, Research Center, Institut Universitaire de Cardiologie et de Pneumologie …

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Feb 07

ECHO underused

A study published in the February 9, 2016 issue of the Journal of the American College of Cardiology ‘U.S. Hospital Use of Echocardiography Insights From the Nationwide Inpatient Sample’ by Alexander Papolos and colleagues has suggested that contrary to the popular perception and as claimed, echocardiography is actually ‘grossly underused’ in US hospitals during hospitalization …

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Feb 06

Echocardiography may help risk stratification in patients with type 2 diabetes with no cardiac disease

Patients with type 2 diabetes are at a higher risk of cardiac complications. Ju-Hua Liu and Yan Chen, from Division of Cardiology, Dept. of Medicine, The University of Hong Kong, Queen Mary Hospital and Department of Medicine, Meishan People′s Hospital, Hong Kong, China and coresearchers undertook a study to evaluate if global longitudinal strain had …

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Feb 04

Journal of American College of Cardiology Update – CAC best method to screen for cardiovascular risk in type 2 diabetes

Coronary artery calcium imaging, followed by a functional stress test if the calcium score is high, may be the best way to ascertain the cardiovascular risk in asymptomatic patients with type 2 diabetes. Lead author, Matthew Budoff, MD, of the University of California Los Angeles said that new evidence suggests that diabetes is not necessarily …

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