Study: Smoking Cessation Pharmacotherapy Among Smokers Hospitalized for Coronary Heart Disease

22Aug
2017

Five-Year Outcomes after On-Pump and Off-Pump Coronary-Artery Bypass

16Aug
2017

Mitral valve prolapse and Marfan syndrome

16Aug
2017

Role of nutrition support in adult cardiac surgery

16Aug
2017

The 10-Year Prognostic Value of Zero and Minimal CAC

15Aug
2017

The 10-Year Prognostic Value of Zero and Minimal CAC – Journal of The American College of Cardiology (no abstract – $ for full text)

Commentary: Calcium in Arteries Influences Heart Attack Risk –  UT Southwestern Medical Center, via NewsWise (free) AND Study: Calcium in arteries influences heart attack risk – UPI (free)

“Half of the participants had no calcium deposits in their arteries or a zero coronary artery calcium, or CAC, score, and had less than a 3 percent chance of a cardiovascular event over a 10-year period despite having other risk factors for heart disease and stroke such as type 2 diabetes, high blood pressure and high bad cholesterol levels” (from UPI)

 

Increasing Prevalence of Atrial Fibrillation and Permanent Atrial Arrhythmias in Congenital Heart Disease

15Aug
2017

The Future of Cardiovascular Magnetic Resonance Imaging

15Aug
2017

Eliminating CK–MB Testing in Suspected Acute Coronary Syndrome

15Aug
2017

Left atrial appendage occlusion for stroke prevention in patients with atrial fibrillation

11Aug
2017

Surgical Guidelines for Perioperative Management of Older Adults

10Aug
2017

Clinical management of hypercholesterolaemia in patients with acute coronary syndromes

9Aug
2017

Optimal timing of an invasive strategy in patients with non-ST-elevation acute coronary syndrome

7Aug
2017

Optimal timing of an invasive strategy in patients with non-ST-elevation acute coronary syndrome: a meta-analysis of randomised trials – The Lancet (link to abstract – $ for full-text)

Commentary: Optimal Timing of an Invasive Strategy in NSTE-ACS Patients – American College of Cardiology, Latest in Cardiology (free)

An early invasive strategy does not reduce mortality compared with a delayed invasive strategy in most patients with NSTE-ACS, but seems to reduce mortality in high-risk patients.

 

Peri-operative myocardial injury and infarction in patients undergoing coronary artery bypass graft surgery

3Aug
2017

Resuscitative endovascular balloon occlusion of the aorta (REBOA) or open aortic cross-clamping by resuscitative thoracotomy in non-compressible torso hemorrhage patients

1Aug
2017

A meta-analysis of resuscitative endovascular balloon occlusion of the aorta (REBOA) or open aortic cross-clamping by resuscitative thoracotomy in non-compressible torso hemorrhage patients – World Journal of Emergency Surgery (free)

This meta-analysis, mainly from observational studies and including 1276 patients, suggests a positive effect of REBOA on mortality among non-compressible torso hemorrhage patients.

 

Transcatheter aortic valve implantation for aortic stenosis

28Jul
2017

Prosthetic Valve Endocarditis After Surgical Aortic Valve Replacement

27Jul
2017

Prosthetic Valve Endocarditis After Surgical Aortic Valve Replacement – Circulation (free)

Commentary: Fewer infections in mechanical heart valves – Karolinska Institutet (free)

In this large cohort with follow-up time of up to 18 years, the risk of endocarditis was about 50 per cent higher with a biological prosthesis than with a mechanical prosthesis.

 

 

Comparison of Stenting Versus Bypass Surgery According to the Completeness of Revascularization in Severe Coronary Artery Disease

27Jul
2017

Long-Term Outcomes and Prognostic Factors of Complications in Takayasu’s Arteritis

27Jul
2017

Guideline: Damage control resuscitation in patients with severe traumatic hemorrhage

25Jul
2017

Guidelines for the Surgical Treatment of Atrial Fibrillation

25Jul
2017

Guideline: Operative fixation of rib fractures after blunt trauma

25Jul
2017

The Diagnosis and Treatment of Hemoptysis

25Jul
2017

Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome

25Jul
2017

Management of malignant pleural effusion: challenges and solutions

23Jul
2017

Acute Aortic Syndromes: Diagnosis and Management

23Jul
2017

The Evolving Story of Overlapping Surgery

23Jul
2017

Viewpoint: The Evolving Story of Overlapping Surgery – JAMA (free) (RT @pash22 see Tweet)

Commentary: 3 steps to restore patient trust in overlapping surgeries – FierceHealthcare (free)

This interesting viewpoint discusses the practice of scheduling overlapping surgeries, in which a qualified practitioner finishes noncritical parts of the first operation while the primary surgeon moves to the next surgery.

 

Diagnosis and treatment of cystic lung disease

21Jul
2017

Three-dimensional echocardiography in adult congenital heart disease

18Jul
2017

Detecting human coronary inflammation by imaging perivascular fat

13Jul
2017

Pericarditis as a Marker of Occult Cancer and a Prognostic Factor for Cancer Mortality

13Jul
2017

Association of delay of urgent or emergency surgery with mortality and use of health care resources

10Jul
2017

Re-designing the pathway to surgery: better care and added value

3Jul
2017

Prognostic Value of Noninvasive Cardiovascular Testing in Patients With Stable Chest Pain

3Jul
2017

Prognostic Value of Noninvasive Cardiovascular Testing in Patients With Stable Chest Pain – Circulation (link to abstract – $ for full-text)

Commentary: CT angiography appears better at predicting future risk for patients with chest pain – Massachusetts General Hospital, via ScienceDaily (free)

Source: EvidenceAlerts (free resource to find articles of interest)

“The most important result indicated that the ability of coronary CTA to identify nonobstructive coronary artery disease – a less-than-70-percent narrowing of a coronary artery – identifies an at-risk group of patients not found by functional testing” (from ScienceDaily)

 

CABG vs DES for Non–ST-Elevation Acute Coronary Syndrome and left main or multivessel CAD

29Jun
2017

Comparison of Outcome of Coronary Artery Bypass Grafting Versus Drug-Eluting Stent Implantation for Non–ST-Elevation Acute Coronary Syndrome – The American Journal of Cardiology (link to abstract – $ for full-text)

Source: EvidenceAlerts

In patients with Non–ST-Elevation Acute Coronary Syndrome and left main or multivessel CAD, CABG significantly reduced the risk of death from any causes, myocardial infarction, or stroke compared with PCI with drug-eluting stents

 

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery

26Jun
2017

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)

Source: EvidenceAlerts (free resource to find articles of interest)

“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”

 

Trends and Outcomes of Off-Label Use of Transcatheter Aortic Valve Replacement

25Jun
2017

Trends and Outcomes of Off-Label Use of Transcatheter Aortic Valve Replacement: Insights From the NCDR STS/ACC TVT Registry – JAMA Cardiology (free)

The JAMA Network – For the Media: Study Examines Use, Outcomes of Valve Replacement Procedure Performed for Off-Label Indications

Commentary: Outcomes of Off-Label Use of TAVR – American College of Cardiology, Latest in Cardiology (free)

“A randomized controlled trial directly comparing TAVR with surgery among specific subsets of off-label populations is needed to provide convincing evidence, and significant ‘off-label’ use captured in registries such as this should motivate such prospective randomized studies” (from Latest in Cardiology).

 

Trans-catheter aortic valve implantation

23Jun
2017

Guideline summary: Consensus on Surgical Treatment of Infective Endocarditis

23Jun
2017

Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery

20Jun
2017

Inspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss

20Jun
2017

Practice Guidelines for Preoperative Fasting

9Jun
2017

Thirty-Year Mortality After Coronary Artery Bypass Graft Surgery

7Jun
2017

Thirty-Year Mortality After Coronary Artery Bypass Graft Surgery: A Danish Nationwide Population-Based Cohort Study – Circulation: Cardiovascular Quality and Outcomes (link to abstract – $ for full-text)

Commentary: Many good years after heart bypass surgery, but something happens after ten years – Aarhus University, via Science Daily (free)

“For patients who make it through the first month after the operation is close to that of the population in general. But 8-10 years after a heart bypass operation, mortality increases by 60-80 per cent” (from Science Daily)

 

Recommendations for the Use of Mechanical Circulatory Support

31May
2017

Management of pericardial disease

30May
2017

Complete versus culprit-only revascularisation in ST elevation myocardial infarction with multi-vessel disease

25May
2017

Complete versus culprit-only revascularisation in ST elevation myocardial infarction with multi-vessel disease – Cochrane Library (link to abstract – $ for full-text) (RT @Gas_Craic see Tweet)

“Compared with culprit-only intervention, the complete revascularisation strategy may be superior due to lower proportions of long-term cardiovascular mortality, long-term revascularisation, and long-term non-fatal myocardial infarction, but these findings are based on evidence of very low quality”

 

Cardiopulmonary Resuscitation in Adults and Children With Mechanical Circulatory Support

24May
2017

Reducing Recurrent Stroke With PFO Closure

19May
2017

Finally, Success Reducing Recurrent Stroke With PFO Closure – Medscape (free registration required)

Two randomized trials presented at the 3rd European Stroke Organization Conference (ESOC) 2017 showed that in carefully selected stroke patients in whom Patent Foramen Oval (PFO) was suspected to be a cause of their strokes, a reduction in recurrent stroke was observed with PFO closure.

 

Drug-Eluting Stents Versus Coronary Artery Bypass Grafting in Unprotected Left Main Coronary Narrowing

11May
2017

Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images

6May
2017

Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017 – Radiology (free)

Source: Management of Pulmonary Nodules Found Incidentally on Computed Tomography Scans – Journal Watch (free)

Incidental pulmonary nodules discovered outside the context of screening or cancer follow-up are increasingly common in clinical practice. The purpose of these updated recommendations is to reduce the number of unnecessary follow-up examinations while providing practical guidance on follow-up intervals for selected larger nodules.

 

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

5May
2017

Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients

10Apr
2017

Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients – New England Journal of Medicine (link to abstract – $ required for full text)

Quick Take Video Summary: SURTAVI Study: TAVR versus Open Surgery (free)

See this and other highlights from the American College of Cardiology’s 66th Annual Scientific Session (some articles are no longer free)

This innovative technology seems to be useful for patients with aortic stenosis at high risk for surgery. In this new study, it was noninferior to surgery at 2 years of follow-up in old patients (averaged nearly 80 years) at intermediate risk. Longer follow up data will be important to see if it is a suitable alternative for younger patients.

 

Australian Clinical Guidelines for the Management of Acute Coronary Syndromes

6Apr
2017

American College of Radiology (ACR) Appropriateness Criteria Adds Topics

4Apr
2017

ACR Appropriateness Criteria Adds Topics, Covers More Clinical Variants Than Ever Before (free)

Browse Appropriateness Criteria Topics (free)

Source: Newswise

This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.

 

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