Articles tagged with Cardiology
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The new guidelines provide practical recommendations for evaluating patients with heart murmurs, preventing endocarditis, and treating concomitant coronary artery disease. The guidelines include more precise definitions of mild, moderate, and severe valvular disease, which may prompt earlier referrals for surgery.
The European Society of Cardiology has released updated guidelines for managing stable angina pectoris, providing recommendations on treatment methods and risk stratification. The guidelines aim to improve the quality of life for European populations affected by cardiovascular disease.
A retrospective study found that closing PFOs and atrial septal defects with transcatheter devices is a safe treatment option for children and young adults who have had a stroke. Most patients remained symptom-free months after the procedure.
The European Society of Cardiology (ESC) has released a guidance document on Cardiac Rhythm Management product performance. The ESC proposes a novel approach for assessing individual hazard analysis to prioritize patients in need of field safety corrective actions.
EMRs enable better patient care, data analysis, and research studies, but challenges remain in implementation and integration. Despite limitations, EMRs offer advantages such as streamlined reports, medication reminders, and quality tracking.
A new desensitization protocol allows eight patients with clopidogrel hypersensitivity to safely take the medication, reducing risk of blood clots and heart attacks. The study's findings suggest that desensitization can be a viable option for managing allergy symptoms in patients treated with clopidogrel.
The lecture highlights the evolution of interventional cardiology, from longer procedure times and higher risks of heart attacks to advancements in steerable guidewires, perfusion catheters, and drug-eluting stents. Bioabsorbable stents offer a promising solution by dissolving into carbon dioxide and water once healed.
A recent study suggests that women with acute coronary syndromes should not be denied access to cardiac catheterization laboratories, particularly high-risk patients. The research analyzed data from over 1,000 women and found that outcomes for women were similar to those of men in terms of mortality and heart attack rates.
A study found that training on a virtual 'patient' improved carotid angiography skills in cardiologists, with reduced catheter errors and faster procedure times. The use of simulators provides an objective measure of performance, allowing for the tracking of individual trainees' progress and evaluation of their competence.
A recent study by Northwestern researcher Nalini Rajamannan reveals that bone growth, rather than wear and tear, is the primary cause of heart valve disease. This active process can be treated with medications similar to those used for coronary artery disease, offering new options for prevention and treatment.
A study found that experienced physicians can effectively auscultate the third heart sound (S3), a crucial indicator of adverse cardiovascular outcomes. The presence of S3 was associated with decreased ventricular compliance and may indicate early signs of heart failure.
A study by Jasminka M. Vukanovic-Criley and colleagues found that cardiac examination skills appear similar among medical students, residents, and faculty physicians, but decline significantly after years in practice. The authors conclude that improvement is needed to ensure accurate diagnosis and patient safety.
The study found that TEE significantly impacted the treatment or evaluation of patients with stroke entities in 22 to 32 percent of individuals, demonstrating improved care. This research has led to increased utilization of TEE in diagnosing stroke, transient ischemic attack, and peripheral embolism.
The European Society of Cardiology recommends that patients taking Clopidogrel should continue their treatment as advised by their physicians. Stopping the anti-clotting drug without consulting a doctor may pose serious risks, according to the ESC.
Discontinuing Plavix in patients with recently-placed stents can lead to clot formation and serious complications. Patients should discuss benefits and risks of anti-clotting medication with their healthcare provider and avoid stopping the medication on their own.
A new generation of CT scanner assesses coronary artery health and cardiac anatomy in a single heartbeat, providing clear images of the heart's damage. Researchers also identified predictors of procedural success, including comorbidity and outcome after percutaneous coronary interventions.
A virtual classroom was found to be superior to a traditional one in teaching medical students to identify heart sounds, with accuracy rates increasing from 32% to 81% after intensive repetition. The study, led by Michael Barrett, suggests that cardiac auscultation can be mastered through online training.
The Trial of Preventing Hypertension study found that early treatment with candesartan reduced the risk of developing hypertension in patients with high normal blood pressure. The study showed a significant benefit from preventive therapy, but lifestyle modification had little effect on public health.
Researchers found Computed Tomographic Angiography (CTA) quickly and accurately ruled out coronary artery disease in 67% of cases, reducing hospital stay by 45% and saving $300 per patient. Advanced care paramedics also improved STEMI heart attack management, reducing mortality rates from 9% to less than 2%.
A study found that inner city and rural patients who used a telemedicine system significantly reduced their cardiovascular disease risk factors over eight months. Participants showed significant reductions in blood pressure, body mass index, and overall heart disease risk.
The ISAR-REACT 2 trial evaluated the value of abciximab in patients with ACS undergoing PCI after pretreatment with 600 mg of clopidogrel. Researchers found that intensive clopidogrel pretreatment plus abciximab may benefit higher-risk patients.
Researchers found that repeated ECG measurements over time are more effective in identifying children at risk of life-threatening heart rhythm disorders. The study suggests re-evaluating low-risk patients with multiple ECG readings to accurately determine their risk for sudden cardiac death.
Researchers found similar mortality rates between stenting and CABG procedures, with certain stents showing better results. A meta-analysis of drug-eluting stent efficacy also demonstrated the superiority of sirolimus-stents over paclitaxel-stents.
A new study demonstrates significant improvements in exercise capacity and left ventricular ejection fraction for patients with advanced coronary artery disease after receiving bone marrow cell therapy. The treatment also shows promise in reducing chest pain and improving daily activities.
Researchers found that enoxaparin reduced the combined risk of death and MI within 30 days by 17 percent. Enoxaparin also reduced the 30-day risk of nonfatal repeat MI by 33 percent.
Research finds blood type and age may be pivotal in transfusion success. Blood transfusions are associated with a markedly increased risk of mortality in patients suffering from ST-elevation myocardial infarction.
A study at Temple University School of Medicine found that medical residents improved their ability to identify abnormal heart sounds by up to 69% with the use of electronic stethoscopes. Researchers used these devices to play back recorded heart sounds repeatedly, allowing residents to practice and improve their skills.
The OASIS-6 trial evaluated fondaparinux's safety and effectiveness in patients with ST elevation myocardial infarction (STEMI). Fondaparinux prevents amplification of the coagulation system, potentially reducing death risk from heart attacks.
A new study found that using one stent in both the main artery and a side branch is as effective as using two separate stents. The simpler approach showed lower rates of complications, such as increased procedure time and heart damage markers.
Researchers found that a low-sodium, high-potassium salt substitute significantly lowered blood pressure in rural China residents at risk of heart complications. The study suggests this simple approach could cut stroke and cardiovascular disease risks.
A pilot project by Duke University Medical Center achieved a significant reduction in 'door-to-reperfusion' time for patients with heart attacks, cutting it down to 50 minutes. The project used wireless ECG transmission from ambulance paramedics to directly link patients with cardiologists.
Studies examine ICD efficacy in women, finding lower survival rates; cardiac catheterization disparities among genders and races; defibrillator use in athletes shows moderate success rates but improves with younger patients; and FDA recalls impact patient mortality rates
A study of Roux-en-Y gastric bypass surgery found lower rates of heart complications, diabetes, and improved cholesterol levels compared to a control group. The surgery was estimated to prevent 16.2 cardiovascular events and 4.1 deaths per 100 patients.
Researchers from Thomas Jefferson University Hospital tested a new device to close Patent Foramen Ovale (PFO) holes, finding it effective in sealing the opening and preventing recurrent strokes. The study used the Cardia PFO closure device, which was successful in closing PFOs in 89 out of 90 patients.
The ASTEROID trial found that intensive statin therapy resulted in significant regression of atherosclerosis, with mean LDL cholesterol dropping by 53.2% and HDL increasing by 14.7%. The study suggests that very low LDL levels accompanied by raised HDL can partially reverse plaque buildup in coronary arteries.
The MIST trial studied patients with severe, frequent migraines and a medium-to-large PFO, randomly assigning them to PFO closure or sham intervention. Results showed promise for PFO closure as a treatment option for relieving migraines.
The CYPHER stent demonstrated significant lower rates of target vessel failure, repeat revascularization, and major adverse cardiac events compared to bare metal stents. Patients at high-risk for re-blockage also showed improved outcomes without 'late catch-up' in restenosis.
A recent study conducted by Dr. Charles Simonton and the STENT Group found that both drug-eluting stents performed well in controlling restenosis in diabetics, with paclitaxel-eluting stents potentially showing better outcomes for insulin-treated diabetic patients.
Recent studies evaluate the effectiveness of drug-eluting and absorbable stents in treating acute coronary syndromes, including the ACUITY Timing Trial and TAXUS-V ISR trial. The trials suggest that these stents may offer better alternatives to traditional therapies, such as glycoprotein IIb/IIIa inhibitors and vascular brachytherapy.
Researchers at Thomas Jefferson University Hospital found that topical lubrication improves outcomes in coronary stent procedures, particularly for patients with abnormal arteries. The study showed that lubricated stents were successfully placed in 85% of patients with no negative effects months after the procedure.
Researchers developed a new method to measure EPC levels in blood samples using ALDH activity, which correlates with the degree of coronary artery disease. Patients with lower EPC levels are more likely to have greater disease and increased risk for cardiac events.
Researchers conducted a randomized trial to evaluate the effectiveness of paclitaxel-eluting stents in patients with ST-segment elevation myocardial infarction (STEMI). After one year, the study found that the drug-eluting stent reduced repeat procedures by 67% compared to bare-metal stents.
Studies investigate homocysteine lowering and cardiovascular event rates, revealing high risks for patients with atherothrombosis. Researchers explore new treatment approaches, including bone marrow mobilization, to improve exercise capacity and prevent complications.
A study of 170 patients with chronic severe aortic regurgitation found that those who underwent early surgery lived longer and had better health outcomes compared to those who waited. The results support current guidelines for treatment, which recommend surgery for asymptomatic and moderately symptomatic patients.
A new survey reveals that cardiologists are familiar with the benefits of low-fat vegetarian diets but fail to recommend them to patients. The report highlights the potential for this diet to reduce surgeries and deaths from heart disease, especially when combined with doctor-recommended changes.
A study at the University of Chicago Medical Center found that erectile dysfunction is a stronger predictor of significant coronary heart disease than traditional risk factors. Men with ED had reduced exercise endurance, decreased ejection fraction, and higher evidence for coronary artery blockages.
Researchers at the University of Houston have developed a new software tool that can detect 'inflamed plaque' in blood vessels, highlighting areas prone to future rupture and blockage. This technology will provide doctors with an early detection method to reduce fatalities due to unpredictable heart attacks.
Researchers analyzed data from hundreds of thousands of heart surgeries and found African-American patients face a two-fold increased risk of post-procedure death. Despite better access to high-volume hospitals, racial differences in mortality rates remain, highlighting the need for quality improvement beyond hospital volume.
Researchers used molecular imaging to detect atherosclerotic plaques likely to rupture in experimental rabbit models. The study found that dietary modification and statin therapy can decrease apoptosis and stabilize plaques, supporting the paradigm of prevention over treatment for coronary artery disease.
Researchers identified 17 cases of hypersensitivity reactions caused by drug-eluting stents, with symptoms including rash and difficulty breathing. The study concludes that the polymer coating on the stent is the most probable cause of these reactions.
A new blood test using NT-proBNP can accurately diagnose heart failure in patients with kidney disease, comparable to BNP testing. The study found that kidney disease does not affect the diagnostic accuracy of NT-proBNP when used properly.
The new guidelines provide detailed information on antibacterial soap selection, antibiotic use, protective gear, and air circulation in the cath lab. They emphasize patient and staff protection to prevent devastating infections after interventional procedures.
The new guidelines provide a concise diagnostic and treatment guide for patients with PAD. They emphasize the importance of early detection and treatment, recommending specific questions, clinical clues, and therapeutic choices to maintain functional independence and decrease the risk of heart attack, stroke, and death.
A new study published in Catheterization and Cardiovascular Interventions found that drug-eluting stents reduce the incidence of restenosis, heart attacks, and death by fourfold compared to conventional stents. Medicated stents were effective in keeping vein grafts open without affecting other parts of the bypass.
The ESC has issued a policy statement on reperfusion therapy for STEMI treatment, highlighting the importance of early diagnosis and timely initiation of therapy. The statement recommends prioritizing primary PCI and thrombolytic treatment within three hours of symptom onset.
A new analysis by Duke University Medical Center cardiologists found that low-dose aspirin (81 mg a day) significantly reduces death rates for postmenopausal women with heart disease, similar to higher dose aspirin (325 mg). Fewer than half of the 8,928 women in the study were taking any aspirin.
African-American patients with heart failure are less likely to receive implantable cardioverter-defibrillators (ICDs), despite similar prescription rates for evidence-based medicines. The disparity is attributed to lack of access to care, limited availability of cardiologists and specialized electrophysiology training.
New PCI guidelines address 'door-to-balloon time' of 90 minutes or less, emphasizing the importance of drug-eluting stents and anti-clotting medications. The guidelines also provide strategies for ensuring best possible patient outcomes and monitoring quality of care.
Researchers found significant disparities in health status outcomes between African-Americans and whites, with blacks experiencing more angina, physical limitations, and poorer quality of life one year after an acute coronary syndrome. These disparities remained even after adjusting for hospital treatments and other factors.
A study analyzing Medicare records found that patients receiving cardioverter-defibrillators from low-volume physicians experienced significantly higher rates of mechanical complications and infections. Higher-volume physicians showed similar complication rates when performing at least 11 devices per year.