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Making emergency artery repair safer

Catheters equipped with balloons, lasers, and miniature drills can treat tears in arteries, improving safety for emergency repairs. The technology has reduced the risk of life-threatening bleeding from vessel punctures during angioplasty procedures.

SourceBlackwell Publishing Ltd.·JournalJournal of Interventional Cardiology·DateDec 6, 2007

Celecoxib helps prevent restenosis and appears safe

A study published in The Lancet found that celecoxib can reduce the need for revascularisation of the target lesion by 35% after stent implantation, making it a promising adjunctive treatment for preventing restenosis. However, long-term use of celecoxib may expose patients to an increased risk of heart attack.

SourceThe Lancet_DELETED·JournalThe Lancet·DateAug 16, 2007

ACC/AHA release revised UA/NSTEMI guidelines

The revised guidelines introduce changes to the initial diagnostic approach, recommending a non-invasive set of preliminary tests such as stress tests or echocardiograms. The new guidelines also emphasize the importance of more intense lipid and blood pressure control, as well as the use of anti-platelet therapy clopidogrel for at leas...

SourceAmerican College of Cardiology·JournalJournal of the American College of Cardiology·DateAug 6, 2007

Heart intervention doesn't outweigh medicine in study

A new five-year study published in the New England Journal of Medicine found that stable heart patients received no significant benefit from undergoing angioplasty compared to those treated with medication alone. The study showed a 19.5% rate of death, heart attack, and stroke among medication-only patients versus 20% for PCI recipients.

SourceUniversity of Kentucky·JournalNew England Journal of Medicine·DateMar 27, 2007

Value of stent-coating drugs questioned

Researchers studied the effectiveness of estradiol and rapamycin-eluting stents in reducing in-stent restenosis. However, they found no significant difference between the two groups, indicating that adding estradiol to rapamycin-coated stents may not provide a measurable benefit.

SourceAmerican College of Cardiology·JournalJournal of the American College of Cardiology·DateMar 26, 2007

Noninvasive cardiac T-Wave test

A new noninvasive test may identify patients with stage II and III nonischemic cardiomyopathy who are likely to benefit from an ICD. The test, called abnormal T-Wave Alternans (TWA), shows that patients with a normal test have a very good prognosis and are unlikely to benefit from the device.

iPods help docs improve stethoscope skills

A study at Temple University found that listening repeatedly to heart sounds on an iPod improved the stethoscope skills of general internists, increasing correct identification rates to 80%. This technique relies on intensive repetition and is essential for recognizing abnormal heart sounds and identifying dangerous conditions.