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Author(s): Sergio Fazio Added: 3 years ago
Introduction The main controversy in the area of lipid management today is related to the usefulness of 'non-statinÔÇÖ agents to maximize cardiovascular risk reduction in particular patient types, such as those with diabetes and metabolic syndrome. Fibrate drugs, such as gemfibrozil (Lopid) and fenofibrate (TriCor), are undoubtedly the best tools to address the condition characterized by high… View more

Prevention & Chronic Conditions
Author(s): Joanne D Schuijf Added: 3 years ago
Relationship Between Noninvasive Coronary Angiography With Multi-slice Computed Tomography and Myocardial Perfusion Imaging Schuijf JD, et al. J Am Coll Cardiol, 2006;48(12):2508–14. Epub 2006 Nov 28. The aim of this study was to perform a head-to-head comparison between multi-slice computed tomography (MSCT), which detects atherosclerosis, and myocardial perfusion imaging (MPI), which detects… View more

Imaging & Diagnostics
ACC 23: The UK Mini Mitral Study
Author(s): Enoch Akowuah Added: 1 year ago
ACC.23/WCC—DrEnoch Akowuah (James Cook University Hospital, UK) joins us to share the findings of the UK Mini-Mitral trial (National Institute of Health Research). This study is a multicentre, expertise-based randomised controlled trial that aimed to compare the safety and effectiveness of a minimally-invasive thoracotomy compared to conventional sternotomy in treating patients with degenerative… View more

Vascular Disease and Surgery

Intervention
Author(s): Robert Hebeler Added: 3 years ago
Since its introduction in 1987, the Maze procedure has been regarded as the 'gold standardÔÇÖ for the surgical treatment of atrial fibrillation (AF). However, the complexity of the procedure has restricted its adoptability in the surgical community and provided an impetus for the development of less complex operations for the effective treatment of AF. The absolute number of patients who have… View more

Vascular Disease and Surgery

Electrophysiology & Arrhythmia
Author(s): Daniel A McBride , Timothy M Markman , Jackson J Liang , et al Added: 3 years ago
The left atrial appendage (LAA) is a trabeculated structure with variable anatomy comprised of pectinate muscle, which grows out of the primary atrium before the left atrium (LA) develops. This outcropping joins the venous component of the LA by way of a bottlenecked junction, in contrast to the anatomy of the right atrial appendage which, although trabeculated, joins the atrium via a wider neck… View more

Electrophysiology & Arrhythmia

Intervention
Author(s): Sara C Martinez , Sharonne N Hayes Added: 3 years ago
Pregnancy is a physiologic challenge, with significant hormonal, metabolic, and hemodynamic changes. Cardiac output is objectively increased by the fifth week after the last menstrual period and continues to grow by approximately 45 % by 24 weeks in the normal, singleton pregnancy. This is facilitated by elevations in heart rate and stroke volume and a decrease in systemic vascular resistance… View more

Heart Failure

Prevention & Chronic Conditions
Assessing Pregnancy Risk in Patients with Congenital Heart Disease
Author(s): Ajitha Kulasekaran , Lorna Swan Added: 11 months ago

Demographic

Heterogeneous Populations
Author(s): Melanie Maytin , Laurence M Epstein Added: 3 years ago
Early Techniques Lead extraction has undergone an explosive evolution since its inception as a rudimentary skill with limited technology and therapeutic options (see Figure 1). Early techniques involved simple manual traction, which frequently proved ineffective for chronically implanted leads and carried a high risk for myocardial avulsion, tamponade, and death.1–3 Bilgutay and colleagues… View more

Electrophysiology & Arrhythmia

Heterogeneous Populations
Author(s): William Jordan Added: 3 years ago
Stroke, the third leading cause of death in the US, remains one of the most feared conditions of our modern society. Many fear a neurologic catastrophe resulting in a chronic vegetative state more than death. Likewise, much of our modern medical practice seeks to maintain a healthy state free of such diseases. Almost one half of strokes are related to atherosclerotic disease found at the carotid… View more

Electrophysiology & Arrhythmia
Author(s): Andrea Natale , Dimpi Patel Added: 3 years ago
Atrial fibrillation (AF) is the most common sustained arrhythmia and is associated with an increased risk of morbidity and mortality. A subanalysis of the Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) suggests that there is a significant survival benefit in the maintenance of sinus rhythm (SR), if it can be achieved without the potential adverse effects associated with… View more

Electrophysiology & Arrhythmia