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Author(s): Rhian E Davies , J Dawn Abbott Added: 3 years ago
Percutaneous Coronary Intervention for Clinical Syndromes Stable Angina The primary benefit of percutaneous coronary intervention (PCI) over medical therapy in patients with stable angina is the improved quality of life. The PCI in stable angina (ORBITA) trial was the first sham-controlled trial of PCI where 200 medically optimized patients with single vessel disease were randomized to PCI or… View more

Intervention
Author(s): Jeffrey L Turner , Nassir F Marrouche Added: 3 years ago
The incidence of AF is on the rise.1–3 This is secondary not only to increasing prevalence but also a focus on increased recognition of occult AF for primary thromboembolic (TE) prevention.4 How we identify and treat these patients with AF is constantly in flux. While it is possible that a novel procedure or antiarrhythmic drug could create sweeping changes in AF management overnight, here we… View more

Electrophysiology & Arrhythmia
Author(s): Soraya M Samii , Gerald V Naccarelli Added: 3 years ago
Patients presenting with implantable cardioverter–defibrillator (ICD) shocks are increasingly common, primarily due to the expansion of ICD-placement indications. The discomfort and pain associated with ICD shocks often result in immediate medical attention. This occurs in emergency rooms and as acute visits in doctor’s offices. With the advances in remote monitoring, these alerts can also occur… View more

Electrophysiology & Arrhythmia
Author(s): Tasneem Z Naqvi Added: 3 years ago
Congestive heart failure (CHF) is the number one hospital discharge diagnosis for older adults and the leading cause of hospital readmissions, reflecting poor quality of life for patients and increased healthcare resource use, and is the cause of 300,000 deaths annually.1 Cardiac resynchronization therapy (CRT) has become a new effective treatment modality in those with drug-resistant advanced… View more

Heart Failure

Electrophysiology & Arrhythmia
Who should be referred for TAVR
Author(s): Colin M Barker , Michael J Reardon Added: 3 years ago
Aortic stenosis (AS) has a long latent period and then rapid progression with high mortality once symptoms appear.1 The absence of an effective medical therapy for symptomatic severe AS led to a class I indication for aortic valve replacement (AVR) in both the US and European guidelines.2,3 Unfortunately, a study by Bach et al. in 2009 found that up to half of patients with symptomatic severe AS… View more

Vascular Disease and Surgery

Intervention
Author(s): Neal W White Jr Added: 3 years ago
Hospital to Home (H2H) is a national quality improvement initiative of the American College of Cardiology (ACC) and the Institute for Healthcare Improvement (IHI). It builds on the success of the ACC Door-to-Balloon Alliance for Quality and the IHI 100K Lives and 5 Million Lives campaigns. The goal of the H2H initiative is to reduce 30-day all-cause readmission rates for patients discharged with… View more

Anticoagulation

Standards & Guidelines
Author(s): Meshal Soni , Edo Y Birati Added: 3 years ago
The history of documented heart failure in medical literature dates back as early as the late 1700s, when William Withering recognized the therapeutic use of foxglove in patients with “dropsy”. The extract from the foxglove plant contained the cardiac glycoside digitalis, and edema – known as “dropsy” – was described in patients we now presume had the clinical syndrome of heart failure.1 Over the… View more

Heart Failure

Prevention & Chronic Conditions
Author(s): Shaun R Opie , Nabil Dib Added: 3 years ago
Cardiovascular disease is the leading cause of death in Western countries. The damage that occurs during a heart attack results from the death and loss of the cells called cardiomyocytes that make up the majority of the myocardium. Medical therapy, balloon angioplasty, stent deployment, coronary artery bypass surgery, and heart transplantation are the current options available to the patient… View more

Vascular Disease and Surgery
Author(s): Flávio Tarasoutchi , Antonio Carlos Palandri Chagas Added: 3 years ago
Infective endocarditis (IE) continues to be a disease characterized by high mortality and morbidity that has not been affected by significant advances in the last century. Despite considerable improvements in diagnosis and medical and surgical therapy, mortality has remained high for the past 25 years, in contrast to the majority of cardiovascular diseases such as heart failure and acute coronary… View more

Vascular Disease and Surgery

Intervention
Clopidogrel or Ticagrelor: Why, When, for Whom?
Author(s): Diana Gorog , Sotiris Antoniou , Franco Cheng , et al Start date: Dec 07, 2022

Anticoagulation

Standards & Guidelines