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Author(s): Stefan Stortecky Added: 5 months ago
AHA 23 — We are joined onsite by Prof Stefan Stortecky (Bern University Hospital, Bern, SE) to discuss the findings of the single centre SPECIAL trial that investigated ultrasound-assisted catheter-directed thrombolysis as compared to surgical pulmonary embolectomy for intermediate high or high risk pulmonary embolism.Questions1. What is the reasoning behind this study?2. What is the patient… View more
Author(s): Alexander Fanaroff Added: 5 months ago
AHA 2023 — We are joined by Dr Alexander Fanaroff (Penn Medicine, US) to discuss the findings from a cluster randomised trial of automated referral to centralised pharmacy services for evidence-based statin initiation in high-risk patients.Gaps have been observed in evidence-based statin prescriptions, where more than 50% of US adults with an indication for atherosclerotic cardiovascular disease… View more
Author(s): Barbara J Turner , Tara Lagu Added: 3 years ago
Ischemic heart disease and stroke account for nearly 25% of all deaths worldwide.1 With an increasing array of effective medications for hypertension and hyperlipidemia, the toll exacted by vascular disease should diminish. However, control of these two primary causes of vascular disease has been seriously compromised by under-diagnosis and under-treatment.2,3 National survey data in the US has… View more
Author(s): William E Lewandowski Added: 3 years ago
“The said doctor can easily practice upon a page and, if he does well, he can use his remedies on my son.” Attributed to Catherine De’ Medici (1519–1589).1 Simulation—An Accepted Tool for Improving Clinical Performance The concept of a physician ‘practicing’ his or her craft is an ancient one—perhaps even pre-dating the time of Hippocrates. Over the millennium, much has changed in the practice… View more
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Author(s): Richard L Weiss Added: 3 years ago
In the practice of clinical cardiology, when is your primary responsibility not to your patient? When asked to approve a patient’s commercial driver’s license, our primary responsibility is to public safety. Since the Commercial Motor Vehicle Safety Act of 1986 was signed into law, it has been a requirement that truck drivers and bus drivers need to obtain a Commercial Driver’s License (CDL) in… View more
Author(s): Augustus O Grant Added: 3 years ago
It is said that beauty is in the eye of the beholder, and the picture of the American healthcare environment is a prime example. To many Americans, our healthcare system is the most technologically advanced in the world, capable of near-miraculous achievements and perpetual progress. To others, it is a hodgepodge of frustrating bureaucratic systems that lack accountability, impede access to… View more
Author(s): Robert M Judd , Raymond J Kim Added: 3 years ago
It is well known that major efforts are currently under way in the US, UK, and other countries to construct entirely new systems for the management of electronic medical records. The thesis of this article is that, in principle, it is possible to design these systems in such a manner that they serve not only as an information resource for routine patient care but simultaneously serve as the… View more
Author(s): Samir R Kapadia Added: 1 year ago
TCT 22 - In this short interview, Dr Samir Kapadia (Cleveland Clinic, OH, US) outlines the findings of the PROTECTED-TAVR trial, which aimed to demonstrate the performance of Boston Scientific's Sentinel® Cerebral Protection System in transcatheter aortic valve replacement. In this study, 3000 patients were randomized to receive either TAVR with the Sentinel system or TAVR without intervention… View more