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The transradial approach to cardiac catheterization has been steadily gaining ground over the past several years due to advantages over the femoral approach in terms of bleeding risk, vascular injury, procedural cost, and patient comfort.
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Atrial fibrillation (AF) is common and catheter ablation has become widely available.
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The ECG in the Figure was obtained from a 78-year-old man with long-standing pulmonary disease and new-onset heart failure. Based on the low voltage in leads V1, V2, V3, the rightward frontal plane axis, incomplete right bundle-branch block, and persistent precordial S waves, the computer interpreted the overall pattern as consistent with pulmonary disease. What else should be added to your interpretation?
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Stenosis of the left main coronary artery has traditionally been an indication for coronary artery bypass graft (CABG) surgery. However, recent studies have shown that percutaneous coronary intervention (PCI) of unprotected left main (ULM) lesions can achieve similar short- and medium-term results to CABG.
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Statins have been used in an increasing number and variety of conditions. This large, 10-year cohort study from John Hopkins Neurology Department and Cardiac Surgery Group uses a post-hoc analysis to examine the issue of whether statin use prior to Coronary Bypass Graft Surgery (CABG) would decrease post-op morbidity, specifically stroke and encephalopathy, as well as cognitive decline.
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Statin and niacin increase HDL-C, omeprazole reduces effectiveness of clopidogrel, darbe-poetin increases risk of stroke, statins decrease risk of gallstone disease, FDA Actions
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Yu et al report a multi-center trial evaluating the relative benefits of right ventricular apical pacing compared to biventricular pacing in patients with a standard indication for pacing and a baseline preserved left ventricular ejection fraction.
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The optimal duration for dual anti-platelet therapy (DAT) after drug-eluting stent (DES) implantation remains unknown.
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In this paper, Packer et al report on the modes of death in patients in the Sudden Cardiac Death-Heart Failure Trial (SCD-HeFT).