Coronary Disease/Myocardial Infarction
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Cardiologists Consolidate, Update Guidance for Chronic Coronary Disease Management
Researchers incorporated shared decision-making, social determinants of health, and team-based care principles.
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Does Running Prevent Coronary Artery Disease?
In this cross-sectional review of the Master Athlete Heart study, the authors found lifelong endurance sport participation was not associated with a more favorable coronary plaque composition vs. a healthy lifestyle. Lifelong endurance athletes exhibited more coronary plaques.
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Whole Grains vs. Refined Grains: Preventing Early-Onset Heart Disease
Researchers found eating too many refined grains is like consuming an excess of sugar.
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Those Anterior T Waves
The ECG in the figure was obtained from a man in his 60s who was seen in the field for new chest pain. How might one interpret this tracing?
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The Value of Stress Testing in Patients with Known Coronary Artery Disease
A comparison of adenosine stress single-photon emission CT, PET, and MRI in stable patients with known coronary artery disease (CAD) showed PET to be more sensitive for detecting invasive fractional flow reserve-identified ischemic lesions. However, the sensitivity was disappointing. Patients with known CAD and new symptoms should be referred directly to invasive coronary angiography.
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Rivaroxaban Monotherapy for Atrial Fibrillation in Coronary Artery Disease Patients
For patients with atrial fibrillation and stable coronary artery disease, rivaroxaban monotherapy was superior to dual therapy for preventing thrombotic and bleeding events and was associated with a lower mortality rate.
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What Do You Think Happened?
You are asked to interpret the tracing in the figure without the benefit of any history. What do you think happened? How acute are these findings?
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Heart Attack Treatment Timing Improves, But Inequities Remain
Women remain less likely than men to receive timely angiography after myocardial infarction.
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Low-Fat vs. Mediterranean Diet for Secondary Prevention
A study of stable coronary heart disease patients comparing the Mediterranean diet to a low-fat diet over a seven-year follow-up showed the Mediterranean diet was superior at preventing major cardiovascular events.
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Properly Used Decision Aids Can Help Defend Malpractice Claims
Researchers recently concluded there is a high risk of EDs overlooking serious coronary artery disease in women. Using validated diagnostic tools can help alleviate this.