• Five years and one million heart attacks and strokes Part II

    Updated: 2011-09-27 22:44:44
    In my last blog I documented the problem and some of the proposed fixes in a planned attempt to lower the stroke and heart attack rate.  Some good news is that there is finally a realization that often patients don’t get or take medications in the way we want them to because they simply don’t [...]

  • Five years and one million heart attacks and strokes (Part I)

    Updated: 2011-09-21 03:17:20
    The problem is very real but are the solutions?  The first job is defining the problem.  Once that is done, solutions can be offered for a try at correcting the identified problem.  Echoing my recent blog on September 8th comes news of a vast new initiative from the federal government to prevent heart attacks and [...]

  • Natural history of diastolic heart failure

    Updated: 2011-09-10 19:52:13
    Heart failure may develop with either reduced or preserved left ventricular ejection fraction (LVEF), with each form accounting for approximately half of cases.  However, time-dependent changes in diastolic function have not been well investigated, and their relationship to clinical heart failure is not well understood. In this study Kane et al. report on the follow-up of [...]

  • Coronary Artery Calcium Scanning Improves Risk Stratification

    Updated: 2011-09-10 19:48:26
    In the JUPITER study, patients with low cholesterol levels but raised high-sensitivity C-reactive protein (hsCRP) levels were seen to benefit from treatment with rosuvastatin, although overall cardiovascular events were low.  In this study, the authors investigated whether the use of coronary artery calcium (CAC) scoring could further stratify risk in a population of patients from [...]

  • ATOLL: enoxaparin improves STEMI outcomes

    Updated: 2011-09-10 19:35:03
    Primary Percutaneous Coronary Intervention (PPCI) has traditionally been performed with the use of boluses of unfractionated heparin administered throughout the procedure.  The use of newer agents, such as enoxaparin administered intravenously throughout the procedure, has not previously been compared to this standard of therapy. The ATOLL (Acute Myocardial Infarction Treated with Primary Angioplasty and Intravenous Enoxaparin [...]

  • Good news we are all bad

    Updated: 2011-09-09 01:03:14
    I’m sitting here in London when I should be in Paris where the European Society of Cardiology is meeting.  I have been trying to get them to send me to this meeting as it is held in far better places than Atlanta, but so far I have had no luck.  I am stuck across the [...]

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