Tag Archives: cardiology
Clinical presentation patterns of AF versus likelihood of detection with monitoring. Dark bars indicate times that AF is present. AF = atrial fibrillation; ECV = elective cardioversion.

Mass Screening for Atrial Fibrillation: The Hype, The Methods, and The Application

Recently, Apple launched new heart-related features for their Apple Watch, including an app cleared by the US Food and Drug Administration that notifies wearers if atrial fibrillation has occurred. Apple admits, however, that the watch cannot detect all episodes; inconclusive results are possible; and it is not intended for people with known atrial fibrillation.1 Notably, this comes shortly […]

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Pulse Pressure, Cardiovascular Events, and Intensive Blood-Pressure Lowering in the Systolic Blood Pressure Intervention Trial (SPRINT)

The efficacy and tolerability of intensive blood-pressure lowering may vary by pulse pressure (systolic minus diastolic blood pressure). Methods SPRINT randomized 9361 high-risk adults without diabetes and who were ≥50 years with systolic blood pressure 130-180 mm Hg to intensive or standard antihypertensive treatment. The primary efficacy end point was the composite of acute coronary […]

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(A) Twelve-lead electrocardiogram showing ST-segment elevations >2 mm in inferolateral leads caused by dissection of the distal portion of a so-called wraparound left anterior descending artery. (B) Thrombotic occlusion of the proximal left anterior descending artery, which was treated with simple angioplasty and intracoronary administration of abciximab with final Thrombolysis In Myocardial Infarction (TIMI) 1 flow. (C) Intravascular ultrasound with evidence of intramural hematoma (solid arrow), left anterior descending artery dissection (dotted arrow), and (D) control coronary angiography after 48 hours with final TIMI 3 flow.

More Martial than Arts: Coronary Artery Dissection after Chest Kick

A 40-year-old male smoker without relevant medical history reported to the Emergency Department 2 days after a kick to his unprotected chest during a karate training session. The day before, he had presented with severe chest pain and his general practitioner had prescribed ibuprofen. No electrocardiogram (ECG) had been done. At the Emergency Department, the […]

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Short-Term Psychotherapy IN Acute Myocardial Infarction (STEP-IN-AMI) Trial: Final Results

The purpose of this research was to assess whether short-term psychotherapy enhances long-term clinical outcomes in patients with a recent acute myocardial infarction (AMI). Methods Patients ≤70 years old were randomized within 1 week of their AMI to short-term ontopsychological psychotherapy plus routine medical therapy vs routine medical therapy only. The primary composite outcome was […]

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Clinical Features and Prognosis of Patients with Acute and Chronic Myocardial Injury Admitted to the Emergency Department

  This study aimed to investigate the clinical features and prognosis of acute and chronic myocardial injury without clinical evidence of myocardial infarction in patients admitted to the emergency department. Methods We analyzed the clinical data of all consecutive patients admitted to the emergency department during the years 2012 and 2013 who had at least […]

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Young Adults and Adverse Childhood Events: A Potent Measure of Cardiovascular Risk

  While cardiovascular disease is the leading cause of death, its determinants include unhealthy behaviors and clinical risk factors and are recognized as the “actual causes” of death. Risk likely accumulates over the life course, and adverse childhood experiences may increase the risk of “actual causes” of death. The objectives of the study are to […]

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