Category Archives: Cardiology
This trial randomized patients with STEMI to undergo PCI only to the culprit artery, or to the culprit artery + any other with major stenosis. The primary outcome occurred significantly less in the culprit + other group (cardiac death, MI, … Continue reading
This large cohort found in Medicare CHF patients, every 10% more they were cared for by hospitalists (by hospital), there was a slightly higher risk of death (risk ratio 1.03), but a decrease in LOS (0.09 days) and no difference … Continue reading
This large registry analysis found the mean time from door to balloon time in STEMIs have decreased from 83 to 67 minutes (from 2005 to 2009), but in-hospital mortality has remained unchanged (~5%) (abstract).
This trial randomized patients with acute pericarditis to colchicine or placebo and found colchicine significantly improved rates of recurrence, hospitalization, and symptom persistence (abstract).
This trial of patients with mechanical aortic or mitral heart valves randomized them to dabigatran or warfarin and found dabigatran was associated with higher risks of both thromboembolic and bleeding events (abstract).
This survey-based analysis determined which hospital initiatives were associated with lower 30-day CHF readmission rates; they found the following 6 were the most high yield: partnering with community physicians, partnering with local hospitals, nurses doing medication reconciliation, arranging f/u before … Continue reading
In this large cohort of patients with prosthetic valve endocarditis, about half underwent surgical intervention, and half only medical therapy; there was no survival advantage in those that underwent surgical intervention (abstract).
This large retrospective cohort of patients compared musculoskeletal symptoms between statin users and non-users and found they were 19% higher in users, including a 13% higher risk of strains/sprains. These symptoms are not trivial and should be considered when starting … Continue reading
In this small single center trial, acute CHF patients were randomized to fluid and sodium restriction (800cc and 800mg/day, respectively) or to no restriction. There were no differences between the groups in weight loss or congestion scores during the hospital … Continue reading
This meta-analysis of 12 studies of out-of-hospital cardiac arrest found that machine-delivered CPR was associated with ~1.5 times the odds of return of spontaneous circulation compared to human CPR. This may also be true for in-hospital arrest but needs further … Continue reading