Clinical

This channel newsfeed includes clinical content on treating patients or the clinical implications in a variety of cardiac subspecialties and disease states. The channel includes news on cardiac surgery, interventional cardiologyheart failure, electrophysiologyhypertension, structural heart disease, use of pharmaceuticals, and COVID-19.   

Is age ‘just a number' when it comes to PCI patients in their 90s?

The proportion of percutaneous coronary interventions (PCIs) performed in nonagenarians has more than doubled in the last decade in the United States, offering a significant survival benefit for those deemed healthy enough for the procedure, according to a study published online Sept. 17 in JACC: Cardiovascular Interventions.

Study: 89% of athletes survive cardiac arrest with AED use

It’s well-known that automated external defibrillators (AEDs) can be a life-saving tool to treat cardiac arrhythmias, but a new study from the University of Washington underscores just how crucial accessible AEDs can be during competitive sporting events.

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On-pump CABG tops off-pump approach for long-term survival

Off-pump coronary artery bypass grafting (CABG) is associated with an 11 percent increased risk of mortality compared to on-pump CABG, according to a registry study of cardiac surgeries performed in New Jersey from 2005 to 2011.

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There’s a racial gap in NSTEMI care—and it’s not improving

Despite having the highest burden of cardiovascular disease in the U.S. and averaging more comorbidities than white patients, blacks are less likely to receive guideline-concordant care after a non-ST-segment elevation myocardial infarction (NSTEMI), researchers reported this week.

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Mediterranean diet lowers stroke risk in women over 40

Women who most closely adhere to a Mediterranean-style diet could be lowering their risk of stroke by up to 22 percent, according to 17-year results of a large-scale study out of the United Kingdom.

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Benefit of anticoagulation for PAH may hinge on disease subtype

A recent meta-analysis published in Circulation: Cardiovascular Quality and Outcomes suggests the benefit of anticoagulation for pulmonary arterial hypertension (PAH) may depend on the subtype of the condition. Mortality rates improved with anticoagulation for patients with idiopathic PAH but worsened for those with scleroderma-associated PAH.

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Worse PCI outcomes for women persisted over 10-year span

Women who received percutaneous coronary intervention (PCI) in the U.S. from 2004 through 2014 were 20 percent more likely to die in the hospital and 81 percent more likely to experience major bleeding compared to men, according to an analysis published this month in PLOS One. Those differences remained after adjusting for preprocedural risk factors.

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USPSTF recommends behavioral approaches alone to treat obesity

The U.S. Preventive Services Task Force (USPSTF) suggested clinicians continue to offer intensive, multicomponent behavioral interventions for adults with obesity in an updated recommendation statement published Sept. 18 in JAMA.