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.   

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Frailty in younger patients post-CABG may increase mortality

While frailty is generally viewed as a consideration for the elderly, new research in the Journal of the American Heart Association suggests it is deadlier in younger patients after coronary artery bypass grafting (CABG).

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Researchers: More evidence needed for TAVR in young patients

Researchers from Weill Cornell Medicine in New York are worried the extension of transcatheter aortic valve replacement (TAVR) to younger, intermediate-risk patients is outpacing clinical evidence.

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Omega-3 fatty acids have minimum impact on cardiovascular health

A recent review of almost 80 randomized control trials suggests increased intake of long-chain omega-3 (LCn3) polyunsaturated fatty acids from oily fish have minimal to no effect on mortality or cardiovascular health. Results of the review were published online July 18 in the Cochrane Library.

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Study calls for earlier intervention on mitral valves

Mitral valve operations are the fastest-growing type of heart procedure, according to an analysis of the Society of Thoracic Surgeons’ Adult Cardiac Surgery database—but researchers believe interventions at earlier stages could further improve outcomes.

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Discharge against medical advice post PCI is ‘infrequent but deadly’

Percutaneous coronary intervention (PCI) patients who discharge against medical advice (DAMA) are twice as likely to be readmitted to the hospital, according to a new study published in JACC: Cardiovascular Interventions.

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IVC filters improve in-hospital mortality rates for patients with congestive heart failure, pulmonary embolism

Inferior vena cava (IVC) filter placement is associated with improved in-hospital mortality rates for patients admitted with congestive heart failure (CHF) and pulmonary embolism (PE), according to a new study published by the American Journal of Roentgenology.

Epinephrine after OHCA: Is the survival benefit worth the neurological risk?

Epinephrine doses administered by paramedics significantly improved the odds of 30-day survival for patients following out-of-hospital cardiac arrest (OHCA), according to a randomized, placebo-controlled trial published in the New England Journal of Medicine. The survivors who received epinephrine, however, had worse neurological outcomes.

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Hypertension intervention shows promise at safety-net clinics

A hypertension management protocol from an integrated healthcare system was successfully adopted by a network of safety-net clinics, resulting in substantial improvements in blood pressure control for patients of all races.