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.   

Ramipril improves walking performance in PAD study

Patients with peripheral artery disease (PAD) who received 24-week treatment of ramipril showed significant improvement in pain-free and maximum walking times in a randomized clinical trial. While the results are “particularly notable,” the author of an accompanying editorial cautioned that they may apply to a limited patient population.

Endo treatment for ischemic stroke no better than t-PA

In a randomized trial of patients with acute ischemic stroke, patients receiving endovascular treatment fared no better at 90 days than patients who underwent intravenous thrombolytic therapy. These results were published online ahead of print Feb. 6 in the New England Journal of Medicine.

Long-term rivaroxaban superior to enoxaparin, but adds bleeding risk

A multicenter, randomized, double-blind trial of thromboprophylaxis efficacy has found that patients hospitalized with acute medical illness were less likely to develop deep vein thrombosis or thromboembolism when treated with oral rivaroxaban for 35 days than those who were treated with subcutaneous enoxaparin for 10 days and oral placebo for 35 days. However, the patients treated with rivaroxaban experienced more bleeding events. The MAGELLAN study was published online Feb. 7 in the New England Journal of Medicine.

Edwards sings in solid Q4, FY2012 on strong Sapien sales

Edwards Lifesciences, a developer of heart valves and hemodynamic monitoring, has reported increased net income for the 2012 fiscal year and the 2012 fourth quarter, both of which ended Dec. 31, 2012.

ICD deactivation: Communication found lacking

What we have here, may well be a failure of communication. In the very serious context of end-of-life decisions for patients with implantable cardioverter-defibrillators (ICDs), researchers have found a gap in patients’ understanding of harms and benefits of their devices and perceived outcomes.

Calcium supplements & men: Good for bones, bad for heart?

The use of supplemental calcium may have an adverse effect on the cardiovascular health of men but not women, according to a prospective cohort study that was published online Feb. 4 in the Journal of the American Medical Association: Internal Medicine.

ABO blood type carries high risk for venous thromboembolism

Danish researchers have determined that ABO blood type, especially when combined with certain genetic mutations, constitutes the most significant risk factor for formation of venous thromboembolism. The findings were published Feb. 4 in the Canadian Medical Association Journal.

Biodegradable polymer stent shows promise compared with Xience

Biodegradable polymer biolimus-eluting stents (Nobori, Terumo) are as safe and efficacious as the current standard of a thin-strut everolimus-eluting stent with a durable biocompatible polymer (Xience V or Prime, Abbott/Promus, Boston Scientific), according to a prospective, randomized, controlled COMPARE II trial.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.