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.   

Drug-eluting stents, bare-metal stents have similar rates of death, nonfatal spontaneous MI at 6 years

Millions of patients each year undergoing PCI are implanted with drug-eluting or bare-metal stents. Comparisons between the types of stents have been limited, although a recent randomized study in Norway showed similar outcomes between the two categories.

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Cost, biological pathways limit cardiovascular drug development

The American College of Cardiology recently published findings in JACC: Basic to Translational Science that show the pace of innovation and investment in developing new cardiovascular therapeutics has decreased over the past 22 years.

Thrombotic medications could replace stents in some patients, intravascular imaging shows

Stents have long been the preferred treatment for reopening blocked arteries in patients who’ve suffered a heart attack or other heart conditions. But new research suggests that physicians may be able to forgo stent procedures and instead give patients anti-thrombotic medications.

Mortality rate declines in NSTEMI patients may be due to invasive management

A prospective, observational cohort study found that a significant decrease in 180-day all-cause mortality among patients with non-ST-elevation MI (NSTEMI) was associated with increased use of an invasive coronary strategy.

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Folic acid reduces likelihood of congenital heart defects

Eating more spinach and oranges while pregnant could help women prevent heart conditions from developing in their children, new research says.

Registry analysis shows atrial fib patients who take dabigatran etexilate have low risk of stroke, bleeding

A registry analysis found that patients with non-valvular atrial fibrillation who received dabigatran etexilate (Pradaxa) had low rates of stroke, major bleeding and life-threatening bleeding after two years of treatment.

Updated results confirm safety, efficacy of the Micra transcatheter pacing system

After 12 months of follow-up, 96 percent of patients who received the Micra transcatheter pacing system (Medtronic) had no major complications.

Patients with nonischemic heart failure may not benefit from ICD implantation

For patients with systolic heart failure that was not caused by ischemic heart disease, implanting prophylactic implantable cardioverter-defibrillators (ICDs) did not reduce the long-term rate of death of any cause compared with patients who did not receive an ICD, according to a randomized 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.