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.   

Real-world analysis shows Xarelto reduces ischemic stroke and intracranial hemorrhage versus warfarin

A retrospective database claims analysis found that adults with nonvalvular atrial fibrillation who received rivaroxaban (Xarelto) had a statistically significant 47 percent reduction in intracranial hemorrhage and non-statistically significant 29 percent reduction in ischemic stroke compared with adults who received warfarin.

Technical and clinical success rates of PCIs for CTOs increase over time

Practice makes perfect and, for at least one expert interventional cardiologist, the old adage holds true for technical and clinical success rates of PCIs of chronic total occlusions (CTOs).

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Stroke mortality and readmissions depend on various factors

Findings suggest hospitals that receive more transfers may have poorer outcomes simply based on their patient population.

Minimally invasive mitral valve surgery appears to be superior to conventional sternotomy

Patients who underwent minimally invasive mitral valve surgery had a shorter length of stay in the intensive care unit and fewer transfusions compared with those who underwent conventional sternotomy, according to a retrospective database analysis. The procedures had similar rates of mortality, stroke and other complications and total hospital costs.

Patients transferred for acute stroke care are younger and have higher stroke severity

Patients with acute stroke who were transferred to a hospital participating in a stroke registry in Michigan had significantly higher rates of in-hospital mortality and in-hospital complications compared with those who were not transferred.

Prediction score may help identify patients who benefit from dual antiplatelet therapy following PCI

A clinical prediction score based on late ischemic and bleeding risk factors may help identify patients who may benefit or have harm from continuing to take dual antiplatelet therapy after undergoing PCI, according to a secondary analysis of a previously published study.

CMS announces facilities in Mississippi and Georgia meet standards for carotid artery stenting

The Centers for Medicare & Medicaid Services (CMS) announced that two facilities have met its standards for performing carotid artery stenting for high-risk patients.

ACC.16: CABG reduces long-term rates of death and hospitalizations in patients with ischemic cardiomyopathy

CHICAGO – After nearly 10 years of follow-up, patients with ischemic cardiomyopathy who underwent CABG and received medical therapy had significantly lower rates of death from any cause, death from cardiovascular causes and death from any cause or hospitalization for cardiovascular causes compared with patients who only received medical therapy.

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.