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Coronary Disease

January 6, 2015
In 2012 the American College of Cardiology Foundation and the Society of Thoracic Surgeons Collaboration on the Comparative Effectiveness of Revascularization Strategies (ASCERT) compared the 5 year effectiveness of CABG versus PCI.
December 28, 2014
This is a retrospective study looking at 2,768,007 Medicare beneficiaries in the US undergoing myocardial revascularization between 2008 and 2012. From a surgical point of view it is interesting to see that the proportion of CABG among all revascularization procedures declined from 24.8% in 2008 to 23.2% in 2012.
December 23, 2014
This retrospective analysis of patients admitted emergently for acute MI, heart failure, or cardiac arrest examined 30-day mortality for admissions during periods when cardiologists were attending national meetings vs admissions immediately surrounding the meeting dates.  Mortality for each condition was lower during meeting dates than during non-mee
December 3, 2014
This study determined the relationship of pre-hospital use of epinephrine during resuscitation to survival in patients who experienced return of spontaneous circulation after out of hospital cardiac arrest. 73% received epinephrine, and 17% of those patients experienced a good outcome (discharged alive with good neurologic status). 
November 28, 2014
Shanker Vedantam interviews Jason Hockenberry, an economist at Emory University, regarding recent research into patient behavior following PCI or CABG.  CABG patients were more likely to quit smoking after intervention for CAD.  This may be a result of the magnitude of the intervention, and has implications for improving smoking cessation programs.
November 17, 2014
This trial randomized 900 pts with type 1 or 2 diabetes to screening with coronary computed tomography angiography (CCTA) or standard care and evaluated death and non-fatal coronary outcomes.  The major outcome was a composite of death, MI, and admission for management of unstable angina.  The secondary outcome was a composite of CAD-associated death
November 7, 2014
A multicenter, randomized, controlled trail including 900 patients divided patients into those undergoing on-pump versus off-pump CABG.  Identical heparinization and heparin reversal protocols were followed.  At angiography at 6 months following CABG, graft patency was inferior after off-pump as compared to on-pump  revascularization.
October 22, 2014
This video shows an approach to all-arterial grafting that has been developed over the past three decades, and illustrates techniques in four patients who underwent this procedure.
October 19, 2014
In this manuscript, the authors use meta-analysis techniques to evaluate the relationship between measured coronary fractional flow reserve (FFR) and patients’ outcomes.
October 11, 2014
In a cohort of 11,922 diabetic patients undergoing CABG, the authors compare single versus bilateral internal thoracic artery grafting (BITA), complete versus incomplete revascularization, and on versus off-pump CABG.  The authors conclude that BITA with complete revascularization maximizes long-term survival.

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