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Cerebrovascular Disease

May 16, 2018
The authors present a case vignette. Particularly interesting is the statement on reliability of sonography to assess the oval fossa, especially for placing confidence in echocardiographic screening of cardiac donors.
February 2, 2018
This review included 55 publications covering 141 cohort studies.  The authors found that the relative risk of stroke associated with smoking just one cigarette a day was 1.25 to 1.31, and for coronary artery disease it was 1.48 to 1.57.  There is no safe level of smoking.
August 17, 2017
In this study of low volume surgeons (defined as performing fewer than 1 index operation annually) the authors studied outcomes in New York state for open AAA repair (OAR) and carotid endarterectomy (CEA).   About 50% of surgeons performing these operations were low volume surgeons.  Low volume surgeons had higher rates of operative mortality for OAR
May 8, 2016
The entire issue is dedicated to thrombosis and makes a compulsory read for cardiovascular and thoracic hospitalists. Of patricular relevance to the thoracic surgeon are the translational articles on system analysis (page 1348) and the table on oral anticoagulants on page 1410.
February 18, 2016
An Editorial suggesting that atheroma is here to stay...
February 18, 2016
Over 1400 patients with asymptomatic severe carotid stenosis were randomized to with carotid stenting or endarterectomy.  The endpoints were the composite of death, stroke, or acute MI within 30 days, or ipsilateral stroke.   Stenting was non-inferior to endarterectomy.   The rate of the composite endpoint was 3.8% vs 3.4% (stent vs surgery).  At 30
June 16, 2015
The good news continues regarding chocolate consumption!   A study involving nearly 21,000 individuals with a median follow-up of nearly 12 years correlated cardiovascular disease with quintiles of chocolate consumption.  The lowest quintile was associated with a 50% higher risk of coronary heart disease and a similar increase in stroke incidence.

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