In this video, the authors show the resolution of two mechanical complications of myocardial infarction in the same patient.
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Coronary disease
October 12, 2016
In the FREEDOM trial, 1900 diabetic patients were randomized between coronary bypass surgery and percutaneous coronary intervention (PCI). Of these, 451 patients had chronic kidney disease (CKD) with a GFR 30-60 mL/min/1.73m2, and the remaining patients were categorized as having no CKD.
September 29, 2016
David Taggart of the University of Oxford, UK, argues that CABG remains the best therapy for coronary artery disease.
September 27, 2016
The authors conducted a meta-analysis of propensity-scored matched patients in published studies to assess outcomes of right internal mammary artery (RIMA) and radial artery (RA) as second conduits for CABG. Eight studies included nearly 3000 matched pairs.
September 27, 2016
The authors performed a subgroup analysis of the Papillary Muscle Approximation (PMA) trial, a randomized trial that, while showing superiority of PMA + restrictive annuloplasty (RA) over RA alone in terms of LV remodeling and MR recurrence, failed to show a survival advantage and was plagued by a relatively high incidence of reoperation.
September 23, 2016
The Johns Hopkins group reviewed their experience with mediastinal exploration for bleeding after cardiac surgery during the period from 2011 through June 2014, and retrospectively reviewed the outcomes of two categories of patients: (1) Planned Reexploration, defined as patients left open at the initial operation with a plan for a second-look proc
August 30, 2016
The authors of this study aimed to examine the safety and efficacy of adding ezetimibe to statin in patients with prior CABG following hospitalization for an acute coronary syndrome (ACS).
Cost Analysis of Physician Assistant Home Visit Program to Reduce Readmissions After Cardiac Surgery
August 23, 2016
This retrospective study analyzed the relative cost-effectiveness of a physician assistant home care (PAHC) program in terms of readmission rates, length of stay, and health care cost. The study hospital switched from a conventional discharge treatment plan (control) in September 2010 to a PAHC program.
August 8, 2016
This is a retrospective study comparing outcomes of conventional 1:4 cardioplegia vs 4:1 Del Nido cardioplegia on adult patients undergoing CABG. 249 consecutive patients underwent coronary artery bypass using blood cardioplegia and 159 using del Nido Cardioplegia.
August 2, 2016
The impact of radial artery vs saphenous vein in patients undergoing bilateral IMA grafting was evaluated in 275 and 489 pts, respectively, using propensity score matching. Operative mortality and survival at 5, 10, and 15 years were similar. There was no influence of patient age, R vs L coronary system grafting, diabetes, or ventricular dysfunctio