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Interventional Cardiology

Archives for April 2010

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COURAGE Two Years Later: Finding Common Ground (27 Apr 2010)

L. David Hillis, MD

Following is an exchange between Bill Boden and Gregg Stone, facilitated by Interventional Cardiology moderators Richard Lange and David Hillis. An audio file of the complete conversation from which this text was adapted is available here. Rick Lange: Given all the debate and controversy surrounding the COURAGE trial, what are the issues on which you find agreement?…

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Avatar of L. David Hillis, MD

Alcohol or the Knife? (1 Apr 2010)

L. David Hillis, MD

Your patient with symptomatic obstructive hypertrophic cardiomyopathy is faced with a choice and asks, “If it were you, would you have alcohol ablation or myectomy?” Recent U.S. studies show that alcohol ablation is safe and effective (i.e., low complication rate, durable hemodynamic effects, and good long-term survival), whereas European studies suggest it is not (due…

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