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Archives for May 2010

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• Enrollment in Eplerenone Trial Stopped Early
• Aspirin Recommended for Primary Prevention in High-Risk Diabetics
• TCD Stratifies Risk in Asymptomatic C
(28 May 2010)

Enrollment in Eplerenone Trial Stopped Early: The Data Safety Monitoring Committee has ended enrollment in the EMPHASIS-HF trial after determining that the trial had met its primary efficacy endpoint. According to a press release issued by Pfizer, the trial was testing eplerenone versus placebo in patients with established mild-to-moderate heart failure who were also at…

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• Endarterectomy or Stenting?
• Growing FAME at 2 Years
(26 May 2010)

Endarterectomy or Stenting? The results of the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST), which compared carotid endarterectomy to carotid stenting in 2,502 patients at centers in the U.S. and Canada, have now been published in the New England Journal of Medicine. The CREST investigators report that the 30-day rate of stroke, death, and MI…

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• Hypertension — Good News and Bad
• Breaking Press Releases from EuroPCR
(25 May 2010)

Hypertension — Good News and Bad: New results from the National Health and Nutrition Examination Survey (NHANES), published in JAMA, show that although hypertension control improved dramatically from1988-1994 to 2007-2008 (from 27.3%  to 50.1%), the overall rate of hypertension increased (from 23.9% to 28.5% ) over the same period. Of note, hypertension control was lower in…

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• Beta-Blockers May Benefit COPD Patients
• Evaluation of ALLHAT ‘Academic Detailing’
(24 May 2010)

Beta-Blockers May Benefit COPD Patients: Although many physicians prefer not to prescribe beta-blockers to patients with COPD, a new observational study from the Netherlands suggests that COPD patients — even those who don’t have overt cardiovascular disease — may benefit from beta-blocker therapy. In their paper in Archives of Internal Medicine, Rutten and colleagues analyzed records of…

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Statins in the Real World: The Good and the Bad (21 May 2010)

To ascertain unintended effects of statins, researchers in the U.K. analyzed data from more than 2 million patients, including 200,000 patients taking statins for the first time. In a paper in BMJ, the researchers found a reduced risk for esophageal cancer among statin users, and an increased risk for moderate or serious liver dysfunction, acute renal…

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Endovascular Repair of AAA: DREAM and Reality (20 May 2010)

Confirming the recent finding of the EVAR 1 trial, the DREAM Study Group reports the results of 351 patients who underwent open or endovascular repair of abdominal aortic aneurysm (AAA). The report appears in the New England Journal of Medicine along with the print publication of the EVAR 1 and 2 trials. The six-year survival…

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Novel Platinum Chromium Alloy Stent Found Safe and Effective  (19 May 2010)

Novel Platinum Chromium Alloy Stent Found Safe and Effective: The Taxus Element paclitaxel-eluting stent (PES), which features a novel, thin-strut platinum chromium alloy “designed to enhance radiopacity, radial strength, and conformability,” was found safe and effective in the PERSEUS (Prospective Evaluation in a Randomized Trial of the Safety and Efficacy of the Use of the…

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• AHA and Wii: A Controversial Relationship
• Getting With the Guidelines Reduces Disparities in Treatment
(18 May 2010)

AHA and Wii: A Controversial Relationship: A deal struck between the American Heart Association and Nintendo of America was the subject of a critical news report on ABC’s “Good Morning America.” AHA president Clyde Yancy told GMA that Nintendo was giving $1.5 million over 3 years to the AHA, prompting Columbia University’s David Rothman to…

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• Can Two Million Kidneys Be Wrong?
• What Is the Clinical Utility of CTA?
(17 May 2010)

Can Two Million Kidneys Be Wrong? A new meta-analysis in the Lancet offers strong evidence that glomerular filtration rate and albuminuria are powerful independent predictors of all-cause and cardiovascular mortality in the general population. Members of the Chronic Kidney Disease Prognosis Consortium used data from over 100,000 participants in studies utilizing urine albumin-to-creatinine ratio (ACR)…

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Time Window for TPA in Stroke Extended to 4.5 Hours (14 May 2010)

Time Window for TPA in Stroke Extended to 4.5 Hours: A new pooled analysis in the Lancet provides evidence that rt-PA may be beneficial when given up to 4.5 hours after stroke onset. Kennedy Lees and colleagues added data from 2 recent trials (ECASS III and EPITHET) to 6 earlier trials to re-examine the effect…

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