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ACC and AHA Release New Guideline for Non–ST-Elevation Acute Coronary Syndromes (23 Sep 2014)

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A new guideline released today by the American College of Cardiology and the American Heart Association reflects important changes in the last 7 years in the understanding of what is now known as non–ST-elevation acute coronary syndromes (NSTE-ACS). The previous 2007 guideline used different terminology and referred to the same patient population as “unstable angina…

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ACC Withdraws ‘Choosing Wisely’ Recommendation Against Revascularization of Nonculprit Lesions (22 Sep 2014)

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The American College of Cardiology said today that it was withdrawing one of its five recommendations in the “Choosing Wisely” campaign.  In 2012 the ACC recommended that heart attack patients should have only their culprit artery unblocked. It said that patients and caregivers should question whether complete revascularization of all nonculprit lesions in heart attack…

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Is It Safe to Offer PCI at VA Centers Without On-Site Cardiothoracic Surgery? (17 Sep 2014)

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Thomas Maddox, MD MSc

Thomas M. Maddox discusses his research group’s study of post-PCI outcomes at VA centers with or without on-site cardiothoracic surgery.

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Anteroseptal MI and Left-Main Dissection in a Pregnant Woman (8 Sep 2014)

Cardiology Case Discussion

Harsh Golwala, MD and James Fang, MD

Harsh Golwala presents our latest case: A 25-year-old woman, 32 weeks pregnant, presents with sudden-onset chest pain. How do you proceed?

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FAME 2 at 2 Years: Better with Time? (3 Sep 2014)

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CardioExchange Editors, Staff

The CardioExchange editors ask whether the 2-year findings from FAME 2 are more compelling than the 7-month findings.

Avatar of Larry Husten, PHD

Fractional Flow Reserve Gains Support in Stable CAD and NSTEMI (2 Sep 2014)

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Two studies presented at the European Society of Cardiology meeting in Barcelona offered fresh support for fractional flow reserve (FFR), which has been slowly but surely gaining traction in the interventional cardiology community. FFR in Patients with Stable CAD Bernard De Bruyne presented 2-year results from the FAME 2 (Fractional flow reserve versus Angiography for…

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Avatar of Larry Husten, PHD

New Support For Complete Revascularization During Primary PCI (1 Sep 2014)

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Until recently, MI patients receiving emergency PCI would only have the culprit artery opened. Complete revascularization of non-infarct-related arteries was performed later. The conventional wisdom was that revascularization of non-infarct-related arteries could be dangerous. That wisdom began to change last year with the PRAMI trial, which found no evidence of harm and a suggestion of benefit in…

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Radial Access for PCI in Women: A Registry-Based Randomized Trial (18 Aug 2014)

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Sunil Rao, MD, Harlan M. Krumholz, MD, SM, and John Ryan, MD

Harlan Krumholz and John Ryan interview Sunil Rao, lead author of SAFE-PCI for Women, a registry-based randomized trial of a radial versus a femoral approach to PCI.

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Large Analysis Supports Thrombolysis for Stroke (5 Aug 2014)

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Although thrombolysis for ischemic stroke has been widely recognized as beneficial, its use has been limited because of concerns about its effects in patients treated after 3 hours, in older patients, and in patients with mild and with severe strokes. Now a meta-analysis published in the Lancet offers evidence that the use of thrombolysis should be…

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Can Bivalirudin Stand the HEAT? (14 Jul 2014)

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Peter B Berger, MD

Harlan Krumholz interviews Peter Berger, an editorialist for the HEAT-PPCI study, about the paper’s findings.