admin | September 7, 2009
By Steven Reinberg, HealthDay Reporter
MONDAY, July 27 (HealthDay News) — Even though cardiac rehabilitation has been shown to guard against future heart trouble once a cardiovascular event has landed someone in the hospital, only 56 percent of these patients are referred for the therapy, a new study finds.
Despite national guidelines that say hospitalized patients with a qualifying cardiovascular disease event should be referred to outpatient cardiac rehabilitation before hospital discharge, the study demonstrates this doesn’t happen often enough, the researchers noted.
“Cardiac rehabilitation improves clinical outcomes, but is widely underutilized,” said researcher Dr. Gregg C. Fonarow, a professor of cardiology at the University of California, Los Angeles.
Category: Angio/Stent, Bypass Surgery, Cardio Rehab, Studies |
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admin | September 6, 2009
September 6, 2009 by
Haroon Rashid1) “Drug Eluting Stents may carry a greater risk of thrombosis than their bare metal counterparts, according to research presented at the 2006 World Congress of Cardiology (WCC)”!
2). “Recent studies increase concern among researchers about potential for dangerous blood clots in individuals with drug eluting stents, what does this mean for patients? (ptca.org)”
3). “Serious clinical implications that might be unreported”, (Theheart.org, Heartwire).
4). “New information suggests long term problems, (About: Heart Disease, January 2007)”.
Category: Angio/Stent, Studies |
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admin | August 31, 2009
Description
Two recent trials, CARP and DECREASE-V, noted that routine coronary artery revascularization before vascular surgery is not associated with improved outcomes. Accordingly, current American College of Cardiology/American Heart Association guidelines recommend noninvasive testing for patients undergoing vascular surgery, only if two or more risk factors, as assessed by Lee’s revised cardiac risk index (RCRI), are present.
Given that vascular surgery patients continue to have a high rate of perioperative cardiovascular complications, the current trial sought to evaluate the role of routine coronary angiography and revascularization if needed in patients undergoing major vascular surgery, with an RCRI ≥2.
Category: Angio/Stent, Studies |
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admin | August 31, 2009
In stable coronary artery disease (CAD), analysis has shown a 27% reduction of total mortality from exercise, compared to more aggressive intervention. At least four mechanisms are at play: better endothelial (coronary artery inner lining) function, reduced rate of coronary deposits, reduced clotting risk, and improved new arterial growth.
When compared to balloon angioplasty with or without a stent, 12-months of exercise therapy in stable CAD patients was associated with higher event-free survival. From an article published in a European medical journal in 2004 (R. Hambrecht, University of Liepzig, Germay)
Category: Angio/Stent, Cardio Rehab, Studies |
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admin | August 12, 2009
![[ photograph ]](http://www.buffalo.edu/news/thumbnails/boden_william.jpg)
William E. Boden has written an editorial in the New England Journal of Medicine that urges caution about new research on diabetics with coronary disease.Release Date: June 7, 2009
BUFFALO, N.Y. — In an editorial in the current issue of the New England Journal of Medicine (NEJM), William E. Boden, M.D., professor of medicine and preventive medicine at the University at Buffalo, recommends that the results of the BARI-2D Trial published in that edition must be interpreted with “considerable caution.”
The editorial is titled “Diabetes with Coronary Disease — A Moving Target Amid Evolving Therapies?”
Category: Angio/Stent, Bypass Surgery, Medicine, Studies |
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admin | August 10, 2009
Mon, 08/10/2009 - 05:01 — popdd.com - Health reform is in danger of failing because the focus has been too much on who is covered and not enough on what is covered. Health care reform is primarily about health insurance reform, with the main battle being over coverage and the payment system.
Of course, we need to provide coverage for the 48 million Americans who do not have health insurance. It is morally indefensible that we have not already done so.
Category: Angio/Stent, Buffalo Heart Health, Bypass Surgery, Cardio Rehab, External Counterpulsation, Medicine, Studies |
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admin | August 3, 2009
Selecting Optimal Patients for Revascularization: Opportunities to Improve Quality, Costs and Patient Outcomes
Abstract 6224: Widespread Patient Misconceptions Regarding the Benefits of Elective Percutaneous Corornary Intervention
John H Lee1; Kenny Chuu2; John Spertus2; James H O’Keefe2
1 Mid America Heart Insitute, Kansas City, MO
2 Mid America Heart Insitute, UMKC, Kansas City, MO
Category: Angio/Stent, Studies |
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admin | July 28, 2009
NEW YORK (Reuters Health) - The U.S. is likely to face a severe shortage of heart surgeons in the next 10 years, say representatives from medical schools and thoracic surgeons’ groups.
Writing in the journal Circulation, Dr. Atul Grover of the Association of American Medical Colleges in Washington, DC and colleagues point out that the number of active cardiothoracic surgeons in the U.S. “has fallen for the first time in 20 years.”
More than half of today’s cardiothoracic surgeons are older than 50 years, and more than 15 percent are between the ages of 65 and 74 years, the researchers note.
Category: Angio/Stent, Bypass Surgery, Studies |
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admin | July 22, 2009
International Multicenter Study Led by the University of Pittsburgh Published in New England Journal of Medicine and Presented at American Diabetes Association 69th Scientific Sessions
NEW ORLEANS, June 7, 2009 – There is no difference in mortality among patients with type 2 diabetes and stable heart disease who received prompt bypass surgery or angioplasty compared to drug therapy alone, according to a landmark study focused exclusively on patients with both conditions. The study, which was led by investigators at the University of Pittsburgh Graduate School of Public Health, published in the June 11 issue of the New England Journal of Medicine and presented at the American Diabetes Association 69th Scientific Sessions, also found that while prompt bypass in patients with more severe heart disease did not lower mortality, it lowered their risk of subsequent major cardiac events.
Category: Angio/Stent, Bypass Surgery, Medicine, Studies |
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admin | July 14, 2009
By Julie Steenhuysen
Monday, 8 June 2009
CHICAGO (Reuters) - Diabetics with stable heart disease do just as well taking drugs alone as getting quick angioplasty or bypass surgery to open blocked heart arteries, U.S. researchers said on Sunday.
They said patients advised to have angioplasty and a heart stent to restore blood flow and ease chest pain could safely wait and give drugs a chance to work.
But those with more severe disease sent for more invasive heart bypass surgery might be able to avoid a future heart attack if they have the surgery right away.
Category: Angio/Stent, Medicine, Studies |
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![[ photograph ]](http://www.buffalo.edu/news/hires/boden_william.jpg)
