Many heart attack patients not referred to cardiac rehab

| 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 […]

Drug Eluting Stents – Should Hospitals be Concerned?

| 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 […]

Prophylactic Coronary Angiography in Medium- to High-Risk Patients Undergoing Major Vascular Surgery

| August 31, 2009

Writer: Dharam J. Kumbhani, M.D., S.M. 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 […]

Breaking report confirms exercise better than angioplasty for stable coronary disease–Can it be true?

| 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 […]

In NEJM Editorial, UB Cardiologist Recommends Optimal Medical Therapy, CABG, over PCI in Diabetics with Heart Disease

| August 12, 2009

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 […]

Dr. Dean Ornish: Resuscitating Health Care Reform

| August 10, 2009

Mon, 08/10/2009 – 05:01 — – 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 […]

Widespread Patient Misconceptions Regarding the Benefits of Elective Percutaneous Corornary Intervention

| 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 Although percutaneous […]

U.S. facing severe shortage of heart surgeons

| 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 […]

Bypass or Angioplasty No Better Than Drug Therapy in Reducing Deaths Among Patients With Type 2 Diabetes and Heart Disease

| 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 […]

Stents no better than heart drugs in diabetics

| 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 […]