Cardiac Surgery
Clinical management of hypercholesterolaemia in patients with acute coronary syndromes
9 Aug, 2017 | 17:01h | UTC
Optimal timing of an invasive strategy in patients with non-ST-elevation acute coronary syndrome
7 Aug, 2017 | 21:55h | UTCOptimal timing of an invasive strategy in patients with non-ST-elevation acute coronary syndrome: a meta-analysis of randomised trials – The Lancet (link to abstract – $ for full-text)
Commentary: Optimal Timing of an Invasive Strategy in NSTE-ACS Patients – American College of Cardiology, Latest in Cardiology (free)
An early invasive strategy does not reduce mortality compared with a delayed invasive strategy in most patients with NSTE-ACS, but seems to reduce mortality in high-risk patients.
Peri-operative myocardial injury and infarction in patients undergoing coronary artery bypass graft surgery
3 Aug, 2017 | 14:09h | UTCSummary with 10 key points to remember: Perioperative Myocardial Injury and Infarction After CABG – American College of Cardiology, Latest in Cardiology (free)
Resuscitative endovascular balloon occlusion of the aorta (REBOA) or open aortic cross-clamping by resuscitative thoracotomy in non-compressible torso hemorrhage patients
1 Aug, 2017 | 21:31h | UTCThis meta-analysis, mainly from observational studies and including 1276 patients, suggests a positive effect of REBOA on mortality among non-compressible torso hemorrhage patients.
Transcatheter aortic valve implantation for aortic stenosis
28 Jul, 2017 | 15:50h | UTCTranscatheter aortic valve implantation for aortic stenosis –NICE Guideline (free)
Long-Term Outcomes and Prognostic Factors of Complications in Takayasu’s Arteritis
27 Jul, 2017 | 17:53h | UTCLong-Term Outcomes and Prognostic Factors of Complications in Takayasu’s Arteritis: A Multicenter Study of 318 Patients – Circulation (link to abstract – $ for full-text)
Commentary: Prognostic Factors in Takayasu’s Arteritis – American College of Cardiology, Latest in Cardiology (free)
Comparison of Stenting Versus Bypass Surgery According to the Completeness of Revascularization in Severe Coronary Artery Disease
27 Jul, 2017 | 23:05h | UTCCommentaries: Surgery vs. Stents With Complete Revascularization – American College of Cardiology, Latest in Cardiology (free) AND PCI Matches Surgery for Multivessel Disease: But technical success with percutaneous procedure is critical – MedPage Today (free registration required)
Related study: Long-Term Mortality After Coronary Revascularization in Nondiabetic Patients With Multivessel Disease – Journal of The American College of Cardiology (free)
Results are comparable as long as complete revascularization has been achieved, additional randomized trials testing this hypothesis needed.
Prosthetic Valve Endocarditis After Surgical Aortic Valve Replacement
27 Jul, 2017 | 23:21h | UTCProsthetic Valve Endocarditis After Surgical Aortic Valve Replacement – Circulation (free)
Commentary: Fewer infections in mechanical heart valves – Karolinska Institutet (free)
In this large cohort with follow-up time of up to 18 years, the risk of endocarditis was about 50 per cent higher with a biological prosthesis than with a mechanical prosthesis.
Guideline: Damage control resuscitation in patients with severe traumatic hemorrhage
25 Jul, 2017 | 00:58h | UTCSee also: Guideline Summary: National Guideline Clearinghouse (free)
Guidelines for the Surgical Treatment of Atrial Fibrillation
25 Jul, 2017 | 00:57h | UTCSee also: Guideline Summary: National Guideline Clearinghouse (free)
Guideline: Operative fixation of rib fractures after blunt trauma
25 Jul, 2017 | 00:48h | UTCSee also: Guideline Summary: National Guideline Clearinghouse (free)
The Diagnosis and Treatment of Hemoptysis
25 Jul, 2017 | 00:42h | UTCReview: The Diagnosis and Treatment of Hemoptysis – Deutsches Ärzteblatt international (free)
Source: Critical Care Reviews Newsletter
Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome
25 Jul, 2017 | 00:38h | UTCReview: Management of elderly patients with a non-ST-segment-elevation acute coronary syndrome – Netherlands Heart Journal (free) (RT @Gas_Craic see Tweet)
Management of malignant pleural effusion: challenges and solutions
23 Jul, 2017 | 23:38h | UTCReview: Management of malignant pleural effusion: challenges and solutions – Cancer Management and Research (free)
Acute Aortic Syndromes: Diagnosis and Management
23 Jul, 2017 | 16:27h | UTCSummary with 10 key points to remember: Acute Aortic Syndromes: Diagnosis and Management – American College of Cardiology, Latest in Cardiology (free)
Original Article: Acute aortic syndromes: diagnosis and management, an update – European Heart Journal (link to abstract – $ for full-text)
The Evolving Story of Overlapping Surgery
23 Jul, 2017 | 14:09h | UTCViewpoint: The Evolving Story of Overlapping Surgery – JAMA (free) (RT @pash22 see Tweet)
Commentary: 3 steps to restore patient trust in overlapping surgeries – FierceHealthcare (free)
This interesting viewpoint discusses the practice of scheduling overlapping surgeries, in which a qualified practitioner finishes noncritical parts of the first operation while the primary surgeon moves to the next surgery.
Diagnosis and treatment of cystic lung disease
21 Jul, 2017 | 18:15h | UTCReview: Diagnosis and treatment of cystic lung disease – Korean Journal of Internal Medicine (free)
Three-dimensional echocardiography in adult congenital heart disease
18 Jul, 2017 | 22:39h | UTCClinical Review: Three-dimensional echocardiography in adult congenital heart disease – Korean Journal of Internal Medicine (free)
Detecting human coronary inflammation by imaging perivascular fat
13 Jul, 2017 | 20:47h | UTCDetecting human coronary inflammation by imaging perivascular fat – Science Translational Medicine (free)
Commentaries: Scan finds heart’s ticking time bombs – BBC News (free) AND New way of reading scans can predict heart attack risk, research finds – The Guardian (free)
Pericarditis as a Marker of Occult Cancer and a Prognostic Factor for Cancer Mortality
13 Jul, 2017 | 20:46h | UTCPericarditis as a Marker of Occult Cancer and a Prognostic Factor for Cancer Mortality – Circulation (link to abstract – $ for full-text)
Commentary: Pericarditis as a Marker of Occult Cancer – American College of Cardiology, Latest in Cardiology (free)
Association of delay of urgent or emergency surgery with mortality and use of health care resources
10 Jul, 2017 | 15:09h | UTCCommentary: Patients whose emergency surgery is delayed are at higher risk of death – Canadian Medical Association Journal, via EurekAlert (free)
Source: STAT News Newsletter
“Delayed operating room access for emergency surgery was associated with increased risk of inhospital mortality, longer length of stay and higher costs”.
Re-designing the pathway to surgery: better care and added value
3 Jul, 2017 | 17:16h | UTCRe-designing the pathway to surgery: better care and added value – Perioperative Medicine (free)
Source: Critical Care Reviews Newsletter
Prognostic Value of Noninvasive Cardiovascular Testing in Patients With Stable Chest Pain
3 Jul, 2017 | 16:57h | UTCPrognostic Value of Noninvasive Cardiovascular Testing in Patients With Stable Chest Pain – Circulation (link to abstract – $ for full-text)
Commentary: CT angiography appears better at predicting future risk for patients with chest pain – Massachusetts General Hospital, via ScienceDaily (free)
Source: EvidenceAlerts (free resource to find articles of interest)
“The most important result indicated that the ability of coronary CTA to identify nonobstructive coronary artery disease – a less-than-70-percent narrowing of a coronary artery – identifies an at-risk group of patients not found by functional testing” (from ScienceDaily)
CABG vs DES for Non–ST-Elevation Acute Coronary Syndrome and left main or multivessel CAD
29 Jun, 2017 | 16:12h | UTCComparison of Outcome of Coronary Artery Bypass Grafting Versus Drug-Eluting Stent Implantation for Non–ST-Elevation Acute Coronary Syndrome – The American Journal of Cardiology (link to abstract – $ for full-text)
Source: EvidenceAlerts
In patients with Non–ST-Elevation Acute Coronary Syndrome and left main or multivessel CAD, CABG significantly reduced the risk of death from any causes, myocardial infarction, or stroke compared with PCI with drug-eluting stents
A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery
26 Jun, 2017 | 17:32h | UTCA Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts (free resource to find articles of interest)
“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”