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Cardiovascular highlights from non-cardiology journals
Cryptogenic stroke due to undetected atrial fibrillation—longer ECG monitoring may be the key Up to 40% of ischemic strokes remain unexplained after routine evaluation and thus are considered cryptogenic. However, a number of these strokes may be due to an undetected episode of paroxysmal atrial fibrillation (AF) where anticoagulation can reduce the risk of subsequent ischemic stokes. Although a minimum of 24 hours of ECG monitoring is guideline recommended in the evaluation of ischemic stroke to identify AF, the optimal duration of monitoring remains undetermined. Among patients with cryptogenic stroke, two concurre...
Source: Heart - August 21, 2014 Category: Cardiology Authors: Bradley, S. M. Tags: Journal scan Source Type: research

Beyond Framingham risk factors and coronary calcification: does aortic valve calcification improve risk prediction? The Heinz Nixdorf Recall Study
Conclusions AVC is associated with incident coronary and CVD events independent of Framingham risk factors. However, AVC fails to improve cardiovascular event prediction over Framingham risk factors and CAC.
Source: Heart - May 19, 2014 Category: Cardiology Authors: Kalsch, H., Lehmann, N., Mahabadi, A. A., Bauer, M., Kara, K., Huppe, P., Moebus, S., Mohlenkamp, S., Dragano, N., Schmermund, A., Stang, A., Jockel, K.-H., Erbel, R., on behalf of the Investigator Group of the Heinz Nixdorf Recall Study Tags: Drugs: cardiovascular system, Clinical diagnostic tests Cardiac risk factors and prevention Source Type: research

Cardiovascular highlights from non-cardiology journals
Pre-operative aspirin does not influence CABG outcomes Aspirin is a common therapy for risk reduction among patients with coronary artery disease. However, among patients undergoing coronary artery bypass surgery, the benefits of aspirin on the risk of myocardial infarction and stroke may be outweighed by perioperative bleeding risk. To address this question, the ATACAS trial randomized 2100 patients to either receive 100 mg aspirin daily or matching placebo for 4 days immediately prior to the operation with all patients resuming aspirin within 24 hours of their bypass surgery. The primary outcome was a composite of d...
Source: Heart - June 5, 2016 Category: Cardiology Authors: Bradley, S. M. Tags: Journal scan Source Type: research

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