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Source: Canadian Journal of Cardiology

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Total 265 results found since Jan 2013.

New Directions in Cardiac Arrhythmia Management: Present Challenges and Future Solutions
Publication date: December 2014 Source:Canadian Journal of Cardiology, Volume 30, Issue 12, Supplement Author(s): Stanley Nattel , Jason Andrade , Laurent Macle , Lena Rivard , Katia Dyrda , Blandine Mondesert , Paul Khairy Cardiac arrhythmias are a major contributor to population morbidity and mortality. Enormous advances in arrhythmia management have occurred over the 60 years since the founding of the Montreal Heart Institute, but important challenges remain. The purpose of this article is to identify the areas of cardiac arrhythmia therapy that need improvement and to discuss the evolving approaches that promise solu...
Source: Canadian Journal of Cardiology - November 26, 2014 Category: Cardiology Source Type: research

An Integrated Approach for Vascular Health: A Call to Action
Publication date: Available online 6 November 2014 Source:Canadian Journal of Cardiology Author(s): Blair J. O'Neill , Shadab N. Rana , Vincent Bowman Vascular diseases such as stroke, myocardial infarction, most causes of heart failure, dementia, peripheral arterial disease, certain kidney, and many lung and eye conditions are a result of disorders in the blood vessels (large and small) throughout the entire human body. Vascular diseases are the leading cause of preventable death and disability in Canada 1 . Most vascular diseases share common risk factors (high blood pressure, diabetes, dyslipidemia and obesity), which...
Source: Canadian Journal of Cardiology - November 7, 2014 Category: Cardiology Source Type: research

Serum Uric Acid and Risk of Left Atrial Thrombus in Patients With Nonvalvular Atrial Fibrillation
Conclusions Hyperuricemia was a modest risk factor for LA thrombus, which might refine stratification of LA thrombus in patients with nonvalvular AF.
Source: Canadian Journal of Cardiology - November 4, 2014 Category: Cardiology Source Type: research

Progressive Increase in Peridevice Leakage After the Implantation of the Watchman Device on Long-term Serial Echocardiographic Follow-up
We report a case of progressive increase in peridevice leakage after Watchman device implantation on long-term transesophageal echocardiographic follow-up accompanied by stroke.
Source: Canadian Journal of Cardiology - November 4, 2014 Category: Cardiology Source Type: research

Atenolol vs Nonatenolol β-Blockers for the Treatment of Hypertension: A Meta-analysis
Conclusions In the young, both atenolol and nonatenolol β-blockers are effective in reducing cardiovascular end points for hypertension without compelling indications. Atenolol is associated with increased stroke in the elderly but whether this extends to nonatenolol β-blockers remains uncertain.
Source: Canadian Journal of Cardiology - November 1, 2014 Category: Cardiology Source Type: research

Duration of Preoperative β-Blockade and Outcomes After Major Elective Noncardiac Surgery
Conclusions Initiation of β-blocker therapy 1-7 days before noncardiac surgery is associated with increased 30-day mortality. The findings merit further evaluation by randomized trials.
Source: Canadian Journal of Cardiology - November 1, 2014 Category: Cardiology Source Type: research

No Increase in Adverse Events During Aliskiren Use Among Ontario Patients Receiving Angiotensin-Converting Enzyme Inhibitors or Angiotensin-Receptor Blockers
Conclusions Among community-dwelling patients aged 66 years and older receiving therapy with an ACEi or an ARB, aliskiren use was not associated with hospitalization for hyperkalemia, AKI, or stroke.
Source: Canadian Journal of Cardiology - November 1, 2014 Category: Cardiology Source Type: research

Aligning Health Care Policy With Evidence-Based Medicine: The Case for Funding Direct Oral Anticoagulants in Atrial Fibrillation
Publication date: October 2014 Source:Canadian Journal of Cardiology, Volume 30, Issue 10 Author(s): James A. Stone , Karen M. Earl , Blair J. O'Neill , Mukul Sharma , Thao Huynh , Kori Leblanc , Richard Ward , Philip A. Teal , Jafna L. Cox Misalignment between evidence-informed clinical care guideline recommendations and reimbursement policy has created care gaps that lead to suboptimal outcomes for patients denied access to guideline-based therapies. The purpose of this article is to make the case for addressing this growing access barrier to optimal care. Stroke prevention in atrial fibrillation (AF) is discussed as a...
Source: Canadian Journal of Cardiology - November 1, 2014 Category: Cardiology Source Type: research

Echocardiography Underestimates Stroke Volume and Aortic Valve Area: Implications for Patients With Small-Area Low-Gradient Aortic Stenosis
Conclusions Echocardiography underestimated LVOTarea, stroke volume, and therefore AVA, compared with MRI. The thresholds based on current guidelines were also inconsistent. In combination, these factors explain > 40% of patients with discordant small-area low-gradient AS.
Source: Canadian Journal of Cardiology - November 1, 2014 Category: Cardiology Source Type: research

The 2014 Canadian Hypertension Education Program Recommendations for Blood Pressure Measurement, Diagnosis, Assessment of Risk, Prevention, and Treatment of Hypertension
Publication date: May 2014 Source:Canadian Journal of Cardiology, Volume 30, Issue 5 Author(s): Kaberi Dasgupta , Robert R. Quinn , Kelly B. Zarnke , Doreen M. Rabi , Pietro Ravani , Stella S. Daskalopoulou , Simon W. Rabkin , Luc Trudeau , Ross D. Feldman , Lyne Cloutier , Ally Prebtani , Robert J. Herman , Simon L. Bacon , Richard E. Gilbert , Marcel Ruzicka , Donald W. McKay , Tavis S. Campbell , Steven Grover , George Honos , Ernesto L. Schiffrin , Peter Bolli , Thomas W. Wilson , Patrice Lindsay , Michael D. Hill , Shelagh B. Coutts , Gord Gubitz , Mark Gelfer , Michel Vallée , G.V. Ramesh Prasad , Marcel Lebel , D...
Source: Canadian Journal of Cardiology - November 1, 2014 Category: Cardiology Source Type: research