Clinical cardiology
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Clinical cardiology · Sep 2009
Multicenter Study Comparative StudyEarly treatment for non-ST-segment elevation acute coronary syndrome is associated with appropriate discharge care.
Acute treatment is associated with improved in-hospital outcomes for patients with non-ST-segment elevation acute coronary syndrome (NSTE ACS). ⋯ Acute treatment for NSTE ACS in-hospital is associated with appropriate treatment on hospital discharge. This link between early treatment and discharge therapy may lead to new approaches ensuring the delivery of high-quality, guideline-based care for patients with NSTE ACS.
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Clinical cardiology · Sep 2009
Comparative StudyClinical outcomes for single stent and multiple stents in contemporary practice.
Stents had been demonstrated to be safe and effective in the treatment of severe coronary artery disease (CAD); however, the current knowledge on percutaneous coronary intervention (PCI) in treating patients requiring 2 or more stents placements is still limited. ⋯ Although the use of a single stent in coronary artery disease has less incidence of adverse cardiac events at 1 year as compared with the use of multiple stents, the difference was not statistically significant.
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Clinical cardiology · Sep 2009
EditorialOxygen therapy-use and abuse in acute myocardial infarction patients.
In August 2008, an article was published in Heart entitled, "The Routine Use of Oxygen in the Treatment of Myocardial Infarction." This article stimulated me to opine on this topic, which has been an interest of mine for many years.
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Clinical cardiology · Sep 2009
Multicenter Study Comparative StudyThe usage patterns of cardiac bedside markers employing point-of-care testing for troponin in non-ST-segment elevation acute coronary syndrome: results from CRUSADE.
Point-of-care (POC) testing may expedite the care of emergency department (ED) patients suspected of having acute coronary syndromes (ACS). We evaluated the use patterns of cardiac bedside markers or POC testing for troponin in patients with non-ST-segment elevation (NSTE) ACS. ⋯ Differences existed in how hospitals used POC testing and the care given based on those results. Positive POC results are associated with expedited and higher use of anti-ischemic therapies.