Journal of the American College of Cardiology
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J. Am. Coll. Cardiol. · Jun 2001
Randomized Controlled Trial Comparative Study Clinical TrialRandomized comparison of a strategy of predischarge coronary angiography versus exercise testing in low-risk patients in a chest pain unit: in-hospital and long-term outcomes.
This randomized trial compared a strategy of predischarge coronary angiography (CA) with exercise treadmill testing (ETT) in low-risk patients in the chest pain unit (CPU) to reduce repeat emergency department (ED) visits and to identify additional coronary artery disease (CAD). ⋯ In low-risk patients in the CPU, a strategy of CA detects more CAD than ETT, reduces long-term ED and hospital utilization and yields better patient satisfaction and understanding of their condition.
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J. Am. Coll. Cardiol. · Jun 2001
Editorial CommentHand-held echocardiography: revolution or hassle?
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J. Am. Coll. Cardiol. · Jun 2001
Comparative StudyPhysician-performed point-of-care echocardiography using a laptop platform compared with physical examination in the cardiovascular patient.
The purpose of this study was to compare the results of physical examinations (PEs) performed by board-certified cardiologists with the results of point-of-care (POC) echocardiography in a group of patients with cardiovascular disease. ⋯ Point-of-care echocardiography using a miniaturized echocardiographic platform substantially improved the detection of important cardiovascular pathology compared with PE. Use of this device by a cardiovascular specialist with training in echocardiography as a routine adjunct to PE appears to be useful.
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J. Am. Coll. Cardiol. · Jun 2001
Myocardial infarction after vascular surgery: the role of prolonged stress-induced, ST depression-type ischemia.
The goal of this study was to investigate the nature of the association between silent ischemia and postoperative myocardial infarction (PMI). ⋯ Prolonged, ST depression-type ischemia progresses to MI and is strongly associated with the majority of cardiac complications after vascular surgery.