Journal of the American College of Cardiology
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J. Am. Coll. Cardiol. · Aug 2012
Pre-hospital electrocardiography by emergency medical personnel: effects on scene and transport times for chest pain and ST-segment elevation myocardial infarction patients.
This study sought to measure the impact of pre-hospital (PH) electrocardiography (ECG) on scene-to-hospital time for patients with chest pain of cardiac origin and those with ST-segment elevation myocardial infarction (STEMI). ⋯ Obtaining a PH ECG for patients with chest pain minimally prolongs scene and transport times. Further, for STEMI patients, both scene times and transport times are actually reduced leading to a potential reduction in total ischemic time.
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J. Am. Coll. Cardiol. · Aug 2012
Subclinical hypothyroidism is associated with increased risk for all-cause and cardiovascular mortality in adults.
This study sought to evaluate the relationship between subclinical hypothyroidism (SCH) and all-cause and cardiovascular disease (CVD) mortality. ⋯ Adult Taiwanese with SCH had an increased risk for all-cause mortality and CVD death.
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J. Am. Coll. Cardiol. · Aug 2012
Randomized Controlled Trial Multicenter StudyTadalafil for the treatment of pulmonary arterial hypertension: a double-blind 52-week uncontrolled extension study.
The aim of this study was to evaluate the long-term safety and durability of efficacy of tadalafil for pulmonary arterial hypertension. ⋯ Long-term treatment with tadalafil was well tolerated in patients with pulmonary arterial hypertension. In patients receiving either T20 mg or T40 mg, the improvements in 6MWD demonstrated in the 16-week PHIRST study appeared sustained for up to 52 additional weeks of treatment in PHIRST-2. (Pulmonary Arterial Hypertension and Response to Tadalafil Study; NCT00549302).