Journal of the American College of Cardiology
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J. Am. Coll. Cardiol. · Oct 2007
Comparative StudyTreatment of obstructive sleep apnea is associated with decreased cardiac death after percutaneous coronary intervention.
Our purpose was to compare outcomes of patients treated for obstructive sleep apnea (OSA) versus patients with untreated OSA, all of whom had undergone percutaneous coronary intervention (PCI). ⋯ Treatment of OSA is associated with a reduction in the number of cardiac deaths, but not in MACE or MACCE, after PCI. Screening for and treating OSA in patients with coronary artery disease who may undergo PCI may result in decreased cardiac death.
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J. Am. Coll. Cardiol. · Sep 2007
Permanent pacemaker for atrioventricular conduction block after operative repair of perimembranous ventricular septal defect.
This study sought to discover the incidence of permanent pacemaker (PPM) placement for atrioventricular conduction block (AV block) after operative repair of perimembranous ventricular septal defect (PMVSD) in a large multi-institutional database and in the subgroup of patients comparable to those considered for transcatheter device closure of PMVSD. ⋯ Operative AV block and PPM placement occurred in 1.1% of patients in the total group and in 0.8% of patients comparable to those considered for device closure of PMVSD. A PPM placement is more likely in patients with Down syndrome. These data should be considered as devices are developed and in the future when counseling families about options for PMVSD closure.