Journal of the American College of Cardiology
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J. Am. Coll. Cardiol. · Sep 2005
Comparative StudyMyocardial contrast echocardiography versus Thrombolysis In Myocardial Infarction score in patients presenting to the emergency department with chest pain and a nondiagnostic electrocardiogram.
We hypothesized that regional function (RF) and myocardial perfusion (MP) are superior to the Thrombolysis In Myocardial Infarction (TIMI) score for diagnosis and prognostication in patients presenting to the emergency department (ED) with chest pain (CP) and a nondiagnostic electrocardiogram. ⋯ Contrast echocardiography can rapidly and accurately provide short-, intermediate-, and long-term prognostic information in patients presenting to the ED with suspected cardiac CP even before serum cardiac markers are known. Integrating contrast echocardiography into the ED evaluation of CP may improve the risk stratification of such patients.
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J. Am. Coll. Cardiol. · Sep 2005
Variations in adult congenital heart disease training in adult and pediatric cardiology fellowship programs.
The purpose of this study was to evaluate adult congenital heart disease (CHD) training among U.S. cardiology fellowship programs. ⋯ Adult CHD didactic and clinical experiences for cardiology fellows vary widely. Few programs offer advanced CHD training, and the number of specially trained physicians is unlikely to meet projected workforce requirements. Adult cardiology programs with PC affiliation have increased CHD experience and might provide good educational models.
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J. Am. Coll. Cardiol. · Aug 2005
Effects of long-term bosentan in children with pulmonary arterial hypertension.
This study investigated the long-term outcome of children with pulmonary arterial hypertension (PAH) treated with bosentan therapy, with or without concomitant prostanoid therapy. ⋯ These data suggest that bosentan, an oral endothelin ET(A)/ET(B) receptor antagonist, with or without concomitant prostanoid therapy, is safe and efficacious for the treatment of PAH in children.
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J. Am. Coll. Cardiol. · Aug 2005
Letter Randomized Controlled Trial Clinical TrialA randomized trial comparing 1 mg of oral vitamin K with no treatment in the management of warfarin-associated coagulopathy in patients with mechanical heart valves.