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
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
Editorial CommentHand-held echocardiography: revolution or hassle?
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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.
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J. Am. Coll. Cardiol. · May 2001
Randomized Controlled Trial Clinical TrialThe effect of short-term prophylactic methylprednisolone on the incidence and severity of postpericardiotomy syndrome in children undergoing cardiac surgery with cardiopulmonary bypass.
The aim of this study was to determine the effect of prophylactic immune suppression on the incidence and severity ofpostpericardiotomy syndrome (PPS) in children after cardiac surgery with cardiopulmonary bypass (CPB). ⋯ Intravenous methylprednisolone at a standard anti-inflammatory dose administered pre-CPB and early post-CPB neither prevents nor attenuates PPS in children. Short-term pre-CPB and post-CPB methylprednisolone treatment may complicate PPS.