Heart : official journal of the British Cardiac Society
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Randomized Controlled Trial Multicenter Study Comparative Study
Very early diagnosis of chest pain by point-of-care testing: comparison of the diagnostic efficiency of a panel of cardiac biomarkers compared with troponin measurement alone in the RATPAC trial.
To assess the impact of triple marker testing on patient management and the diagnostic efficiencies of different biomarker strategies examined. ⋯ Measurement of cTnI alone is sufficient for diagnosis. Measurement of a marker panel does not facilitate diagnosis.
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Comparative Study
Right ventriculo-arterial coupling in pulmonary hypertension: a magnetic resonance study.
To quantify right ventriculo-arterial coupling in pulmonary hypertension by combining standard right heart catheterisation (RHC) and cardiac magnetic resonance (CMR) and to estimate it non-invasively with CMR alone. ⋯ Right ventriculo-arterial coupling in pulmonary hypertension can be studied with standard RHC and CMR. Arterial load increases with disease severity whereas contractility cannot progress in parallel, leading to severe uncoupling.
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Comparative Study
Maternal cardiovascular events during childbirth among women with congenital heart disease.
To define the epidemiology of adverse cardiovascular events among women with congenital heart disease (CHD) hospitalised for childbirth in the USA. ⋯ Maternal CHD is associated with a markedly increased risk of adverse cardiovascular events and death during admission for delivery.
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Editorial Comment
Glycosylated natriuretic peptides: the cardiologist's new sweetheart?