Circ Cardiovasc Qual
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Circ Cardiovasc Qual · Nov 2018
Randomized Controlled Trial Multicenter Study Comparative StudyCost-Effectiveness of Mitral Valve Repair Versus Replacement for Severe Ischemic Mitral Regurgitation: A Randomized Clinical Trial From the Cardiothoracic Surgical Trials Network
The CTSN (Cardiothoracic Surgical Trials Network) recently reported no difference in left ventricular end-systolic volume index or in survival at 2 years between patients with severe ischemic mitral regurgitation (MR) randomized to mitral valve repair or replacement. However, replacement provided more durable correction of MR and fewer cardiovascular readmissions. Yet, costeffectiveness outcomes have not been addressed. ⋯ URL: https://www.clinicaltrials.gov. Unique identifier: NCT00807040.
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Circ Cardiovasc Qual · Nov 2018
Emergency Department Volume and Outcomes for Patients After Chest Pain Assessment.
Chest pain is one of the most common reasons for emergency department (ED) visits in developed countries. Whether higher volume EDs have better outcomes, specifically for patients with chest pain, is unknown and pertinent. ⋯ Evaluations of chest pain in EDs with higher chest pain volume had lower rates of death or hospitalizations for acute coronary syndrome. There was a volume threshold above which an increase in volume was no longer associated with reduced outcomes.