The Doctor's Channel - Cardiology

Early Invasive Treatment Strategy for Patients with High-Risk Acute Coronary Syndromes

2008-07-09T19:41:44-04:00

In the Journal of the American Medical Association, a meta-analysis showed that patients of both genders with high-risk acute coronary syndromes were helped by an early, invasive treatment strategy.

References and Resources
O'Donoghue M, Boden W, Braunwald E, et al. Early invasive vs conservative treatment strategies in women and men with unstable angina and non-ST-segment elevation myocardial infarction. JAMA. 2008;300:71-80.

Views: 460
Rating:

Concerns with Patent Foramen Ovale

2008-06-10T18:42:09-04:00

Christopher D. Nielsen, MD, Associate Professor of Medicine, Division of Cardiology, Medical University of South Carolina, discusses issues with a patent foramen ovale.

References and Resources
Butera G, Romagnoli E, Sangiorgi G, et al. Patent foramen ovale percutaneous closure: the no-implant approach. Expert Rev Med Devices. 2008 May;5(3):317-21.

Sharma VK, Teoh HL, Chan BP. Relationship between patent foramen ovale and ischemic cerebrovascular events in children. Catheter Cardiovasc Interv. 2008 Apr 1;71(5):716-7.

Doufekias E, Segal AZ, Kizer JR. Cardiogenic and aortogenic brain embolism. J Am Coll Cardiol. 2008 Mar 18;51(11):1049-59.

For more information on this physician visit:
Christopher D. Nielsen, M.D.

Views: 936
Rating:

Minimally Invasive Surgery for Heart Defects

2008-06-10T18:24:59-04:00

Christopher D. Nielsen, MD, Associate Professor of Medicine, Division of Cardiology, Medical University of South Carolina, discusses minimally invasive surgery for heart defects.

References and Resources
Li F, Chen M, Qiu Z, Lu J, Wu W. A new minimally invasive technique to occlude ventricular septal defect using an occluder device. Ann Thorac Surg. 2008 Mar;85(3):1067-71.

Nido PJ. Minimal incision congenital cardiac surgery. Semin Thorac Cardiovasc Surg. 2007;19(4):319-24.

Oiwa H, Ishida R, Sudo K. Systematic traction techniques in minimal-access pediatric cardiac surgery. Ann Thorac Surg. 2004 Nov;78(5):1856-7.

For more information on this physician visit:
Christopher D. Nielsen, M.D.

Views: 1448
Rating:

Infection Care with Pacemakers

2008-06-10T16:09:57-04:00

John Kratz, MD, Professor, Department of Surgery, Medical University of South Carolina, discusses infection care with pacemakers.

References and Resources
Post JJ, Alexopoulos C, Fewtrell C, Giles R, Jones PD. Outcome after complete percutaneous removal of infected pacemaker systems and implantable cardiac defibrillators. Intern Med J. 2006 Dec;36(12):790-2.

Tascini C, Bongiorni MG, Gemignani G, et al. Management of cardiac device infections: A retrospective survey of a non-surgical approach combining antibiotic therapy with transvenous removal. J Chemother. 2006 Apr;18(2):157-63.

Chang JP, Chen MC, Guo GB, Kao CL. Less-invasive surgical extraction of problematic or infected permanent transvenous pacemaker system. Ann Thorac Surg. 2005 Apr;79(4):1250-4.

For more information on this physician visit:
John M. Kratz, M.D.

Views: 380
Rating:

CT Angiograms as Diagnostic Tools

2008-06-05T17:36:36-04:00

As reported at the Society for Academic Emergency Medicine meeting, patients with potential acute coronary syndromes who have a negative CT angiogram can be sent home safely.

References and Resources
Chang AM, et al. Coronary computerized tomography for rapid discharge of low risk patients with potential acute coronary syndromes. SAEM Meeting 2008; Abstract 11.

Views: 1992
Rating:

Aspirin Resistance

2008-06-04T13:04:18-04:00

Eric R. Powers, MD, Director, Acute Coronary Syndrome Center, Medical Director, Cardiology Inpatient Progressive Care Unit, Medical University of South Carolina, discusses aspirin resistance.

References and Resources
Ghosh K, Shetty S, Mota L. spirin resistance in patients with coronary artery disease - which test to use in routine management? Blood Coagul Fibrinolysis. 2008 Jun;19(4):324-6.

Blair P, Freedman JE. Aspirin resistance in atherosclerosis. Curr Atheroscler Rep. 2008 Apr;10(2):149-57.

Zimmermann N, Kurt M, Winter J, Gams E, Wenzel F, Hohlfeld T. Detection and duration of aspirin resistance after coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2008 Apr;135(4):947-8.

For more information on this physician visit
Eric R. Powers, M.D.

Views: 556
Rating:

Computed Tomographic Coronary Angiographic Assessment

2008-06-02T17:35:59-04:00

Joseph Schoepf, M.D., Associate Professor of Radiology and Cardiology, Director of Computed Tomography Research, Medical University of South Carolina, discusses the advantages of using CTA.

References and Resources
Roberts WT, Bax JJ, Davies LC. Cardiac CT and CT coronary angiography: technology and application. Heart. 2008 Jun;94(6):781-92.

Bedetti G, Pasanisi E, Pizzi C, Turchetti G, Lore' C. Economic analysis including long-term risks and costs of alternative diagnostic strategies to evaluate patients with chest pain. Cardiovasc Ultrasound. 2008 May 29;6(1):21.

Sheth T, Amlani S, Ellins ML, et al. Computed tomographic coronary angiographic assessment of high-risk coronary anatomy in patients with suspected coronary artery disease and intermediate pretest probability. Am Heart J. 2008 May;155(5):918-23.

For more information on this physician visit:
Joseph Schoepf, M.D.

Views: 409
Rating:

Drug-Eluting Stents

2008-05-30T13:55:50-04:00

Jacob G. Robison, MD, Professor, Vascular Surgery, Medical University of South Carolina, discusses drug-eluting stents.

References and Resources
Baker M, Uflacker R, Robison JG. Stent graft infection after abdominal aortic aneurysm repair: a case report. JJ Vasc Surg. 2002 Jul;36(1):180-3.

Nakazawa G, Tanabe K, Aoki J, et al. Sirolimus-eluting stents suppress neointimal formation irrespective of metallic allergy. Circ J. 2008 Jun;72(6):893-6.

Windecker S, Jüni P. Safety of drug-eluting stents. Nat Clin Pract Cardiovasc Med. 2008 Jun;5(6):316-28.

For more information on this physician visit:
Jacob G. Robison, MD

Views: 431
Rating:

Biomarkers in Heart Failure

2008-05-29T11:48:12-04:00

Francis G. Spinale, MD, PhD, Associate Professor, Department of Surgery, Medical University of South Carolina, discusses biomarkers in heart failure.

References and Resources
Spinale FG. Myocardial matrix remodeling and the matrix metalloproteinases: influence on cardiac form and function. Physiol Rev. 2007 Oct;87(4):1285-342. Review.

Braunwald E. Biomarkers in heart failure. N Engl J Med. 2008 May 15;358(20):2148-59.

Dorman BH, Stroud RE, Wyckoff MM, Zellner JL, Botta D, Leonardi AH, Ikonomidis JS, Spinale FG. Differential Effects of Epsilon-aminocaproic Acid and Aprotinin on Matrix Metalloproteinase Release in Patients Following Cardiopulmonary Bypass. J Cardiovasc Pharmacol. 2008 Apr;51(4):418-423.

Views: 521
Rating:

HCM and Alcohol Septal Ablation

2008-05-19T18:28:18-04:00

Christopher D. Neilsen, MD, Associate Professor of Medicine, Division of Cardiology, Medical University of South Carolina, discusses hypertrophic cardiomyopathy and alcohol septal ablation.

References and Resources
Marian AJ. Genetic determinants of cardiac hypertrophy. Curr Opin Cardiol. 2008 May;23(3):199-205.

Maron BJ, Maron MS, Lesser JR, et al. Sudden cardiac arrest in hypertrophic cardiomyopathy in the absence of conventional criteria for high risk status. Am J Cardiol. 2008 Feb 15;101(4):544-7.

Tromp F, Devos D, De Backer J. Successful alcohol septal ablation for late recurrence of left ventricular outflow tract obstruction after surgical myectomy in hypertrophic obstructive cardiomyopathy. Acta Cardiol. 2008 Apr;63(2):271-5.

For more information on this physician visit:
Christopher D. Nielsen, M.D.

Views: 1862
Rating: