Anticoagulation and Percutaneous Coronary Intervention

Capodanno provides an educational review of antithrombotic management peri-proecdural coronary intervention (Capodanno D. Heart 2018;0:1–8. doi:10.1136/heartjnl-2017-312228).

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Intra-coronary Imaging

Raber et provide an expert consensus document on intracoronary imaging (European Heart Journal (2018) 0, 1–20).

 

Peripartum Cardiomyopathy Review

Jackson et al publish a useful paper on peripartum cardiomyopathy in Education section of  Heart (Jackson AM, Dalzell JR, Walker NL, et al. Heart 2018;104:779–786.)

 

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Use of Ionizing Radiation in Cardiovascular Imaging

Hirshfeld et al provide the comprehensive: CONSENSUS DOCUMENT 2018 ACC/HRS/NASCI/SCAI/SCCT Expert Consensus Document on Optimal Use of Ionizing Radiation in Cardiovascular Imaging: Best Practices for Safety and Effectiveness (https://doi.org/10.1016/j.jacc.2018.02.016).

It covers differing cardiovascular imaging modalities, patient, prenatal, operator issues and provides checklists for procedures to minimize radiation dose.

 

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Electrical Cardiac Injuries

Waldmann et al provide a clinical review of electrical injuries (European Heart Journal (2018) 39, 1459–1465).  It is a very useful review.

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Alcohol and Cardiac Disease

Whitman et al explore the relationship between alcohol abuse and cardiac disease (atrial fibrillation, myocardial infarction and heart failure)[(J Am Coll Cardiol 2017;69:13–24]. The relationship with traditional risk factors and population attributable fraction was assessed.

Abstract

BACKGROUND

Understanding the relationship between alcohol abuse, a common and theoretically modifiable condition, and the most common cause of death in the world, cardiovascular disease, may inform potential prevention strategies.

OBJECTIVES

The study sought to investigate the associations among alcohol abuse and atrial fibrillation (AF), myocardial infarction (MI), and congestive heart failure (CHF).

METHODS

Using the Healthcare Cost and Utilization Project database, we performed a longitudinal analysis of California residents $21 years of age who received ambulatory surgery, emergency, or inpatient medical care in California between 2005 and 2009. We determined the risk of an alcohol abuse diagnosis on incident AF, MI, and CHF. Patient characteristics modifying the associations and population-attributable risks were determined.

RESULTS

Among 14,727,591 patients, 268,084 (1.8%) had alcohol abuse. After multivariable adjustment, alcohol abuse was associated with an increased risk of incident AF (hazard ratio [HR]: 2.14; 95% confidence interval [CI]: 2.08 to 2.19; p < 0.0001), MI (HR: 1.45; 95% CI: 1.40 to 1.51; p < 0.0001), and CHF (HR: 2.34; 95% CI: 2.29 to 2.39; p < 0.0001). In interaction analyses, individuals without conventional risk factors for cardiovascular disease exhibited a disproportionately enhanced risk of each outcome. The population-attributable risk of alcohol abuse on each outcome was of similar magnitude to other well-recognized modifiable risk factors.

CONCLUSIONS

Alcohol abuse increased the risk of AF, MI, and CHF to a similar degree as other well-established risk factors. Those without traditional cardiovascular risk factors are disproportionately prone to these cardiac diseases in the setting of alcohol abuse. Thus, efforts to mitigate alcohol abuse might result in meaningful reductions of cardiovascular disease.

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Evaluation and Management of Right Heart Failure

Konstam et provide a comprehensive AHA Statement on the “Evaluation and Management of Right Heart Failure”: Circulation. 2018;137:00–00. DOI: 10.1161/CIR.0000000000000560

It covers the pathophysiology. It deals with acute and chronic heart failure and specific pathologies.

 

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