Cardiology

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Early, sensitive troponin I assessment safe, effective for acute MI diagnosis

September 3, 2015

LONDON — A new algorithm incorporating a more sensitive cutoff for troponin I values to identify non-STEMI would result in lower mortality and allow more rapid treatment or discharge of patients with acute chest pain, according to results from the BACC trial presented at the European Society of Cardiology Congress.

Dirk Westermann, MD, PhD, and colleagues evaluated 1,045 patients with acute chest pain indicative of MI who presented at a hospital in Germany. Troponin I levels were assessed at admission and again 3 hours later, according to current guidelines, as well as at 1 hour after admission. Patients were diagnosed with non-STEMI using the standard approach (n = 184), with a troponin I value higher than the 99th percentile, or 27 ng/L for the assay used (STAT high sensitive Troponin I, Abbott Diagnostics), as the cutoff. Follow-up was conducted for 6 months among those with non-STEMI and 793 patients discharged without an acute MI diagnosis. Patients with STEMI were excluded from analysis.

Pamela S. Douglas, MD Meeting News CoveragePerspective

PLATFORM: FFR-CT reduces unnecessary invasive catheterization in patients with suspected CAD

September 3, 2015
LONDON — Patients with suspected CAD planned for invasive catheterization were less likely to undergo an unnecessary procedure if their diagnosis was guided by CTA…
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In the Journals

Calorie restriction could improve health outcomes related to aging

September 3, 2015
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Meeting News Coverage

FAME: FFR-guided PCI lowered long-term major adverse cardiac event risk

September 3, 2015
LONDON — Patients with multivessel CAD who underwent fractional flow reserve-guided PCI experienced fewer major adverse cardiac events than those treated with…
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CME
Cardiology Case Consults

The Patient with Obesity

No commercial support for this activity.

This CME activity will focus on the diagnosis and management of patients with obesity.
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VIDEO: ARTS-HF results indicate benefits of finerenone for certain patients with HF

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September 2, 2015
LONDON — In this video, Richard A. Chazal, MD, FACC, medical director of the Heart and Vascular Institute at Lee…
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CME
Highlights from Lipid Forum 2015™: Focus on Hypertriglyceridemia

Highlights from Lipid Forum 2015®: Focus on Hypertriglyceridemia

This activity is supported by an educational grant from AstraZeneca.

Hypertriglyceridemia is a highly prevalent yet modifiable risk factor for atherosclerotic disease, pancreatitis, and…
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