Acute Severe Hypertension

Foreword. This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author’s clinical recommendations. Stage.

Effect of procedural refinement of transfemoral transcatheter aortic valve implantation on outcomes and costs: a single-centre retrospective study

Objectives To determine the effect of introducing several procedural refinements of transfemoral transcatheter aortic valve implantation (TAVI) on clinical outcomes and costs. Design Retrospective analysis comparing two consecutive 1-year periods, before and after the introduction of procedural refinements. Setting Tertiary

Mobile Devices and Health

Mobile health — the application of sensors, mobile apps, social media, and location-tracking technology to obtain data pertinent to wellness and disease diagnosis, prevention, and management — makes it theoretically possible to monitor and intervene whenever and wherever acute and

The aetiology of death for marathon runner Phidippides?Endurance training and myocardial infarction with non-obstructive coronary artery disease may have been the cause of death of Phidippides, from present day evidence of an athlete who survived, and is discussed

Phidippides was a legendary Greek runner who ran from Marathon to Athens in 490 BC to announce the victory of the Greeks over the Persians. After running about 40 km to the Acropolis in Athens, he promptly collapsed and died.

Assessment of clinical and occupational cardiovascular riskThis second article in the occupational cardiology series discusses risk for the individual worker, the remainder of the workforce and the public in high-hazard occupations

Physicians assessing cardiovascular risk in a high-hazard workforce face a complex problem. A cardiovascular event in routine operations performed by high-hazard workers may result in widespread loss of life or extensive environmental damage. Using cheap, reliable, and reproducible screening tools,

Factors influencing long-term heart failure mortality in patients with obstructive hypertrophic cardiomyopathy in Western Sweden: probable dose-related protection from beta-blocker therapy

Objective In order to avoid effects of referral bias, we assessed risk factors for disease-related mortality in a geographical cohort of patients with hypertrophic obstructive cardiomyopathy (HOCM), and any therapy effect on survival. Methods Diagnostic databases in 10 hospitals in

Correction: 23 Long term lead survival in adult congenital heart disease patients: a retrospective analysis using clinical correspondence data mining

Stokes A, Brigante O, Rohan K, et al 23 Long term lead survival in adult congenital heart disease patients: a retrospective analysis using clinical correspondence data mining. Heart 2018;104:A22–3. doi: 10.1136/heartjnl-2018-BCS.23. In this article the author Ozhin Brigante should have been listed as

Cardiovascular outcomes of early versus delayed coronary intervention in low to intermediate-risk patients with STEMI in Thailand: a randomised trial

Background The benefit of an early coronary intervention after streptokinase (SK) therapy in low to intermediate-risk patients with ST-elevation myocardial infarction (STEMI) still remains uncertain. The current study aimed to evaluate the cardiovascular outcomes of early versus delayed coronary intervention

The UK National Amyloidosis CentreThe National Amyloidosis Centre at the Royal Free Hospital and University College London is the world’s largest amyloidosis centre with almost 1500 patient referrals annually

The National Amyloidosis Centre (NAC) is a wholly integrated clinic and research facility located in the Royal Free Hospital and University College London (UCL). The NAC has been at the cutting edge of research and treatment into all aspects of

High-sensitive cardiac troponin T as a predictor of efficacy and safety after pulmonary vein isolation using focal radiofrequency, multielectrode radiofrequency and cryoballoon ablation catheter

Introduction Myocardial injury markers such as high-sensitive cardiac troponin T (hs-cTnT) and creatine kinase MB (CK-MB) reflects the amount of myocardial injury with ablation. The aim of the study was to identify the value of myocardial injury markers to predict

Exercise-based cardiac rehabilitation for patients following open surgical aortic valve replacement and transcatheter aortic valve implant: a systematic review and meta-analysis

Objectives Exercise-based cardiac rehabilitation (CR) may be beneficial to patients following transcatheter aortic valve implantation (TAVI) and open surgical aortic valve replacement (SAVR). We aimed to undertake a systematic review and meta-analysis to evaluate the efficacy, safety and costs of

Mechanical performance and healing patterns of the novel sirolimus-eluting bioresorbable Fantom scaffold: 6-month and 9-month follow-up by optical coherence tomography in the FANTOM II study

Objectives We aimed to evaluate the mechanical properties and healing patterns 6 and 9 months after implantation of the sirolimus-eluting Fantom bioresorbable scaffold (BRS). Background The Fantom BRS (Reva Medical, San Diego, USA) has differentiating properties including radiopacity, strut thickness

Pharmacological interventions for the prevention of contrast-induced acute kidney injury in high-risk adult patients undergoing coronary angiography: a systematic review and meta-analysis of randomised controlled trials

Objective Quantify the efficacy of strategies to prevent contrast-induced acute kidney injury (CI-AKI) in high-risk patients undergoing coronary angiography (CAG) with or without percutaneous coronary intervention (PCI). Background CI-AKI remains a common problem. The renoprotective efficacy of existing pharmacological agents

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