Coronary Artery Disease

Feb 15, 2011 Issue
Using Nontraditional Risk Factors in Coronary Heart Disease Risk Assessment [Putting Prevention into Practice]

Case study: A 47-year-old man with no history of coronary heart disease (CHD), diabetes mellitus, or any CHD risk equivalent asks about smoking cessation therapies. His past laboratory results include a total cholesterol level of 230 mg per dL (5.96 mmol per L) and a high-density lipoprotein level of 35 mg per dL (0.91 mmol per L).

Dec 1, 2010 Issue
Sudden Cardiac Death and Implantable Cardioverter-Defibrillators [Article]

Sudden cardiac death is a major public health problem, affecting 500,000 patients in the United States annually. An implantable cardioverter-defibrillator (ICD) can terminate malignant ventricular arrhythmias and has been shown to improve survival in high-risk populations. Although sudden cardiac de...

Aug 1, 2010 Issue
Global Risk of Coronary Heart Disease: Assessment and Application [Article]

Coronary heart disease is the most common cause of death in the United States. The conventional risk factor approach to primary prevention excludes many patients who could benefit from preventive therapies. A global risk approach allows more accurate estimates of risk to guide clinical primary preve...

Feb 1, 2010 Issue
Secondary Prevention of Coronary Artery Disease [Article]

Coronary artery disease is the leading cause of mortality in the United States. In patients who have had a myocardial infarction or revascularization procedure, secondary prevention of coronary artery disease by comprehensive risk factor modification reduces mortality, decreases subsequent cardiac e...

Dec 1, 2009 Issue
Drug-Eluting Coronary Artery Stents [Article]

Many advances have been made in the percutaneous treatment of coronary artery disease during the past 30 years. Although balloon angioplasty alone is still performed, the use of coronary artery stents is much more common. Approximately 40 percent of patients treated with balloon angioplasty develope...

Nov 1, 2009 Issue
Cardiac Rehabilitation [Article]

An estimated 80 million (nearly one in three) Americans have cardiovascular disease, which is the leading cause of morbidity and mortality worldwide. In the United States alone, more than 850,000 deaths are attributed annually to cardiovascular disease, and more than 8 million Americans have had a h...

Jun 15, 2009 Issue
ACC/AHA Guideline Update for the Management of ST-Segment Elevation Myocardial Infarction [Article]

The American College of Cardiology and American Heart Association, in collaboration with the Canadian Cardiovascular Society, have issued an update of the 2004 guideline for the management of patients with ST-segment elevation myocardial infarction. The American Academy of Family Physicians endorses...

Apr 1, 2009 Issue
Diets for Cardiovascular Disease Prevention: What Is the Evidence? [Article]

Patients often initiate commercial dietary plans to reduce obesity and prevent cardiovascular disease. Such plans include very low-carbohydrate, low-carbohydrate, very low-fat, and Mediterranean diets. Published evidence on several popular diets has made it easier for physicians to counsel patients ...

Dec 1, 2008 Issue
Is Prasugrel More Effective Than Clopidogrel in Patients with Acute Coronary Syndrome Scheduled for PCI? [AFP Journal Club]

Is prasugrel better than clopidogrel in patients with acute coronary syndrome who are scheduled for percutaneous coronary intervention? This study is misleading, and current practice should not change based on its results.

Dec 1, 2007 Issue
Aspirin Combined with Clopidogrel (Plavix) Decreases Cardiovascular Events in Patients with Acute Coronary Syndrome [Cochrane for Clinicians]

A combination of aspirin and clopidogrel decreased cardiovascular events in patients at high risk of cardiovascular disease and in those with acute coronary syndrome. However, the risk of major bleeding events outweighed the benefits in all high-risk patients except those with acute coronary syndrome.

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