Coronary Artery Disease/Coronary Heart Disease

Aug 1, 2018 Issue
Diagnosis of Acute Coronary Syndrome [FPIN's Help Desk Answers]

The best test to diagnose ACS is a risk score based on a clinical prediction rule such as the HEART (history, electrocardiography, age, risk factors, troponin level) or TIMI (Thrombolysis in Myocardial Infarction) risk score, which have positive likelihood ratios (LR+'s) of 13 and 6.8, respectively.

Jul 1, 2018 Issue
PCI Equal to Sham PCI for Exercise Tolerance in Patients with Stable Angina Plus Severe CAD [POEMs]

In patients with stable angina and severe coronary artery disease (CAD), PCI plus optimal medical treatment does not improve exercise tolerance or angina more than sham PCI plus optimal medical treatment.

May 1, 2018 Issue
Omega-3 Fatty Acids and Cardiovascular Disease [Implementing AHRQ Effective Health Care Reviews]

What is the effect of omega-3 fatty acid supplementation on cardiovascular outcomes?

Mar 15, 2018 Issue
Stable Coronary Artery Disease: Treatment [Article]

Treatment of stable coronary artery disease involves risk factor management, antiplatelet therapy, and antianginal medications. Treatment of comorbidities should be optimized to reduce cardiovascular risk. This article includes a management algorithm and a stepwise approach for antiplatelet therapy.

Jan 1, 2018 Issue
Stents for Stable Coronary Artery Disease [Medicine by the Numbers]

Most published trials fail to show a benefit from coronary stenting in patients with stable obstructive coronary artery disease. However, stent technology has evolved significantly in recent years, and it is possible that newer-generation drug-eluting stents may offer different results.

Nov 1, 2017 Issue
Statins in Persons at Low Risk of Cardiovascular Disease [Medicine by the Numbers]

Despite the small reductions in nonfatal heart attacks and strokes, statins were not associated with a reduction in serious illness overall.

Oct 1, 2017 Issue
Prolonged Dual Antiplatelet Therapy After MI Reduces Major Adverse Cardiac Events [Medicine by the Numbers]

In patients who are stable one year post-MI, prolonged use of dual antiplatelet therapy may be an effective treatment to decrease major cardiac events and cardiovascular mortality.

Sep 1, 2017 Issue
Exercise Stress Testing: Indications and Common Questions [Article]

Find out how to use exercise stress testing for risk stratification before surgery, which patients can be evaluated with testing alone, and which patients benefit from adjunctive imaging.

Jul 15, 2017 Issue
Niacin Does Not Decrease Mortality in Patients with Coronary Artery Disease or Low HDL [POEMs]

We are now flush with data about the effects of niacin in patients with elevated cholesterol levels. Despite its ability to raise high-density lipoprotein (HDL) serum cholesterol levels, it does not add additional mortality or morbidity benefit to statin treatment. Patients with diabetes mellitus ma...

May 15, 2017 Issue
Perioperative Cardiovascular Medication Management in Noncardiac Surgery: Common Questions [Article]

Get the latest recommendations on when to discontinue antiplatelet therapy, beta blockers, statins, clonidine, angiotensin-converting enzyme inhibitors, and angiotensin receptor blockers before surgery.

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