Archive for August, 2013

August 26th, 2013

Practice Variations and Quality: Ask the “Uber” Expert

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In light of reported variation in practice and outcomes of elective PCI, Rick Lange asks Harlan Krumholz to elaborate on what constitutes high-quality decision making.


August 26th, 2013

New Subcutaneous ICD Said to Pose ‘Existential Crisis’ for Older ICDs

Last year the FDA approved Boston Scientific’s subcutaneous ICD (S-ICD), the first ICD that doesn’t use transvenous leads. Those leads are the source of many sophisticated pacing features in today’s ICDs, but they are also the main source of ICD-related complications. FDA approval of the S-ICD was based on a pivotal trial designed to assess […]


August 26th, 2013

Missing Data And The ATLAS ACS 2-TIMI 51 Trial

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What is the impact of the larger than usual amount of missing data in the ATLAS ACS 2-TIMI 51? A member of the FDA’s Cardiovascular and Renal Drugs Advisory panel answers questions about this issue.


August 22nd, 2013

Expert Perspective: Remote Ischemic Preconditioning for CABG

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Dr. Zhe Zheng and Dr. Shengshou Hu, of Fu Wai Hospital in Beijing, discuss the findings from the recent randomized trial conducted in Germany.


August 21st, 2013

Kaiser Program Yields Big Improvements in Hypertension Control

A large percentage of the 65 million people with high blood pressure in the United States do not know they have hypertension or have not succeeded in controlling their hypertension. Although many programs have been proposed, there is little evidence that any method can produce long-term improvement in hypertension control. Now, in a paper published in JAMA, […]


August 20th, 2013

A Pathway to Preventing Research Fraud

Is the road to fraud-free research paved with publicly accessible raw data?


August 19th, 2013

Selections from Richard Lehman’s Literature Review: August 19th

This week’s topics include treating to risk, not to target; perceived job insecurity as a risk factor for incident CHD; ischemic preconditioning in patients undergoing CABG, and more.


August 19th, 2013

Look Before Leaping to Conclusions About Bush’s Stent

Ajay Kirtane shares his thoughts on the publicity surrounding Bush’s stent and what it means for the public perception of PCI.


August 18th, 2013

What Patterns of Change in the Use of Nesiritide Reveal About Hospitals as Learning Organizations

Chohreh Partovian discusses her research group’s study of how hospitals varied in their responses to safety concerns about nesiritide from 2005 to 2010.


August 15th, 2013

Remote Ischemic Preconditioning Beneficial Before CABG

For several decades cardiologists have been intrigued by the concept of ischemic preconditioning. A small body of research has consistently found that brief episodes of ischemia appeared to somehow prepare the body to better handle a major episode of ischemia. Now a new study from Germany holds out the promise that deliberate ischemic preconditioning prior […]