{"id":1428,"date":"2010-02-08T21:47:44","date_gmt":"2010-02-09T02:47:44","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/monday-february-8-news-roundup-zero-calcium-score-ahaacc-scientific-statement-on-tdp-warning-on-boston-scientific-icds\/"},"modified":"2011-07-19T17:45:04","modified_gmt":"2011-07-19T21:45:04","slug":"monday-february-8-news-roundup-zero-calcium-score-ahaacc-scientific-statement-on-tdp-warning-on-boston-scientific-icds","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2010\/02\/08\/monday-february-8-news-roundup-zero-calcium-score-ahaacc-scientific-statement-on-tdp-warning-on-boston-scientific-icds\/","title":{"rendered":"Monday February 8 News Roundup: Zero Calcium Score; AHA\/ACC Scientific Statement on TdP; Warning on Boston Scientific ICDs\t&nbsp;"},"content":{"rendered":"<p><a title=\"Study finds significant lesions in one-fifth of patients with zero calcium\u00a0scores\" href=\"http:\/\/cardiobrief.org\/2010\/02\/08\/study-finds-significant-lesions-in-one-fifth-of-patients-with-zero-calcium-scores\/\"><\/a><br \/>\n<strong>What Does a Zero Calcium Score Mean?<\/strong> In a high risk group scheduled for angiography, having a zero calcium score does not mean a zero chance of coronary disease. In a <a href=\"http:\/\/content.onlinejacc.org\/cgi\/content\/abstract\/55\/7\/627\">paper appearing in the <em>Journal of the American College of Cardiology<\/em><\/a><em><\/em>, Gottlieb and colleagues obtained calcium scores from 291 patients scheduled for angiography and found that nearly one-fifth of patients with a calcium score of zero had significant obstructions. In an accompanying editorial, Rita Redberg writes that&nbsp;\u201cthis apparent lack of predictive value of a CS should be&nbsp;enough to give a clinician pause\u201d and that until calcium screening&#8217;s &#8220;benefits are clearly established, we must take great care when subjecting patients to it.\u201d<\/p>\n<p>AHA\/ACC Scientific Statement on Torsade de Pointes: The ACC and AHA have published a <a href=\"http:\/\/circ.ahajournals.org\/cgi\/reprint\/CIRCULATIONAHA.109.192704\">scientific statement<\/a> on the prevention of Torsade de Pointes in hospitals. The two organizations say that &#8220;hospital care providers need to be more aware that cardiac arrest from a medication-induced heart rhythm problem is a rare but potentially catastrophic event in patients.&#8221;&nbsp;<\/p>\n<p><strong>Warning on Boston Scientific ICDs&#8211; <\/strong>A case report of a weakened header bond in a subcutaneously implanted Cognis ICD may be the first sign of a broader problem with Boston Scientific&#8217;s latest generation of ICDs. In December the company issued a product advisory about weakened headers, but only for the small percentage of devices that had been implanted subpectorally. <a href=\"http:\/\/www.heartrhythmjournal.com\/inpress\">The report by&nbsp;<\/a><a href=\"http:\/\/www.heartrhythmjournal.com\/inpress\">Germano, Darge and William Maisel<\/a><a href=\"http:\/\/www.heartrhythmjournal.com\/inpress\">, appears online in unedited form in&nbsp;<\/a><em><a href=\"http:\/\/www.heartrhythmjournal.com\/inpress\">Heart Rhythm<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What Does a Zero Calcium Score Mean? In a high risk group scheduled for angiography, having a zero calcium score does not mean a zero chance of coronary disease. In a paper appearing in the Journal of the American College of Cardiology, Gottlieb and colleagues obtained calcium scores from 291 patients scheduled for angiography and [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1428","post","type-post","status-publish","format-standard","hentry","category-general"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1428","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=1428"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1428\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=1428"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=1428"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=1428"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}