Excessive Stent Use

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In a February 11, 2010 article published in the Wall Street Journal the excessive use of coronary artery stents was exposed. The COURAGE trial, published in 2007, argued that 1 million PCI procedures are performed each year, with at least 30% being performed in stable CAD patients. Based on the COURAGE trial results, 300,000 of these procedures could be deferred. …


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Braised Kale, with poached eggs, crispy pancetta, Kombu butter & fresh ricotta atop toasted whole wheat bread. Follow these easy directions and enjoy! Read through first, so you know what to expect. Serves 2 Wash kale and cut into large bite size pieces (including the stems) and let drain in colander. Open container labeled: (Step 2) Pancetta. Place large sauté …

Heart pain

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Q: I have some-more pain in my left hand few days ago.that time i feel uncomfort in my chest little bit pain on one point time to time.i feel very tired in these three days ( one point  where i feel pain there are suddenly make a pain and stop )is that heart attack pre?

A cautionary tale for transcatheter aortic valve implantation

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  Aortic Regurgitation (AR) is rare complication following surgical aortic valve replacement (AVR). Contrary to AVR,  AR is common following transcatheter aortic valve implantation (TAVI). In the picture, the blue arrow represents normal flow, yellow regurgitation  (leakage). TAVI was developed as an alternative therapy for patients who no longer are candidates for traditional aortic valve replacement or repair, procedures that …

Statin usage in low-risk patients

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Cardiovascular disease (CVD) is ranked as the number one cause of mortality and is a major cause of morbidity world-wide. Reducing high blood cholesterol, a risk factor for cardiovascular disease (CVD) events in people with and without a past history of coronary heart disease (CHD) is an important goal of pharmacotherapy. Statins are the first-choice agents. Previous reviews of the …

A poor heart function and congestive heart failure

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Q: My husband is 62 and has Congestive Heart Failure.  He recently had an echocardiogram which showed his heart at 25%.  We were told that this was serious and that he should see his cardiologist ASAP.  We have an appointment tomorrow, but I would like to know what is normal procedure as far as tests etc. for a person who …