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Primary prevention of cardiovascular diseases with statin therapy: a meta-analysis of randomized controlled trials.
In patients without CV disease, statin therapy decreases the incidence of major coronary and cerebrovascular events and revascularizations but not coronary heart disease or overall mortality. Expand
Does this patient have hearing impairment?
Elderly individuals who acknowledge they have hearing impairment require audiometry, while those who reply no should be screened with the whispered-voice test, and the Weber and Rinne tests should not be used for general screening. Expand
Temporal Differences in Out-of-Hospital Cardiac Arrest Incidence and Survival
There is significant temporal variability in the incidence of and survival after out-of-hospital cardiac arrest, with the highest incidence occurring during the daytime, from Friday to Monday, in December. Expand
Clinical outcomes after hybrid coronary revascularization versus coronary artery bypass surgery: a meta-analysis of 1,190 patients.
HCR is associated with lower morbidity and similar in-hospital and 1-year major adverse cerebrovascular or cardiac events rates, but greater requirement for repeat revascularization compared with CABG, and further exploration of this strategy with adequately powered randomized trials is warranted. Expand
In-hospital switching between adenosine diphosphate receptor inhibitors in patients with acute myocardial infarction treated with percutaneous coronary intervention: Insights into contemporary
In this observational study, ADP receptor inhibitor switching does not appear to be significantly associated with increased hazard of MACE, bleeding, or continuation on the higher potency agent. Expand
Do blood tests cause anemia in hospitalized patients?
Phlebotomy is highly associated with changes in hemoglobin and hematocrit levels for patients admitted to an internal medicine service and can contribute to anemia, which may have significant consequences for patients with cardiorespiratory diseases. Expand
Diurnal variations in incidence and outcome of out-of-hospital cardiac arrest including prior comorbidity and pharmacotherapy: a nationwide study in Denmark.
AIM To investigate diurnal variations in incidence and outcomes following out-of-hospital cardiac arrest (OHCA). METHODS OHCA of presumed cardiac etiology were identified through the nationwideExpand
In-Hospital Switching Between Clopidogrel and Prasugrel Among Patients With Acute Myocardial Infarction Treated With Percutaneous Coronary Intervention: Insights Into Contemporary Practice From the
Switching clopidogrel to prasugrel was associated with high-risk angiographic characteristics (thrombotic, long, and bifurcating lesions), reinfarction in-hospital, and private health insurance coverage, and medical drug coverage is a major determinant of ADPri selection. Expand
Regional systems of care demonstration project: Mission: Lifeline STEMI Systems Accelerator: design and methodology.
The Regional Systems of Care Demonstration Project: Mission: Lifeline STEMI Systems Accelerator is a national educational outcome research study in collaboration with the American Heart Association to comprehensively accelerate the implementation of STEMI care systems in 17 major metropolitan regions. Expand
Does this patient with palpitations have a cardiac arrhythmia?
The reviewed studies suggest that the clinical examination is not sufficiently accurate to exclude clinically significant arrhythmias in most patients, and prolonged electrocardiographic monitoring with demonstration of symptom-rhythm correlation is required to make the diagnosis of a cardiac arrhythmia for most patients with recurrent palpitations. Expand