Coronary Artery Disease and Cardiovascular General Information
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Coronary Artery Disease and Cardiovascular General Information
Diagnosis, Imaging, and Screening
NEWS:
Diagnostic Accuracy of 64-Slice Multislice Computed Tomography in the Noninvasive Evaluation of Significant Coronary Artery Disease (The American Journal of Cardiology 2006)
Heart Rate Profile During Exercise and Recovery May Predict Sudden Death
Tests miss heart disease in millions of women
ARTICLES:
Diagnostic Testing for CAD in Women: Treadmill, Echo, Nuclear: What Are the Best Tests for Women?
JOURNAL ARTICLES:
64-multislice computed tomography in consecutive patients with suspected or proven coronary artery disease: Initial single center experience. (Int J Cardiol. 2006) "CONCLUSION: 64-MSCT provided complete diagnostic coronary images sufficient for clinical decision making in the vast majority (78%) of a consecutive group of patients studied for suspected or proven CAD. Predictors of diagnostic failure were massive calcification, long-standing known coronary atherosclerosis or previous CABG/stent implantation, old age and diabetes mellitus."
Ankle-arm index is a useful test for clinical practice in outpatients with suspected coronary artery disease. (Circ J. 2006) "BACKGROUND: Although a low ankle-arm index (AAI) has been reported to be associated with increased risk of cardiovascular mortality in several populations, no data exist concerning the impact of AAI for outpatients with suspected coronary artery disease (CAD) in the clinical setting. . CONCLUSIONS: The AAI test is an effective tool in predicting CAD in outpatients in clinical practise."
Competency in Cardiac Examination Skills in Medical Students, Trainees, Physicians, and Faculty (Arch Intern Med. 2006) "Conclusions Cardiac examination skills do not improve after MS3 and may decline after years in practice, which has important implications for medical decision making, patient safety, cost-effective care, and continuing medical education. Improvement in cardiac examination competency will require training in simultaneous audio and visual examination in faculty and trainees."
Coronary artery calcium score, risk factors, and incident coronary heart disease events (Atherosclerosis 2006) "Coronary artery calcium score can identify individuals at increased risk for coronary heart disease events who otherwise would be considered low-risk based on clinical assessment. A coronary artery calcium score of zero is associated with very low risk for coronary heart disease in the short to intermediate term (˜3.5 years) regardless of the number of risk factors present."
Is exercise testing useful to improve the prediction of coronary events in asymptomatic subjects? (Eur J Cardiovasc Prev Rehabil. 2006)
Neurological Symptoms in Type A Aortic Dissections. (Stroke. 2006) " CONCLUSIONS: Aortic dissections might be missed in patients with neurological symptoms but without pain. Neurological findings in elderly hypertensive patients with asymmetrical pulses or cardiac murmur suggest dissection. Especially in patients considered for thrombolytic therapy in acute stroke further diagnostics is essential. Neurological symptoms are not necessarily associated with increased mortality."
Noninvasive Screening for Coronary Artery Disease With Computed Tomography Is Useful (Circulation. 2006)
Retinal vascular caliber and the risk of coronary heart disease-related mortality (Heart. 2006) "Conclusions: These findings suggest that microvascular disease processes may play a role in CHD development in middle-aged people, particularly in women. Retinal photography may be useful in cardiovascular risk prediction."
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