No Need to Screen All Adults for Clogged Neck Arteries, Experts Say

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Healthday:  Feb 17, 2014Only people with history of stroke should get regular scans, U.S. panel concludes MONDAY, Feb. 17, 2014 (HealthDay News) — Adults in the general population should not be screened for narrowing of the neck arteries, according to a draft recommendation from the influential U.S. Preventive Services Task Force (USPSTF). Narrowing of the neck […]

Dronedarone for Atrial Fibrillation The Limited Reliability of Clinical Practice Guidelines

JAMA: February 17, 2014 Concerns have been expressed about the reliability of clinical practice guidelines. We analyzed 3 guidelines from medical specialty societies about dronedarone hydrochloride, an antiarrhythmic drug related to amiodarone hydrochloride, for treatment of patients with atrial fibrillation. We compared the recommendations in these guidelines with the conclusions about dronedarone that we reached by applying […]

Stroke Outcomes Measures Must Be Appropriately Risk Adjusted To Ensure Quality Care of Patients

American Heart Association- Stroke: February 12, 2014 Because stroke is among the leading causes of death, disability, hospitalizations, and healthcare expenditures in the United States, there is interest in reporting outcomes for patients hospitalized with acute ischemic stroke. The American Heart Association/American Stroke Association, as part of its commitment to promote high-quality, evidence-based care for cardiovascular […]

Ahajournals: February 6, 2014 Purpose—The aim of this statement is to summarize data on stroke risk factors that are unique to and more common in women than men and to expand on the data provided in prior stroke guidelines and cardiovascular prevention guidelines for women. This guideline focuses on the risk factors unique to women, such as reproductive factors, and those that are more common in women, including migraine with aura, obesity, metabolic syndrome, and atrial fibrillation. Read More

Ahajournals: February 6, 2014 Purpose—The aim of this statement is to summarize data on stroke risk factors that are unique to and more common in women than men and to expand on the data provided in prior stroke guidelines and cardiovascular prevention guidelines for women. This guideline focuses on the risk factors unique to women, such […]

Recommendations for the Management of Cerebral and Cerebellar Infarction With Swelling

AHA: January 30, 2014 A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Background and Purpose—There are uncertainties surrounding the optimal management of patients with brain swelling after an ischemic stroke. Guidelines are needed on how to manage this major complication, how to provide the best comprehensive neurological and medical care, and […]

Dronedarone for Atrial Fibrillation The Limited Reliability of Clinical Practice Guidelines

JAMA: February 17, 2014 Concerns have been expressed about the reliability of clinical practice guidelines. We analyzed 3 guidelines from medical specialty societies about dronedarone hydrochloride, an antiarrhythmic drug related to amiodarone hydrochloride, for treatment of patients with atrial fibrillation. We compared the recommendations in these guidelines with the conclusions about dronedarone that we reached by applying […]

Effects of Gender on the Incidence of Cardiac Tamponade Following Catheter Ablation of Atrial Fibrillation: Results from a Worldwide Survey in 34,943 AF Ablation Procedures

CIRCEP: February 11, 2014 Background—Cardiac tamponade is the most dramatic complication observed during atrial fibrillation (AF) ablation and the leading cause of procedure-related mortality. Female gender is a known risk factor for complications during AF ablation; however, it is unknown whether women have a higher risk of tamponade. Methods and Results—A systematic Medline search was used […]

Contemporary Reviews in Cardiovascular Medicine, Shared Decision Making in Atrial Fibrillation, Where We Are and Where We Should Be Going

CIRCULATIONAHA: 2/11/14 You are seeing Mr Roberts, a 69-year-old retired office manager referred from the emergency department for treatment of atrial fibrillation (AF). He presented the previous night to the emergency department with shortness of breath and palpitations and was found to be in AF with a rapid ventricular response and a heart rate of 140 […]

A National Assessment of Warfarin Anticoagulation Therapy for Stroke Prevention in Atrial Fibrillation

CIRCULATIONAHA:  February 3, 2014 Background—Anticoagulation control with warfarin, as assessed by the international normalized ratio (INR), is challenging. Time in the therapeutic range (TTR) has been inversely correlated with major hemorrhage, thrombosis, and mortality. Quest Diagnostics offers standardized INR laboratory testing services to approximately half of U.S. physician practices. To inform national stroke prevention strategies, […]

Effect of Radiofrequency Catheter Ablation for Atrial Fibrillation on Morbidity and Mortality

Circulation: Arrhythmia and Electrophysiology: January 20, 2014 Background—This study examined the effect of radiofrequency catheter ablation (RFA) on reducing morbidity and mortality among patients with atrial fibrillation (AF). Methods and Results—A retrospective cohort of patients with AF without prior stroke or heart failure (HF) who underwent RFA between 2003 and 2009 was identified using Taiwan’s National […]

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