This multicenter study analyzes the utility of a "Top Gun" competition in promoting simulator use and improving technical skills among 1st-year CT Surgery residents. A coronary anastomosis simulation module was sent to most 1st-year residents in the U.S. Fifteen residents submitted baseline and final videos for evaluation.
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Coronary disease
January 14, 2015
January 6, 2015
In 2012 the American College of Cardiology Foundation and the Society of Thoracic Surgeons Collaboration on the Comparative Effectiveness of Revascularization Strategies (ASCERT) compared the 5 year effectiveness of CABG versus PCI.
December 28, 2014
This is a retrospective study looking at 2,768,007 Medicare beneficiaries in the US undergoing myocardial revascularization between 2008 and 2012. From a surgical point of view it is interesting to see that the proportion of CABG among all revascularization procedures declined from 24.8% in 2008 to 23.2% in 2012.
December 23, 2014
This retrospective analysis of patients admitted emergently for acute MI, heart failure, or cardiac arrest examined 30-day mortality for admissions during periods when cardiologists were attending national meetings vs admissions immediately surrounding the meeting dates. Mortality for each condition was lower during meeting dates than during non-mee
December 18, 2014
This randomized trial in New Zealand assigned smokers who wished to quit to either nicotrine replacement therapy or cytisine therapy.
December 7, 2014
In this prospective randomized study from the Cardiothoracic Trials Network Investigators, the authors compare the results between CABG alone and CABG plus mitral valve repair in 301 patients with ischemic moderate mitral insufficiency and coronary artery disease.
December 3, 2014
This study determined the relationship of pre-hospital use of epinephrine during resuscitation to survival in patients who experienced return of spontaneous circulation after out of hospital cardiac arrest. 73% received epinephrine, and 17% of those patients experienced a good outcome (discharged alive with good neurologic status).
November 28, 2014
Shanker Vedantam interviews Jason Hockenberry, an economist at Emory University, regarding recent research into patient behavior following PCI or CABG. CABG patients were more likely to quit smoking after intervention for CAD. This may be a result of the magnitude of the intervention, and has implications for improving smoking cessation programs.
November 20, 2014
301 pts with CAD required revascularization and moderate MR were randomly assigned to CABG or CABG with MV repair. The outcome was LV end-systolic index at 1 year. MV repair contributed to longer pump times, longer hospitalization, and more neurologic events. MV repair did not result in an improved primary outcome at 1 year, but was associated wit
November 17, 2014
This trial randomized 900 pts with type 1 or 2 diabetes to screening with coronary computed tomography angiography (CCTA) or standard care and evaluated death and non-fatal coronary outcomes. The major outcome was a composite of death, MI, and admission for management of unstable angina. The secondary outcome was a composite of CAD-associated death