This is a new “real-world” study comparing bleeding risk in Medicare patients treated with dabigatran (n=1302) and warfarin (n=8102) for newly diagnosed atrial fibrillation. The use of dabigatran was associated with a significantly higher risk of any, major, and gastrointestinal bleeding when compared with warfarin.
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Electrophysiology/arrhythmia
October 8, 2014
The authors investigated the impact of new onset a-fib after esophagectomy in 437 pts. Risk factors included age, diabetes, induction therapy, and cardiac history. A-fib was associated with postoperative pneumonia, symptomatic pleural effusions, and an increase in C-reactive protein. It was not associated with anastomotic leak or mortality. 92% o
September 7, 2014
The COPPS-2 trial evaluated the efficacy of oral colchicine in reducing a-fib, post-pericardiotomy syndrome, and pericardial/pleural effusion after cardiac surgery in 360 pts randomized to drug or placebo for 1 month postop. Colchicine reduced the incidence of post-pericardiotomy syndrome (20% vs 30%) but had no important effect on effusions or a-fi
August 30, 2014
The study provides a risk-adjusted impact of postoperative atrial fibrillation on hospital mortality, resouces utlization, and costs. 49,264 patients from the STS database who underwent cardiac surgery were extracted from 2001-2012.
June 26, 2014
The cause of ischemic stroke remains elusive in up to 20-40% of cases. In patients with cryptogenic stroke, 8.9% of patients with long term monitoring using an insertable cardiac monitor were found to an episode of atrial fibrillation, which may have implications in therapy.
June 22, 2014
This lecture documents the lack of conclusive evidence for LA appendage occlusion.
This is one of a series of lectures given on management of the Left Atrial appendage at the SCTS University 2014 so click below to see several others including talks by many eminent speakers including Jim Cox
June 1, 2014
This study assessed whether the application of a poly based hydrogel containing amioderone applied to the epicardium at the time of surgery reduced the incidence of post-operative atrial fibrillation. The study randomised 100 patients undergoing cardiac surgery to either receive the amioderone spray at the time of surgery or no intervention.
April 28, 2014
Dr. James Cox, DLV 2012 Faculty, gives his explanation of atrial fibrillation with an interesting imagery of a mouse on a yellow umbrella at Dallas-Leipzig Valve 2012.
April 21, 2014
This article on Type A Aortic Dissection was selected as a top article from 2013 by the 2014 Circulation editors.
The original article is here:
http://circ.ahajournals.org/content/128/15/1602.full?sid=a7153f9d-9551-4...
April 9, 2014
The purpose of this study was to assess the outcome of SA over 5 years and determine predictors for success over that period. This study demonstrated stable results of SA for AF over time with somewhat different predictors for 2– and 5–year NSR in a group of patients with complete follow–up at both time points.