At the time of hospital discharge, patients admitted with acute coronary syndrome (ACS) leave the closely monitored and protective hospital environment and are sent home, often with a sense of…
The publication of consensus group guidelines provides an opportunity to standardize practices through evidence-based protocols. Variations in patient care have been shown to result in disparities in patient outcomes, whereas…
The American College of Cardiology Foundation (ACCF) together with the American Heart Association (AHA) and the European Society of Cardiology (ESC) has released guidelines to organize recommendations on the basis…
Cardiovascular disease manifestations are currently the leading cause of death in industrialized countries and are expected to become so in emerging countries by 2020. In particular, coronary artery disease is…
Chronic total occlusions (CTOs) represent a major challenge in percutaneous coronary revascularization. The recent advances in strategies and techniques and the development of dedicated equipment, such as microcatheters and wires,…
I read the study by Silverman and Gertz. Contrary to what is implied by the authors in their discussion, I am a vocal proponent of the clinical examination—as my patients,…
A relevant proportion of patients, classified as severe aortic stenosis on the basis of valve area ≤1 cm 2 , have a mean transvalvular gradient ≤40 mm Hg, despite a preserved left…
Growth hormone and its mediator, insulinlike growth factor 1 (IGF-1), are key determinants of growth in children and young adults. As patients with Fontan physiology often experience diminished longitudinal growth,…
Atrial fibrillation (AF) can induce a hypercoagulable state in both the left and right atria. Thrombus in the right side of the heart (RHT) may lead to acute pulmonary embolism…
