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MyocardialInfarction

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Comparison of hospital variation in acute myocardial infarction care and outcome between Sweden and United Kingdom: population based cohort study using nationwide clinical registries

Objective To assess the between hospital variation in use of guideline recommended treatments and clinical outcomes for acute myocardial infarction in Sweden and the United Kingdom.  
feeds.bmj.com
almost 5 years ago
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Comparison of hospital variation in acute myocardial infarction care and outcome between Sweden and United Kingdom

Objective To assess the between hospital variation in use of guideline recommended treatments and clinical outcomes for acute myocardial infarction in Sweden and the United Kingdom.  
feeds.bmj.com
almost 5 years ago
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Authors’ reply to Gupta

In answer to Gupta,1 we performed additional sensitivity analyses to investigate the influence of ethnicity on the variation in 30 day mortality after acute myocardial infarction (AMI) in UK hospitals.2  
feeds.bmj.com
almost 5 years ago
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Does a popular documentary about a “life saving” heart scan promote overtreatment?

A new documentary film, The Widowmaker, has split the cardiology community with its enthusiastic promotion of coronary computed tomography scanning. The dramatic, 93 minute film has made its way on to Netflix, Amazon instant play, iTunes, GooglePlay, and other media platforms. Director Patrick Forbes uses big name celebrities (Gillian Anderson and Larry King), an emotive narrative, and decisive editing to drive home the film’s central claim: that millions of young, healthy, asymptomatic people have unexpectedly dropped dead from myocardial infarction and most of these deaths could have been prevented by screening for coronary calcium using CT scanning.  
feeds.bmj.com
almost 5 years ago
Preview
0
0

Does a popular documentary about a “life saving” heart scan promote overtreatment?

A new documentary film, The Widowmaker, has split the cardiology community with its enthusiastic promotion of coronary computed tomography scanning. The dramatic, 93 minute film has made its way on to Netflix, Amazon instant play, iTunes, GooglePlay, and other media platforms. Director Patrick Forbes uses big name celebrities (Gillian Anderson and Larry King), an emotive narrative, and decisive editing to drive home the film’s central claim: that millions of young, healthy, asymptomatic people have unexpectedly dropped dead from myocardial infarction and most of these deaths could have been prevented by screening for coronary calcium using CT scanning.  
feeds.bmj.com
almost 5 years ago
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Halt Hormone Therapy in Postmenopausal Women After MI

Hormone therapy led to fewer deaths related to first myocardial infarction (MI) in a registry of older women, but after an MI, the treatment seems to do more harm than good.  
medscape.com
almost 5 years ago
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Level of troponin needed to rule out MI in patients with chest pain is identified

Researchers have identified the level of the protein troponin below which it is highly unlikely that someone presenting with chest pain has had a myocardial infarction (MI).  
feeds.bmj.com
almost 5 years ago
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RCTs of Conventional Stenting vs Direct Stenting in AMI

Direct stenting is commonly used during PCI for acute myocardial infarction to prevent distal embolization. What's best-practice?  
medscape.com
almost 5 years ago
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Impact of proton pump inhibitor treatment on gastrointestinal bleeding associated with non-steroidal anti-inflammatory drug use among post-myocardial infarction patients taking antithrombotics: nationwide study

Study question What is the effect of proton pump inhibitors (PPIs) on the risk of gastrointestinal bleeding in post-myocardial infarction patients taking antithrombotics and treated with non-steroidal anti-inflammatory drugs (NSAIDs)?  
feeds.bmj.com
almost 5 years ago
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Impact of proton pump inhibitor treatment on gastrointestinal bleeding associated with non-steroidal anti-inflammatory drug use among post-myocardial infarction patients taking antithrombotics: nationwide study

Study question What is the effect of proton pump inhibitors (PPIs) on the risk of gastrointestinal bleeding in post-myocardial infarction patients taking antithrombotics and treated with non-steroidal anti-inflammatory drugs (NSAIDs)?  
feeds.bmj.com
almost 5 years ago
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Impact of proton pump inhibitor treatment on gastrointestinal bleeding associated with non-steroidal anti-inflammatory drug use among post-myocardial infarction patients taking antithrombotics: nationwide study

Study question What is the effect of proton pump inhibitors (PPIs) on the risk of gastrointestinal bleeding in post-myocardial infarction patients taking antithrombotics and treated with non-steroidal anti-inflammatory drugs (NSAIDs)?  
feeds.bmj.com
almost 5 years ago
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Myocardial infarction: cardiac rehabilitation and prevention of further MI | Guidance and guidelines | NICE

This guideline was previously called MI - secondary prevention: secondary prevention in primary and secondary care for patients following a myocardial infarction.  
nice.org.uk
almost 5 years ago
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Myocardial infarction with ST-segment elevation: acute management | Guidance and guidelines | NICE

This guideline will shortly be checked to see if it needs updating, please register as a stakeholder to be informed about the decision.  
nice.org.uk
almost 5 years ago
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BMI: preventing ill health and premature death in black, Asian and other minority ethnic groups | Guidance and guidelines | NICE

This guidance aimed to determine whether lower cut-off points should be used for black, Asian and other minority ethnic groups in the UK as a trigger for lifestyle interventions to prevent conditions such as diabetes, myocardial infarction or stroke.  
nice.org.uk
almost 5 years ago
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Type 2 Myocardial Infarction: The Chimaera of Cardiology?

Is it time to drop the "type 2" moniker for myocardial infarction?  
medscape.com
almost 5 years ago
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Impact of PPIs on GI Bleeding in Post-MI Patients on NSAIDs

Can PPIs reduce the risk of GI bleeding in post-myocardial infarction patients concurrently taking both antithrombotics and NSAIDs?  
medscape.com
almost 5 years ago
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Clinically silent myocardial scars are common in middle aged and older people, study finds

Nearly 8% of middle aged and older people in the United States have myocardial scars suggestive of myocardial infarction, almost 80% of which have not been detected by electrocardiography or clinical evaluation, a study published in JAMA has found.1  
feeds.bmj.com
almost 5 years ago
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Blood Transfusion, Bleeding, Anemia, and Survival in AMI

How does transfusion impact outcomes for patients with acute myocardial infarction?  
medscape.com
almost 5 years ago
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Acute coronary syndromes: key role of rehabilitation and primary care in long term secondary prevention

Timmis’s review on the management of acute coronary syndrome is timely and comprehensive but fails to mention the role of primary care in the aftercare of patients discharged from hospital.1 The review acknowledges that with recent advances patients admitted with acute myocardial infarction are discharged home after 48-72 hours and secondary prevention aimed at reducing the risk of recurrent acute coronary syndrome should …  
feeds.bmj.com
almost 5 years ago
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Acute coronary syndromes: key role of rehabilitation and primary care in long term secondary prevention

Timmis’s review on the management of acute coronary syndrome is timely and comprehensive but fails to mention the role of primary care in the aftercare of patients discharged from hospital.1 The review acknowledges that with recent advances patients admitted with acute myocardial infarction are discharged home after 48-72 hours and secondary prevention aimed at reducing the risk of recurrent acute coronary syndrome should …  
feeds.bmj.com
almost 5 years ago