Cardiology
- Hemodynamically, the kidney is at the heart of cardiorenal syndrome
In heart failure, the heart and the kidneys share a rocky relationship.
PCI for stable angina: A missed opportunity for shared decision-makingPatients mistakenly believe that PCI saves lives. They need clear information to give informed consent.
- Having the COURAGE to include PCI in shared decision-making for stable angina
In a select group, a PCI-first strategy does not reduce the risk of death, but it does relieve angina sooner.
- Kidney transplant: New opportunities and challenges
Kidney transplant improves survival and long-term outcomes in patients with renal failure.
- Can a shared decision be wrong if made for the ‘right’ reasons?
Providing information alone is not enough; we need to understand the patient’s biases, fears, and priorities.
- Hypothermia and severe first-degree heart block
A 96-year-old woman with hypertension, diabetes, and dementia was found unresponsive and was transferred to the hospital.
- Do cardiac risk stratification indexes accurately estimate perioperative risk in noncardiac surgery patients?
Neither of the 2 indexes most often used is completely accurate, and neither is better than the other.
- Preventing cardiovascular disease in older adults: One size does not fit all
The balance of risk and benefit may differ considerably for 2 patients of the same age if one is fi t and the other is frail.
- Frailty and cardiovascular disease: A two-way street?
Frailty may be both a cause and a consequence of cardiovascular disease.
Detecting and managing device leads inadvertently placed in the left ventricleHow it happens, how to prevent it, how to detect and correct it immediately, and how to manage cases discovered long after.