Day 3 articles

PRAGUE-12: Surgical Atrial Ablation: Follow the one-year results.

PRAGUE-12: Surgical Atrial Ablation: Follow the one-year results.

Review: Two hundred twenty-four patients in a surgical plan, (coronary artery bypass grafting or valve), were randomized to cardiac surgery alone or associated with atrial ablation, (MAZE, 97% for cryoablation). The primary objective was the evaluation of sinus rhythm at 1 year by performing a Holter. The difference was 60.2% versus 35.5% in favor of

AFIB ABLATION PILOT: Ablation of Atrial Fibrillation by Radiofrequency.

Review: A European multicenter registry, (mainly in France, Italy and Germany), which included 1,410 patients – evidence of real-world – in which ablation performed by radiofrequency had a success rate of 74% (without arrhythmias to 3 months) and a low rate of complications, (2.6%, 0.54% CVA and 0.71% vascular injuries). With patients in whom the

CORE 320: Diagnostic performance of coronary angiotomography including evaluation of myocardial perfusion versus isolated anatomical assessment.

Review: The CORE-320 multicenter study compared combined angiotomography assessments: anatomical (coronary) and functional (myocardial perfusion) versus anatomical only. For this study, 381 patients who were evaluated by coronary angiography and non-invasive myocardial perfusion gated SPECT were included. In this study the combined evaluation showed better correlation with the observed measurements in assessing the invasive assessment

WOEST: Randomized trial that compared dual therapy versus triple therapy on anticoagulated patients.

A multicenter randomized study, (n = 573), that evaluated the role of aspirin in anticoagulated patients undergoing angioplasty. The primary endpoint was the rate of total bleeding, (TIMI), at 12 months follow-up. The administration of a dual therapy, (warfarin + clopidogrel), showed a significant reduction compared with the triple therapy, (19.5% vs. 44.9%, P <0.001).

JAPAN EQ: Cardiovascular risk after natural disasters.

Natural disasters have been associated with an increase in cardiovascular mortality. In the Miyagi area, near the epicenter of an earthquake and tsunami in 2011, we analyzed the number of appearances from cardiovascular causes during the months of February to June 2011 and compared them with the same interval during the years 2008-2010. In the

FAME II: Ischemia guided (IG) percutaneous coronary intervention (PCI) is superior to medical treatment.

Review: Stable coronary disease remains a scenario where percutaneous coronary intervention, (PCI), has not cleared the edges. In a study conducted in 28 centers in Europe and the United States, a design model was created where all patients enrolled consecutively, (all comers trial in order to avoid selection bias), received an invasive functional assessment using

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