CardioExchange Archive

CardioExchange, an NEJM practice community for medical professionals dedicated to improving cardiac patient care, was active from 2009 to 2015. CardioExchange fostered discussion between clinicians from across the globe.

Articles matching the ‘Cardiac Surgery’ Category

March 24th, 2010

Freezing in AF Ablation—Not So Fast, You All

CardioExchange welcomes this guest post reprinted with permission from Dr. John M, a blog by private-practice electrophysiologist and CardioExchange member, Dr. John Mandrola. Freezing the heart is in the news. The STOP-AF trial was presented at ACC, and it sure has generated much excitement about atrial fibrillation ablation. This is a good thing.  However, as is […]

Categories: Cardiac Surgery, Electrophysiology, General, Vascular

March 1st, 2010

If It’s Your Carotid, Endarterectomy or Stenting?

The results from 2 carotid endarterectomy vs stenting trials are in….and they are disparate.  ICSS showed worse outcome with carotid stenting (higher rates of the composite of stroke, death, and procedural MI) versus carotid endarterectomy, whereas CREST showed similar efficacy and safety for both. Interestingly, in both studies the rate of nondisabling stroke was significantly […]

Categories: Cardiac Surgery, General
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February 17th, 2010

Which Strategy for Severe Calcific Aortic Stenosis?

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The patient is a 72-year-old man with a history of ischemic cardiomyopathy (LV ejection fraction, 30%–35%) and NYHA class II/III heart-failure symptoms at baseline. Over the previous month, he had experienced recurrent episodes of volume overload and sustained ventricular tachycardia (VT) requiring intravenous diuretics and up-titration of his amiodarone therapy. He then presented in VT […]

Categories: Cardiac Surgery, Electrophysiology, General, Vascular

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