CardioExchange Archive

March 20th, 2014

Pulmonary Embolism in a Patient with Acute Decompensated Systolic Heart Failure

Ian Neeland, MD and James Fang, MD

Ian Neeland presents our latest case: A 42-year-old man with heart failure is found to have a large pulmonary embolus. Tell us how you’d manage his treatment.

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February 12th, 2014

Case: Cardiorespiratory Arrest Requiring Intubation in a Patient with Diastolic Heart Failure

Saurav Chatterjee, MD and James Fang, MD

A 65-year-old African American woman with a history of hypertension, diabetes, and seizure disorder is brought to the ED via emergency medical services for respiratory distress requiring intubation. Two weeks earlier she was hospitalized for an exacerbation of acute diastolic heart failure; a transthoracic echocardiogram at that time documented an LV ejection fraction of 60% […]

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February 10th, 2014

Selections from Richard Lehman’s Literature Review: February 10th

Richard Lehman, BM, BCh, MRCGP

This week’s topics include two reports of cobalt-induced heart failure, a comparison of CABG and PCI, and more.

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December 18th, 2013

Doc, Do I Really Need a New Battery?

Tariq Ahmad, MD, MPH and James Fang, MD

A 45-year-old man with nonischemic cardiomyopathy, diagnosed 8 years ago, presents for annual follow-up. A transthoracic echocardiogram (TTE), taken 3 years ago, showed an LV ejection fraction of 25%. Since then, the patient has improved a great deal and now has barely any signs or symptoms of heart failure. Repeat TTE right before the current visit showed an […]

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October 17th, 2013

Questioning Digoxin Use for Patients with Systolic HF

James Freeman, MD, MPH, MS

James Freeman discusses his research group’s evaluation of the contemporary effectiveness and safety of digoxin therapy among adults with newly diagnosed systolic heart failure.

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October 14th, 2013

Selections from Richard Lehman’s Literature Review: October 14th

Richard Lehman, BM, BCh, MRCGP

This week’s topics include CRT in HF with a narrow QRS complex, a trial of edoxaban vs. warfarin for symptomatic VTE, and more.

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October 10th, 2013

CardioMEMS Heart Failure Device Gets Mixed Reception From FDA Advisory Panel

Larry Husten, PHD

The FDA’s Circulatory System Devices Panel sent a mixed message to the FDA today about the CardioMEMS Champion HF Pressure Measurement System.  The small implantable device provides daily pulmonary artery pressure measurements to guide physicians in their treatment of patients with congestive heart failure. In December 2011 the same panel voted 9-1 that the device was safe, 7-3 that the […]

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October 10th, 2013

How Well Do Standard ECG Criteria Detect RV Hypertrophy?

Isaac Russell Whitman, MD

Isaac Whitman and Steven Kawut discuss their study of the sensitivity and specificity of electrocardiographic criteria in screening for MRI-detected right ventricular hypertrophy in patients without clinical cardiovascular disease.

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September 27th, 2013

Higher Physician Volume Leads to Lower Mortality in HF

Karen Joynt, MD, MPH

Karen Joynt discusses her research group’s study of the relationship between physician volume, clinical outcomes, and costs among patients with HF.

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September 16th, 2013

Selections from Richard Lehman’s Literature Review: September 16th

Richard Lehman, BM, BCh, MRCGP

This week’s topics include the AMPLIFY trial, D2B time and mortality among those undergoing primary PCI, and more.

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