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Heart and Vascular Health
Media, News & Topics on prevention, diagnosis & treatment of cardiovascular disease
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Nonemergency PCI (angioplasty) at Hospitals with or without On-Site Cardiac Surgery

Nonemergency PCI (angioplasty) at Hospitals with or without On-Site Cardiac Surgery | Heart and Vascular Health | Scoop.it

A total of 3691 patients were randomly assigned to undergo PCI at a hospital without on-site cardiac surgery (2774 patients) or at a hospital with on-site cardiac surgery (917 patients). The rates of major adverse cardiac events were 9.5% in hospitals without on-site cardiac surgery and 9.4% in hospitals with on-site cardiac surgery at 30 days (relative risk, 1.00; 95% one-sided upper confidence limit, 1.22; P<0.001 for noninferiority) and 17.3% and 17.8%, respectively, at 12 months (relative risk, 0.98; 95% one-sided upper confidence limit, 1.13; P<0.001 for noninferiority). The rates of death, myocardial infarction, repeat revascularization, and stroke (the components of the primary end point) did not differ significantly between the groups at either time point.

Seth Bilazarian, MD's insight:

Good news for community hospitals doing quality work and for patients relying on local care for heart disease and treatment with angioplasty (PCI). In Massachusetts, safety and efficacy of balloon angioplasty & stenting in community hospitals (without On-site cardiac surgery) to treat patients with coronary artery disease was not different than large academic hospitals (with surgery on site).  Study conducted by physicians at hospitals with on-site cardiac surgery.

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Scooped by Seth Bilazarian, MD
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Fish oil for Cardiovascular Outcomes in Diabetics

Fish oil for Cardiovascular Outcomes in Diabetics | Heart and Vascular Health | Scoop.it

Take Home Message:  In an era of evidence based medicine the Fish Oil strategy continues to disappoint for cardiovascular disease prevention. The main beneficiary of these repeated trials are the researchers.  Fish oil can be omitted, especially by patients who take many other medicines to help reduce the pill  burden.  Eat fish instead.

 

Daily supplementation with 1 g of n–3 fatty acids in daibetics did not reduce the rate of cardiovascular events over 6 years in patients at high risk for cardiovascular events.

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