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European Heart Journal. Quality of Care & Clinical Outcomes

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https://read.qxmd.com/read/30785188/significant-regional-variation-in-use-of-implantable-cardioverter-defibrillators-in-denmark
#1
Susanne Bendesgaard Pedersen, Dóra Körmendiné Farkas, Søren Pihlkjær Hjortshøj, Hans Erik Bøtker, Jens Brock Johansen, Berit Thornvig Philbert, Jens Haarbo, Reimar Wernich Thomsen, Jens Cosedis Nielsen
AIMS: Implantable cardioverter-defibrillator (ICD) treatment prevents sudden cardiac death in high-risk patients. This study examined geographical variation in ICD implantation rates in Denmark and potential causes of variation. METHODS AND RESULTS: We obtained numbers of ICD implantations in the 5 Danish regions and 98 municipalities during 2007-2013 from the Danish Pacemaker and ICD Registry. Standardized implantation rates (SIRs) were computed as ICD implantations per 1,000,000 person-years, and age- and gender-standardized to the Danish population...
February 20, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30715300/right-ventricular-pacing-for-hypertrophic-obstructive-cardiomyopathy-meta-analysis-and-meta-regression-of-clinical-trials
#2
Ahran D Arnold, James P Howard, Kayla Chiew, William J Kerrigan, Felicity de Vere, Hannah T Johns, Leonid Churlilov, Yousif Ahmad, Daniel Keene, Matthew J Shun-Shin, Graham D Cole, Prapa Kanagaratnam, S M Afzal Sohaib, Amanda Varnava, Darrel P Francis, Zachary I Whinnett
Aims: Right ventricular pacing for left ventricular outflow tract gradient reduction in hypertrophic obstructive cardiomyopathy (HOCM) remains controversial. We undertook a meta-analysis for echocardiographic and functional outcomes. Methods and Results: 34 studies comprising 1135 patients met eligibility criteria. In the 4 blinded randomized controlled trials (RCTs), pacing reduced gradient by 35% (95% CI 23.2 - 46.9, p < 0.0001), but there was only a trend towards improved NYHA class (odds ratio [OR] 1...
January 31, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30689789/medical-misinformation-vet-the-message
#3
Joseph A Hill, Stefan Agewall, Adrian Baranchuk, George W Booz, Jeffrey S Borer, Paolo G Camici, Peng-Sheng Chen, Anna F Dominiczak, Çetin Erol, Cindy L Grines, Robert Gropler, Tomasz J Guzik, Markus K Heinemann, Ami E Iskandrian, Bradley P Knight, Barry London, Thomas F Lüscher, Marco Metra, Kiran Musunuru, Brahmajee K Nallamothu, Andrea Natale, Sanjeev Saksena, Michael H Picard, Sunil V Rao, Willem J Remme, Robert S Rosenson, Nancy K Sweitzer, Adam Timmis, Christiaan Vrints
No abstract text is available yet for this article.
January 28, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30689783/living-alone-is-associated-with-all-cause-and-cardiovascular-mortality-32-years-of-follow-up-in-the-copenhagen-male-study
#4
Magnus T Jensen, Jacob L Marott, Andreas Holtermann, Finn Gyntelberg
Aims: As a consequence of modern urban life, an increasing number of individuals are living alone. Living alone may have potential adverse health implications. The long-term relationship between living alone and all-cause and cardiovascular mortality, however, remains unclear. Methods: Participants from The Copenhagen Male Study were included in 1985-86 and information about conventional behavioral, psychosocial, and environmental risk factors were collected. Socioeconomic position (SEP) was categorized into four groups...
January 24, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30689782/coronary-artery-disease-and-schizophrenia-the-interplay-of-heart-and-mind
#5
Majd B Protty
No abstract text is available yet for this article.
January 23, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30657891/the-cost-implication-of-primary-prevention-in-the-hope-3-trial
#6
Andre Lamy, Eva Lonn, Wesley Tong, Balakumar Swaminathan, Hyejung Jung, Amiram Gafni, Jackie Bosch, Salim Yusuf
Aims: The Heart Outcomes Prevention Evaluation -3 (HOPE-3) found that rosuvastatin alone or with candesartan and hydrochlorothiazide (HCT) (in a subgroup with hypertension) significantly lowered cardiovascular events compared to placebo in 12,705 individuals from 21 countries at intermediate risk and without cardiovascular disease. We assessed the costs implications of implementation in primary prevention in countries at different economic levels. Methods and Results: Hospitalizations, procedures, study and non-study medications were documented...
January 17, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30649303/clinical-outcomes-pharmacologic-treatment-and-quality-of-life-of-patients-with-stable-coronary-artery-diseases-managed-by-cardiologists-1-year-results-of-the-start-study
#7
Leonardo De Luca, Pier Luigi Temporelli, Carmine Riccio, Lucio Gonzini, Lina Marinacci, Sara Norma Tartaglione, Paolo Costa, Marino Scherillo, Michele Senni, Furio Colivicchi, Michele Massimo Gulizia
Aims: We evaluated the 1-year clinical events, pharmacologic management and quality of life in a contemporary cohort of stable coronary artery disease (CAD) patients managed by cardiologists. Methods and Results: START (STable Coronary Artery Diseases RegisTry) was a prospective, observational, nationwide study that enrolled 5070 stable CAD patients over 3 months in 183 cardiology centers in Italy. At 1 year, 4790 (94.5%) patients had data on vital status. Death occurred in 107 (2...
January 14, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30649264/blood-pressure-goals-in-hypertensive-patients-with-peripheral-arterial-disease
#8
Mislav Vrsalovic
No abstract text is available yet for this article.
January 12, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30649251/cardiovascular-event-rates-in-a-high-atherosclerotic-cardiovascular-disease-risk-population-estimates-from-swedish-population-based-register-data
#9
Maria Lindh, Jonas Banefelt, Kathleen M Fox, Sara Hallberg, Ming-Hui Tai, Mats Eriksson, Guillermo Villa, Maria K Svensson, Yi Qian
Aims: This study aimed to estimate the rate of cardiovascular (CV) events in the real world in patients at high risk of recurrent CV events similar to the FOURIER trial population. Methods and Results: A retrospective population-based cohort study was conducted using Swedish national registers from July 1, 2001 to December 31, 2015. Patients in the atherosclerotic cardiovascular disease (ASCVD) prevalent cohort met the FOURIER-like inclusion criteria, including treatment with high/moderate-intensity statins, on July 1, 2006...
January 12, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30649242/skeletal-and-soft-tissue-injuries-after-manual-and-mechanical-chest-compressions
#10
Niklas Friberg, Simon Schmidbauer, Charles Walther, Elisabet Englund
Aims: To determine the rate of injuries related to cardiopulmonary resuscitation (CPR) in cardiac arrest non-survivors, comparing manual CPR with CPR performed using the Lund University Cardiac Assist System (LUCAS). Methods and Results: We prospectively evaluated 414 deceased adult patients using focused, standardized post-mortem investigation in years 2005 through 2013. Skeletal and soft tissue injuries were noted, and soft tissue injuries were evaluated with respect to degree of severity...
January 11, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30649237/does-heart-failure-specific-health-status-identify-patients-with-bothersome-symptoms-depression-anxiety-and-or-poorer-spiritual-well-being
#11
Kelsey M Flint, Diane L Fairclough, John A Spertus, David B Bekelman
Aims: Patients with HF often have underrecognized symptoms, depression, anxiety and poorer spiritual well-being ("QoL domains"). Ideally all patients should have HF-specific health status and QoL domains routinely evaluated; however, lack of time and resources are limiting in most clinical settings. Therefore, we aimed to evaluate whether HF-specific health status was associated with QoL domains and to identify a score warranting further evaluation of QoL domain deficits. Methods and results: Participants (N = 314) enrolled in the Collaborative Care to Alleviate Symptoms and Adjust to Illness trial completed measures of HF-specific health status (KCCQ (score 0-100, 0=worst health status)), additional symptoms (Memorial Symptom Assessment Scale), depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder -7), and spiritual well-being (Facit-Sp) at baseline...
January 11, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30608575/beta-blocker-aspirin-and-statin-usage-after-first-time-myocardial-infarction-in-patients-with-chronic-obstructive-pulmonary-disease-a-nationwide-analysis-from-1995-to-2015-in-denmark
#12
Daniel Bech Rasmussen, Uffe Bodtger, Morten Lamberts, Sia Kromann Nicolaisen, Maurizio Sessa, Annalisa Capuano, Christian Torp-Pedersen, Gunnar Gislason, Peter Lange, Magnus Thorsten Jensen
Aims: To determine whether beta-blockers, aspirin, and statins are underutilized after first-time myocardial infarction (MI)in patients with chronic obstructive pulmonary disease (COPD) compared with patients without COPD. Further, todetermine temporal trends, and risk factors for non-use. Methods and Results: Using Danish nationwide registers, we performed a cross-sectional study investigating the utilization of betablockers, aspirin and statins after hospitalisation for first-time MI among patients with and without COPD from 1995to 2015...
January 4, 2019: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30597071/escape-from-the-takotsubo-octopus-trap-liberation-often-temporary-and-readmission-rates-high
#13
Ken Kato, Christian Templin
No abstract text is available yet for this article.
December 28, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30517621/unlocking-the-potential-of-value-based-health-care-by-defining-global-standard-sets-of-outcome-measures-that-matter-to-patients-with-cardiovascular-diseases
#14
William H Seligman, Matthew Salt, Alethse De la Torre Rosas, Zofia Das-Gupta
As health systems around the world increasingly look to record and improve the value of care that they provide to patients, being able to measure the outcomes that matter most to patients is vital. Clinicians today gather more data than ever before, but what is measured often has little relationship to the results of care that matter most to patients. Through its working groups of global experts in particular diseases, the International Consortium for Health Outcomes Measurement (ICHOM) aims to define minimum Standard Sets of outcomes, along with case-mix factors to support risk-adjustment and meaningful comparison...
December 4, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30496375/the-effect-of-schizophrenia-on-major-adverse-cardiac-events-length-of-hospital-stay-and-prevalence-of-somatic-comorbidities-following-acute-coronary-syndrome
#15
Rubina Attar, Jan Brink Valentin, Phillip Freeman, Pontus Andell, Jørgen Aagaard, Svend Eggert Jensen
Aim: We aimed to investigate major adverse cardiac events (MACE: defined as all-cause mortality, reinfarction and stroke), length of hospital stays and comorbidities following acute coronary syndrome (ACS) in a population with schizophrenia. Methods and results: This Danish register study included patients diagnosed with ACS in the period between 1995-2013 with a preceding diagnosis of schizophrenia (n = 726). Each patient was matched to a psychiatric healthy control 1:2 on sex, age, year of ACS diagnosis and number of comorbidities (total n = 2,178)...
November 28, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30462233/association-between-atrial-fibrillation-and-patient-important-outcomes-in-heart-failure-patients-with-implantable-cardioverter-defibrillators-a-systematic-review-and-meta-analysis
#16
Katerina K Naka, George Bazoukis, Aris Bechlioulis, Panagiotis Korantzopoulos, Lampros K Michalis, Evangelia E Ntzani
Aims: To assess the association between atrial fibrillation (AF) and all-cause mortality and implantable cardioverter defibrillators (ICD) therapies in heart failure (HF) patients with reduced ejection fraction and an ICD implanted. Methods and Results: A systematic MEDLINE search performed from inception through November 2016, supplemented by hand searching of reference lists, identified 62 eligible studies (227,998 patients) reporting on the association between AF and outcomes in HF patients; 36 studies included data on all-cause mortality, 30 on appropriate and 17 on inappropriate ICD interventions...
November 21, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30452611/prospective-evaluation-and-long-term-follow-up-of-patients-referred-to-secondary-care-based-upon-natriuretic-peptide-levels-in-primary-care
#17
John Gierula, Richard M Cubbon, Maria F Paton, Rowenna Byrom, Judith E Lowry, Sarah Winsor, Melanie McGinley, Emma Sunley, Emma Pickles, Lorraine C Kearney, Aaron Koshy, Thomas A Slater, Hemant Chumun, Haqeel A Jamil, Kristian Bailey, Julian H Barth, Mark T Kearney, Klaus K Witte
Objectives: The UK National Institute for Health and Care Excellence (UK-NICE) and European Society of Cardiology (ESC) guidelines advise natriuretic peptide (NP) assessment in patients presenting to primary care with symptoms possibly due to chronic heart failure (HF), to determine need for specialist involvement. This prospective service evaluation aimed to describe the diagnostic and prognostic utility of these guidelines. Methods: We prospectively collected clinical, echocardiography and outcomes data (minimum 5yrs) from all patients referred to the Leeds HF Service for 12m following the initiation of the NP-guideline-directed pathway...
November 19, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30452606/drug-eluting-stents-are-not-alike-does-it-matter
#18
Giulio Guagliumi, Davide Capodanno
No abstract text is available yet for this article.
November 19, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30346505/anything-that-can-be-measured-can-be-improved-the-case-of-performance-measures-in-heart-failure-and-beyond
#19
Andreas Bollmann, Gerhard Hindricks
No abstract text is available yet for this article.
October 22, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
https://read.qxmd.com/read/30304374/atrial-fibrillation-and-mortality-risk-seeing-the-big-picture
#20
Francis E Ugowe, Larry R Jackson
No abstract text is available yet for this article.
October 10, 2018: European Heart Journal. Quality of Care & Clinical Outcomes
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