Archives of cardiovascular diseases
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Arch Cardiovasc Dis · Aug 2011
Multicenter StudyInitial hospital pulse pressure and cardiovascular outcomes in acute coronary syndrome.
The association between admission pulse pressure (PP) and cardiovascular outcomes in acute coronary syndrome (ACS) is not well defined. ⋯ In ACS, all blood pressure variables were significantly correlated. Low PP was an independent predictor for stroke and mortality in overall ACS. Although PP was not superior to systolic blood pressure, only low PP was an independent predictor for recurrent ischaemia in NSTE-ACS.
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Arch Cardiovasc Dis · Aug 2011
Multicenter StudyModelling of blood pressure and total cardiovascular risk outcomes after second-line valsartan therapy: the BSCORE study.
European guidelines recommend that antihypertensive management should be graded as a function of total cardiovascular risk. ⋯ Second-line valsartan therapy improves blood pressure outcomes under variable real-world conditions, and is associated with a decrease in total cardiovascular risk. Optimizing antihypertensive effectiveness, including the reduction of residual cardiovascular risk, involves managing concomitant conditions and risk factors, improving adherence, and identifying physician-level factors amenable to intervention.
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Arch Cardiovasc Dis · Aug 2011
Preliminary experience with Impella Recover(®) LP5.0 in nine patients with cardiogenic shock: a new circulatory support system in the intensive cardiac care unit.
Cardiogenic shock is associated with high mortality. We report our experience with the short-term left ventricular axial pump Impella LP5.0 in nine patients with severe ischaemic heart failure. ⋯ Left ventricular assistance with the Impella LP5.0 appears to be well tolerated. It may be especially useful in patients with acute myocardial infarction complicated by cardiogenic shock who achieve INTERMACS Profile 3 with initial treatment.