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| January 2013 Volume 10 Number 1 | ||||||||||||||||||||||||||||||||||||||||
In this issue
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| NEWS AND VIEWS | Top | |||||||||||||||||||||||||||||||||||||||
| Heart failure: Optimal postdischarge management of chronic HF Simonetta Scalvini & Amerigo Giordano Published online: 20 November 2012 p9 | doi:10.1038/nrcardio.2012.161 Not all strategies for the management of chronic heart failure have been shown to be equally effective in improving outcomes, and the ideal programme has yet to be defined. The WHICH? trial sheds some light on whether a clinical, in-hospital or a home-based strategy of care is superior and cost-effective. Full Text | PDF | ||||||||||||||||||||||||||||||||||||||||
| Coronary artery disease: Are β-blockers truly helpful in patients with CAD? Nicolas Danchin & Stéphane Laurent Published online: 13 November 2012 p11 | doi:10.1038/nrcardio.2012.159 In a large, new, observational study, β-blocker treatment did not improve clinical outcomes in patients with coronary artery disease (CAD), including those with previous myocardial infarction, and was associated with more events in individuals with risk factors only. The role of β-blockers for secondary prevention in these patients should be reconsidered. Full Text | PDF | ||||||||||||||||||||||||||||||||||||||||
| Biomarkers: Screening for C-reactive protein in CVD prediction Sanne A. E. Peters, Frank L. J. Visseren & Diederick E. Grobbee Published online: 20 November 2012 p12 | doi:10.1038/nrcardio.2012.164 Adding C-reactive protein (CRP) level to conventional cardiovascular risk models has been suggested to improve risk prediction for cardiovascular events. However, evaluation of the potential impact of CRP measurement in cardiovascular risk management will require studies designed to quantify the effect of additional CRP assessment on medical decision-making, patient outcomes, and cost-effectiveness. Full Text | PDF | ||||||||||||||||||||||||||||||||||||||||
| REVIEWS | Top | |||||||||||||||||||||||||||||||||||||||
| Myofibroblast-mediated mechanisms of pathological remodelling of the heart Karl T. Weber, Yao Sun, Syamal K. Bhattacharya, Robert A. Ahokas & Ivan C. Gerling Published online: 04 December 2012 p15 | doi:10.1038/nrcardio.2012.158 In the diseased heart, cardiomyocytes undergo necrotic cell death. A healing response results in myofibroblast production of collagen and other matrix molecules, which initially serve to preserve the structural integrity of the myocardium. However, myofibroblast dispersion fails to occur in many cardiac diseases, and perpetual matrix formation leads to adverse remodelling of the heart. In this Review, Weber et al. discuss relevant mechanisms of cardiac fibrosis and consequent remodelling, and highlight potential strategies for cardioprotection. Abstract | Full Text | PDF | ||||||||||||||||||||||||||||||||||||||||
| Vascular access and closure in coronary angiography and percutaneous intervention Robert A. Byrne, Salvatore Cassese, Maryam Linhardt & Adnan Kastrati Published online: 27 November 2012 p27 | doi:10.1038/nrcardio.2012.160 The success of transcatheter therapeutics relies heavily on the choice of vascular access site and on adequate arteriotomy closure. In this article, Byrne and colleagues review the state-of-the-art and future developments in vascular closure devices. They also compare the safety and efficacy of radial artery and femoral artery access for diagnostic and interventional procedures. Abstract | Full Text | PDF | ||||||||||||||||||||||||||||||||||||||||
| Timely and optimal treatment of patients with STEMI Jens F. Lassen, Hans E. Bøtker & Christian J. Terkelsen Published online: 20 November 2012 p41 | doi:10.1038/nrcardio.2012.156 Timeliness of reperfusion is paramount in the management of patients with ST segment elevation myocardial infarction. Both fibrinolysis and primary percutaneous coronary intervention are inherently associated with patient and health-care system delays. In this Review, Jens F. Lassen and colleagues describe the types of delay to reperfusion and their effects on outcome, and discuss strategies to optimize reperfusion therapy in these patients. Abstract | Full Text | PDF | ||||||||||||||||||||||||||||||||||||||||
| Screening for rheumatic heart disease: current approaches and controversies Kathryn Roberts, Samantha Colquhoun, Andrew Steer, Bo Reményi & Jonathan Carapetis Published online: 13 November 2012 p49 | doi:10.1038/nrcardio.2012.157 Rheumatic heart disease (RHD) is preventable, yet continues to be a leading cause of morbidity and mortality in children in developing countries. In this Review, Kathryn Roberts and colleagues examine whether RHD fulfils the 1994 Council of Europe criteria for a disease suitable for screening, assess cardiac auscultation and echocardiography as methods of screening for RHD, and discuss areas of controversy that require further research in order to make recommendations about screening for this disease. Abstract | Full Text | PDF | ||||||||||||||||||||||||||||||||||||||||
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| *Journal Citation Reports, Thomson, 2011. Nature Reviews Cardiology was previously published as Nature Clinical Practice Cardiovascular Medicine. |
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