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Cardiac

December 3, 2014
This study examined the effect of the introduction of TAVR on overall AVR rates in the US using the STS and STS/ACC registries.  From 2008 to 2013, AVR rates increased at hospitals performing TAVR by 69%, including a 22% increase in surgical AVR; the latter increase was primarily in low- and moderate-risk patients.  In contrast, non-TAVR hospital AVR
December 3, 2014
Program directors from 6 distinctly different training centers assessed educational costs for CT resident training.  Before formal accounting information was explored, the PDs estimated the annual cost per resident to be $250,000.  The actual costs per year per resident ranged from $330,000 to $667,000, with a mean of $483,000.  Faculty teaching cost
December 3, 2014
This study determined the relationship of pre-hospital use of epinephrine during resuscitation to survival in patients who experienced return of spontaneous circulation after out of hospital cardiac arrest. 73% received epinephrine, and 17% of those patients experienced a good outcome (discharged alive with good neurologic status). 
December 2, 2014
In this oral history interview, Dr. William Stoney talks with Dr. Henry T. Bahnson. Dr. Bahnson, a past president of the American Association for Thoracic Surgery, discusses his long career in cardiothoracic surgery, including his pioneering work in heart transplantation.
December 1, 2014
This is an excellent article on the feasibility of offering Veno Arterial ECMO in outlying community hospitals for Refractory Cardiogenic Shock (RCS).  The Authors review a four year time period and describe assessing 104 patients of whom 87 were deemed eligible for V-A ECMO therapy.
November 30, 2014
This is a stunning video of a myectomy and mitral anterior leaflet repair. It really shows the abilities of the robot very well indeed. Well done 
November 29, 2014
Randomized multicenter trial comparing losartan versus atenolol in young patients with Marfan's syndrome with no significant difference in aortic root dilation between groups.
November 29, 2014
141,905 isolated primary surgical aortic valve replacements (SAVR) were stratified by STS risk of mortality.   SAVR outcomes were superior to those by the predicted risk models.
November 28, 2014
Shanker Vedantam interviews Jason Hockenberry, an economist at Emory University, regarding recent research into patient behavior following PCI or CABG.  CABG patients were more likely to quit smoking after intervention for CAD.  This may be a result of the magnitude of the intervention, and has implications for improving smoking cessation programs.
November 27, 2014
Abrams and colleagues provide a comprehensive review of the topic of recirculation during VV ECMO.  Specifically, the authors discuss the factors contributing to recirculation, how to calculate the extent of recirculation, and what interventions can be applied to correct the issue.

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