Role of troponin in patients with chronic kidney disease and suspected acute coronary syndromes: a systematic review.
By: Stacy SR, Suarez-Cuervo C, Berger Z, Wilson LM, Yeh HC, Bass EB, Michos ED.
In chronic kidney disease patients suspected of having acute coronary syndromes, troponin levels can aid in identifying patients with a poor prognosis, but the diagnostic utility is limited by varying estimates of sensitivity and specificity.
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Prognostic value of cardiac troponins in chronic kidney disease patients without a suspected acute coronary syndrome: a systematic review.
By: Michos ED, Wilson LM, Yeh HC, Berger Z, Suarez-Cuervo C, Stacy SR, Bass EB.
In chronic kidney disease patients without suspected acute coronary syndromes, troponin elevations were associated with worse prognosis.
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Associations between HIV infection and subclinical coronary atherosclerosis.
By: Post WS, Budoff M, Kingsley L, Palella FJ Jr, Witt MD, Li X, George RT, Brown TT, Jacobson LP.
Coronary artery plaque, especially noncalcified plaque, is more prevalent and extensive in HIV-infected men, independent of CAD risk factors.
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Concepts and controversies: the 2013 American College of Cardiology/American Heart Association risk assessment and cholesterol treatment guidelines.
By: Martin SS, Blumenthal RS.
This editorial discusses the strengths and limitations of the new prevention guidelines.
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Comparative effectiveness and safety of methods of insulin delivery and glucose monitoring for diabetes mellitus: A systematic review and meta-analysis.
By: Yeh HC, Brown TT, Maruthur N, Ranasinghe P, Berger Z, Suh YD, Wilson LM, Haberl EB, Brick J, Bass EB, Golden SH.
Continuous subcutaneous insulin infusion and multiple daily injections have similar effects on glycemic control and hypoglycemia, except continuous subcutaneous insulin infusion has a favorable effect on glycemic control in adults with type 1 diabetes mellitus. For glycemic control, real-time continuous glucose monitoring is superior to self-monitoring of blood glucose, and sensor-augmented insulin pumps are superior to multiple daily injections and self-monitoring of blood glucose without increasing the risk for hypoglycemia.
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The USPSTF recommendation statement on coronary heart disease risk assessment.
By: Blaha MJ, Campbell CY, Horne A.
The goal of the Multiethnic Study of Atherosclerosis (MESA) was to assess the value of subclinical atherosclerosis in predicting coronary events. If MESA is not considered high-quality, what type of study will be sufficient to show the importance of selective CAC testing in persons with risk factors who do not yet qualify for treatment with statin and aspirin therapy? In the future, the U.S. Preventive Services Task Force (USPSTF) should include an experienced preventive cardiologist to avoid these major oversights.
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