Category: Cardiovascular

cardiology

Torcetrapib in Patients at High Risk for Coronary Events: ILLUMINATE Trial Latest Results

November 6, 2007
philip barter Torcetrapib in Patients at High Risk for Coronary Events: ILLUMINATE Trial Latest Results
Philip Barter
gordon tomaselli Torcetrapib in Patients at High Risk for Coronary Events: ILLUMINATE Trial Latest Results
Gordon Tomaselli

REFERENCE: Late Breaking Clinical Trials, Session 2, American Heart Association Scientific Sessions, 4-7 November, 2007, Orlando, Florida
N Engl J Med 2007;357

PHILIP BARTER, Heart Research Institute, Sydney, Australia
COMMENT: GORDON TOMASELLI, Johns Hopkins University, Baltimore

A randomized double-blind study involving over 15,000 patients at high cardiovascular risk which looked at the new agent torcetrapib (an inhibitor of cholesteryl ester transfer protein, CETP) resulted in higher mortality in the experimental arm. The study compared torcetrapib plus atorvastatin with atorvatstin alone. Inhibition of CETP increases HDL levels and reduces LDL levels and should combat atherosclerosis. Sarah Maxwell spoke with Philip Barter who presented data on the ILLUMINATE trial at the American Heart Association meeting in Orlando.

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Rosuvastatin: No Significant Benefit for Older Patients with Systolic Heart Failure: CORONA Study Results

November 6, 2007
ake hjalmarson Rosuvastatin: No Significant Benefit for Older Patients with Systolic Heart Failure: CORONA Study Results
Ake Hjalmarson
gordon tomaselli Rosuvastatin: No Significant Benefit for Older Patients with Systolic Heart Failure: CORONA Study Results
Gordon Tomaselli

REFERENCE: Late Breaking Clinical Trials, Session 2, American Heart Association Scientific Sessions, 4-7 November, 2007, Orlando, Florida
N Engl J Med 2007;357

AKE HJALMARSON, Sahlgrenska University, Göteborg
COMMENT: GORDON TOMASELLI, Johns Hopkins University, Baltimore

The lipid lowering agent rosuvastatin did not bring a significant benefit to older patients with systolic heart failure, according to the findings of the CORONA study released at the American Heart Association sessions in Orlando. Ake Hjalmarson talked with Peter Goodwin about the implications this has for using statins in older patients with heart failure.

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Eptifibatide as Effective as Abciximab in Primary PCI for Acute ST Elevation Myocardial Infarction: EVA-AMI Study

November 6, 2007
uwe zeymer Eptifibatide as Effective as Abciximab in Primary PCI for Acute ST Elevation Myocardial Infarction: EVA AMI Study
Uwe Zeymer
REFERENCE: Late Breaking Clinical Trials Session I, American Heart Association Scientific Sessions, 4-7 November, 2007, Orlando, Florida
UWE ZEYMER, Herzzentrum Ludwigshafen, Germany
The glycoprotein 2B 3A antagonist eptifibatide has performed as well as standard abciximab therapy in patients receiving primary angioplasty for acute myocardial infarction. So according to Uwe Zeymer who presented findings on this it can be used in this setting just as it is already being used in elective PCI. Sarah Maxwell interviewed Dr Zeymer at the Orlando conference.

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TRITON-TIMI 38 Prasugrel Or Clopidogrel In Percutaneous Intevention?

November 5, 2007
gordon tomaselli TRITON TIMI 38 Prasugrel Or Clopidogrel In Percutaneous Intevention?
Gordon Tomaselli
daniel jones TRITON TIMI 38 Prasugrel Or Clopidogrel In Percutaneous Intevention?
Daniel Jones

REFERENCE: Late Breaking Clinical Trials 1, American Heart Association Scientific Sessions, 4-7 November, 2007, Orlando, Florida
GORDON TOMASELLI, Johns Hopkins University, Baltimore
COMMENT: DANIEL JONES, President, American Heart Association, University of Mississippi, Jackson

A potential new option for patients with acute coronary syndromes receiving coronary intervention has emerged following a report on the comparison of prasugrel, a new anti-platelet agent, with clopidogrel. Elliott Antman from Brigham and Women’s Hospital in Boston gave the American Heart Association his findings and recommendations about when and in which patients prasugrel might be favored. Gordon Tomaselli discussed the findings with Sarah Maxwell.

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Eptifibatide After PCI: Brief Infusion Is Just As Good

November 5, 2007
anthony fung Eptifibatide After PCI: Brief Infusion Is Just As Good
Anthony Fung
REFERENCE: Late Breaking Clinical Trials Session I, American Heart Association Scientific Sessions, 4-7 November, 2007, Orlando, Florida
ANTHONY FUNG, University of British Columbia, Vancouver
Brief courses of antiplatelet therapy with the glycoprotein 2b 3a inhibitor are just as effective as longer infusions for patients receiving non-emergency percutaneous intervention. So said Anthony Fung at the first session of Late breaking Clinical Trials held at the American Heart Association’s annual meeting in Orlando. He talked with Peter Goodwin about his findings.

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Long Term Outcomes of Drug Eluting and Bare Metal Stents in Patients Undergoing PCI

November 5, 2007
laura mauri Long Term Outcomes of Drug Eluting and Bare Metal Stents in Patients Undergoing PCI
Laura Mauri
raymond gibbons Long Term Outcomes of Drug Eluting and Bare Metal Stents in Patients Undergoing PCI
Raymond Gibbons

REFERENCE: Late Breaking Special Session, American Heart Association Scientific Sessions, 4-7 November, 2007, Orlando, Florida
LAURA MAURI, Brigham and Woman’s Hospital, Boston Massachusetts
COMMENT: RAYMOND GIBBONS, Mayo Clinic, Rochester, Minnesota

The largest study to date looking at long-term outcomes of bare metal stents as compared with drug eluting stents in patients who have undergone PCI was presented to the American Heart Association annual meeting. There was no increased mortality for patients who received drug eluting stents in a Massachussets based population. Sarah Maxwell spoke with investigator to Laura Mauri at the Orlando meeting.

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Stable Angina: Add PCI To Medical Therapy If Guided by SPECT-Detected Ischemia? COURAGE Nuclear Sub-Study Results

November 5, 2007
leslee shaw Stable Angina: Add PCI To Medical Therapy If Guided by SPECT Detected Ischemia? COURAGE Nuclear Sub Study Results
Leslee Shaw
daniel jones Stable Angina: Add PCI To Medical Therapy If Guided by SPECT Detected Ischemia? COURAGE Nuclear Sub Study Results
Daniel Jones

REFERENCE: Abstract: Late Breaking Clinical Trials, Session 1, American Heart Association Scientific Sessions, 4-7 November, 2007, Orlando, Florida
LESLEE SHAW, Emory University, Atlanta
COMMENT: DANIEL JONES, AHA President, University of Mississippi, Jackson

Some patients with stable angina may be best treated by adding percutaneous intervention to optimal medical therapy. This is the finding of a “nuclear sub-study” of the COURAGE (Clinical Outcomes Using Revascularization and Aggressive Drug Evaluation) trial. Although the study found no benefit of adding angioplasty in most patients, the AHA conference heard from Leslee Shaw that if myocardial ischemia is monitored using Single Photon Emission Computed Tomography (SPECT), there could be a role for angioplasty in a subgroup of patients. Peter Goodwin talked with Dr Shaw after her presentation and then asked the American Heart Association President, Daniel Jones, for his assessment.

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Drug Eluting Stents: Higher Late Mortality in STEMI Patients Than Bare Metal: GRACE Registry Findings

September 5, 2007
gabriel steg Drug Eluting Stents: Higher Late Mortality in STEMI Patients Than Bare Metal: GRACE Registry Findings
Gabriel Steg
freek verheugt Drug Eluting Stents: Higher Late Mortality in STEMI Patients Than Bare Metal: GRACE Registry Findings
Freek Verheugt

REFERENCE: Hotline III, number 709, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
GABRIEL STEG, Hôpital Bichat, Paris
COMMENT: FREEK VERHEUGT, Radboud University Nijmegen Medical Centre, Nijmegen

The GRACE registry looking at over 60 000 patients with ST elevation myocardial infarction has shown that patients live longer if they receive bare metal stents than if they get drug eluting stents. Gabriel Steg presented these latest data at the ESC meeting in Vienna. Sarah Maxwell discussed the findings with him.
Freek Verheugt comments on the interview with Gabriel Steg.

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Better Criteria For Cardiac Resynchronisation Needed in Heart Failure: PROSPECT Trial Results

September 5, 2007
stefano ghio Better Criteria For Cardiac Resynchronisation Needed in Heart Failure: PROSPECT Trial Results
Stefano Ghio
cecilia linde Better Criteria For Cardiac Resynchronisation Needed in Heart Failure: PROSPECT Trial Results
Cecilia Linde

REFERENCE: Hotline III, 3222 page 315, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
STEFANO GHIO, San Matteo University Hospital, Italy
COMMENT: CECILIA LINDE, Karolinska University Hospital, Stockholm

The standard echocardiographic criteria for selecting patients to receive cardiac resynchronisation are not adequate according to Stefano Ghio. During the ESC Congress in Vienna he presented results from the PROSPECT trial and afterwards he talked with Sarah Maxwell. Cecilia Linde gave Nicola Solomon her comments on the findings.

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Patients with High Restenosis Risk Benefit More from Drug Eluting Stents

September 5, 2007
raul moreno Patients with High Restenosis Risk Benefit More from Drug Eluting Stents
Raul Moreno

REFERENCE: Abstract 3103, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
RAUL MORENO, University Hospital La Paz, Madrid
Results from a large meta analysis suggest that drug eluting stents have a greater benefit when the risk of restenosis increases. This could affect the “off label” use of these stents. Raul Moreno, of the University Hospital La Paz, Madrid, discussed his findings with Derek Thorne.

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Is There A Link Between Periodontitis And Heart Disease?

September 5, 2007
nicolas amabile Is There A Link Between Periodontitis And Heart Disease?
Nicolas Amabile

REFERENCE: Abstract 1967, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
NICOLAS AMABILE, University of Marseille School of Medicine
A French study presented at the ESC congress may have found a link between periodontitis and coronary artery disease: although further study is needed. Nicolas Amabile, of the University of Marseille School of Medicine, discussed his data with Derek Thorne.

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Selective Invasive Treatment Best for Women with Non-ST Elevation Acute Coronary Syndromes

September 5, 2007
eva swahn Selective Invasive Treatment Best for Women with Non ST Elevation Acute Coronary Syndromes
Eva Swahn

REFERENCE: HOTLINE II, Monday 8am, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
EVA SWAHN, University Hospital Linköping, Sweden
COMMENT: ECKART FLECK, Deutsches Herzzentrum, Berlin

Women who undergo selective invasive treatment for non-ST elevation acute coronary syndromes do better than those who receive routine early invasive treatment. This is according to the OASIS 5 study from Sweden that randomised women to either of the two approaches. The findings suggest that females with non-ST elevation ACS should be approached differently from their male counterparts. Sarah Maxwell interviewed OASIS investigator Eva Swahn at the ESC meeting in Vienna. Eckart Fleck of the Deutsches Herzzentrum in Berlin gave his comments on her comments to Derek Thorne.

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