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Clinical Articles, Lead Article

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October 19, 2016

ANNEXA 4: reversal agent shows efficacy in acute bleeding

Preliminary results in the ongoing ANNEXA-4 study have shown that andexanet can rapidly reverse anti-factor Xa activity in acutely bleeding patients and is associated with excellent or good haemostasis in most.

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October 19, 2016

New ESC/EACTS guidelines for the management of AF

The first collaborative ESC and European Association for Cardio-Thoracic Surgery (EACTS) Guidelines on Atrial Fibrillation (AF) were published at the start of ESC Congress.1 These multidisciplinary guidelines focus on early detection of asymptomatic AF, recommending both opportunistic and targeted screening for all patients aged ≥65 years, or with stroke or transient ischaemic attack (TIA).

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October 19, 2016

‘True’ costs of NOACs assessed

Health economic studies are now assessing the true costs of non-vitamin K antagonist oral anticoagulants (NOACs) compared to warfarin. One study presented at the congress by Dr Elizabeth A Magnuson (Saint Luke’s Mid-America Heart Institute, Kansas City, USA) showed that compared with warfarin, edoxaban 60 mg (30 mg dose-reduced) once daily significantly reduced the overall rate of cardiovascular complications and bleeding-related hospitalisations and associated hospitalisation costs. 1

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October 19, 2016

Smartphone monitoring detects atrial fibrillation

Smartphones can be used to detect atrial fibrillation (AF) with existing hardware, according to research presented by Mr Tero Koivisto (University of Turku, Finland).1

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October 19, 2016

Historic Papal visit to Congress

His Holiness Pope Francis was delighted to receive a stethoscope from the ESC during his historic visit to the Congress. He was welcomed by ESC President Fausto Pinto. “I thank each of you for the scientific work in these days of study and discussion, but above all for your dedication to so many who are sick,” the Pope said in his address to delegates.

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January 14, 2016

Syncope – improving approaches to diagnosis and treatment

A new, position paper1 on syncope, from the European Heart Rhythm Association (EHRA) offers a pragmatic approach to the rationale and requirement for establishing syncope Units (SU) based on specialist consensus, existing practice and scientific evidence.

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January 14, 2016

Do anaesthetists affect cardiac surgery mortality? An anaesthetist speaks

There has been much interest in a feature in the last edition of BJC Arrhythmia Watch, which focused on a paper1 published on behalf of the Association of Cardiothoracic Anaesthetists (ACTA) which concluded that “anaesthetists did not appear to affect mortality”.

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January 14, 2016

Scary movies can curdle blood



Watching horror, or “bloodcurdling,” movies is associated with an increase in the clotting protein, blood coagulant factor VIII, according to small study conducted in Amsterdam, and published in the BMJ Christmas issue.1

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January 14, 2016

CHD patients with no teeth have nearly double risk of death

Coronary heart disease (CHD) patients with no teeth have nearly double the risk of death as those with all of their teeth, according to research published in the European Journal of Preventive Cardiology.1 The study in more than 15,000 patients from 39 countries found that levels of tooth loss were linearly associated with increasing death rates.

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January 14, 2016

UK bariatric surgery – confirmed clinical outcome benefits

Bariatric surgery as delivered in the UK healthcare system is associated with dramatic weight loss, and benefits in cardiometabolic co-morbidities, according to a recent study conducted by workers from the London School of Hygiene and University College London.1 Widening the availability of bariatric surgery could lead to substantial health benefits for many people who are morbidly obese, the invesitgators conclude.

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  • Atrial Fibrillation Association
 

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