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Heartbeat: Highlights from this issue
  1. Catherine M Otto
  1. Correspondence to Professor Catherine M Otto, Division of Cardiology, University of Washington, Seattle, WA 98195, USA; cmotto{at}

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This issue of Heart includes an editorial from the British Cardiac Society proposing a cardiac catheterization patient safety checklist (see page 91). As Dr Cahill and colleagues note, the use of safety checklists in clinical practice “improves the reliability of a process and sets out an expected standard for practice. Perhaps more importantly, checklists modify team behaviour, bringing a focus to patient safety and communication and empowering junior members”. This checklist includes relevant patient data, pre-procedure checks, a team brief and post-procedure checks and allows content to be customized to local practice. The stand-alone and integrated versions of the checklist are available for download at

The clinical presentation and management of acute myocardial infarction (AMI) due an acute atherothrombotic occlusion of an epicardial coronary artery, defined as Type-1 myocardial infarction in the universal definition of myocardial infarction, has been addressed in numerous large clinical trials. Secondary (Type-2) AMI, defined as myocardial injury due to an acute imbalance in myocardial oxygen supply and demand, has been less well studied. In this issue of Heart, Dr. Tomasz Baron and colleagues (see page 101) found that Type-2 AMI accounted …

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