eLetters

200 e-Letters

published between 2007 and 2010

  • QRISK - Limitations in Validation?
    Marie Therese Cooney

    Dear Editor,

    We have read with interest the recent article by Hippisley Cox et al on the validation of the new risk estimation function, QRISK. [1] QRISK demonstrated improved discrimination and calibration compared to Framingham in the independent British database, THIN. Previously, we wrote suggesting some methodological limitations in the derivation of the function. [2] Our main concerns were firstly, the use...

    Show More
  • Kamlesh Khunti

    Dear Editor,

    We would like to thank Jaarsma on highlighting an important topic regarding choosing appropriate outcomes in heart failure research. The COACH trial recently found that neither moderate or intensive disease management programmes by a nurse specialising in management of patients with heart failure reduced death or hospitalisation compared to standard treatment. (1) In contrast, our trial evaluated...

    Show More
  • Tissue Doppler Imaging Echocardiography – Technological advancement or retrograde development?
    George Thomas

    Dear Editor,

    I read with great interest the article presenting tissue Doppler techniques as technological advances.[1] The authors conclude with the “limitations” of tissue Doppler stating “There is still a significant variability in TDI (tissue Doppler imaging) derived parameters because of differences in machine characteristics and lack of guidelines for standardization of sample positions and machine setting...

    Show More
  • Bubbles after scuba diving
    Kay Tetzlaff

    Dear Editor,

    With great interest I read the "Images in cardiology" article by Boussuges et al. (1) showing circulating bubbles in the right and the left cavities of a scuba diver's heart after diving. The authors stress the importance of a patent foramen ovale (PFO) as a possible right to left shunting mechanism. However, there are other mechanisms for right to left shunting of intravenous bubbles in scuba diver...

    Show More
  • How should paroxysmal atrial fibrillation be considered in CRT studies?
    Maurizio Gasparini

    Dear Editor,

    It is with great interest that we read the contribution by Kayvan and colleagues (1) on the long-term effects of cardiac resynchronization therapy (CRT) in patients with atrial fibrillation (AF), not treated with atrio-ventricular junction (AVJ) ablation. Somewhat surprising is the extremely high proportion of AF patients in this cohort : 86/295 patients (29%), probably the highest incidence ever rep...

    Show More
  • 2002 mortality rate for coronary heart disease in Italy: a statistical outlier or a sentinel event?
    Giampiero Favato

    Dear Editor,

    The latest available, age-adjusted overall mortality rate for CHD in Italy refers to the year 2002 [1]. For the first time in the last twenty years, the 2002 rate (42.05 deaths per 100,000 inhabitants) showed a significant increase (+1.1%) over the previous year. The mortality rate for CHD grew by 0.8% in men and by 1.4% in women.

    Since 1980, the age-adjusted mortality rate for CHD decline...

    Show More
  • Cardiologists and cardiac surgeons
    Amit Bhan

    Dear Editor,

    I would like to thank Mr Munsch for his enjoyable and informative article(1) in February’s journal, and think that it highlights an important issue.

    Multidisciplinary meetings are an integral part of cardiovascular practice and cardiologists and cardiac surgeons have long worked closely together, perhaps more so than other medical specialties with their respective surgical colleagues....

    Show More
  • Left ventricular thrombus associated with apical ballooning: a rising clinical evidence ?
    Cesare de Gregorio

    Dear Editor,

    I read with great interest the report by Robles et al (1), recently published in the Journal, that describes the occurrence of left ventricular thrombus formation (LVTF) in a patient with apical ballooning (Takotsubo-like syndrome).

    This study likely provides further contribution to the knowledge on the various clinical aspects of this stress-related cardiac disease. In spite of the acut...

    Show More
  • Digitalis in atrial fibrillation: not the best friend nor the worst foe.
    Luca Testa

    Dear Editor,

    We have carefully read the article by Gjesdal et al [1] showing the result of an exploratory analysis pooling data from the SPORTIF III and V trials [2,3]. By means of a Cox proportional hazard analysis the authors concluded that the use of digitalis may increase mortality.
    Although we acknowledge the merit of this manuscript, in our opinion some points deserve further elucidation....

    Show More
  • ‘Shoot the renals’ - The evidence is actually round the corner!
    Constantina Chrysochou

    Dear Editor,

    It was with great interest that we read the recent articles by Dear et al[1] and Luft et al[2] in the December edition of Heart. The issue of when to investigate and treat a patient with suspected ARVD is one of considerable controversy at present. The AHA provide guidelines[3] that recommend performing simultaneous renal arteriography with coronary arteriography in order to facilitate pro-active trea...

    Show More

Pages