eLetters

200 e-Letters

published between 2007 and 2010

  • When is a heart failure programme successful?
    Tiny Jaarsma

    Dear Editor,

    With great interest we read the article of Khunti and colleagues reporting on a cluster randomized controlled trial evaluating a nurse-led disease management programme for secondary prevention of coronary heart disease and heart failure in primary care (1). The authors should be commended for their large trial with 1316 patients from 20 primary care practices.
    The authors describ...

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  • Reader's response
    PP Dimitrow

    Left ventricular outflow tract gradient provoked by upright position or exercise in hypertrophic cardiomyopathy without obstruction at rest

    Dear Editor,

    In a recent study published in the Heart, Shah et al. [1] assess the inducibility of left ventricular outflow tract gradient by upright exercise (bicycle ergometer) in patients with hypertrophic cardiomyopathy (HCM) without obstruction at rest. Simi...

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  • Heart failure in the UK
    John JV McMurray

    Dear Editor,

    We read with interest the report of Nicol and colleagues on heart failure admissions in England, Wales and Northern Ireland1, having published extensively on this problem in Scotland.2,3

    In Scotland 51% of patients hospitalized in 2003 with heart failure as the principal diagnosis were men, compared to 50% in the rest of the UK. The average age of men was 72 years and for women it was 77 years, com...

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  • Authors' Response
    Andrew Steptoe

    Dear Editor,

    We thank Drs Mieczkowska and Mosiewicz for their interest in our research on socioeconomic status (SES), pathogen burden and cardiovascular disease risk. They rightly highlight the strong social gradient in cardiovascular disease that is present in many European countries and is increasingly apparent world wide.1 Our study used employment grade as the indicator of SES, and it is interesting that sim...

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  • Exercise echocardiography
    Gareth J. Wynn

    Dear Editor,

    The recent study by Ha et al (1) illustrates the potential benefit of using exercise stress for detection of early myocardial disease in diabetic patients. With modern advances in cardiac imaging the detection and management sub-clinical disease in patients at high cardiovascular risk is likely to become increasingly relevant. The use of exercise stress and its application outside the conventional app...

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  • Chagas Disease: a neglected cardiomyopathy
    Alfonso J. Rodriguez-Morales

    Dear Editor,

    Recently, Yacoub et al,[1] reviewed for the section Education in Heart of the journal Heart, different clinical but also epidemiological, diagnostic, therapeutic and other aspects of Chagas disease, “a neglected tropical cardiomyopathy”. Although it should be acknowledge the importance of such reviews, particularly in a topic that has been neglected in many aspects, including research as well intern...

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  • 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...

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  • Atrial Septal Defect in Pulmonary Arterial Hypertension: to close or not to close?
    Rolf M.F. Berger

    Dear Editor,

    With great interest we read the article of Balint and coworkers (1), in which they report the results of catheter-closure of an atrial septal defect (ASD) in 54 patients with associated pulmonary arterial hypertension (PAH). The authors describe successful closure and a decrease in pulmonary artery pressure and NYHA functional class at one year follow up in the majority of patients. On the other han...

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  • LEFT VENTRICULAR VOLUMES AS OUTCOME DETERMINANTS IN CARDIAC RESYNCHRONIZATION THERAPY (CRT)
    Guido Valle

    Dear Editor,

    An accurate selection and optimal timing in addressing patients to CRT is important in order to optimize the treatment. Consequently the identification of outcome predictors is critical.

    For these reasons we greatly appreciated the paper by Gradaus et al. entitled and stating that “diastolic filling pattern and left ventricular diameter predict response and prognosis after cardiac resynch...

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  • Not only after myocardial infarction
    Vivencio Barrios

    Dear Editor,

    We read with interest the study by Norhammar et al (1) describing the treatment and myocardial infarction survival rates according to the presence of diabetes. In this study, one-year mortality rates decreased from 1995 to 2002 from 16.6 to 12.1% in patients without diabetes and from 29.7 to 19.7%, respectively, in those with diabetes. Despite improved pre-admission and in-hospital treatment, diabetic...

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