eLetters

200 e-Letters

published between 2007 and 2010

  • Low EF: the best marker of poor prognosis in patients affected by non compaction
    Giovanni Fazio
    Dear Editor,

    McMahon et al reported in a recent article a reduction of TD velocities in children with noncompaction of the left ventricle, compared with normal controls. The authors concluded their work saying that the reduction of lateral mitral Ea velocity helps to predict children with LVNC who are at risk of adverse clinical outcomes including death and need for cardiac transplantation. In a precedent report our group re...

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  • Instead of compression by haematoma, occlusion by a thrombus can be the complicating factor
    Oscar M Jolobe

    Dear Editor,

    In the context of involvement of the right pulmonary artery by aortic dissection, instead of being caused by extrinsic compression attributable to a haematoma(1)(2)(3), obstruction of the right pulmonary artery might be attributable to thrombosis, with associated extrinsic compression by a massively dilated aorta, as shown in the instance of a 69 year old man who initially presented with stigmata of...

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  • Is this the first case ?
    Manokar Panchanatham

    Dear Editor,

    I would like to draw your attention to the statement"As far as we know, this is the first reported case of all three coronaries originating from a single ostium from the aorta." in the above article.

    There are mulitiple papers on single coronary artery, there are classifications for single coronary artery (e.g Smiths'), people have done treadmill testing in patients with single coronary ar...

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  • Cardiovascular mortality in the Glasgow Cohort: from the Great War to the United Nations
    Francesco Corea

    Dear Editor,

    Yu-Kang Tu brilliant work investigated the complex emerging field of microbial risk factors and cardiovascular disease. The paper concluded that tooth loss (used as an index for poor oral health) is related to CVD mortality. However, a clear link between both conditions is missing in the study. This publication raised in our group many reflections. The related editorial published in the same issue of...

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  • Impact of blood pressure change and hypertension on aortic stenosis
    Katerina Linhartova

    Dear Editor,

    I read with great interest the study by Little et al. (1) investigating the effect of acute blood pressure change on hemodynamic parameters of aortic stenosis (AS). Their implication that "differences in haemodynamics should be considered as a potential explanation for a change in AS severity independent of disease progression" should be stressed not only in clinical practice, but as well in prospect...

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  • QRS and prognosis in heart failure.
    Francesco Grigioni

    Dear Editor,

    Breidthardt et al. (1) found that acute decompensated heart failure (HF) patients presenting to their Emergency Department with prolonged QRS interval (>=120 ms) showed higher long-term mortality. This is a pathophysiologically plausible finding: after initially representing a marker of diseased myocardium, prolonged QRS may itself subsequently contribute to disease progression. (2) Nevertheless,...

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  • CRT Upgrade and Occurrence of Ventricular Arrhythmia
    John GF Cleland

    Dear Editor,

    Lin et al. report an observational study in 52 patients investigating whether upgrading an ICD, implanted predominantly for secondary prevention to CRT-D, can reduce arrhythmias.[1] They failed to detect an effect of CRT on arrhythmias during a mean follow up of 14 months. The CARE-HF extension study suggested that reduction in sudden death with CRT might be a late phenomenon occurring only after one...

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  • PFO Closure should be performed with ultrasound guidance
    Samir R. Kapadia

    Dear Editor,

    Dr. Wahl and colleagues studied the short and long- term safety and efficacy of percutaneous closure of patent foramen ovale (PFO) for prevention of paradoxical embolization using fluoroscopic guidance only (1). While we command their technical skills, we disagree that using fluoroscopy only is the safest and most efficient approach to percutaneous PFO closure. The authors correctly note that to dat...

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  • Antibiotic Prophylaxis to Prevent Infective Endocarditis should be given to Patients with...
    David R Ramsdale

    Antibiotic Prophylaxis to Prevent Infective Endocarditis should be given to Patients with Valvular or Structural Heart Disease Prior to Dental Treatment: Results of a National Survey Amongst UK Cardiologists and Cardiac Surgeons

    Dear Editor,

    Recently published guidelines suggesting that antibiotic prophylaxis (ABP) should not be given prior to dental treatment to patients with valvular or structural h...

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  • Saving lives means spending NHS resources effectively
    Michael R Chester

    Dear Editor,

    O'Flaherty and colleagues (1) have identified a worrying change in the hitherto improving CHD mortality data in England and Wales that has occurred despite record spending on coronary revascularisation. They correctly propose that the health intervention measures, as recommended by Wanless (2) and supported by the National Heart Forum (3) and NICE (4), should be urgently implemented in an attempt to p...

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