200 e-Letters

published between 2007 and 2010

  • Iron Reduction and Cardiovascular Outcomes
    Leo R. Zacharski

    Dear Editor,

    The “Heartline Online” description (Heart 2007;93:773-774) of the results of our iron reduction study (JAMA 2007;297:603-610) is only partially correct. Indeed, analysis of the entire cohort showed no difference in outcomes for the primary endpoint, all cause mortality, and the secondary endpoint, combined endpoint of death plus non-fatal myocardial infarction and stroke. However, analysis accord...

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  • Author Response
    Heinz Theres

    Dear Dr. Groves, Dr. Chester, and Editor,

    Thank you for the positive response to our paper on spinal cord stimulation for treatment of patients with refractory angina pectoris.(1)

    At the time when we performed the study and wrote the report, we were not aware of your scientific letter dealing with heart rate variability and spinal cord stimulation.(2) Otherwise we would certainly have discussed it in our paper....

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  • It's good to talk
    Michael R Chester

    Dear Editor,

    In his editorial on ‘Alternative treatments for angina,’ Dr Lanza makes no mention of the value of rehabilitation, especially patient and carer education, in improving quality of life. Given the central role of patient education in [refractory] angina management, this requires comment.

    Damaging misconceptions are common in angina sufferers and their carers, and education is a potent and critica...

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  • Stimulating the memory
    David Groves

    Dear Editor,

    Eddicks and colleagues’ placebo controlled study of spinal cord stimulation in refractory angina is important and interesting work which shows for the first time that patient appreciation of the sensation of spinal cord stimulation is not necessary to achieve clinical benefit.

    The article gives the impression that no previous work had been carried out investigating sub-sensory threshold Spinal...

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  • Papillary Fibroelastoma and Cardiac Conduction Defects
    Suneil K Aggarwal

    Dear Editor,

    I read with interest the case report of a papillary fibroelastoma with heavily calcified bicuspid aortic valve, coronary artery disease and 2nd degree heart block. The authors mention this is the first case of a papillary fibroelastoma presenting with conduction block. While this may be true, it is evident that heavy calcification of a bicuspid aortic valve is a much more common and likely cause of con...

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  • Linear insertion of the AV valves without defect exists and was already described and published
    Catherine Fredouille

    Dear Editor,

    In the article “Can atrioventricular septal defects exist with intact structures?”, the authors seem not to know that a similar case was described on a fetus and published in 2002[1].

    This case was diagnosed through the prenatal ultrasound screening of a supposed partial AVSD which led to the discovery of a Down Syndrome (DS). The parents asked for a termination of pregnancy and a fetal pa...

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  • Echocardiographic Assessment of Epicardial Adipose Tissue
    Navneet Singh

    Dear Editor,

    We read with great interest Kessels et. al's article on magnetic resonance imaging (MRI) of epicardial adipose tissue (EAT), a well established cardiovascular risk factor [1].

    EAT in vivo is shown in Fig. 1.

    Though MRI is the gold standard for viewing EAT, echocardiography is a more cost-effective and routinely conducted me...

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  • Very late onset complete AV block
    Anita Dumitrescu

    Dear Editor,

    Complete AV block can occur more than 3 years after percutaneous closure of perimembranous ventricular septal defect in children
    Anita Dumitrescu, Geoffrey K Lane, James L Wilkinson, TH Goh, Daniel J Penny, Andrew M Davis

    There have been increasing concerns about the potential for atrioventricular block after transcatheter closure of perimembranous ventricular septa...

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  • Use of pressure wires to assess nipping of side branches after main vessel stenting
    Clare Appleby

    Dear Editor,

    We read with interest Bellenger et als description of the determination of fractional flow reserve (FFR) to guide treatment of side branch arteries following provisional stenting across a bifurcation. The use of pressure wires to guide treatment of main vessel narrowings (1) and ambigious stenoses in multi-vessel disease (2) and ACS (3) is established.

    Based on their preliminary findings, tha...

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  • Aortic Dissection and the Family
    Charles R Fikar

    Dear Editor,

    Drs. Ince and Nienaber (1) provided an excellent and interesting review of the diagnosis and management of patients with aortic dissection.

    Long-term follow-up was stressed as being of prime importance for these patients, particularly the ongoing monitoring of aortic size parameters. In addition, although not specifically mentioned in their review, one must pay careful attention to the family...

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