eLetters

197 e-Letters

published between 2006 and 2009

  • Daily variability in waist circumference
    Clive F M Weston

    To the editor: A recent issue of Heart contained two articles concerning abdominal obesity.[1,2] Both describe waist circumference (WC) as a proxy measure of central fat distribution, linked to athero- thrombotic inflammatory abnormalities seen in the ‘metabolic syndrome’, associated with adverse cardiovascular events.

    This “vital sign in clinical cardiology”[2] needs accurate assessment. Standardised measureme...

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  • A case of sudden cardiac arrest: Is it truly idiopathic?
    Michael Papadakis

    To the editor: We read with great interest the case of a sudden cardiac arrest associated with early repolarisation by Magapu et al.1 Early repolarisation pattern on the 12-lead electrocardiogram has been linked to an increased risk of malignant arrhythmias although intense debate exists as to the causal effect, given the high frequency of such repolarisation patterns in the general and athletic population. Our experien...

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  • left bundle branch block is a risk factor for unrecognised myocardial infarction
    oscar jolobe

    Although the prevalence of left bundle branch block(LBBB) was not documented in the evaluation of unrecognised myocardial infarction(MI) in subjects at high vascular risk(1), one study demonstrated that 47% of 29,585 LBBB patients with myocardial infarction presented without chest pain(2). Accordingly, there is a huge potential for underrecognition of MI in the subgroup of LBBB patients who present without chest pain. The...

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  • expanding the role of immediate angioplasty post fibrinolysis
    oscar,m jolobe

    The comment that "in patients who have been treated with fibrinolytic therapy, an early routine invasive procedure within 24 hours is beneficial"(1) receives support, not only from the study cited by Professor Verheugt(2), but also from the more recent study which randomised 1059 high-risk patients with ST segment elevation myocardial infarct(STEMI)to post-fibrinolysis management consisting, on the one-hand, of angioplast...

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  • How do you measure a clinical history?
    M Justin S Zaman

    Buckley and Murphy present a timely reminder of the need to study chronic symptomatic conditions,[1] as increasingly these conditions represent the bulk of where coronary disease presents,[2] shifting away from presenting acutely to secondary care. A better understanding of angina is thus vital.

    The paper’s pragmatic definition of angina, and the accompanying editorial by Hemingway, [3] remind us all that angin...

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  • ACS Scores: Risky business?
    Richard Lim

    To the Editor:

    If a study identifies several predictors of high risk of adverse events - as GRACE has attempted to do for ACS, could we dare presume that the absence of those predictors might perhaps indicate low risk i.e. freedom from those events? Have we somehow missed the point of this paper by Brieger et al? Or are there more analyses just waiting to be presented from a different angle to further advance o...

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  • Cardiac imaging in the emergency department units
    Jesus Peteiro

    We have read with interest the review on the role of cardiac imaging in the emergency department units by Dr. Wackers (1). While many relevant imaging techniques commonly used in this setting are properly discussed, we are concerned about the lack of mention of the role of exercise echocardiography (EE). In fact, in the Key Points Table only exercise ECG, radionuclide myocardial perfusion imaging, and pharmacological stre...

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  • Daily variability in waist circumference
    Clive F M Weston

    To the editor: A recent issue of Heart contained two articles concerning abdominal obesity.[1,2] Both describe waist circumference (WC) as a proxy measure of central fat distribution, linked to athero- thrombotic inflammatory abnormalities seen in the ‘metabolic syndrome’, associated with adverse cardiovascular events.

    This “vital sign in clinical cardiology”[2] needs accurate assessment. Standardised measureme...

    Show More
  • The anti-oxidant effects of granulocyte colony stimulating factor
    Ignatios Ikonomidis

    Dear Editors,

    In their interesting article Kim et al [1] confirmed the beneficial action of granulocyte colony stimulating factor (GCSF) administration on endothelial function as assessed by flow-mediated endothelial-dependent dilatation of the brachial artery (FMD) in patients with an old or acute myocardial infarction (MI), despite a relative increase in CRP levels. More specifically, in the group of patie...

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  • The effect of diabetes mellitus on regional myocardial function
    Di Zhang

    To the Editor: We are interesting to read the excellent work by Eshoo et al.1 which investigated phasic atrial function in patients with mild hypertension by using strain and strain rate. One of their main conclusions was that mild hypertension resulted in a reduction in left atrial (LA) conduit volume although maximal LA volume was unchanged. They reported that the early diastolic strain rate (E-Sr) in the hypertension...

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