eLetters

215 e-Letters

published between 2004 and 2007

  • 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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  • Prosthetic Heart Valve Thrombosis. Is thrombolysis really still controversial?
    Jose Santos-Gracia

    Dear Editor,

    We have read with great interest the article by Roudaut et al entitled "Thrombosis of prosthetic heart valves: Diagnosis and therapeutic considerations" published in the last issue of your journal.(1) According to the authors, the first therapeutic consideration in obstructive left-sided prosthetic valve thrombosis (PVT) should be surgery and thrombolysis should be reserved for patients with contrain...

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  • Antimicrobial prophylaxis for endocarditis: emotion or science?
    David H Roberts

    Dear Editor,

    The debate on the role of antimicrobial prophylaxis to prevent infective endocarditis (IE) has intensified as a consequence of the recently published guidelines from the Working Party of the British Society for Antimicrobial Chemotherapy (BSAC). In the review by Ashrafian and Bogle, reference is made to the dental community’s satisfaction with these new guidelines, highlighting a “victory for scien...

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  • Antimicrobial prophylaxis for endocarditis: Emotion or science
    John A C Chalmers

    Dear Editor,

    As cardiac surgeons we read and reread the editorial by Ashrafian and Bogle initially with interest and subsequently bemusement looking for a definitive message. The title was clear enough; the editorial was not.

    The conclusion that good practice will be served if “patients are adequately counselled on the benefits of good dental hygiene and a discussion is undertaken and documented on the ri...

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  • Dentistry and endocarditis: beyond antibiotics
    Kenneth A Hoekstra, PhD

    Dear Editor,

    In the report by Ashrafian1 and Bogle, the authors highlight new recommendations by the British Society for Antimicrobial Chemotherapy to limit prophylaxis to high-risk patients with previously documented endocarditis or surgical shunt/valve procedures (1). Although dental prophylaxis have an impact on systemic disease, they do not eliminate bacteremia altogether. Thus, in addition to antibiotic the...

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  • Antimicobial Prophylaxis for Endocarditis: Emotion or Science?
    David R Ramsdale

    Dear Editor,

    The editorial by Ashrafian and Bogle[1] suggests that the authors have little clinical experience in the management of patients with infective endocarditis (IE). The body of cardiologists and cardiac surgeons in Europe, North America and the UK would disagree that the BSAC guidelines are important or “a step in the right direction” and almost certainly the guidelines will be disregarded by the rest o...

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  • Hepatic nodules in patients with a failing Fontan circulation
    Giuseppe Brancatelli

    Dear Editor,

    with respect to the article on hepatic changes in the failing Fontan circulation by Kiesewetter et al (1), we would like to respectfully point out that large hypervascular regenerative nodules arising in the setting of vascular hepatic disorders (especially Budd-Chiari syndrome) should be considered as a different entity in comparison to regenerative nodules found in cirrhotic liver. At our referra...

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