200 e-Letters

published between 2007 and 2010

  • Coronary Sinus Reducer Stent
    Yoav Paz

    Editor, we read with great interest the article "NICE evaluation of transmyocardial laser revascularisation and percutaneous laser revascularisation for refractory angina [1].

    The authors described a variety of treatment options for patients suffering from refractory angina pectoris (RAP). However, a very important, evolving innovation is missing: coronary sinus intervention (CSI).

    Coronary venous int...

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  • adiponectin and LV diastolic dysfunction
    professor viroj wiwanitkit
    Editor, I read the recent publication by Uno et al [1]. Uno et al concluded that adiponectin is an indicator of LV diastolic dysfunction in patients with HCM [1]. There are some points to be concerned before using this conclusion. First, only 26 cases were investigated in this work and this might be a weakness in statistical analysis. Second, there are several practical concerns on the measurement of adiponectin starting from samp...
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  • Provincial Letter
    RK Mohindra
    Shaw D and Conway DI (1) correctly identify that a fact neither proved nor disproved lies at the heart of both Pascalâ₉„¢s wager and the National Institute of Clinical Excellence (NICE) guidance in relation to the use of antibiotic (abx) prophylaxis for infective endocarditis (IE) . The no lose argument is no match winner for NICE because cardiologists are all too keenly aware that antibiotics kill as sure...
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  • Long-term dual antiplatelet therapy after percutaneous coronary
    Andrea Messori

    The statistics of propensity adjustment, that Harjai et al.(1) have used with some modifications, is a recognised tool to increase the value of non-experimental data(2,3).

    However, these authors have used propensity statistics less efficiently than other studies in this area have done(2,3). In fact, propensity statistics has only been introduced by Harjai et al. in their multivariate regression analysis, but...

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  • Aspirin and coronary artery disease
    William C. Tormen
    Our ischemic cardiopathy study group have read with interest the article written by Wurtz et al (1) related with the effect of proton pump inhibitor (PPI) on the antiplatelet effect of aspirin in patients with coronary artery disease. We agree that in view of the widespread use of PPIs, studies exploring the inhibitory effect of PPIs on aspirin are important. First of all,there is evidence that atherosclerosis is an inflammatory...
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  • Re:Diagnosing an MI: don't trust the monitor - standardise it!
    David I Tayler

    Dear Dr Johnson,

    Thank you for your letter with its very interesting comments about inappropriate filter settings for electrocardiographs and monitors. This has been a research interest of mine for many years and Professor Chamberlain in Brighton has been aware of it since the early 1980's. You obviously have put in a significant amount of work in tracing your 50 patients. The 0.05 to 100 Hz settings are fine f...

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  • Diagnosing an MI: don't trust the monitor - standardise it!
    Thomas W. Johnson

    We read with interest Dr Tayler et al's piece entitled 'Diagnosing an MI: don't trust the monitor!'[1]. We have had a similar experience with ECG filter-related artefactual ST segment change, resulting in patient referral direct to the catheter lab for primary percutaneous coronary intervention. As a consequence, we have audited the variation in ECG filter settings utilised during the acute coronary syndrome 'patient jou...

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    Inigo Lozano
    We have read with interest the article written by Curzen et all related with the results of the COURAGE study2. We agree with the author that different interests and points of view drive us to different interpretations. However, independently of which position we defend one fact should not be underestimated: in addition to the important limitations pointed out by the author such as that only 6 % of the 35539 screened were finall...
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  • Trans-radial procedures -still two weights and two measures?
    Bernardo Cortese
    Trans-radial procedures - still two weights and two measures? (letter regarding article from SL Hetherington, Heart 2009;95:1612-1618)

    Bernardo Cortese, MD Cardiologia Interventistica, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano, Italy

    We read with great interest the article from SL Hetherington et al. regarding the impact of trans-radial primary PCI on clinical outcome in a sing...

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  • Heart Disease and South Asians 50 years later: a time for change
    Vivian S Rambihar

    Chen and Whitlock mention differences in risk for heart disease among South Asians, Chinese and others, in seeking to unveil the causes of heart disease in China, regionally and globally (1). Continuing disparities and high rates of diabetes and premature heart disease continue among the 25 million South Asians abroad and the 1.3 billion in South Asia, with initial low rates in China and the Chinese diaspora now increasing...

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