eLetters

147 e-Letters

published between 2010 and 2013

  • is hepatic congestion a risk factor for cholanigitis in heart failure patients with coexisting choledocholithiasis?
    oscar,m jolobe

    The corollary to the association of incident heart failure and an increase in serum gamma glutamyl transferase(GGT)(1) is that fluctuations in the severity of heart failure might, also, have the potential to trigger fluctuations in blood levels of this parameter. Fluctuations in serum GGT levels(including restoration to the normal range) also occur during the course of the natural history of choledocholithiasis(CDL), eve...

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  • Pure arterial CABG using BIMA
    Nawwar Al-Attar

    To the Editor, We read with interest the paper by Itagaki et al in Heart (1). The authors investigate the impact of bilateral internal mammary artery (BIMA) use in 1 526 360 isolated coronary artery bypass operations on inhospital mortality and deep sternal wound infection (DSWI). While there is survival benefit with BIMA, it was associated with higher incidence of DSWI but only in patients with chronic complications of d...

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  • Raised troponin levels in COPD: a possible mechanism
    Matthew M. Orde

    I read with interest the recent papers and editorial concerning elevated levels of troponin in chronic obstructive pulmonary disease (COPD) (references - 1: S?yseth V et al, Acute exacerbation of COPD is associated with fourfold elevation of cardiac troponin T, Heart 2013;99:2 122-126; 2: Stone IS et al, Raised troponin in COPD: clinical implications and possible mechanisms, Heart doi:10.1136/heartjnl-2012- 302969; and...

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  • Diagnosing vascular mild cognitive impairment with atrial Fibrillation remains a challenge.
    Ronan O'Caoimh

    To the Editor, we read with interest Ball et al's article exploring the prevalence of mild cognitive impairment (MCI) in patients with chronic atrial fibrillation (AF)[1]. This study suggests that MCI is highly prevalent (50 to 65%), among older, hospitalized patients with AF. This is valuable research, highlighting the much-overlooked association between cognitive impairment (CI) and AF. We feel however, that the prevalen...

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  • Cardiac rehabilitation and exercise training
    Lee Ingle

    We read with interest the recent multicentre UK study by Sandercock and colleagues1 quantifying prescribed exercise volume and changes in cardiorespiratory fitness (CRF) involving 950 patients across four UK outpatient cardiac rehabilitation (CR) centres routinely performing CRF testing pre- and post-CR and with clinical practice consistent with professional body guidelines. The authors characterise low volume exercise...

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  • Diagnosing vascular mild cognitive impairment with atrial Fibrillation remains a challenge.
    Ronan O'Caoimh

    To the Editor, we read with interest Ball et al's article exploring the prevalence of mild cognitive impairment (MCI) in patients with chronic atrial fibrillation (AF)[1]. This study suggests that MCI is highly prevalent (50 to 65%), among older, hospitalized patients with AF. This is valuable research, highlighting the much-overlooked association between cognitive impairment (CI) and AF. We feel however, that the prevalen...

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  • What was the clinical course of the aortic regurgitation?
    Abdul Hameed
    Rahman et al report on the utility of FDG/CT imaging in a case of large vessel arteritis, presenting as a P.U.O in a patient with severe aortic regurgitation and a dilated left ventricle. It would be of interest to know what the mechanism of the Aortic valve incompetence was? Was there any congenital valvular abnormality or evidence of aortic annular dilatation? And if so was this related to the arteritis? Finally the authors d...
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  • Why is the issue of left ventricular non-compaction in athletes so tricky ?
    Marija Zdravkovic

    Dear Editors: We are writing in regards to the paper entitled " Increased left ventricular trabeculation in highly trained athletes: do we need more stringent criteria for the diagnosis of left ventricular non-compaction in athletes?" that is published in the February 2012 issue of Heart. We would like to congratulate the authors for a very interesting and quite unique study that has revealed a controversial question of no...

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  • Vitamin C prevents AF on the basis of four studies
    Harri Hemila
    Sovari and Dudley write in their editorial [1] that "Despite ... a central role for ROS [reactive oxygen species] in many cardiovascular disorders including AF, clinical trials have not shown an impressive result with using general ROS scavengers [2]." In their editorial focused on AF [1], this statement is misleading in two ways.

    First, at least four studies have reported that vitamin C decreas...
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  • Significane of raised troponin in exacerbation of COPD.
    Abid Ullah

    This is invaluable work in a very complex clinical situation. The scenario of increasing shortness of breath and chest tightness is a common occurance in people with chronic obstructive pulmonary disorder. This usually leads to a clinical suspicion of a cardiac event and in quite a few cases the tropnin levels are done and found to be high. The correct interpretation in these cases is of paramount significance as manageme...

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