145 e-Letters

published between 2011 and 2014

  • Pre-procedural fasting for coronary interventions: is it time to change practice?
    Yanushi D Wijeyeratne

    Patients undergoing invasive cardiac procedures are routinely fasted for varying periods of time even though there is no clearly applicable evidence-base to support current practices. We read with great interest the study by Hamid et al exploring the occurrence of emergency endotracheal intubation and peri-procedural aspiration pneumonia following elective and planned inpatient percutaneous coronary intervention (PCI) in...

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  • Under-representation of Frail or Medically Compromised Hypertensive Older People in the Paper
    Gulistan Bahat

    Under-representation of Frail or Medically Compromised Hypertensive Older People in the Paper Gulistan Bahat*, Asli Tufan, Mehmet Akif Karan

    Department of Internal Medicine, Division of Geriatrics, Istanbul Medical School, Istanbul University, Capa, 34390, Istanbul, Turkey

    Last name of authors: Bahat, Tufan, Karan

    Corresponding author: Gulistan Bahat Address: Istanbul University, Istanbul Med...

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  • Ultrasound cardiac calcium assessment.
    Nicola Gaibazzi

    We read with interest, and we congratulate the authors for it, the nice paper by Kalsch et al, which demonstrates that aortic valve calcification (AVC) by computed tomography (CT), builds on Framingham score for risk stratification of future cardiovascular events. These are important data for preventive strategies, obtained in a wide and prospective study of healthy asymptomatics. In the discussion, the authors state tha...

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  • Bicuspid aortopathy: searching for the answer in "non- progressors"
    Evaldas Girdauskas

    Evaldas Girdauskas1, Michael A. Borger2

    1- Department of Cardiac Surgery, Central Hospital Bad Berka, Germany 2- Department of Cardiac Surgery, Heart Center Leipzig, University Leipzig, Germany

    Keywords: bicuspid aortic valve, aortic aneurysm, aortopathy

    Corresponding author: Evaldas Girdauskas, MD, PhD (Address: Department of Cardiac Surgery, Central Hospital Bad Berka, Robert-Koch- Allee 9,...

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  • Don't forget radiotherapy
    Mark J Dayer

    This is an excellent article which will help many of us who have to manage patients who are undergoing cancer treatment.

    It must be remembered that many patients also undergo radiotherapy, as is acknowledged in the article. High dose radiotherapy to the thorax can cause heart failure, both systolic and restrictive, valvular dysfunction and coronary artery disease, which often presents many years later. In lymp...

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  • Conclusions about elderly people need real elderly people
    Luis Carlos Saiz

    We really appreciate the clarifications offered by Alexandros Briasoulis concerning his article, but in our opinion our claim about the importance of including in the meta-analysis information only (or mostly) from elderly patients remains well founded. In this regard, the Cochrane Hypertension Group encourages to accept only studies if 70% or more of the participants meet the definition, or individual patient data are a...

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  • Pre-test probability in the new ESC guidelines or appropriateness criteria.
    Ozan M. Demir

    We read with great interest the recent article by Bhattacharyya et. al.1 They state that a high proportion (71/250) of stress echocardiograms (SE) were performed on low risk patients and were inappropriate, concluding that implementation of diagnostic appropriateness criteria2 would reduce this.

    Appropriateness criteria2 published in 2011 reviewed clinical scenarios warranting SE and graded these on a scale of...

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  • Re:Scaling cardiac dimensions to body size is crucial in the cardiovascular care of elite athletes
    Victor Utomi

    Dear Professor Pressier,

    Thank you for your correspondence with respect to our study (1). We have read your paper (2) with interest and congratulate you on an important paper providing further empirical evidence to support more appropriate methods of generating body size independent cardiac indices. We are delighted your data demonstrated the importance of fat free mass something we and others have proposed...

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  • Re:Scaling cardiac dimensions to body size is crucial in the cardiovascular care of elite athletes
    Greg A

    Dear Professor Pressier,

    Many thanks for your correspondence. Your recent study is a very important contribution to this field of research.

    A meta-analysis is of course dependent on the validity of the study- level metrics that are reported by authors, and this is why we inserted the very important point about allometric scaling in our discussion.

    I have been confronted with this issue also whe...

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  • Baseline artery diameter confounds flow-mediated dilation only if a percentage change is selected as the size-scaling index
    Greg Atkinson

    Dear Editor, Maruhashi et al.[1] meticulously measured the flow-mediated changes in brachial artery diameter with a large sample of participants. The changes in diameter were quantified using the conventional percentage-based index (FMD%). As usual, baseline artery diameter (Dbase) was found to be substantially and negatively correlated with FMD%. So it seems that even the most robust protocols and precise measurements o...

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