Table of contents

October 2007 Volume 4 No 10

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Editorial

Sophisticated technology is not a substitute for cognitive cardiology

Robert A O'Rourke and Valentin Fuster

519

doi:10.1038/ncpcardio1007 | Full Text | PDF (94K)

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Viewpoint

Elderly patients should not be denied fibrinolytic therapy

Cheuk-Kit Wong and Harvey D White

520

The number of elderly patients with cardiac conditions in the US is increasing, but these individuals receive fewer evidence-based therapies than their younger counterparts. Fibrinolytic therapy, in particular, is underused in the elderly and is commonly withheld on the basis of advanced age alone. In this Viewpoint, Cheuk-Kit Wong and Harvey D White seek to redress this situation by reviewing the evidence for fibrinolytic therapy in elderly patients and advocating that this treatment should not be denied unless there are clear contraindications.

doi:10.1038/ncpcardio0980 | Full Text | PDF (141K)

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Research Highlights

Successful coronary scaffolding achieved with bioabsorbable stents

522

doi:10.1038/ncpcardio0954 | Full Text | PDF (130K)

Epoprostenol suitable for treatment of severe pulmonary hypertension in children

522

doi:10.1038/ncpcardio0955 | Full Text | PDF (101K)

Rosiglitazone and the risk of myocardial infarction: interim analysis of the RECORD trial

522

doi:10.1038/ncpcardio0968 | Full Text | PDF (113K)

Chronic kidney disease components associated with risk of cardiovascular disease

523

doi:10.1038/ncpcardio0969 | Full Text | PDF (130K)

Systematic review of techniques for assessing lower limb peripheral arterial disease

523

doi:10.1038/ncpcardio0970 | Full Text | PDF (113K)

Benefits of cardiac resynchronization therapy in heart failure

524

doi:10.1038/ncpcardio0971 | Full Text | PDF (130K)

Reperfusion in patients with STEMI: further results of the ExTRACT-TIMI 25 trial

524

doi:10.1038/ncpcardio0972 | Full Text | PDF (113K)

Use of ICDs for primary prevention following acute MI

525

doi:10.1038/ncpcardio0974 | Full Text | PDF (130K)

OPERA registry provides support for the widened ESC/ACC definition of MI

525

doi:10.1038/ncpcardio0975 | Full Text | PDF (141K)

Heart failure in very elderly patients: clinical characteristics, treatment and outcomes

526

doi:10.1038/ncpcardio0958 | Full Text | PDF (130K)

Increased antithrombotic use puts the over 75s at risk for stroke

526

doi:10.1038/ncpneuro0548 | Full Text | PDF (113K)

Myocardial injury predicts poor outcome in patients with acute liver failure

527

doi:10.1038/ncpgasthep0882 | Full Text | PDF (103K)

Trimetazidine reduces risk of contrast-induced nephropathy after coronary procedures

527

doi:10.1038/ncpneph0557 | Full Text | PDF (131K)

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Practice Points

Is enoxaparin superior to unfractionated heparin for the prevention of thromboembolism after ischemic stroke?

Harold P Adams Jr

528

doi:10.1038/ncpcardio0961 | Full Text | PDF (140K)

The global burden of atherosclerotic vascular disease

Gregg C Fonarow

530

doi:10.1038/ncpcardio0940 | Full Text | PDF (136K)

Does treatment with eicosapentaenoic acid prevent major coronary events in patients with hypercholesterolemia?

William S Harris

532

doi:10.1038/ncpcardio0967 | Full Text | PDF (135K)

Can percutaneous coronary intervention be performed safely as an outpatient procedure?

Mark W Sheldon and Cindy L Grines

534

doi:10.1038/ncpcardio0963 | Full Text | PDF (138K)

Does early abciximab improve angiographic outcome and left ventricular function in patients with acute MI?

Maarten L Simoons

536

doi:10.1038/ncpcardio0962 | Full Text | PDF (140K)

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Reviews

Prehypertension

William J Elliott and Henry R Black

538

Four years on from JNC 7, William Elliott and Henry Black examine the epidemiology and attendant risks of prehypertension, and discuss the controversial issue of drug treatment for individuals with blood pressures in the prehypertensive range.

doi:10.1038/ncpcardio0989 | Full Text | PDF (365K)

Mechanisms of Disease: intracrine physiology in the cardiovascular system

Richard N Re and Julia L Cook

549

Hormones, growth factors, DNA-binding proteins and enzymes can all display intracrine functionality. Here Richard Re and Julia Cook examine the role intracrines have in the heart and vasculature, and argue that understanding the principles of intracrine physiology could help the development of more-effective therapeutic interventions in cardiovascular disease.

doi:10.1038/ncpcardio0985 | Full Text | PDF (328K)

Continuing Medical Education

Mechanisms of Disease: the genetic basis of coronary heart disease

Iftikhar J Kullo and Keyue Ding

558

Understanding the genetic basis of coronary heart disease (CHD) could refine cardiovascular risk stratification, facilitating the development of new therapies. Here Kullo and Ding focus on the genetics behind the clinical manifestations rather than the risk factors for CHD, and provide an update on the findings to date, the challenges faced and new techniques for identifying clinically relevant genetic determinants of CHD.

doi:10.1038/ncpcardio0982 | Full Text | PDF (420K)

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Case Study

Continuing Medical Education

Alcohol septal ablation versus surgical myectomy: a patient with obstructive HCM

Giovanni La Canna, Flavio Airoldi, Elvia Capritti, Antonio Grimaldi, Antonio Colombo and Ottavio Alfieri

570

doi:10.1038/ncpcardio0988 | Full Text | PDF (641K)

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