Should Early Coronary Angiography Be Performed in All Resuscitated Sudden Cardiac Arrests?

Should coronary angiography be performed in district hospitals?

Resuscitated sudden cardiac death due to diminutive coronary artery syndrome

Diminutive coronary artery syndrome (DCAS) refers to myocardial ischemia occurring as a consequence of coronary artery hypoplasia. DCAS was first described in 1964 in a report of 2 previously healthy men, aged 18 and 25, who suffered acute myocardial infarctions (MI) and were found on rudimentary coronary angiography to have hypoplastic right coronary arteries. Subsequent case reports have desc...

Should routine platelet testing be done on all patients undergoing percutaneous coronary intervention? Routine Platelet Testing Should Not Be Performed on All Patients Undergoing Percutaneous Coronary Intervention

We all know that clopidogrel reduces thrombotic complications during and after a percutaneous coronary intervention (PCI) procedure. Because clopidogrel is a prodrug and only 2% of ingested clopidogrel is ultimately bound to platelets, it is entirely possible, even likely, that small differences in metabolism that lead to a reduction in the formation of the active metabolite could potentially h...

Stop Randomizing All Cardiac Arrests.

Myron L. Weisfeldt, MD The field of resuscitation science is characterized nearly uniformly by failed clinical trials: be it sodium bicarbonate, epinephrine at low or high dose, vasopressin, continuous or interrupted chest compressions, temperature management, antiarrhythmic drug use, or devices to augment perfusion, none has been shown convincingly to be of value. Nearly all of these large exp...

Whether all patients with Central precocious puberty should be treated?

Extended Abstract   Precocious puberty is the appearance of secondary sexual characteristics before 8 years old in girls and 9 years old in boys. Precocious puberty is divided into 3 groups of central, peripheral and normal variants. Central precocious puberty is accompanied by activation of hypothalamic-pituitary-gonadal axis which causes increase in secretion of GnRH, and in turn increase i...