Doubling up cardiology coverage
by Peter F. Cohn, MD
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Peter F. Cohn, MD Editor-in-Chief |
It is no surprise that this month’s Cardiology
Review contains a variety of interesting articles,
but in an unusual twist, most of the
contributions cover multiple topical areas. For
example, a combined article in the lipid and
diabetes sections by German authors Drs
Thomas Forst and Markolf Hanefeld describes
the complementary effects of statins and thiazolidinediones
(antidiabetic drugs) in reducing
cardiovascular risks in nondiabetic patients,
similar to what has been shown previously in
diabetic patients. In this three-arm, doubleblind
randomized trial, 135 patients were
enrolled. The positive conclusions from this
study are applauded by Dr Ira Goldberg in his
commentary. In our second combined study in
the CAD and imaging sections, Drs John J.
Mahmarian and Craig Pratt evaluate the role
of quantitative adenosine myocardial perfusion
imaging as an initial testing method for
risk stratification after an acute myocardial
infarction (MI). They enrolled 728 patients in
their study, which concluded that state-of-theart
imaging performed early after an acute MI
can identify a low-risk cohort in whom aggressive
invasive therapy is not indicated. Dr
Steven Borzak comments on the clinical implications
of the study. This month’s issue also
features 2 articles in the hypertension section.
In the first, Dr Gian Paolo Rossi of Italy analyzed
the prevalence of primary aldosteronism
in 1125 consecutive hypertensive patients. The
high rate (4.8%) of this condition—as well as
the implications for managing hypertension—
is the subject of Dr Samuel Mann’s commentary.
In the second, Dr Arthur Klatsky sought
to determine if alcohol-associated hypertension
is similar to nonalcohol associated hypertension
in terms of subsequent cardiovascular
events. Dr John Maesaka and Bill Miyawaki
have their own thoughts on this subject, which
they offer in their commentary. In our final
combined contribution (in the heart failure
and arrhythmia sections), Drs Salam Sbaity
and associates have submitted an overview
article concerning a puzzling syndrome that is
being seen more and more by clinicians—
“tachycardia-induced cardiomyopathy.” The
long-term risk for sudden death is not negligible
and warrants consideration for aggressive
control of heart rate in affected individuals.
Finally, we recently received a number of letters
to the editor regarding articles in
Cardiology Review, and you can read the first
of this correspondence on the following page.
Other letters will follow in the months ahead.
Whether you are impressed, disappointed, or
simply have an observation about this publication,
we encourage all readers to tell us
what’s on their mind.
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