Perspectives in Cardiology - Back Issues 2008

Perspectives in Cardiology
2008 Back Issues

	May 2008, Volume 24, Number 5 ECG of the Month Keith J. C. Finnie, MB, ChB, FRCPC Better or Worse? Cardio Q & A Experts Answering Your Questions • Coenzyme Q-10 in Heart Disease Prevention • ß-Blockers for Heart Failure Treatment • Preventing Hemochromatosis • Swapping Warfarin for Heparin • Antiplatelet Agents and Warfarin • Preventing Coronary Events with Clopidogrel • Treating AF with Anticoagulants • A Review of Stent Usage • Understanding Implantable Cardioverter Defribrillators CardioCase Anne Pausjenssen, MD, MSc, FRCPC Fibromuscular Dysplasia Cardiovascular Reporter Christopher P. Cannon, MD; and Subroto Acharjee, MBBS Anticoagulation Choices for STEMI patients Hypertension in the Elderly Luc Trudeau, MD In this article, Dr. Trudeau outlines the prevalance of hypertension and the associated CV risk in the elderly, the impact of lifestyle interventions and target BP values and the presence of other risk factors and associated conditions in the choice of treatment. . Alcohol and the Heart: A Look at Both Sides T.K Fenske, MD, FRCPC, FCCP, FACC There is growing evidence linking alcohol consumption to cardioprotection, with studies suggesting there is a reduced risk of heart disease with moderate exposure. In this article, Dr. Fenske discusses both the CV health benefits and detriments of alcohol exposure.


	April 2008, Volume 25, Number 4 ECG Of the Month Keith J.C. Finnie, MB, ChB, FRCPC Hide and Seek 2008 CHEP Recommendations: An Annual Update Dr. N. Campbell with the assistance of the Canadian Hypertension Education Program (CHEP) Executive, Dr. B. Hemmelgarn and Dr. G. Tremblay Cardio Q&A Experts Answering Your Questions • Antiplatelet Recommendations Post-Stenting • When to Use CT Angiography • ACE Inhibitors and the Prevention of AF • Causes for the Development of Diabetes Post-Bypass • Diagnosing Diabetes and Cardiac Disease • Following Up On a Single Episode of Pericarditis • ACE Inhibitors and Anemia • Investigating the Family of Sudden Cardiac Arrest Patients Murmurs on Murmurs, When to ECHO, When to Refer Brian Sonnenberg, MD, FRCPC Up to half of all children will develop a murmur as they grow up and “wear and tear” degenerative valve changes make murmurs increasingly common in our aging population. In this article, Dr. Sonnenberg details how to distinguish benign murmurs from life-threatening problems. Pregnancy and the Heart: Identifying the Risks Henryk Kafka, FRCPC, FACC Cardiac causes are responsible for the largest number of maternal deaths. In this article, Dr. Kafka describes how the key to successful outcome is to identify the women at risk and to participate early in a team approach to their treatment preconception, during the pregnancy and postpartum.


	March 2008, Volume 24, Number 3 ECG of the Month Keith J. C. Finnie, MB, ChB, FRCPC A Neurologic Consultation Cardio Q & A Experts Answering Your Questions • Bedside Diagnosis of Aortic Stenosis • Anticoagulating an Obese Patient with AF • HF Patients: ARBs or ACE Inhibitors? • Treatment for Asymptomatic PVC • Removing ß-Blockers in Asymptomatic Patients • A Thallium Scan vs. Standard Exercise Tests • Effect of Combining a Statin and Ezetimibe • Treating Seniors with Cholesterol-Lowering Agents • When to Label a Patient as CAD Free Canadian Lipid Guidelines and Clinical Practice: Closing the Treatment Gap David C. W. Lau, MD, PhD, FRCPC In this review, Dr. Lau shows how proper patient education and counselling, along with the assistance of other health professionals and strategies to implement more aggressive lipid lowering, will go a long way to reduce CVD risks as well as the burden on our patients and our society. Acute Stroke: Triage and Treatment Ken Butcher, MD, PhD Stroke is the leading cause of disability and the fourth most common cause of death among adults in North America. In this article, Dr. Butcher describes the diagnosis and treatment of acute stroke and the importance of reducing the damage stroke can cause.


	February 2008, Volume 24, Number 2 ECG of the Month Keith J. C. Finnie, MB, ChB, FRCPC A Palpitating Patient Cardio Q & A Experts Answering Your Questions • The s123 Pattern on EKG • Anticoagulating Patients with Auricular Fibrillation • Fibrate Safety with Statins • Heart Health Motivators and Baby Boomers • Differences Between Efficacy of ARBs • Current Diagnosis for Congestive Heart Failure • Clinical Presentation of Left Ventricular Diastolic Dysfunction • Alternatives to Atenolol in Elderly Patients • Defining Acute Coronary Syndrome • Necessity of a Second Troponin CardioCase Thomas W. Wilson, MD, FRCPC; and Merne P. Wilson, RN, BScN, MSc “Do I really need blood pressure pills?” Cardiovascular Reporter Christopher P. Cannon, MD; and Subroto Acharjee, MBBS CVD and Modifiable Cardiometabolic Risk Factors Cardiac Testing: What Test for Whom? Richard Lodge, MB, ChB, MRCP(UK), FRCPC When attempting to evaluate patients who have or are suspected of having symptomatic coronary artery disease, non-invasive testing is commonly used. In this review, Dr. Lodge describes the various tests which are available and the ways in which they differ. Basic Life Support and Advanced Cardiac Life Support: An Update Eddy Lang, MDCM, CCFP(EM), CSPQ An extensive body of research evidence supports the notion that sudden cardiac arrest, from a malignant cardiac arrhythmia, is a survivable entity. In this article, Dr. Lang details the key ingredients required for saving a life in this situation.


	January 2008, Volume 24, Number 1 ECG of the Month Keith J. C. Finnie, MB, ChB, FRCPC A Slow Rhythm Cardio Q & A Experts Answering Your Questions • Significant Weight Gain and Congestive Heart Failure • Using Epidemiological Examples • Indications for a Pacemaker • The Role of Coenzyme Q10 on Statins • Statins and Creatine Kinase Monitoring • Diabetic Autonomic Neuropathy of the Heart • Medical Management of Benign Cardiac Arrhythmias • Currently-Recommended Medications for CAD • Preferred Treatment for Wolff-Parkinson-White Syndrome • The Significance of Mildly Elevated CRP CardioCase Wayne Warnica, MD, FACC, FACP, FRCPC Treating AF: The Newest Recommendations Cardiovascular Reporter Christopher P. Cannon, MD; and Subroto Acharjee, MBBS New ACC/AHA Guidelines: The Management of Unstable Angina and NSTEMI Diastolic Heart Failure: Treatment Based on Mechanisms Caroline L. Chan, MASc; Maral Ouzounian, MD; Douglas S. Lee, MD, PhD; and Peter P. Liu, MD The prevalence and clinical challenges of diastolic heart failure cause this condition to be of great concern to the treating physician. This article shows how preventive measures, through the aggressive modification of risk factors, must be the clinician’s priority. Transient Ischemic Attack: High-Risk but Treatable Naeem Dean, MBBS, FRCP (UK) Stroke is one of the most prevalent causes of mortality, morbidity and disability in today’s society. In this review, Dr. Dean details how prompt evaluation and treatment of patients with transient ischemic attacks may dramatically reduce the risk of an early disabling stroke.