Heart

Geographic variation in long-term health outcomes following myocardial infarction in England

Background Nationwide studies report the high incidence of major health outcomes following myocardial infarction (MI). This ...
Heart

Direct transfer to primary percutaneous coronary intervention centres following out-of-hospital cardiac arrest: longer term outcomes and influences on survival

Objective Myocardial infarction is a leading cause of out-of-hospital cardiac arrest (OHCA). In patients with OHCA due to ...
BMJ

Sleep breathing disorders and cardioneurological complications: from pathophysiology to endotype-driven precision management

Sleep breathing disorders (SBDs)—including obstructive sleep apnoea, central sleep apnoea and sleep-related hypoventilation syndromes—represent a major yet under-recognised contributor to global ...
BMJ

Enhanced prediction of atrial fibrillation risk using proteomic markers: a comparative analysis with clinical and polygenic risk scores

Background Proteomic biomarkers have shown promise in predicting various cardiovascular conditions, but their utility in assessing the risk of atrial fibrillation (AF) remains unclear. This study ...
BMJ

Routes to diagnosis of heart failure: observational study using linked data in England

Objective Timely diagnosis and management of heart failure (HF) is critical, but identification of patients with suspected HF can be challenging, especially in primary care. We describe the journey of ...
BMJ

Acute pulmonary embolism 1: pathophysiology, clinical presentation, and diagnosis

Dr Martin Riedel, Deutsches Herzzentrum und I. Medizinische Klinik, Technische Universität München, Lazarettstr. 36, D-80636 München, Germanym.riedel{at}dhm.mhn.de If you wish to reuse any or all of ...
BMJ

Effects and costs of real-time cardiac telerehabilitation: randomised controlled non-inferiority trial

Objective Compare the effects and costs of remotely monitored exercise-based cardiac telerehabilitation (REMOTE-CR) with centre-based programmes (CBexCR) in adults with coronary heart disease (CHD).
BMJ

B-type natriuretic peptide, disease progression and clinical outcomes in atrial fibrillation

Objective The association with B-type natriuretic peptide (BNP), disease progression and outcomes in patients with atrial fibrillation (AF) has not been thoroughly investigated. Methods We evaluated ...
BMJ

Geographic, demographic, and socioeconomic variations in the investigation and management of coronary heart disease in Scotland

OBJECTIVE To determine whether age, sex, level of deprivation, and area of residence affect the likelihood of investigation and treatment of patients with coronary heart disease. DESIGN, PATIENTS, AND ...
BMJ

Cardiovascular risk age: concepts and practicalities

Objectives A young person with many risk factors may have the same level of risk as an older person with no risk factors. Thus a high-risk 40-year-old may have a risk age of 60 years or more. The aim ...
BMJ

Obstructive left main stem coronary disease: is it time to recommend coronary stenting?

Correspondence to Dr Niket Patel, Cardiology Department, Royal Free Hospital, Pond Street, London NW3 2QG, UK; niketpatel{at}nhs.net To understand the evolution in the strategies for the treatment of ...
BMJ

Cocaine activates platelets and increases the formation of circulating platelet containing microaggregates in humans

OBJECTIVE To determine whether there is evidence of platelet activation following in vivo cocaine administration in humans, as cocaine abuse is associated with myocardial infarction and stroke, and ...