Racial variation in the use of coronary-revascularization procedures: are the differences real? Do they matter?

Article Abstract:

Blacks with coronary artery disease appear to be less likely to receive coronary revascularization procedures than whites. These are procedures to open blocked arteries and include angioplasty and coronary bypass surgery. Researchers analyzed the use of revascularization procedures in 12,402 patients with coronary artery disease, of whom 10.3% were black. Even after adjusting for the severity of disease, blacks were 13% less likely to receive angioplasty and 32% less likely to have bypass surgery. This was true even in those with severe symptoms and those most likely to benefit from the procedures.

Health aspects, Care and treatment, Analysis, Statistics, African Americans, Coronary heart disease, Myocardial revascularization, Discrimination in medical care, Medical care discrimination

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Clopidogrel use and long-term clinical outcomes after drug-eluting stent implantation

Article Abstract:

The association between clopidogrel use and long-term clinical outcomes of patients receiving drug-eluting stents (DES) and bare-metal stents (BMS) for treatment of coronary artery disease is assessed. The results have shown that the extended use of clopidogrel in patients with DES might be associated with reduced risk for death and myocardial infarction (MI), but the appropriate duration for clopidogrel administration can be determined within the context of a large-scale randomized clinical trial.

Usage, Patient outcomes, Heart diseases, Clopidogrel, Stent (Surgery), Stents, Clinical report

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Staphylococcus aureus endocarditis: A consequence of medical progress

Article Abstract:

Regional variation in patients with Staphylococcus aureus infective endocarditis (IE) is evaluated and the characteristics of IE caused by Staphylococcus aureus are documented. The findings suggest the need to reduce the number of health care associated infections through improved compliance with infection control procedures and the need for new interventions and preventive strategies.

Methods, Risk factors, Staphylococcal infections, Infection control, Endocarditis

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