Updates 8 Feb 2016

Outcomes at One Year For Bioresorbable Stents
A meta-analysis of 4 clinical trials of bioresorbable stents vs drug eluting metallic stents reports no differences in one-year outcomes, although between stents types, although there was a borderline increase in peri-procedural myocardial infarction with the bioresorbable stents.
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Outcomes After Incomplete Revascularisation with PCI
A large Swedish registry study is reported in JACC Cardiovascular Interventions and describes a high risk of recurrent events at one year in patients leaving hospital with incomplete revascularisation after PCI to a culprit lesion in setting of an acute coronary syndrome. Adjusted hazard ratio was 2.12 for death/MI or repeat revascularisation and 1.29 for death/MI by 1 year in those with incomplete revascularisation.
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Risk Assessment of the Asymptomatic Diabetic Patient
A State of the Art Review by the ACC Imaging Council has presented an algorithm for screening asymptomatic persons with diabetes mellitus. It is recommended that diabetics aged > 40 years have a CT coronary calcium score (CAC) performed and those with a score > 400 should have a subsequent stress imaging study performed. Up to one third of patients with diabetes have low CAC and are at low risk of adverse events.
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Depression and Heart Disease
A population study undertaken over 10 years in three large French cities and published in the Journal of the American Geriatrics Society has reported that older adults with higher levels of depressive symptoms are more likely to suffer stroke or coronary heart disease. The relative risk was 1.15 (1.06 to 1.25) and was independent of antidepressant medication use.
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