Kim A. Eagle

Bio: Kim A. Eagle is an academic researcher from University of Michigan. The author has contributed to research in topics: Aortic dissection & Myocardial infarction. The author has an hindex of 129, co-authored 823 publications receiving 75160 citations. Previous affiliations of Kim A. Eagle include University of Wisconsin Hospital and Clinics & Spaulding Rehabilitation Hospital.

Interventions to improve secondary prevention after stroke are needed: Adherence to prescribed preventative drugs after stroke declines rapidly during the first 2 years after hospital discharge

Abstract: Commentary on: EL Glader, M Sjolander, M Eriksson, et al.. Persistent use of secondary preventive drugs declines rapidly during the first 2 years after stroke. Stroke2010;41:397–401.

Noncardiac Surgery After Coronary Revascularization More Contemporary Evidence Needed

Abstract: Although largely based on expert opinion and limited by paucity of data, current guidelines recommend that elective surgery after percutaneous coronary intervention (PCI) with implantation of a drug-eluting stent should be delayed until completion of 1 year of dual antiplatelet therapy (APT) to avoid the risk of adverse cardiac events.1 Recent data have challenged this recommendation, and timing of surgery beyond 6 months after stent implantation may not affect the risk for adverse outcomes in those undergoing noncardiac surgery.2 In this issue of Circulation: Cardiovascular Interventions , Tokushige et al3 in a retrospective analysis of the Coronary Revascularization Demonstrating Outcome Study in Kyoto (CREDO-Kyoto) PCI/coronary artery bypass grafting (CABG) registry cohort 2, now add to the evidence describing outcomes in patients undergoing noncardiac surgery after coronary revascularization.3 Article see p 482 Consecutive patients were enrolled in the CREDO-Kyoto PCI/CABG registry cohort 2 after first coronary revascularization among 26 centers in Japan between January 2005 and December 2007. In this analysis, the authors compared the incidence and outcomes of surgical procedures between the PCI and CABG groups. Timing of surgery from the time of coronary revascularization was classified as early (within 42 days) and late (beyond 42 days). Primary ischemic (death or myocardial infarction) and primary bleeding (moderate or severe bleeding by the Global Utilization of Streptokinase and Tissue plasminogen activator for Occluded coronary arteries classification) outcomes were assessed at 30 days after the noncardiac surgical procedure. Perhaps, as expected, surgical procedures were performed more frequently after CABG than after PCI (cumulative 3-year incidence, 27% versus 22%; unadjusted P <0.0001). This observation was largely …

Intramural hematoma of the descending aorta-natural history and treatment

Abstract: Aortic Intramural hematoma (IMH) represents a subtype of aortic dissection characterized by crescentic thickening of the aortic wall and the absence of an intimal flap or visualized entry point. The diagnosis is typically established by imaging techniques such as CT or MRI and the prevalence varies widely per published series between 5 and 48 % of all acute aortic syndromes.

Red blood cell transfusion after PCI was associated with increased mortality, MI, and stroke

Abstract: Source Citation Sherwood MW, Wang Y, Curtis JP, Peterson ED, Rao SV. Patterns and outcomes of red blood cell transfusion in patients undergoing percutaneous coronary intervention. JAMA. 2014;311:83...

Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure

Abstract: The National High Blood Pressure Education Program presents the complete Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Like its predecessors, the purpose is to provide an evidence-based approach to the prevention and management of hypertension. The key messages of this report are these: in those older than age 50, systolic blood pressure (BP) of greater than 140 mm Hg is a more important cardiovascular disease (CVD) risk factor than diastolic BP; beginning at 115/75 mm Hg, CVD risk doubles for each increment of 20/10 mm Hg; those who are normotensive at 55 years of age will have a 90% lifetime risk of developing hypertension; prehypertensive individuals (systolic BP 120-139 mm Hg or diastolic BP 80-89 mm Hg) require health-promoting lifestyle modifications to prevent the progressive rise in blood pressure and CVD; for uncomplicated hypertension, thiazide diuretic should be used in drug treatment for most, either alone or combined with drugs from other classes; this report delineates specific high-risk conditions that are compelling indications for the use of other antihypertensive drug classes (angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, beta-blockers, calcium channel blockers); two or more antihypertensive medications will be required to achieve goal BP (<140/90 mm Hg, or <130/80 mm Hg) for patients with diabetes and chronic kidney disease; for patients whose BP is more than 20 mm Hg above the systolic BP goal or more than 10 mm Hg above the diastolic BP goal, initiation of therapy using two agents, one of which usually will be a thiazide diuretic, should be considered; regardless of therapy or care, hypertension will be controlled only if patients are motivated to stay on their treatment plan. Positive experiences, trust in the clinician, and empathy improve patient motivation and satisfaction. This report serves as a guide, and the committee continues to recognize that the responsible physician's judgment remains paramount.

Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging.

Abstract: The rapid technological developments of the past decade and the changes in echocardiographic practice brought about by these developments have resulted in the need for updated recommendations to the previously published guidelines for cardiac chamber quantification, which was the goal of the joint writing group assembled by the American Society of Echocardiography and the European Association of Cardiovascular Imaging. This document provides updated normal values for all four cardiac chambers, including three-dimensional echocardiography and myocardial deformation, when possible, on the basis of considerably larger numbers of normal subjects, compiled from multiple databases. In addition, this document attempts to eliminate several minor discrepancies that existed between previously published guidelines.

ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease

Abstract: PREAMBLE......e4 APPENDIX 1......e121 APPENDIX 2......e122 APPENDIX 3......e124 REFERENCES......e124 It is important that the medical profession play a significant role in critically evaluating the use of diagnostic procedures and therapies as they are introduced in the detection, management,

ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction—Executive Summary A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction)

Abstract: Although considerable improvement has occurred in the process of care for patients with ST-elevation myocardial infarction (STEMI), room for improvement exists.[1–3][1][][2][][3] The purpose of the present guideline is to focus on the numerous advances in the diagnosis and management of patients