Here are a few articles that may be of interest to some readers who work in
the field of cardiac rehab.
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M W Kaufmann et al Relation Between Myocardial Infarction, Depression,
Hostility, and Death
Major depression in patients hospitalized after myocardial infarction is a
significant univariable predictor of death at 12 months, although it was not
a statistically significant predictor after adjusting for other variables.
Hostility is not a predictor of death. Prospective studies are needed to
determine the impact of aggressive
treatment of depression on post-myocardial infarction survival. [Am Heart J
138(3):549-554, 1999.]
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JA Silva et al Primary Stenting in Acute Myocardial Infarction: Influence
of Diabetes Mellitus in Angiographic Results and Clinical Outcome
The outcome of patients with diabetes after myocardial infarction (MI) has
traditionally been worse than in their nondiabetic counterparts before and
during the thrombolytic therapy era. Whether the fate of patients with
diabetes might improve with mechanical intervention, particularly with
primary stenting, has not previously been studied.
This study showed that primary stenting in acute MI is highly effective in
restoring immediate coronary flow in nondiabetic patients and patients with
diabetes. This procedure may improve benefit in terms of mortality rate to
both groups, particularly in patients with diabetes, compared with previous
reports with thrombolytic therapy. Nevertheless, stent thrombosis and major
cardiovascular events at 1 month and late follow-up are more frequent in
patients with diabetes. [Am Heart J 138(3):446-455, 1999]
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Dr Mel C Siff
Denver, USA
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