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The British Journal
of Cardiology

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Acute & Interventional Cardiology 2003; Volume 10: pages AIC 1- AIC 88

EDITORIAL
Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 63–AIC 65

How can we establish the workforce required to deliver NSF targets for CHD? Experience in the North West of England

The ability to deliver increased cardiac services in line with the National Service Framework (NSF) is dependent on a skilled workforce being developed at an...

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EDITORIAL
Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 66–AIC 70

Isn’t it time for primary angioplasty in the UK?

Thrombolytic therapy remains the predominant reperfusion strategy for ST segment elevation myocardial infarction (STEMI) in the UK, with government policy directed towards optimising thrombolytic delivery....

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 75–AIC 77

The use of glycoprotein IIb/IIIa antagonists in acute coronary syndromes: are we following the NICE guidelines?

Recent developments in the management of non-ST elevation acute coronary syndromes (ACS) have included the introduction of glycoprotein (GP) IIb/IIIa inhibitors. The National Institute for...

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 78–AIC 81

Implantable left ventricular assist devices

End-stage heart failure represents a major public health challenge and carries a poor prognosis. After a 30-year gestation period, mechanical assist devices are now poised...

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 82–AIC 88

Atrial fibrillation after coronary bypass surgery – pathophysiology, resource utilisation and management strategies

Background: With an incidence rate of 30–50%, atrial fibrillation (AF) after bypass surgery continues to be one of the most common complications. The possibilities of...

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EDITORIAL
Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 37–AIC 40

Why do we need the CARDia trial?

The Coronary Artery Revascularisation in Diabetes (CARDia) trial is an investigator-initiated study and is the first prospective study designed specifically to address the hypothesis that...

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10(1):AIC 45–AIC 48

The frequency of acute coronary syndromes and the cost of glycoprotein IIb/IIIa inhibitor treatment

The objective of this survey was to estimate the proportion of episodes of acute coronary syndromes (ACS) without ST segment elevation in relation to the...

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 49–AIC 51

Pre-operative strategies on clopidogrel use in coronary artery bypass grafting

There is a lack of standards pertaining to stopping antiplatelet agents in patients with acute coronary syndromes prior to coronary surgery. We conducted a national...

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 52–AIC 55

Robotic coronary artery surgery

Cardiopulmonary bypass and the median sternotomy incision have revolutionised cardiac surgery, helping coronary artery bypass to become a routine procedure. Cardiopulmonary bypass was originally developed...

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 56–AIC 58

Outcome of percutaneous coronary intervention in acute coronary syndromes: from clinical trials to clinical practice

Early angiography and revascularisation are beneficial for patients with non-ST segment elevation myocardial infarction (NSTEMI). However, the Prospective Registry of Acute Ischaemic Syndromes in the...

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10:AIC 59–AIC 60

Amnesia: a matter of the heart

Infective endocarditis can be difficult to diagnose, especially in the absence of typical clinical features or Duke criteria. Seeding of emboli to the cerebral cortex...

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EDITORIAL
Br J Cardiol (Acute Interv Cardiol) 2003;10(1):AIC 3–AIC 5

The donor crisis in heart transplantation

The donor crisis in heart transplantation John Pepper n the area of heart failure, public debate and research funding have been focused on new trends...

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EDITORIAL
Br J Cardiol (Acute Interv Cardiol) 2003;10(1):AIC 6–AIC 7

Future direction for the care of the acutely ill medical patient in the UK?

With the publication recently of the results of learned deliberations of two working parties of the Royal College of Physicians (RCP),1,2 attention continues to focus...

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EDITORIAL
Br J Cardiol (Acute Interv Cardiol) 2003;10(1):AIC 9–AIC 11

Heart attack patients in England are getting faster treatment but there is still more to do

The first public report on how the NHS manages acute myocardial infarction (MI) in English hospitals was published on 19th November 2002.1 The report, based...

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10(1):AIC 17–AIC 20

The role of glucose-insulin-potassium therapy in the current management of acute myocardial infarction

Glucose-insulin-potassium (GIK) therapy addresses the metabolic changes of ischaemia secondary to acute myocardial infarction. These changes include elevated plasma free fatty acid concentration and glucose...

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10(1):AIC 22–AIC 27

Percutaneous intervention in unprotected left main coronary disease

A significant left main coronary artery (LMCA) stenosis is an important predictor of survival in patients with coronary artery disease. In the past, percutaneous coronary...

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CLINICAL ARTICLE
Br J Cardiol (Acute Interv Cardiol) 2003;10(1):AIC 28–AIC 32

‘Real world’ small vessel coronary artery stenting: an analysis

The objective of this study was to describe the context, procedural outcome and long-term results of contemporary small vessel (SV) coronary artery stenting. It was...

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