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J Am Coll Cardiol, 2007; 50:2-31, doi:10.1016/j.jacc.2007.07.001
© 2007 by the American College of Cardiology Foundation
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ACC.07 and i2 Summit Highlights: A Conversation With the Experts

E. Murat Tuzcu, MD, FACC, Chair, Randall C. Starling, MD, MPH, FACC, Co-Chair and James D. Thomas, MD, FACC, Co-Chair


Figure 1
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Figure 1 Assessment of Antianginal Effects in the MERLIN-TIMI 36 Trial

Selected efficacy end points in the MERLIN-TIMI 36 trial. Based on Kaplan-Meier cumulative incidence (%) at 12 months. Primary end point: cardiovascular (CV) death/myocardial infarction (MI)/recurrent ischemia (RI). *p = 0.11; {dagger}p = 0.03; {ddagger}p = 0.023. Blue bars = ranolazine (n = 3,279); yellow bars = placebo (n = 3,281).

 

Figure 2
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Figure 2 Trend for DBT for 586 National Cardiovascular Data Registry Hospitals

Data are based on the hospital’s ability to perform percutaneous coronary intervention (PCI) in their composite patients in <90 min. DBT = door-to-balloon time.

 

Figure 3
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Figure 3 Definite ST and MI After Implantation of DES or BMS in Western Denmark

(A) Definite stent thrombosis (ST) and (B) myocardial infarction (MI). BMS = bare-metal stent(s); DES = drug-eluting stent(s); RR = risk ratio.

 

Figure 4
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Figure 4 In-Segment Late Loss at 8 Months* (Primary End Point) of the SPIRIT III Trial

*Follow-up window ± 28 days.

 

Figure 5
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Figure 5 MACE and TLR Through 270 (± 14) Days in the SPIRIT III Trial

Blue bars = XIENCE V (n = 658); yellow bars = TAXUS (n = 322). ID = ischemia-driven; MACE = major adverse cardiac events; NID = nonischemia-driven; TLR = target lesion revascularization.

 

Figure 6
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Figure 6 Heart Valve Function Over Time in Patients Undergoing Percutaneous Aortic Valve Implantation

AVA = final valve area; PHV = percutaneous heart valve.

 

Figure 7
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Figure 7 Edwards MONARC System for Percutaneous Mitral Valve Repair

 

Figure 8
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Figure 8 Percutaneous System Applies Sustained Tension to MV, Gradually Reshapes the Geometry of the Heart

MV = mitral valve.

 

Figure 9
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Figure 9 Mean MR Reduction Over Time From EVOLUTION Study Interim Performance Data

MR = mitral regurgitation.

 

Figure 10
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Figure 10 EVEREST Trial: Procedural Learning Curve, Single-Center Experience With MitraClip Device

Yellow bars = 1-clip case; blue bars = 2-clip cases.

 

Figure 11
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Figure 11 Kaplan-Meier Analyses of All-Cause Mortality and Cardiovascular Mortality or Hospitalization for Heart Failure in the EVEREST Trial

Reprinted with permission from Konstam et al. (61).

 

Figure 12
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Figure 12 Event-Free Survival in the ALPHA Study Based on the Primary End Point

Primary end point is cardiac death and life-threatening arrhythmias. TWA = T-wave alternans.

 

Figure 13
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Figure 13 Predictive Value of Dyssynchrony Patterns

Dyssynchrony was assessed in 2 planes: longitudinal (tissue Doppler imaging) and radial (speckle tracking radial strain). Response was defined as end-systolic volume (ESV) decrease ≥10% or ejection fraction (EF) increase ≥15%. Of 173 patients, 119 (69%) were EF responders. Light blue bars = ESV responders; dark blue bars = EF responders. *p < 0.05 versus both; #p < 0.05 versus either.

 

Figure 14
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Figure 14 Survival Curves for Rate Versus Rhythm Control in Patients With AF and Diastolic Heart Failure

Using a 60-day landmark view to assess medication usage, Kaplan-Meier curves for rate versus rhythm control were adjusted for baseline patient differences using Cox proportional hazards modeling. AF = atrial fibrillation.

 

Figure 15
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Figure 15 Evidence Base in Imaging: Guidelines Recommendations Versus "Strength" of Evidence

 

Figure 16
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Figure 16 Survival Free of Cardiac Death in Patients Without Recent Angiography

Chi-square = 4.5; hazard ratio = 0.4; 95% confidence interval = 0.17 to 0.96; p = 0.035. PET = positron emission tomography.

 

Figure 17
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Figure 17 Increases in PET SSS Translates Into Proportional Increases in Predicted Mortality

p = 0.0003. PET = positron emission tomography; SSS = summed stress score.

 

Figure 18
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Figure 18 Proportion of Children and Young Adults With CHD Receiving Outpatient Care Declines With Age

CHD = congenital heart disease.

 

Figure 19
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Figure 19 Changing Age Distribution of Death in CHD From 1988 to 2005 From a Population-Based Study

CHD = congenital heart disease.

 

Figure 20
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Figure 20 Overall Adherence Trends Over Time, CRUSADE Quarter 1, 2002 to Quarter 4, 2006

Available at: http://www.crusadeqi.com/Main/Ecab/Slides/CRUSADEResults2006Q4.ppt.

 




 
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