PIAF, the Pharmacological Intervention in Atrial Fibrillation trial, asked that question. In recent years the tendency has been to neglect the exercise stress test in favor of more elaborate and expensive testing modalities. A recent seminar article in The Lancet suggests that recent enhancements to the time-honored test produce results on par with many of the more expensive options. An exciting new percutaneous procedure that promises to reduce post-operative complications associated with paediatric valve surgery.
Cardiogenic shock remains the major cause of death among patients with acute coronary syndromes.
An article in The Lancet reviewed what we have learned about early identification of patients at risk for developing cardiogenic shock, different preventive and therapeutic approaches, and methods for optimising outcome when it does occur.