Cardiac resynchronization in heart failure

Patients with heart failure often have intraventricular conduction delays (such as bundle branch blocks), which cause the ventricles to contract dyssynchronously, in an inefficient manner. This is the rationale behind the implantation of biventricular pacing devices to restore synchrony. The effect of cardiac resynchronization on morbidity and mortality in heart failure, in this week’s NEJM, […]

Intensive lipid-lowering therapy

[Back after a two-month hiatus, due to busy practice, vacation, and time spent/wasted playing with video editing software and a new camcorder…] In this week’s NEJM, Intensive lipid lowering with atorvastatin in patients with stable coronary disease makes an argument in favor of reducing LDL cholesterol levels for secondary prevention to lower than the current […]