Padma Kaul

..We examined the 1-year incidence of HF and its association with mortality among patients surviving their first acute coronary syndrome (ACS) hospitalization...

..0 to 2.7) and women (2.3, 1.2 to 4.2). In conclusion, in this gender-specific analysis, baseline Q wave was found be a better marker of risk of 90-day mortality than time from symptom onset to PCI, overall, and especially in women...

..To examine whether ST segment depression influenced clinical decision making and whether there was international variation in the use of cardiac procedures across ST segment depression categories...

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..To examine the relative contribution of system and patient level factors to the variation in international revascularization rates, and their impact on mortality outcomes...

..Despite its widespread use, limited data on the validity of the Canadian Cardiovascular Society angina (CCSA) classification relative to other measures of functional status have been reported...

..We sought to examine sex-related differences at an earlier point in care--presentation to the emergency department...

..Heart failure (HF) is a debilitating and chronic condition associated with significant morbidity and mortality. However, much less is known about end-of-life (EOL) costs among patients with HF...

..Whether these have resulted in changes in sex differences in time to treatment is unknown. We examined temporal trends in time to reperfusion therapy among men and women with STEMI...

..4%, adjusted P=0.02). We sought to determine whether Canadian-US differences in practice patterns in GUSTO-I had an impact on 5-year mortality...

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..The objective of this study was to examine the impact of ethnicity on 1-year mortality among patients with heart failure in a single payer healthcare system with universal access...

..We aimed to identify the extent to which countries have taken advantage of the opportunity for early discharge...

..Information on practice patterns and outcomes in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary interventions (PCIs) in Canada vs United States is limited...

..Additional investigation into the causes, treatment, and policy implications of the age-sex interaction is warranted...

..The absence of provincial or national guidelines may have influenced the uptake and application of this novel therapy...

..Our objective was to describe the incidence, prevalence, or outcomes for HF patients diagnosed in the outpatient or emergency department (ED) setting...

..Heart failure is a common cause of death among Medicare beneficiaries, but little is known about health care resource use at the end of life...

..To assess the effects of socioeconomic status on mortality in patients with acute myocardial infarction...

..We used population-level data to determine the rate at which such patients seek medical attention for these symptoms, whether sex differences are present, and if an association between prodromes and 1-year mortality exists...

..g. the identification of high-risk patients for possible co-interventions. CONCLUSION: Dynamic modelling for STEMI patients enhances the risk assessment and stratification and should provide valuable ongoing guidance for their management...

..The accuracy of current models to predict the risk of unplanned readmission or death after a heart failure (HF) hospitalization is uncertain...

..4 vs. 1.5). CONCLUSIONS: Quantitative ST and cTnT status are complementary in assessing risk among ACS patients and both should be employed to determine prognosis and assist in medical decision making...

..We sought to determine whether income-based disparities in care processes and outcome exist in patients with acute coronary syndromes...

..Methods to improve timely and appropriate access to specialists and to improve collaborative care structures are needed...

..The purpose of this study was to examine the long-term incidence of heart failure (HF) in elderly patients with myocardial infarction (MI)...

..The Alberta Cardiac Access (ACA) initiative was implemented in the spring of 2008 to increase access to specialized heart failure (HF) clinics after hospital discharge...

..Differential use of coronary revascularization may contribute to the poorer functional outcomes observed among black patients with documented coronary disease...

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..Recently, 30-day readmission rates have been proposed as a metric for care of patients with STEMI. However, international rates and predictors of 30-day readmission after STEMI have not been studied...

..We examined discharge rates, and whether outcomes, including mortality, differed based on admission status in AHF...

..Prior Canadian studies of cardiac procedure rates showed changes over time and regional variability, but more recent Canadian cardiac procedure rates are unknown...

..We aimed to determine whether outcomes differ for patients with incident heart failure (HF) by urban-rural status...

..We also identified important risk factors for TMR and compared outcomes of TMR combined with coronary artery bypass graft surgery (TMR + CABG) versus bypass alone in patients receiving incomplete revascularization...

..Regional differences in the profile and prognosis of non-ST-segment elevation acute coronary syndrome (NSTE ACS) patients treated with medical management after angiography remain uncertain...

..Attention to this issue is important when selecting treatment strategies and a focus on the goals of care is critical when decisions for care must be undertaken...

..A new regional PCI facility could be economically viable if implementation costs are at least comparable to urgent transportation and interventional team clinical competency is maintained...

..In the setting of inferior wall myocardial infarction (IWMI), identification of the right coronary artery (RCA) as the culprit artery is important because of the potential complications associated with its involvement...

..Whereas ALOS, complications rates, and mortality rates decreased in all provinces over the study period, there was considerable variation in province-specific rates...

..CONCLUSIONS: These data provide new evidence supporting the powerful prognostic value of the baseline electrocardiogram and, in particular, the magnitude and distribution of ST segment depression in predicting unfavorable events...

..For patients with ACS undergoing percutaneous balloon angioplasty without coronary stenting in the era of platelet glycoprotein IIb/IIIa blockade, the long-term prognosis is less clear...

..To assess the health economic impact of perioperative myocardial infarction in a cohort of patients undergoing coronary artery bypass graft surgery...

..The approaches are illustrated and compared using the data from the ASSENT-3 trial...

..Resynchronization of ventricular contraction in patients with heart failure improves ejection fraction. The long-term morbidity and costs associated with such cardiac resynchronization therapy remain unclear...