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Despite the 2000 and 2007 redefinition of myocardial infarction (MI), patients who are troponin (Tn) positive ([+]) but MB negative ([−]) may not be considered to have MI, particularly in the absence of known coronary disease (prior MI or revascularization; coronary artery disease [CAD]). How this affects treatment and outcomes has not been well described.Direct arrival patients with non–ST elevation...
Despite a survival benefit and guideline recommendation for β-blockers in left ventricular systolic dysfunction, β-blockers are underused in clinical practice.Medical practices with ≥15 patients with heart failure (HF) in the Duke Databank for Cardiovascular Disease (DDCD) were identified for a prospective, randomized study using a multifaceted intervention to improve β-blocker use. Intervention practices...
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