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Circulation. 2007;115:3139
doi: 10.1161/CIRCULATIONAHA.107.183533
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(Circulation. 2007;115:3139.)
© 2007 American Heart Association, Inc.

Issue Highlights


An extract of the first 250 words of the full text is provided, because this article has no abstract.
 


*    EVALUATION OF DOSE-RELATED EFFECTS OF ASPIRIN ON PLATELET FUNCTION: RESULTS FROM THE ASPIRIN-INDUCED PLATELET EFFECT (ASPECT) STUDY, by Gurbel et al.
 
Although there have been many studies examining the effect of aspirin on platelet function, most have limitations in study design and are associative. In this issue of Circulation, Gurbel and colleagues report a double-blind, double-crossover investigation of 125 stable outpatients with coronary disease who received 3 different doses of aspirin for 4 weeks over a 12-week period. A broad panel of cyclooxygenase-1–dependent and –independent platelet function assays were examined. The authors found that, while aspirin consistently blocked arachidonic acid–induced function, the other platelet function tests demonstrated greater estimates of resistance. These results suggest that aspirin’s non–cyclooxygenase-1–dependent effects may contribute to the variability in aspirin response. See p 3156.


*    SUPPRESSION OF CENTRAL SLEEP APNEA BY CONTINUOUS POSITIVE AIRWAY PRESSURE AND TRANSPLANT-FREE SURVIVAL IN HEART FAILURE: A POST HOC ANALYSIS OF THE CANADIAN CONTINUOUS POSITIVE AIRWAY PRESSURE FOR PATIENTS WITH CENTRAL SLEEP APNEA AND HEART FAILURE TRIAL (CANPAP), by Arzt et al.
 
The primary analysis of the Canadian Continuous Positive Airway Pressure (CPAP) for Patients With Central Sleep Apnea and Heart Failure Trial (CANPAP) showed no benefit on heart transplant–free survival; however, many patients in the trial failed to achieve the target goal of an apnea-hypopnea index <15. In a post hoc analysis, it was found that CPAP-treated patients who obtained a reduction in apnea-hypopnea index to <15 showed improvements in both left ventricular ejection fraction and transplant-free survival versus control patients. In contrast, CPAP-treated patients who did not achieve an apnea-hypopnea index of <15 did not have improvements in either left ventricular ejection fraction or survival. These findings suggest that CPAP therapy sufficient to reduce apnea-hypopnea index may improve left ventricular function and survival. See p 3173.


*    CARDIAC ANGIOGRAPHY IN RENALLY IMPAIRED PATIENTS (CARE) STUDY: A RANDOMIZED DOUBLE-BLIND TRIAL OF CONTRAST-INDUCED NEPHROPATHY IN PATIENTS WITH CHRONIC KIDNEY DISEASE, by Solomon et al.
 
Contrast induced nephropathy (CIN) is an uncommon complication of angiography, but it is . . . [Full Text of this Article]


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