Circulation. 2007;115:3139
doi: 10.1161/CIRCULATIONAHA.107.183533
(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.
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EVALUATION OF DOSE-RELATED EFFECTS OF ASPIRIN ON PLATELET FUNCTION: RESULTS FROM THE ASPIRIN-INDUCED PLATELET EFFECT (ASPECT) STUDY, by Gurbel et al.
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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-1dependent and independent
platelet function assays were examined. The authors found that,
while aspirin consistently blocked arachidonic acidinduced
function, the other platelet function tests demonstrated greater
estimates of resistance. These results suggest that aspirins
noncyclooxygenase-1dependent effects may contribute
to the variability in aspirin response. See p 3156.
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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.
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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 transplantfree
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.
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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.
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Contrast induced nephropathy (CIN) is an uncommon complication
of angiography, but it is
. . . [Full Text of this Article]
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