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February 21, 2020
News From Medscape
The following recommended articles on Medscape.com are freely available through the partnership between ABC and Medscape, no registration or login required.
A Cardiologist's Search for Medicine's Lost Heart
An Interview With the National Correspondent for the 'New England Journal of Medicine', Lisa Rosenbaum, MD.
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Medscape Cardiologist Lifestyle, Happiness & Burnout Report 2020
This Medscape report explores how these doctors deal with burnout and other wellness issues, as well as their life outside of the office.
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Resolute Onyx Stent Safe and Effective in High-Bleeding-Risk Patients
A durable polymer-based drug-eluting stent was found to be noninferior to a polymer-free drug-coated stent in patients at a high bleeding risk on 1-month dual antiplatelet therapy (DAPT) following percutaneous coronary intervention (PCI), in a randomized trial.
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ACC Guidance on Cardiac Implications of Coronavirus
The American College of Cardiology (ACC) today released a clinical bulletin that aims to address cardiac implications of the current epidemic of the novel coronavirus, now known as COVID-19.
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House Committees Advance Bills to Address Surprise Billing
Two US House of Representative committees this week made their cases for different approaches for preventing surprise medical bills ― the unexpected costs patients are saddled with that result from services provided by out-of-network clinicians or companies.
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Items of Interest
Does the World Need Doctors With Engineering Degrees?
Texas A&M wants to transform medicine by training a generation of innovation-minded physicians.The inaugural class of EnMed, an offshoot of Texas A&M’s medical program, began this past June. This new venture is unlike virtually any other medical training program in the world. EnMed’s leadership calls them “physicianeers” —one schooled not merely in what the latest technology does but also in how it works. That sort of physician would be equipped not only to make better use of existing medical tools and methods but to envision ways to improve them.
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Study Challenges Link Between PCI Volumes and TAVR, TMVr Outcomes
Among centers performing a large number of PCI procedures, the volume of inpatient coronary interventions was not associated with short-term outcomes after either TAVR or transcatheter mitral valve repair (TMVr) with the MitraClip (Abbott), a study shows. That calls into question whether the Centers for Medicare & Medicaid Services (CMS) should be using minimum PCI volume thresholds in its national coverage determinations for the two structural procedures, senior author Sammy Elmariah, MD (Massachusetts General Hospital, Boston), told TCTMD.
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Blacks, Hispanics of Caribbean Descent Have Higher Stroke Risk Than White Neighbors
Both Blacks and Hispanics of Caribbean descent living in Northern Manhattan have a significantly higher risk of stroke than their non-Hispanic, white neighbors, according to preliminary research to be presented at the American Stroke Association’s International Stroke Conference 2020 in Los Angeles. While previous research documented an increased stroke risk among blacks and Mexican Americans, studies in Northern Manhattan have been the first to document the heightened risk for Hispanics of Caribbean descent.
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Optimism Reduces Stroke Severity, Inflammation
Stroke survivors with high levels of optimism had lower inflammation levels, reduced stroke severity and less physical disability after three months, compared to those who are less optimistic, according to preliminary research presented at the Nursing Symposium of the American Stroke Association’s International Stroke Conference 2020 in Los Angeles. In a small study of 49 stroke survivors, researchers examined the relationship among optimism, inflammation, stroke severity and physical disability for three months after a stroke. Researchers said that understanding how these elements relate to or impact one another may provide a scientific framework to develop new strategies for stroke recovery.
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Trials of New Cancer Drugs Failing to Address Potential CV Risks
Clinical trials supporting US Food and Drug Administration approval of new anticancer treatments—such as biologic, targeted, or immune-based therapies—over the past several decades seem to have underreported cardiovascular events, complicating risk-benefit considerations when initiating treatment - so the true risks are unknown. See study in the "Featured Articles by Members" section below.
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More Than Half of Heart Patients Nonadherent to Multi-Drug Regimens
Over half of heart patients on a triple-drug regimen of ACE inhibitors, statins and either calcium channel blockers or aspirin are nonadherent to their medications, researchers reported in the American Journal of Cardiology.
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Featured Articles by Members
ABC Members: We welcome your published research submissions and articles for inclusion in future issues of Clinical Updates and Insights. Email Rachel Williams at rwilliams@abcardio.org and please attach file or include links to the original published work and/or abstract.
Embracing Differences to Advance a Contemporary Understanding of Symptom Phenotypes in Acute Myocardial Infarction
By Nakela L. Cook
Dr. Nakela Cook writes an accompanying editorial regarding the paper, Sex Differences in Symptom Phenotypes Among Patients With Acute Myocardial Infarction, and suggests that it’s time to “acknowledge that symptoms more frequently experienced by 50% of the population are not atypical at all but rather the constellation of symptoms experienced by a specific segment of our population.”
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Racial and Ethnic Differences in Treatment and Outcomes of Severe Aortic Stenosis: A Review
Co-authored by Larry R. Jackson II, George S.A. Yankey Jr., Colin Marts and Kevin L. Thomas (with Jimica B. Wilson, Francis E. Ugowe, and Terrell Jones)
Aortic stenosis (AS) is among the most common valvular heart diseases encountered in the United States. Historically, Underrepresented racial and ethnic groups with severe AS have had lower rates of both surgical and transcatheter aortic valve replacement and experienced more post-surgical complications, including, bleeding, worsening heart failure, and rehospitalization. Overall, racial and ethnic disparities in health care access and care delivery are a public health concern given the changing demographics of the U.S. population. In this review the authors examine differences between racial and ethnic groups in the epidemiology and management of severe AS, explore potential explanations for these findings, and discuss the implications for improving the delivery of care to racially and ethnically diverse populations.
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Reporting of Cardiovascular Events in Clinical Trials Supporting FDA Approval of Contemporary Cancer Therapies
Co-authored by Daniel Addison (with Janice M. Bonsu, Avirup Guha, Lawrence Charles, Vedat O. Yildiz, Lai Wei, Brandee Baker, Jonathan E. Brammer, Farrukh Awan, Maryam Lustberg, Raquel Reinbolt, Eric D. Miller, et al.)
Cardiovascular disease (CVD) has become an increasingly common limitation to effective anticancer therapy. Yet, whether CVD events were consistently reported in pivotal trials supporting contemporary anticancer drugs is unknown. The authors sought to evaluate the incidence, consistency, and nature of CVD event reporting in cancer drug trials.
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Many hours of painstaking work to complete the analysis, figures and paper over the last 1.5 yrs. I am hopeful this will help our patients and their families.
Tweeted by study's co-author, Daniel Addison
@md_addison

We LOVE to LEARN how our ABC Members are making a difference! Please Share. Giving a keynote speech? Presenting at a Grand Round? Receiving an Award? Interviewed by the Press? Published in a journal? Presenter or Panelist at a Conference? Graduating? Email Rachel Williams at rwilliams@abcardio.org or please tag or DM us on Facebook, Twitter or Instagram with links/details, so we can spotlight your excellence in our newsletter!

Announcements


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Million Hearts announces a NEW Hospitals & Health Systems Recognition Program that will spotlight clinical entities committed to reducing the impact of heart attacks and strokes. Learn how you can apply below.
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The National Institute on Minority Health and Health Disparities (NIMHD) will host the next Health Disparities Research Institute (HDRI) from August 3 to 7, 2020. The HDRI is now accepting applications, which must be submitted by March 9, 2020! This is an opportunity to learn from NIH scientific experts in the field and discuss research projects on minority health and health disparities!

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NIH FUNDING OPPORTUNITY
NIMHD Accepting Proposals for Research on Biopsychosocial Factors of Social Connectedness and Isolation

NIMHD is supporting two new funding opportunities, PAR-19-373 (R01 Clinical Trials Not Allowed) and PAR-19-384 (R01 Basic Experimental Studies with Humans Required), to understand the interrelation between social connectedness and social isolation on health disparity populations and health disparities (how the mechanisms, processes, and trajectories of social relationships affect outcomes in health, illness, and more.). This work includes the impact of interpersonal and systemic discrimination and microaggressions on social connectedness and isolation. This research aims to identify unique challenges and intervention targets for health disparity populations. NIMHD encourages investigators to participate in this important public health activity and welcomes inquiries concerning these FOAs. Review the funding opportunities for more information on eligibility and application submissions.

Application Due Date: March 17, 2020.

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Upcoming Events

Join the Greater Harlem Chamber of Commerce and the Alliance for Aging Research for an important Black History Month Health event on Heart Valve Disease Awareness Day during American Heart Month. Event will include interactive exercise demonstrations and free health screenings and feature presentations by:
  • Sue Peschin, MHS, President & CEO of the Alliance for Aging Research
  • Dr. John Whyte, Chief Medical Office of WebMD
  • Dr. Icilma Fergus, Director of Cardiovascular Disparities at Mount Sinai Medical Center
  • Cassandra McCullough, CEO of the Association of Black Cardiologists
If you are unable to join in-person, watch live on ABC's Facebook page or the Heart Valve Disease Awareness Day Facebook page.

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Register for ABC Events @ ACC 2020

EVENT REGISTRATION

Friday, March 27, 5:30pm – 9:00pm
ABC Fellows Annual Educational Program and
Dr. Jay Brown Best Abstract Competition

Hilton Chicago
720 South Michigan Avenue,Chicago, IL 60605

Saturday, March 28, 6:30pm – 9:00pm
ABC General Membership Dinner Meeting
| VIEW FLYER
The Art Institute of Chicago
230 South Columbus Drive, Chicago, IL 60603

Sunday, March 29, 10:45am – 12:15pm
ABC-ACC Joint Symposium — “Conundrums in Application of
Guideline Directed Therapies in Real-World Scenarios:
Impact on Minority Populations

Chairpersons: Eldrin Lewis, MD and Alanna Morris, MD
McCormick Place
2301 South King Drive, Chicago, IL 60616
View Agenda | Register via ACC.20



Call for ABC Members Presenting at ACC.20

In the spirit of networking and sharing innovation, please let us know if you are chairing and/or moderating a session, serving on a panel, speaking during the conference or presenting a poster or paper. ABC will publicize this information.

Click here to include your event details no later than Friday, March 6.


SEE THE FULL EVENTS CALENDAR
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