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May 2, 2019
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.
AHA Issues First Cardio-Oncology Rehabilitation Statement
A new scientific statement from the American Heart Association (AHA) lays out the rationale and specifics for multimodal cardiac rehabilitation (CR) for patients with cancer, with a clear eye toward gaining equal footing for these services among third-party payers.
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Medscape Physician Compensation Report 2019
The Medscape Physician Compensation Report is now available and features almost 20,000 physicians in more than 30 specialties who responded to Medacape's salary survey with their salary information, number of hours worked, amount of time spent seeing patients and more.
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CVD Risk Similar in Men, Women With Diabetes, but Care Differs
The increased risk of cardiovascular disease (CVD) upon developing type 2 diabetes is similar in men and women, show data from a large UK-based study of newly diagnosed patients. The new findings contradict prior studies and are the first to show that the proportionate CVD risk increase upon developing type 2 diabetes is similar between the sexes, with a nonsignificant relative risk ratio of 1.07.
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Items of Interest
Cardiology Groups Oppose CMS Policy Shift on TAVR Volume
Four medical societies have come out against revisions in CMS' proposed national coverage determination for transcatheter aortic valve replacement that could change requirements for initiating and maintaining a reimbursed program, arguing the potential easing of standards for starting a program will not produce the best outcomes for patients.
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Ross University School of Medicine and Tuskegee Partner to Address Physician Diversity in the U.S.
The United States is facing a critical absence of diversity in medicine, and the disproportionately low numbers of African-American doctors is causing negative health outcomes in communities across the country. Reflecting its commitment to improve diversity among the nation’s doctors, Ross University School of Medicine (RUSM) has entered into an agreement with Tuskegee University to increase the number of African-American students who enter medical school at RUSM, and ultimately become physicians.
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FDA Approves Praluent (Alirocumab) to Prevent Heart Attack, Stroke and Unstable Angina Requiring Hospitalization
The U.S. Food and Drug Administration (FDA) has approved Praluent (alirocumab) to reduce the risk of heart attack, stroke, and unstable angina requiring hospitalization in adults with established cardiovascular (CV) disease.
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MitraClip for Secondary Mitral Regurgitation: Patient Selection Key for COAPT-Like Results
Video Commentary by Wayne B. Batchelor, MD, MHS (and Catherine M. Otto, MD)
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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.
The Evidence on Estrogen, Progesterone, and Spontaneous Coronary Artery Dissection
Co-authored by Sharonne N. Hayes, MD (with Marysia S. Tweet, MD and Virginia M. Miller, PhD)
Spontaneous coronary artery dissection (SCAD) is a noteworthy causative mechanism of acute coronary syndrome (ACS), owing to a tear and/or hematoma formation within the coronary artery wall that reduces myocardial perfusion. Cases of SCAD are diagnosed by coronary angiography and, in equivocal cases, confirmed with intracoronary imaging.
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Impact of Baseline Mitral Regurgitation on Postoperative Outcomes After Left Ventricular Assist Device Implantation as Destination Therapy
Co-authored by A. Okoh and S. Fugar (with R. Yanagida, M. Schultheis, S. Chaudari, C. Nnaoma, O. Chan, M.J. Zucker, R. Karanam, M.J. Russo and M. Camacho)
Currently, there are no guidelines for management of moderate to severe mitral regurgitation (MR) in patients undergoing left ventricular assist device (LVAD) implantation. The present study aimed to investigate the impact of baseline MR on short and midterm survival in patients who had LVAD as destination therapy (DT).
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National Trends and Outcomes of Patients Bridged to Transplant With Continuous Flow Left Ventricular Assist Devices
Co-authored by S. Fugar and A.K. Okoh (with D. Eshun, J. Yirerong, L.T. Appiah, C. Mbachi, T. Legge, M. Camacho, and M.J. Russo)
Continuous flow left ventricular assist devices (CF-LVAD) are widely used as a bridge to transplantation (BTT) among patients with advanced heart failure. The primary outcome of the current study was to study the incidence of waitlist mortality and morbidity of CF-LVAD patients bridged to heart transplantation in the current BTT era and to determine the factors that increased their risk of delisting.
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The Influence of Sex and Gender on Health: How Much Is Being Taught in Medical School Curricula?
Co-authored by Njeri K. Thande (with Melinda Wang, Kaveri Curlin, Nisha Dalvie, and Carolyn M. Mazure)
This study evaluates a medical curriculum for sex- and gender-based content and provides recommendations for establishing and integrating pertinent sex and gender medicine didactics. Trained first-and second-year medical students audited 548 lectures and workshops to determine sex- and gender-based content.
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Living in Food Deserts and Adverse Cardiovascular Outcomes in Patients With Cardiovascular Disease
Co-authored by Tené T. Lewis, PhD, (with Heval M. Kelli, MD, Jeong Hwan Kim, MD, Ayman Samman Tahhan, MD, Chang Liu, MPH, Yi-An Ko, PhD, Muhammad Hammadah, MD, Samaah Sullivan, PhD, Pratik Sandesara, MD, Ayman A. Alkhoder, MD, et al.)
Food deserts (FDs), defined as low‐income communities with limited access to healthy food, are a growing public health concern. The study evaluated the impact of living in FDs on incident cardiovascular events.
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Association of Frailty And Cognitive Impairment With Benefits of Oral Anticoagulation in Patients With Atrial Fibrillation
Co-authored by Gregg C. Fonarow MD (with Malini Madhavan MBBS, DaJuanicia N. Holmes MS, Jonathan P. Piccini MD, MHS, Jack E. Ansell MD, Elaine M. Hylek MD, MPH, Peter R. Kowey MD, Kenneth W. Mahaffey MD, Laine Thomas PhD, et al.)
Those with cognitive impairment or frailty in AF had higher predicted risk for stroke and higher observed mortality, yet were less likely to be treated with OAC. Despite this, the benefits of OAC were similar in patients with and without cognitive impairment or frailty.
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Announcements
STROKE COMMUNICATIONS KIT FROM THE CDC
The social media messages and graphics provided by the CDC can help your audiences understand the basics of stroke, including signs and symptoms, the importance of a F.A.S.T. response during a stroke, and treatment. Help DHDSP spread awareness by sharing these resources on your social media pages.
AHA's HIGH BLOOD PRESSURE MONTH EDUCATION KIT
The American Heart Association has materials for medical professionals to educate their patients on high blood pressure during High Blood Pressure Education Month
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