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May 7, 2021
News From Medscape
The following recommended articles on are freely available through the partnership between ABC and Medscape, no registration or login required.

Nutritional Support May Be Lifesaving in Heart Failure
Patients with high-risk chronic heart failure given individualized nutritional support in the hospital had lower mortality 30 and 180 days following discharge, a new analysis shows.
SCAI 2021 Hemostatic Patch Cuts Radial Hemostasis Time by Half
Use was also associated with fewer complications, including radial artery occlusion and hematomas, and may streamline discharge after catheterization.
Only 1 in 3 US Adults With Diabetes Receive ADA-Recommended Care
In 2017-2018, only one in three received all of five care elements recommended by the American Diabetes Association.
EHRA 2021 Trade-offs Between S-ICD, Transvenous ICDs Shown in EFFORTLESS
The postmarket study's "final report" depicted an evolving S-ICD experience that, for some, cast such limitations as a lack of shock-avoiding antitachycardia pacing in a softer contemporary light.
SCAI 2021 Higher MI Shock Survival With NCSI Protocol: Final Results
Final results of the National Cardiogenic Shock Initiative show better survival rates in acute MI cardiogenic shock than seen in previous North American studies, but 1-year mortality remains a problem.

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Items of Interest

Young Black Patients With CAD May Have More Nontraditional Risk Factors Than Older Black Patients With CAD
Black patients with CAD aged 45 years or younger had more nontraditional risk factors than older Black patients with CAD, researchers reported at the virtual Society for Cardiovascular Angiography and Interventions Scientific Sessions.
ICUs Overpredict Risk of Death for Black, Hispanic Patients
Three scoring systems used in hospital intensive care units to predict risk of death overestimate it for Hispanic and African Americans, a new study finds. This could potentially affect the care patients receive when resources are scarce, as has occurred during the COVID-19 pandemic.
Cath Lab Team 'Not Off the Hook' for Racial Disparities in Medicine
Interventional cardiologists have as much a part to play in eliminating decades-old racial disparities in cardiovascular care as their colleagues and stakeholders, Quinn Capers IV, MD, of UT Southwestern Medical Center in Dallas, suggested during his Hildner Lecture at this year's virtual scientific sessions of the Society for Cardiovascular Angiography and Interventions (SCAI).
UTHSC Team Receives $2 Million For Diabetes Pathophysiology Study
The National Institute of Diabetes and Digestive and Kidney Diseases recently awarded a team of UTHSC researchers $1.99 million for their work to advance understanding of the pathophysiology of prediabetes, diabetes, and related complications. Sam Dagogo-Jack, MD, professor of Medicine and director of the General Clinical Research Center, is a principal investigator, along with Nawajes Mandal, PhD, associate professor in the Departments of Ophthalmology, Anatomy and Neurobiology, and Pharmaceutical Sciences. Their project is titled “Ceramides and Sphingolipids as Predictors of Incident Dysglycemia.”
FDA Approves Dapagliflozin for CKD Patients
The US Food and Drug Administration has approved dapagliflozin (Farxiga; AstraZeneca) to reduce the risk of renal and cardiovascular adverse events in patients with chronic kidney disease (CKD) who are at risk of disease progression, irrespective of whether they have diabetes.

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 and please attach file or include links to the original published work and/or abstract.

Impact of Hormonal Therapies for Treatment of Hormone-Dependent Cancers (Breast and Prostate) on the Cardiovascular System
Co-authored by Tochi M. Okwuosa (with Alicia Morgans, June-Wha Rhee, Kerryn W. Reding, Sally Maliski, Juan-Carlos Plana, Annabelle Santos Volgman, Kendall F. Moseley, Charles B. Porter and Roohi Ismail-Khan)
Cardiovascular disease and cancer are the leading causes of death in the United States, and hormone-dependent cancers (breast and prostate cancer) are the most common noncutaneous malignancies in women and men, respectively. The hormonal (endocrine-related) therapies that serve as a backbone for treatment of both cancers improve survival but also increase cardiovascular morbidity and mortality among survivors.
The Association of Structural Inequities and Race with out-of-Hospital Sudden Death during the COVID-19 Pandemic
Co-authored by Jennifer H. Mieres and Robert O. Roswell (with Stavros E. Mountantonakis, Laurence M. Epstein, Kristie Coleman, Johanna Martinez, Moussa Saleh, Charlotte Kvasnovsky, Rachel-Maria Brown, et al.)
Social influencers of health (SIOH) namely race, ethnicity and structural inequities are known to affect the incidence of out of hospital sudden death (OHSD). We sought to examine the association between SIOH and the incidence of OHSD in the diverse neighborhoods of New York City (NYC) during the first wave of COVID-19 epidemic.
Rural-Urban Disparities: Diabetes, Hypertension, Heart Disease, and Stroke Mortality Among Black and White Adults
Co-authored by Eméfah C. Loccoh (with Rahul Aggarwal, Nicholas Chiu, Dhruv S. Kazi, Robert W. Yeh, and Rishi K. Wadhera)
With minimal improvement across the past 2 decades, racial disparities between Black and White patients continue to be widest with regards to mortality rates for diabetes and hypertension (HTN), with Black adults 2 to 3 times more likely to die from complications compared with their White counterparts. Ms. Loccoh was the recipient of the 2020 Dr. Richard Allen Williams & Genita Evangelista Johnson/ABC Scholarship and will start her IM residency at the Brigham and Women’s Hospital in Boston in July 2021.



Special Emphasis Notice (SEN):
AHRQ Announces Interest in Health Services Research to Advance Health Equity

The purpose of this Special Emphasis Notice (SEN) is to inform the research community of the Agency for Healthcare Research and Quality’s (AHRQ) interest in receiving health services research grant applications that propose innovative and evidence-based interventions that advance the nation’s goal of achieving equity in the delivery of healthcare services including reducing disparities in quality of care, patient safety, healthcare utilization and access, and ultimately, health outcomes.

Applicants may propose projects addressing any healthcare delivery-related topic with demonstrated health inequities, including but not limited to:
  • Maternal Healthcare Delivery
  • Primary Care Delivery
  • Prevention of Diagnostic Errors
  • Care Delivery for Persons with Multiple Chronic Conditions
  • Digital Healthcare Tools /Methods
  • Integration of SDOH and Social Needs Care within Healthcare Delivery
  • Nursing Home Care Delivery
  • Behavior and Mental Healthcare Delivery (including substance abuse)
  • Healthcare Policies (including changes in health insurance access, coverage and payment)

ACC Seeking Dynamic, Innovative Candidates for
Editor-in-Chief of New JACC: Advances Journal

The ACC is seeking dynamic and innovative candidates for the position of editor-in-chief of JACC: Advances, the newest addition to the JACC family of high-quality, peer-reviewed journals. Launching in 2022, the new, open access, general cardiology journal will be the premier source of original research and review articles aimed at advancing new and emerging areas of cardiovascular care, including congenital heart disease, pediatric cardiology, critical care cardiology, geriatrics and cerebrovascular disease.

The editor-in-chief will serve a five-year term and be responsible for identifying and leading a diverse editorial board with a shared commitment to advancing the latest research and best practices in some of the fastest growing areas of cardiovascular care. Applications are due on or before May 15.


ACC and AHA Seek Comments on Race and
Ethnic Categorization in CV Clinical Research

The American College of Cardiology (ACC) and American Heart Association (AHA) are seeking comments on a draft of the 2021 AHA/ACC Key Terms and Definitions for Race and Ethnic Categorization in Cardiovascular Clinical Research. The document aims to provide a standardized set of terms and definitions specific to the categorization of race and ethnicity in clinical trials and registries. Comments are due by Tuesday, May 18. Access the document and public response form below.


Upcoming Events

Her Heart Summit
Saturday, May 8, 2021
11 a.m. CST / 12 p.m. EST &

Join the Her Heart Summit, a national celebration of Black women’s health & sisterhood. Hear from experts and influencers, such as Jewel Bush, Chief of External Affairs at GirlTrek, and Ryan Mundy, former NFL safety for the Pittsburgh Steelers and founder of Alkeme Health. Khadijah Breathett, MD, MS, will represent ABC at the event.

Plus, tips on everything from motherhood to healthy recipes and much more.


ACC.21 All Virtual Experience:
Unmasking the Effect of COVID-19 on Heart Failure in Diverse Populations

Sunday, May 16, 2021 | 3:30 PM - 4:45 PM EST


Following the Murmurs of COVID-19 in Diverse Populations

Wednesday, May 26, 2021 | 12:00 PM - 1:30 PM EST


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