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May 16, 2019
News From Medscape
The following recommended articles on are freely available through the partnership between ABC and Medscape, no registration or login required.
Cardiologists' Pay Increases, Vast Majority Would Make Same Career Pick
Cardiologist pay is the fourth highest of all specialties in the overall Medscape Physician Compensation Report 2019 , down from third highest in 2018, covering US physicians as a whole and including almost 20,000 physicians in more than 30 specialties.
Adherence to Cardiovascular Meds Suffers When Pharmacies Shut Down for Good
Many older patients stop filling their prescriptions for statins, beta blockers, and oral anticoagulants when the pharmacy they typically use closes down, suggests an analysis based on claims data involving almost 60,000 pharmacies in the United States.
New Approaches Targeting the Microbiome in CV Disease
New findings are providing an excellent opportunity for the development of novel therapeutic strategies that target the intestinal microbiome for prevention and treatment of cardiovascular disease, a review of the field suggests.
No, Doctors Who Make Errors Are Not 'Second Victims'
Recent studies have shown that medical errors take a bitter toll on the clinicians who were involved in making those errors. In a survey of more than 3000 physicians in the United States and Canada, 92% reported previous involvement in events ranging from near misses to serious errors.
Items of Interest
The New Aspirin Guidelines: The Media Does a Disservice to Patients
By Olubadewa A. Fatunde, MD, MPH
Much media attention has been paid to the new guidelines from American College of Cardiology/American Heart Association (ACC/AHA) on the primary prevention of cardiovascular disease. Based on new clinical trial data, ACC/AHA no longer recommends that healthy adults without cardiovascular disease — emphasis on without cardiovascular disease — take daily aspirin for the primary prevention of cardiovascular disease.
Gov. Hogan Signs Law to Use Tax Return Question to Guide Marylanders To Coverage
The bill that created the “Maryland Easy Enrollment Health Program” was among more than 180 pieces of legislation passed by state lawmakers that Gov. Larry Hogan, a Republican, signed into law during a State House ceremony on Monday.
Washington State to Offer Public Health Insurance Plans, Regardless of Income, by 2021
A set of tiered public plans will cover standard services and are expected to be up to 10% cheaper than comparable private insurance, thanks in part to savings from a cap on rates paid to providers. But unlike existing government-managed plans, Washington’s public plans are set to be available to all residents regardless of income by 2021.
AMA Announces First Chief Health Equity Officer
The American Medical Association (AMA) today announced the hiring of Aletha Maybank, M.D., M.P.H., as its first ever chief health equity officer. Dr. Maybank joins the AMA after serving as deputy commissioner and founding director of the Center for Heath Equity within New York City’s public health department.
New Scientific Statement Explores Home-Based Cardiac Rehab Strategy
Co-authored by Dr. LaPrincess Brewer
Home-based cardiac rehabilitation may be a "reasonable option" for some patients as an alternative to medical center cardiac rehab, according to a joint scientific statement from the ACC, the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation published May 13 in the Journal of the American College of Cardiology.
Role of Social Media in Interventional Cardiology - The Good, the Bad, and the Ugly
Roxana Mehran talks social media and medicine with C. Michael Gibson and Robert Yeh.
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 and please attach file or include links to the original published work and/or abstract.
Influence of Baseline Anemia on Dual Antiplatelet Therapy Cessation and Risk of Adverse Events After Percutaneous Coronary Intervention
Co-authored by Roxana Mehran (with Michela Faggioni, Usman Baber, Samantha Sartori, Jaya Chandrasekhar, David J. Cohen, Timothy D. Henry, Bimmer E. Claessen, George D. Dangas, C. Michael Gibson, et al.)
Anemia is a well-recognized risk factor for both bleeding and ischemic events after percutaneous coronary intervention (PCI). We sought to determine the impact of baseline anemia on dual antiplatelet therapy (DAPT) cessation patterns ≤2 years after PCI and the subsequent risk of clinical adverse events.
Clinical Outcomes of B-Blocker Therapy in Cocaine-Associated Heart Failure
Co-authored by Adedoyin Akinlonu and Tuoyo O. Mene-Afejukua (with Persio D. Lopez, Carissa Dumancas, Mohammed Saeed, Eder H. Cativo, Ferdinand Visco, Savi Mushiyev, Gerald Pekler)
Blocker therapy is associated with improvement in the exercise tolerance and the left ventricular ejection fraction in patients with HFrEF and active cocaine use. They are also associated with a lower incidence of cocaine-related cardiovascular events and HFrEF-related readmissions.
Clinical Outcomes and Cost Comparisons of Stent and Non-Stent Interventions in Infrainguinal Peripheral Artery Disease: Insights From the Excellence in Peripheral Artery Disease (XLPAD) Registry
Co-authored by Tayo Addo, MD (with Subhash Banerjee, MD, Haekyung Jeon-Slaughter, PhD, Ehrin J. Armstrong, MD, MSc, Christopher Bajzer, MD, Mazen Abu-Fadel, MD, Houman Khalili, MD, Anand Prasad, MD, Bassel Bou Dargham, MD, et al.)
There is a growing trend for non-stent FP artery interventions, with a significant decline in 1-year target-limb revascularization rates over time. One-year limb outcomes in stent-based compared to non-stent interventions are similar; however, at a significantly higher procedural cost.

HRS 2019
HRS Urges Members to Get Aboard the Digital Health Train
An all-day summit was aimed at raising awareness of the need to find ways to deal with—and not run from—the data deluge.
HRS Releases New Expert Consensus Statement on Arrhythmogenic Cardiomyopathy
Panel of experts from 13 international societies provides state-of-the- art recommendations for the care of patients with hereditary cardiovascular disease.
New Global Consensus Statement Addresses Catheter Ablation of Ventricular Arrhythmias
Collaboration between international societies provides first updated recommendations since 2009 for the care of patients with ventricular arrhythmias.
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