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May 22, 2020
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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.


Framingham Risk Score May Also Predict Cognitive Decline
Higher cardiovascular risk burden, as measured by the Framingham General Cardiovascular Risk Score (FGCRS), is associated with neurodegenerative signs in the brain and may predict cognitive decline over time.
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ACE Inhibitors Protective Against Severe COVID-19?
A new nationwide US observational study suggests that ACE inhibitors may protect against severe illness in older people with COVID-19, prompting the start of a randomized clinical trial to test the strategy. In addition, a new meta-analysis of all the available data on the use of ACE inhibitors and angiotensin-receptor blockers (ARBs) in COVID-19–infected patients has concluded that these drugs are not associated with more severe disease and do not increase susceptibility to infection.
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Inflammation, Thrombosis Biomarkers Tied to COVID-19 Deaths
Biomarkers for inflammation and thrombosis may predict deaths from COVID-19 among critically ill patients, researchers say. Their prospective cohort study of 1150 patients hospitalized with the disease in New York City also revealed a high proportion of racial and ethnic minorities, and confirmed high rates of critical illness and mortality.
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Large COVID-19 Dataset: Kidney Injury in >35% of Those in Hospital
As a new report shows that over a third of US patients hospitalized with COVID-19 developed acute kidney injury (AKI), and nearly 15% of these patients needed dialysis, experts in the field are calling for more robust research into multiple aspects of this increasingly important issue. Among 5449 patients admitted to 13 Northwell Health New York-based hospitals between March and April 2020, 36.6% (1993) developed AKI.
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AHA Advice on Prehospital Acute Stroke Triage Amid COVID-19
The American Heart Association (AHA)/American Stroke Association (ASA) has developed a "conceptual framework" to assist emergency medical service (EMS) providers and in-hospital triage teams handle suspected cases of acute stroke during the ongoing COVID-19 crisis and future pandemics. A key goal is to ensure timely transfer of patients while minimizing the risk of infectious exposure for EMS personnel, coworkers, and other patients, the writing group says.
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ABC's recent webcast has been uploaded and posted for viewing. Watch this webinar featuring heart-wrenching and powerful COVID-19 survivor stories as well as a comprehensive discussion on the scientific, clinical, therapeutic, and psychosocial facets of COVID-19 and racial/ethnicity.



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Items of Interest


Association of Black Cardiologists Shares COVID-19 Resources for Patients, Providers
The Association of Black Cardiologists (ABC) has shared resources for patients and healthcare providers focused on COVID-19’s impact on black communities and other underserved patient populations. The resources include multiple FAQ documents, a webinar and other helpful information. A full list of patient resources from the ABC is available here.
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HIGH PROFILE: Dr. Joe Louis Hargrove Inspires Generations of Future Physicians
The award — a majestic African sculpture with an engraved plaque on its base — adorns the conference room and library of the Cardiology & Medicine Clinic. It’s here where Joe Hargrove, MD practices medicine along with his wife, Dr. Frances Harris, and his fellow cardiologist Anthony Fletcher, MD, in midtown Little Rock. Hargrove is the latest recipient of the National Medical Fellowships’ Lifetime Achievement Award, which he was presented Oct. 30 at the Champions of Health Awards in Atlanta. The National Medical Fellowships’ mission is to provide scholarships and support for underrepresented minority students in medicine and other health professions.
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The Black American Amputation Epidemic
One of the clearest ways to trace health disparities is by looking at amputations from diabetes: across the country, black patients are three times more likely to lose their limbs. The rates are worse in the South. ProPublica investigative reporter Lizzie Presser goes to Mississippi to interview Foluso Fakorede, MD, about this issue.
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Doctor on Mission to Stop Preventable Amputations in Diabetic Black Americans
Research shows amputations happen more frequently among black patients with diabetes in the rural Southeast, often three-to-four times the national average. Foluso Fakorede, MD, says patients are often unaware of other treatment options before undergoing surgery.
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CMS Gives Guidance on Unlocking Nursing Homes
This week, federal health officials released a complex, three-phase guideline they hope will enable nursing homes to safely reopen their doors to residents' family and friends who have been barred from visiting since mid-March because of the threat of transmitting COVID-19. COVID-19 facility level infection, death rates go public later this month.
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Mistakes to Avoid as You Reopen Your Physician Practice
Safely reopening a physician practice requires patience and planning. Vigilance is also needed to avoid potential pitfalls that could erase progress that had been won by taking carefully measured steps during the COVID-19 pandemic. An AMA checklist designed to help physicians manage the safe reopening of their practices emphasizes new precautions that must be taken to protect patients, clinicians and staff from COVID-19 as in-person care resumes or becomes more routine.
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Black, Hispanic Congregations Dealing With COVID-19 Health, Economic Disparities
In the pandemic hotspot of New Orleans, Franklin Avenue Baptist Church Senior Pastor Fred Luter has instituted socially distanced wakes in advance of funerals, having lost seven church members to the coronavirus. While COVID-19 has impacted all sectors of the U.S. population, studies show African American and Hispanic communities have suffered disproportionate tolls in death, illness and loss of income. Researchers link the disparities to long-term racial inequities in health care and employment. In planning to resume onsite worship services, Southern Baptist churches serving blacks and Hispanics must cope with disparities while protecting their congregations' health and maintaining revenue.
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COMMENTARY: VICTORIA PIs See Vericiguat as 'A Win' for Patients With High-Risk Heart Failure With Reduced Ejection Fraction
Ileana L. Piña, MD, MPH, speaks with two principal investigators of the VICTORIA trial, Paul W. Armstrong, MD and Christopher M. O'Connor, MD, to get the details on vericiguat, an investigational guanylate cyclase stimulator that may open up a new treatment pathway for high-risk heart failure.
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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.


Summary of Updated Recommendations for Primary Prevention of Cardiovascular Disease in Women
Co-authored by Kelly Epps (with Leslie Cho, Melinda Davis, Islam Elgendy, Kathryn J. Lindley, Puja K. Mehta, Erin D. Michos, Margo Minissian, Carl Pepine, Viola Vaccarino, Annabelle Santos Volgman and for the ACC CVD Womens Committee Members)
Cardiovascular disease (CVD) remains the leading cause of morbidity and mortality for women in the United States and worldwide. There has been no American College of Cardiology (ACC)/American Heart Association guideline update specifically for the prevention of CVD in women since 2011. The ACC CVD in Women Committee undertook a review of the recent guidelines and major studies to summarize recommendations pertinent to women. In this update, the authors address special topics, particularly the risk factors and treatments that have led to some controversies and confusion. Specifically, sex-related risk factors, hypertension, diabetes, hyperlipidemia, anticoagulation for atrial fibrillation, use of aspirin, perimenopausal hormone therapy, and psychosocial issues are highlighted.
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Healthy People 2020 Health Disparities Data Widget
The Office of Disease Prevention and Health Promotion (ODPHP), National Center for Health Statistics (NCHS) and the Office of Minority Health (OMH) are pleased to announce the release of a new HealthyPeople.gov data search function. The Health Disparities widget is a new way for you to access this health disparities information. The new widget provides an easy way to find health disparities data related to the Healthy People 2020 objectives for the Leading Health Indicators (LHIs).
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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


This new video from the Partnership to Advance Cardiovascular Health encourages cardiovascular and diabetes patients to consider telemedicine and to ask their health care provider how it can work for them. Please share!

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Work with nationally recognized research experts and learn more about clinical trial research in ACC’s newly expanded Clinical Trials Research: Upping Your Game Program. Apply for this opportunity by May 30.

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Job Opening | Assistant/Associate Professor of Cardiology

The Department of Medicine, Division of Cardiology at the Morehouse School of Medicine is seeking a BC/BE interventional cardiologist at the assistant or associate professor level.

This position includes practice in a facility with state of the art invasive/interventional and noninvasive laboratories, the region’s only Level 1 Trauma Center and cardiology fellowship training program. Qualified applicants should possess outstanding clinical and interpersonal skills with commitment to teaching and research. Additional skills in echocardiography, nuclear and peripheral imaging is desirable.

Interested applicants should email or send CV to:

Anekwe Onwuanyi, MD, FACC, FHFSA
Chief, Division of Cardiology
720 Westview Drive, S.W.
Atlanta, Georgia 30310
Email: aonwuanyi@msm.edu
Phone: (404) 616-8804

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The National Heart, Lung, and Blood Institute's PRIDE Summer Institute is now accepting applications! There are nine mentored research training programs offering career advancing opportunities for junior-level faculty and research scientists from diverse backgrounds.
Rolling admission until all positions are filled.
**PRIDE is still recruiting for Summer 2020. We are currently working out how to hold sessions if we are unable to do so onsite due to COVID-19. The programs will carry-on. If you are interested you may still apply.

APPLY TODAY


Upcoming Events




Corona-Talks: On the Front Lines of Your Health Webinar
On Thursday May 28th, 2 - 3pm, Join Anoko House, Columbia University - Black Alumni Council (BAC), the Association of Black Cardiologists and the National Minority Quality Forum for a candid conversation with world renowned physicians and medical experts about health disparities, vaccines and solutions on the horizon.

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WEBINAR | BIOSIMILARS: THE NEXT FRONTIER
The Value & Innovation Forum, a Steering Committee comprised of representatives from the Alliance of Community Health Plans, Association of Black Cardiologists, Caregiver Action Network, National Forum for Heart Disease & Stroke Prevention, National Osteoporosis Foundation and the Patient Advocate Foundation invite you to participate in a webinar on June 2, 2020, from 12:00-1:00 pm EDT.

Come join us for an hour of interesting discussion about the “rebate wall” controversy in biosimilars, a patient perspective, and where the FDA is headed next.

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NMA continues to monitor the evolving impacts of the COVID-19 pandemic. As of April 1st, 2020, NMA Annual Convention and Scientific Assembly remains scheduled for August 1–5 in Atlanta.



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