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June 13, 2019
News From Medscape
The following recommended articles on are freely available through the partnership between ABC and Medscape, no registration or login required.
Reassurance on TAVR for Bicuspid Valves
TAVR has become the established treatment for aortic stenosis in patients at increased surgical risk, and recent trials in patients at low surgical risk have also shown impressive results, with the transcatheter procedure now likely to become standard treatment for aortic stenosis patients of all risks.
Medicaid Expansion Linked to Lower CV Mortality
Recent Medicaid expansion is associated with lower cardiovascular mortality in middle-aged adults, a new study suggests. The study examined differences in cardiovascular mortality before and after the Medicaid expansion in 2014 and compared results in states that accepted the expansion with those that didn't.
How Can Physicians Use Their Voices to Make an Impact on Healthcare?
Dr Alok Patel, at the Society of Hospital Medicine Conference, speaks with Jennifer Bell, who has 20 years of experience lobbying and is one of the founding members of healthcare lobbying firm Chamber Hill.
Items of Interest
New Treatment Options for Transthyretin Cardiac Amyloidosis: What do I need to know?
By Renee Bullock-Palmer, MD
There has been an increasing awareness of the presence of cardiac amyloidosis (CA) in patients presenting with heart failure with preserved left ventricular ejection fraction (HFpEF). The clinical features suggestive of CA are recurrent heart failure with preserved ejection fraction (HFpEF) and restrictive left ventricular filling of unclear etiology.
Mobile Health Technology: Pathway To Medication Optimization
Read this University of South Florida (USF) College of Pharmacy's blog post authored by ABC Board of Director and USF College of Pharmacy's Dean, Kevin Sneed, PharmD, CRPh.
Meharry Medical College to Launch New Center for the Study of Social Determinants of Health
Meharry Medical College, the nation’s largest private, independent historically black academic health sciences center, has announced that it will launch the Meharry Center for the Study of Social Determinants of Health.
ACC Joins Coalition in Support of New Prior Authorization Legislation
Bipartisan legislation announced on June 5 would protect patients from unreasonable prior authorization requirements that delay or deny access to care. The Regulatory Relief Coalition – a coalition of eight national medical societies, including the ACC – is supporting the bill.
Kentucky Proposes Medicaid Coverage for School-Based Care Access
The state governor announced this week that the Cabinet for Health and Family Services (CHFS) and the Kentucky Department of Education (KDE) submitted the amendment to CMS in late April, seeking to expand patient access to care services within their schools.
New Science Advisory Discusses Innovation to Create a Healthy And Sustainable Food System
A science advisory from the American Heart Association describes system-wide innovations to the U.S. food system that are sustainable and have the potential to make it easier for consumers to choose healthy foods. The advisory is published in the American Heart Association journal Circulation.
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.
Incremental risk of cardiovascular disease and/or chronic kidney disease for future ASCVD and mortality in patients with type 2 diabetes mellitus: ACCORD trial
Co-authored by Mary Branch (with Charles German, Alain Bertoni and Joseph Yeboah)
Cardiovascular disease (CVD) and chronic kidney disease (CKD) are complications of type 2 diabetes mellitus (DM). Current cholesterol guidelines recommend the same prevention strategy for patients with DM alone as patients with DM + CKD. However, the incremental risk of these common complications for incident cardiovascular disease and mortality has not been well studied.
Type 2 Diabetes Mellitus and Heart Failure: A Scientific Statement From the American Heart Association and the Heart Failure Society of America
Co-authored by Ileana L. Piña (with Shannon M. Dunlay, Michael M. Givertz, David Aguilar, Larry A. Allen, Michael Chan, Akshay S. Desai, Anita Deswal, Victoria Vaughan Dickson, Mikhail N. Kosiborod, Carolyn L. Lekavich, et al.)
Type 2 diabetes mellitus is a risk factor for incident heart failure and increases the risk of morbidity and mortality in patients with established disease. Secular trends in the prevalence of diabetes mellitus and heart failure forecast a growing burden of disease and underscore the need for effective therapeutic strategies.
The effect of EDTA-based chelation on patients with diabetes and peripheral artery disease in the Trial to Assess Chelation Therapy (TACT)
Co-authored by Gervasio A. Lamas (Francisco Ujueta, Ivan A. Arenas, Esteban Escolar, Denisse Diaz, Robin Boineau, Daniel B. Mark, Patrick Golden, Lauren Lindblad, Hwasoon Kim, Kerry L. Lee)
In these analyses it was further studied the effect size of patients with diabetes and severe disease in 2 vascular beds; coronaries, and lower extremity arteries. The team questioned whether greater atherosclerotic burden would attenuate the observed beneficial effect of edetate disodium infusions.
Papillary fibroelastoma on the aortic valve presenting as multiple cardiac arrests from electrical storm due to ischemia in patient without previous cardiac history
Co-authored by Nene Ugoeke MD (with Obiora Maludum, MD, Hetavi Mahida, MD, Firas Ajam, MD, Anas Alrefaee, MD, Dawn Calderon, DO, Jay Stone, MD, and Richard Neibart, MD)
The prevalence of primary cardiac tumors varies from 0.02% to 0.45%. Cardiac papillary fibroelastoma (PFE) is a benign endocardial papilloma. It is considered the second most prevalent primary cardiac tumor after myxoma and the most prevalent valvular tumor.
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