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July 5, 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.
Doctor Accused of Disparaging Employer Wins Court Ruling
An endocrinologist who was fired after he allegedly made disparaging remarks about his employer, WellSpan Medical Group in York, Pennsylvania, is eligible for unemployment benefits, a state court has ruled.
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Growing Doubt, Uncertainty Over PDE5i Use in Left Heart Disease
A new INTERMACS study calls into question the off-label use of preoperative phosphodiesterase-5 inhibitors (PDE5i) to reduce the risk for right heart failure (RHF) in patients receiving a left ventricular assist device (LVAD).
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Items of Interest
AHA Awards $14M in Grants to Study Arrhythmias, Cardiac Arrest
Four universities were awarded research grants by the American Heart Association on June 24, each set to receive more than $3.7 million for a range of studies focused on arrhythmias and sudden cardiac arrest. The four grants, totaling $14 million, will explore different aspects of the field.
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New TAVR NCD a 'Missed Opportunity' to Align SAVR, TAVR Quality
The ink is not yet dry on the Centers for Medicare & Medicaid Services (CMS) updated national coverage determination (NCD) for transcatheter aortic valve replacement (TAVR), but already a group of interventionalists and surgeons is calling for a rethink of how reimbursement rules and quality metrics are applied in the setting of aortic stenosis (AS).
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FDA Must Guard Against Bias in AI, Focus On Patient Outcomes
The AMA is cautioning the Food and Drug Administration (FDA) to recognize the risks of software as a medical device (SaMD) that uses a type of augmented intelligence (AI) called machine learning. The agency should incorporate a focus on patient outcomes as a “foundational requirement” of technology development, physicians say. The AMA’s comments came in response to an FDA discussion paper that outlined a proposed framework for regulating SaMD products based on AI and machine learning (ML).
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FCC Sets July Vote on $100M Telehealth Program for Rural America
The Federal Communications Commission will soon be voting on a $100 million effort to develop new telehealth and mHealth programs for underserved populations, including rural residents and veterans. The FCC commission is expected to vote on this Connected Care Pilot Program at its July 10 meeting.
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'Alexa, Monitor My Heart': Researchers Develop First Contactless Cardiac Arrest AI System for Smart Speakers
Researchers at the University of Washington have developed a new tool to monitor people for cardiac arrest while they're asleep without touching them. A new skill for a smart speaker-- like Google Home and Amazon Alexa -- or smartphone lets the device detect the gasping sound of agonal breathing and call for help.
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Are Digital Smart Health Communities the Future of Community Care?
Healthcare delivery is increasingly moving away from the hospital and clinic and returning to community-based settings. But instead of the house calls and home births of generations past, patients are accessing a new type of community care: smart health communities. Smart health communities, a term coined in a recent report published by Deloitte, lean on a set of smart technologies to foster a sense of community among patients with similar health goals or needs.
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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.
Systolic Blood Pressure and Outcomes in Patients With Heart Failure With Reduced Ejection Fraction
Co-authored by Gurusher Panjrath MD and Gregg C. Fonarow MD (with Cherinne Arundel MD, Phillip H. Lam MD, Gauravpal S. Gill MD, Samir Patel MD, Charles Faselis MD, Michel White MD, Charity J. Morgan Ph, Dag Richard M. Allman MD, et al.)
National guidelines recommend that systolic blood pressure (SBP) in patients with heart failure with reduced ejection fraction (HFrEF) and hypertension be maintained below 130 mm Hg. This study sought to determine associations of SBP <130 HFrEF.
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Cancer Survivorship and Subclinical Myocardial Damage: The ARIC Study
Co-authored by Chiadi E Ndumele (with Roberta Florido, Alexandra K Lee, John W McEvoy, Ron C Hoogeveen, Silvia Koton, Mara Z Vitolins, Chetan Shenoy, Stuart D Russell, Roger S Blumenthal, Christie M Ballantyne, Corinne E Joshu, et al.)
Cancer survivors might have an excess risk of cardiovascular disease (CVD) resulting from toxicities of cancer therapies and a high burden of CVD risk factors. The study seeks to evaluate the association of cancer survivorship with subclinical myocardial damage, as assessed by elevated high-sensitivity cardiac troponin T (hs-cTnT) test results.
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Rationale and Design of the Randomized Prospective ATLAS Study: Avoid Transvenous Leads in Appropriate Subjects
Co-authored by Victoria Korley MD (with Blandine Mondésert MD, Jamil Bashir MD, François Philippon MD, Marc Dubuc MD, Guy Amit MD, Derek Exner MD, Jacqueline Joza MD, David H. Birnie MD, Chris Lane MD, Bernice Tsang MD, et al.)
The defibrillator lead is the weakest part of the transvenous (TV) implantable cardioverter defibrillation (ICD) system and a frequent cause of morbidity. This study will determine if using a sub-cutaneous implantable cardioverter defibrillation (S-ICD) compared to a TV-ICD reduces a primary composite outcome of perioperative complications including pulmonary or pericardial perforation, lead dislodgement or dysfunction, tricuspid regurgitation and ipsilateral venous thrombosis.
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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!

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