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July 11, 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.
One in Four US Cardiologists Burned Out, Run Down
A concerning 27% of American cardiologists report being burned out and another 49.5% cite being under stress and having less energy in the American College of Cardiology's third Professional Life Survey. Burnout appears to peak among mid-career cardiologists with 8 to 21 years in practice, compared with fellows in training, early-career, and late-career cardiologists.
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Smoking Hikes STEMI Risk, Especially in Young Women
Smoking increases the risk for acute segment elevation myocardial infarction (STEMI) in both men and women, but female smokers have a significantly higher increased risk, compared with male smokers, especially if they are younger than 50 years, a new study suggests.
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Final CMS Decision on TAVR Reimbursement
The Centers for Medicare & Medicaid Services (CMS) has finalized an update to a national coverage decision (NCD) for transcatheter aortic valve replacement (TAVR), first set in 2012. The final decision is largely similar to the draft document released in March for public review, outlining volume requirements for qualifying personnel and TAVR programs.
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Items of Interest
Balancing Versus Integration of Motherhood and Your Career as a Female Cardiologist
By Renee Bullock-Palmer, MD
In an AHA Early Career blog post, Dr. Renee Bullock-Palmer offers some pearls of wisdom from her own experiences on being a mother and navigating a career in cardiology and makes the case for why it’s more realistic to see it as a work-life integration rather than work-life balance.
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Do Antibiotics Increase Stroke and Heart Attack Risk in Women?
Antibiotic use is associated with an increased risk for suffering a heart attack, as well as stroke, in women. The new study published in the European Heart Journal included 36,429 women who were initially free of cardiovascular disease (CVD) and cancer in the Nurses’ Health Study. According to the study results, women who used antibiotics long-term (for two months or more) in late adulthood were at a significantly increased risk of CVD compared to those who did not use antibiotics regularly late in life.
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Study Shows Inducing a Heart Attack Helps Valve Patients
A study of a procedure developed at Henry Ford Health System shows inducing a heart attack in patients with heart disease could be a viable option for patients in need of mitral valve replacement. William W. O’Neill, M.D., medical director of the Henry Ford Center for Structural Heart Disease, and Dee Dee Wang, M.D., director of structural heart imaging for the center, developed the procedure with a team of cardiologists to address an often-fatal issue in transcatheter mitral valve replacement (TMVR).
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CMS Expands Coverage for Ambulatory BP Monitoring
The Centers for Medicaid and Medicare (CMS) announced on July 2 its finalized national coverage policy for ambulatory blood pressure monitoring (ABPM)—one that extends coverage to patients with suspected masked hypertension and aligns CMS’ BP thresholds with the latest society guidelines.
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Opinion: TAVR Expansion Means More Real Choice but Also Potential for Abuse
A new era is arriving for treatment of aortic stenosis. With the updated National Coverage Determination (NCD) and evidence from PARTNER 3 showing better outcomes for low-risk patients with transcatheter aortic valve replacement (TAVR) compared to surgical replacement, TAVR will be the way for most patients going forward. While this is amazing news that will provide better options for patients, we have some concerns about the rapid growth of TAVR.
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Alternatives to Open-Heart Surgery Pushing Surgeons to Do Better
Surgeons are stepping up their game in surgical aortic valve replacement (SAVR) in part due to lessons learned in the catheterization lab, Michael Reardon, MD, of Houston Methodist DeBakey Heart and Vascular Center, had noted at a session at the TVT meeting last month on PARTNER 3 and Evolut Low Risk trial analyses.
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MGH Study Links Socioeconomic Status and Cardiovascular Disease
A recent study by Massachusetts General Hospital (MGH) discovered a link between socioeconomic status and cardiovascular risk, making clear the need to better understand the social determinants of health. The study found that individuals who lived in zip codes with lower socioeconomic status or higher crime rates were at an increased risk for a major adverse cardiac event such as a heart attack, unstable angina, heart failure, or cardiac death.
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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.
Health Care Utilization and Mortality Associated With Heart Failure-Related Admissions Among Cancer Patients
Co-authored by William Abraham and Daniel Addison (with Avirup Guha, Amit Kumar Dey, Merna Armanious, Katherine Dodd, Janice Bonsu, Hani Jneid and Michael G. Fradley)
Heart failure (HF) outcomes continue to improve with widespread use of new therapies. Concurrently, cancer survival has dramatically improved. Yet whether cancer patients share similar strategies and outcomes of inpatient HF treatment to those without HF is unknown. We sought to assess the contemporary impacts of cancer on inpatient HF outcomes over time.
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The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission report
Co-authored by Prof Shiriki K Kumanyika, PhD (with Prof Boyd A Swinburn, MD, Vivica I Kraak, PhD, Prof Steven Allender, PhD, Vincent J Atkins, Phillip I Baker, PhD, Jessica R Bogard, PhD, Hannah Brinsden, et al.)
Malnutrition in all its forms, including obesity, undernutrition, and other dietary risks, is the leading cause of poor health globally. In the near future, the health effects of climate change will considerably compound these health challenges. Climate change can be considered a pandemic because of its sweeping effects on the health of humans and the natural systems we depend on. These three pandemics—obesity, undernutrition, and climate change—represent The Global Syndemic, or synergy of epidemics, that affects most people in every country and region worldwide.
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Consumption of a Defined, Plant-Based Diet Reduces Lipoprotein(a), Inflammation, and Other Atherogenic Lipoproteins and Particles Within Four Weeks
Co-authored by Baxter D. Montgomery (with Rami S.Najjar and Carolyn E. Moore)
A defined, plant‐based diet has a favorable impact on Lp(a), inflammatory indicators, and other atherogenic lipoproteins and particles. Lp(a) concentration was previously thought to be only minimally altered by dietary interventions. In this protocol however, a defined plant‐based diet was shown to substantially reduce this biomarker.
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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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