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July 25, 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.
Hanging in the Balance: Reports Aim to Propel Obesity Care Forward
Two brief "cutting edge reports" in the July issue of Obesity propose training competencies for medical students and care standards for practitioners for treating patients with obesity, which one expert hopes will help drive the field forward.
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Gender Bias in Medicine Still Common
Unconscious gender-directed bias remains common in healthcare overall, and in interventional specialties in particular, new data suggest. The authors say such bias may help explain why women in surgery are not advancing more quickly. In a review of tests administered to nearly 43,000 healthcare professionals, including 131 surgeons, researchers found that male and female respondents alike "hold implicit and explicit biases associating men with careers and surgery and women with family and family medicine."
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Items of Interest
Neighborhood and Race Tied to Odds Kids Will Receive CPR From Bystanders
African American children from poor neighborhoods who suffer a cardiac arrest are among the least likely to receive CPR from a bystander, according to a new study that finds both neighborhood characteristics and race may play a role in who gets the life-saving intervention. Racial disparities were less pronounced in wealthier neighborhoods, researchers report in the Journal of the American Heart Association.
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Black, Older Patients Use Patient Portals Less, Study Finds
The availability of health technology, such as patient portals, may not sufficiently reduce barriers to its use among black and older patients, according to a study published in Telemedicine and e-Health. Researchers from The Ohio State University College of Medicine in Columbus examined 842 patients admitted to the six hospitals affiliated with a large, Midwestern academic medical center from July 2017 to July 2018. These patients were given access to a tablet with a patient portal. The researchers also gathered demographic information of the participants using their EHRs and inpatient surveys.
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Survey: These Are the Top Three Healthcare Tasks Patients Complete On Mobile Apps
A new survey asked 552 U.S. consumers what they use mobile apps for in healthcare. The top three tasks were scheduling appointments (70 percent of respondents), viewing lab results (52 percent) and requesting prescriptions (40 percent). SOTI, a company providing mobile and IoT device management solutions, conducted the survey in April 2019 via Survey Monkey. All respondents were between the ages of 18 and 60.
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Sacubitril/Valsartan Well-Covered, But Still Unaffordable For Many With HFrEF
The combination heart failure drug sacubitril/valsartan is well-covered under Medicare Part D plans, according to a recent analysis, but patient access to the medication remains limited by steep out-of-pocket costs that can exceed $1,600 annually. Sacubitril/valsartan, an angiotensin receptor-neprilysin inhibitor (ARNI) commonly sold under the brand name Entresto, was the first drug to show a mortality benefit for patients with heart failure with reduced ejection fraction (HFrEF) in over a decade, Colette DeJong, MD, and co-authors wrote in a research letter published in JAMA Cardiology July 10.
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Time to Ease Up on Prior Authorization for PCSK9 Inhibitors?
Now that manufacturers have slashed prices on PCSK9 inhibitors, experts gathered here at a special prevention symposium ahead of the annual Society of Cardiovascular Computed Tomography (SCCT) meeting think it’s time for payers to loosen the prior authorization protocols for the highest-risk patients, so long as physicians remain accountable for their prescribing behavior.
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Sex-Specific 'Inventory' Needed to Spot Key CVD Risk Factors in Women
From the stressors of pregnancy to unique comorbidities and societal constraints, a number of different factors should inspire a gender-specific approach to combatting cardiovascular disease in women, according to physicians gathered here at a special prevention symposium ahead of the annual Society of Cardiovascular Computed Tomography (SCCT) meeting.
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Individuals Had More Heart Attacks and Strokes When Cholesterol-lowering Drug Prescription Was Rejected or Unfilled
New research from the FH Foundation highlights that individuals at high risk for cardiovascular events, including those with familial hypercholesterolemia (FH) or atherosclerotic cardiovascular disease (ASCVD), experienced more heart attacks, strokes and other cardiovascular events when they were unable to obtain their prescribed PCSK9 inhibitor (PCSK9i), a cholesterol-lowering treatment.
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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.
Types of Sedentary Behavior and Risk of Cardiovascular Events and Mortality in Blacks: The Jackson Heart Study
Co-authored by Stephen K. Williams (with Jeanette M. Garcia, Andrea T. Duran, Joseph E. Schwartz, John N. Booth III, Steven P. Hooker, Joshua Z. Willey, Ying Kuen Cheung, Chorong Park, Mario Sims, Daichi Shimbo and Keith M. Diaz)
Previous cross‐sectional studies have shown conflicting results regarding the effects of television viewing and occupational sitting on cardiovascular disease (CVD) risk factors. The purpose of this study was to compare the association of both television viewing and occupational sitting with CVD events and all‐cause mortality in blacks.
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Distribution of Cardiovascular Health by Individual- and Neighborhood-Level Socioeconomic Status: Findings From the Jackson Heart Study
Co-authored by Kamal Henderson (with Randi E. Foraker, Christopher Bush, Melissa A. Greiner, Mario Sims, Sakima Smith, Aurelian Bidulescu, Abigail B. Shoben, N. Chantelle Hardy and Emily O'Brien)
The objective of this study was to assess the association between individual- and neighborhood-level SES and CVH among participants of the JHS (Jackson Heart Study), a community-based cohort of African Americans in Jackson, Mississippi.
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Differences in Statin Utilization and Lipid Lowering By Race, Ethnicity, and HIV Status in a Real-World Cohort of Persons With Human Immunodeficiency Virus and Uninfected Persons
Co-authored by Alana Lewis MD (with Robert A. Riestenberg BS, Andrew Furman BA, Avery Cowen BS, Anna Pawlowksi MBA, Daniel Schneider MS, Sean Kelly MD, Babafemi Taiwo MBBS, Chad Achenbach MD, et al.)
Risks for cardiovascular diseases, including myocardial infarction and stroke, are elevated in people with HIV infection (PWH). However, no trials of statin utilization with clinical cardiovascular disease (CVD) end points have been completed in PWH, and there are sparse real-world data regarding statin use and lipid-lowering effectiveness. We therefore used a unique cohort of PWH and uninfected controls to evaluate (1) differences in statin types used for PWH versus uninfected persons; (2) lipid lowering achieved by statin use for PWH versus uninfected persons; and (3) racial and ethnic disparities in appropriate statin use among PWH and uninfected persons.
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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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