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August 22, 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.
Artificial Intelligence Detects 'Hidden' AFib During Normal Sinus Rhythm
An artificial intelligence (AI) model may identify patients with intermittent atrial fibrillation (AF), even when performed during normal sinus rhythm, in as little as 10 seconds, a new study suggests. Investigators analyzed data from almost 650,000 sinus rhythm electrocardiograms (ECGs) in more than 180,000 adults between December 1993 and July 2017, dividing the ECGs into three groups: training (70%), internal validation (10%), and testing (20%). The testing group used an AI-enabled ECG designed to recognize subtle changes using specially trained neural network technology.
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Doctors Need to Move Beyond Medical Societies, Eric Topol Says
"I'm trying to launch an idea," Eric J. Topol, MD, said about his commentary published in The New Yorker earlier this week. The idea? It's time for doctors to organize themselves to restore the "essence" of medicine, which is the sanctity of the doctor-patient relationship. Topol, a practicing cardiologist at Scripps in La Jolla, California, and Medscape's editor-in-chief, said he intends for the article to challenge medical societies, which, for all the good they do, can sometimes lose focus on that core relationship in favor of the bottom line.
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Take Diabetes to Heart: New Subspecialty of Cardiometabolic Medicine?
The epidemic of obesity, cardiovascular disease, and type 2 diabetes has prompted a call for a new internal medicine subspecialty: cardiometabolic medicine. As proposed, the field would include elements of endocrinology, cardiology, and primary care and would address the needs of a large patient population that is now being seen by multiple specialists.
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New Alzheimer's Blood Test 94% Accurate
A new blood test to detect brain changes emblematic of early Alzheimer's disease (AD) has moved one step closer to reality and could be a "game changer" for the field. Researchers found that measuring the ratio of β-amyloid (Aβ) 42 and Aβ40 in blood using a high-precision assay is 94% accurate in diagnosing brain amyloidosis, using amyloid PET or CSF phosphorylated (p-tau) 181/Aβ42 as reference standards.
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Items of Interest
mHealth Researchers Look to Make the Selfie a Health Resource
mHealth researchers are working on a digital health tool that will allow care providers to determine a patient’s blood pressure through the smartphone selfie. While still very early in development, the mHealth technology - using Transdermal optical imaging - could add to the diagnostic capabilities of mobile devices like a smartphone or tablet, giving clinicians more opportunities to collect data outside of the hospital or doctor’s office and in remote patient monitoring programs.
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  ROX HEART RADIO
Apple Heart Study, Wearables, and What Lies Ahead
ABC Member Roxana Mehran talks with David Albert, Bray Patrick-Lake, Renato Lopes, and Deepak Bhatt about wearable devices and what’s ahead.
Cardiac Device Implantation Complications Vary According to Institution
In patients receiving cardiovascular implantable electronic devices (CIEDs), complications are common, and rates of complications vary across institutions, according to study results published in the Annals of Internal Medicine. The results also indicated that most CIED complications occur with permanent pacemakers (PPMs).
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Nearly Half of Sudden Cardiac Death Victims Had Prior, Undetected MI
A recent study of autopsy data in Finland suggests nearly half of individuals who experience sudden cardiac death (SCD) without a prior diagnosis of coronary artery disease (CAD) actually had a history of silent MI (SMI)—but that history wasn’t detected until after their deaths.
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Fast Food Availability Linked With More Heart Attacks
Areas with a higher number of fast food restaurants have more heart attacks, according to research presented at the Cardiac Society of Australia and New Zealand (CSANZ) 2019 Annual Scientific Meeting. The study also found that for every additional fast food outlet, there were four additional heart attacks per 100,000 people each year. According to study author, “Previous studies have shown that the poor nutritional value, high salt and saturated fat in fast food is connected to heart disease, yet the role of greater access to these restaurants has been less clear.”
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Racism Influences Medical Students' Decision on Practicing in Minority or Underserved Communities
A longitudinal study of 3,756 U.S. medical students provides evidence that racism in medical schools influenced their decisions on whether to practice in minority or underserved communities. Researchers surveyed students at 49 unidentified U.S. medical schools in their first semester and again in their final semester. The publication is the latest of more than 30 articles to present findings from the Medical Student Cognitive Habits and Growth Evaluation Study (CHANGES), the first longitudinal survey study of the effects of medical education on students' biases and attitudes over time.
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Is Your Physician Colleague At Risk For Suicide? Signs to Look For
Two-thirds of people who attempt suicide do so after having seen a physician within the previous month. It’s a strong statement about the importance of being alert for telltale signals. That extends to high-risk individuals who aren’t patients, but who many physicians see every day—their colleagues. Recently released CME covering suicide screening and prevention for patients also addresses what physicians should look for among their colleagues—and themselves—to reduce the chances of suicide. The CME video, “Identifying and Responding to Suicide Risk,” is designated by the AMA for one AMA PRA Category 1 Credit™.
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.
Longitudinal Associations Between Self-Reported Experiences of Discrimination and Depressive Symptoms in Young Women and Men Post-Myocardial Infarction
Co-authored by Kobina Wilmot and Tené T. Lewis (with Ryan Saelee, Viola Vaccarino, Samaah Sullivan, Muhammad Hammadah, Amit Shah, Naser Abdelhadi, Lisa Elon, Pratik Pimple, Belal Kaseer, Oleksiy Levantsevych and J.D. Bremner)
Research suggests that following a myocardial infarction (MI), women under the age of 60 have more elevated depressive symptoms and adverse outcomes than similarly aged men. Identifying risk factors that contribute to gender differences in depressive symptoms among this group may be critical to the development of psychosocial interventions. Experiences of discrimination may be an important correlate of depressive symptoms in this group; however, studies of this relationship have largely been cross-sectional and focused on healthy populations. This study examines longitudinal associations among gender, discrimination, and depressive symptoms in a young post-MI cohort.
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Inappropriate Left Ventricular Mass and Cardiovascular Disease Events and Mortality in Blacks: The Jackson Heart Study
Co-authored by Lead Author D. Edmund Anstey, Marwah Abdalla, and Gbenga Ogedegbe (with Rikki M. Tanner, John N. BoothIII, Adam P. Bress, Keith M. Diaz, Mario Sims and Paul Muntner)
Left ventricular hypertrophy (LVH) is associated with an increased risk for cardiovascular disease (CVD) events and all‐cause mortality. Many individuals without LVH have a left ventricular mass that exceeds the level predicted by their sex, body size, and cardiac workload, a condition called inappropriate left ventricular mass (iLVM). We investigated the association of iLVM with CVD events and all‐cause mortality among blacks.
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Stability After Initial Decline in Coronary Revascularization Rates in the United States
Co-authored by Ahmad Younes, MD (with Sajjad Raza, MD, Salil V. Deo, MD, Ankur Kalra, MD, Aisha Zia, MD, Salah E. Altarabsheh, MD, Vaishali S. Deo, et al.)
It remains uncertain how advances in revascularization techniques, availability of new evidence, and updated guidelines have influenced the annual rates of coronary revascularization in the U.S. The Nationwide Inpatient Sample data from 2005 to 2014 was used with appropriate weighting to determine national procedural volumes.
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When and How Should We Revascularize Patients With Atherosclerotic Renal Artery Stenosis?
Co-authored by Marloe Prince MD (with Jose D. Tafur, MD and Christopher J. White MD)
Atherosclerotic renal artery stenosis is the leading cause of secondary hypertension and may lead to resistant (refractory) hypertension, progressive decline in renal function, and cardiac destabilization syndromes (pulmonary edema, recurrent heart failure, or acute coronary syndromes) despite guideline-directed medical therapy. Because of limitations of conventional angiography, it is critical that the hemodynamic severity of moderately severe (50% to 70%) atherosclerotic renal artery stenosis lesions be confirmed on hemodynamic measurement. The authors review techniques to optimize patient selection, to minimize procedural complications, and to facilitate durable patency of renal stenting. The authors also review the current American College of Cardiology and American Heart Association guidelines and the Society for Cardiovascular Angiography and Interventions appropriate use criteria as they relate to renal stenting.
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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
NHLBI Seeking exceptional candidates. Scientific excellence. Passion for leading change & leading people.
Send CV to lhellinger@nhlbi.nih.gov.
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ABC Members Speaking for Named Lectures
at ESC Congress 2019

George A. Mensah, MD (Bethesda, USA)
Saturday 31 August | 13:05


The 2019 Bongani Mayosi Memorial Lecture:
Cardiovascular health research, training, and capacity building in low-income and middle-income countries


Roxana Mehran, MD (New York, USA)
Monday 2 September | 15:50


ESC Andreas Grüntzig Lecture
on Interventional Cardiology:

The evolution of dual antiplatelets therapies/antithrombotic regimens in interventional cardiology: A thirty year journey


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Upcoming Events
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Richard Allen Williams, M.D., FACC, FAHA, FACP, President
Past President of the National Medical Association

Presents


The 3rd Annual Minority Health Summit and Networking Luncheon
Theme: “Black Health Matters: DO YOU CARE?”

Thursday, September 12, 2019
10:00 a.m. - 2:00 p.m.

Renaissance Washington, DC Downtown Hotel
999 9th Street NW, Washington, DC 20001

Sponsored by




Tax deductible contribution: $65 per person

Visit here to purchase tickets


Featuring presentations by thought leaders on:
African-American Medical School Enrollment Crisis
Mental Health Care
Chronic Kidney Disease
Obesity Epidemic
Hypertension and Heart Disease
HIV/AIDS
Sickle Cell Anemia
Opioid Drug Crisis Is Killing More Blacks
Healthcare Reform


Several public officials and attendees of the Congressional Black Caucus Foundation's 49th Annual Legislative Conference will be present.

Tax deductible contribution: $65 per person

Visit here to purchase tickets


For more information, please email mhinst3425@gmail.com.


Policy Pulse
Dinner Program


Fri, Oct 11 2019
6:00 PM PST


InterContinental Los
Angeles Downtown
Fall Symposium
“Current Trends in Cardiovascular and Cardio-metabolic Disease Prevention, and Updates in Cardiac Devices and Advanced Cardiac Failure”

Sat, Oct 12 2019
8:00 AM - 1:00 PM PST


InterContinental Los
Angeles Downtown
10th Annual Spirit of the Heart Awards Program

Sat, Oct 12 2019
6:00 PM PST


InterContinental Los
Angeles Downtown

ACCOMMODATIONS

InterContinental Los Angeles Downtown
900 Wilshire Blvd
Los Angeles, CA 90017





THE WAIT IS OVER: SEE WHAT TCT 2019 HAS TO OFFER!

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Mark your calendar: The 14th Annual Cardiometabolic Health Congress is right around the corner!
Combined, diabetes, obesity, and insulin resistance are the most common cause of preventable death in the United States--responsible for millions of deaths and more than $600 billion in health care costs. As the largest, US-based, multidisciplinary conference centered on the management and prevention of cardiovascular and metabolic disease, CMHC is a can’t-miss event for health care practitioners committed to joining the fight against cardiometabolic disease.





Friday, October 11
Cardiovascular Mechanisms and Safety of Established and Emerging Peptide Therapies
Keynote: Daniel J. Drucker, MD


FDA Update and Late Breaking Trials
Christie M. Ballantyne, MD; Deepak L. Bhatt, MD, MPH; Robert H. Eckel, MD; Keith C. Ferdinand, MD; Jay S. Skyler, MD


Saturday, October 12
Treatment of High-Risk Patients with CVD and Elevated TGs: REDUCE-IT and Beyond
Deepak L. Bhatt, MD, MPH


Sunday, October 13
NASH/NAFLD
Christos S. Mantzoros, MD, DSc


Through our partnership with CMHC and mutually aligned goals, we are offering an exclusive discount to our network. Insert coupon code ABC19 to save $100 on your registration!



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