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September 13, 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.
No Survival Benefit with Myocardial Viability After CABG: STICH
Myocardial viability (MV) does not appear to confer greater long-term survival benefit of coronary artery bypass grafting (CABG) in patients with ischemic cardiomyopathy, a follow-up of the STICH trial suggests. Researchers studied 601 patients who had coronary artery disease (CAD) amenable to CABG and a left ventricular ejection fraction (LVEF) of 35% or lower.
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'Sweet Spot' of Optimal Compressions, Depth Identified in CPR
New research has identified the optimal combination of chest compression rate (CCR) and chest compression depth (CCD) when performing cardiopulmonary resuscitation (CPR) to improve survival rates. A team of researchers analyzed data on more than 3600 patients who had experienced an out-of-hospital cardiac arrest and for whom CCR and CCD had been simultaneously recorded. They found that the optimal CCR-CCD combination was 107 compressions per minute with a depth of 4.7 cm.
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CVD Risk for Ex-Smokers May Linger a Decade or More
The risk of cardiovascular disease (CVD) for former smokers doesn't reach that of people who have never smoked until up to 15 years after quitting, new research has demonstrated. "The conventional wisdom is that the risk goes away within 5 years," lead author Meredith S. Duncan, MA, database administrator, division of cardiovascular medicine, and a PhD candidate, department of epidemiology, Vanderbilt University, Nashville, Tennessee, told theheart.org | Medscape Cardiology.
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Items of Interest
UC Berkeley Student Uses Grant To Conduct Heart Research, Create Summer Program
Maha Siddiqui, a rising campus junior who studies molecular and cell biology at UC Berkeley, received a $10,000 grant from the Projects for Peace initiative to work on heart disease research and enrichment programs for underserved high school students during this summer. Siddiqui conducted research by using heart disease screenings on patients, created a free high school medical summer program and started developing a nonprofit organization to encourage more students in San Joaquin County to pursue a pre-med career path.
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NIH/NIMHD Renews Five-Year Grant to University of Miami School of Nursing and Health Studies
The National Institutes of Health/National Institute on Minority Health and Health Disparities (NIH/NIMHD) has awarded a competitive five-year renewal grant totaling $1.35 million to the University of Miami School of Nursing and Health Studies (SONHS) to educate a new generation of health disparities scientists from different backgrounds and help create a culturally competent health care workforce. This is crucial because of the current shortage of Hispanic, Black, and Native American researchers in the health professions.
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CAC May Progress During Menopause With Certain Hormone Therapy
Hormone therapy formulations have different impacts on epicardial and paracardial adipose tissue in women who have recently entered menopause, according to a new analysis. In fact, the researchers determined that while transdermal 17β‐estradiol may increase the progression of coronary artery calcification (CAC) associated with paracardial adipose tissue accumulation, oral conjugated equine estrogens may slow epicardial adipose tissue accumulation.
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The Upshot: Which Health Policies Actually Work? We Rarely Find Out
There’s surprisingly little rigorous research on programs like Medicaid and Medicare. The United States spends a tremendous amount on health care, but very little of it learning which health policies work and which don’t. In fact, less than 0.1 percent of total spending on American health care is devoted to evaluating them. As a result, there’s a lot less solid evidence to inform decision making on programs like Medicaid or Medicare than you might think.
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Commentary: Reducing Racial Inequities in Health: Using What We Already Know to Take Action
This paper provides an overview of the scientific evidence pointing to critically needed steps to reduce racial inequities in health including developing communities of opportunity to minimize some of the adverse impacts of systemic racism, addressing patients’ social needs as part of healthcare delivery, and diversifying the healthcare workforce to more closely reflect the demographic composition of the patient population. The paper also calls for new research to identify the optimal strategies to build political will and support to address social inequities in health, and among other things, enhance the capacity of individuals and communities to actively participate in intervention efforts.
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ViewPoint: Time for Neurologists to Drop the Reflex Hammer on Hypertension
The link between hypertension and stroke is well established, and high blood pressure remains the most common modifiable risk factor for stroke. It is necessary to ensure that hypertension management becomes a dedicated part of neurology education and is reflected in training and board examinations. This Viewpoint advocates for neurologists to address hypertension, including providing preventive care.
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Top Seven Disruptive Trends That Will Shape Healthcare in 2020
Innovaccer CEO Abinav Shashank highlights healthcare policy and payment changes that will have major impacts across the industry, progressing from price to value, including value-based initiatives, patient health accountability and other updates in healthcare this year that merit a special focus.
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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™.

September is National Suicide Prevention Awareness Month
Septemger 9 – September 15 is National Suicide Prevention Week
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.
Association of Change in N-Terminal Pro–B-Type Natriuretic Peptide Following Initiation of Sacubitril-Valsartan Treatment With Cardiac Structure and Function in Patients With Heart Failure With Reduced Ejection Fraction
Co-authored by Ileana L. Piña, MD, MPH (with James L. Januzzi Jr, MD; Margaret F. Prescott, PhD; Javed Butler, MD, MPH, MBA; G. Michael Felker, MD, MHS; et al.)
In this exploratory analysis of patients with HFrEF treated with sacubitril-valsartan In patients with heart failure and reduced ejection fraction (HFrEF), treatment with sacubitril-valsartan reduces N-terminal pro–b-type natriuretic peptide (NT-proBNP) concentrations. The effect of sacubitril-valsartan on cardiac remodeling is uncertain.
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Reproducibility of Semi-Automated Three-Dimensional Volumetric Analysis Using Cardiac Computed Tomography in Patients With Left Ventricular Assist Device
Co-authored by Selma F. Mohammed (with Gauravpal S. Gill, Gaby Weissman, Yael F. Meirovich, Diego Medvedofsky, Ron Waksman, and Hector M. Garcia-Garcia)
Multi-detector gated cardiac computed tomography (CCT) allows three-dimensional (3D) quantification of cardiac chambers and is clinically indicated to assess left ventricular assist device (LVAD) malfunction and complications. Automated volumetric analysis is, however, disrupted by inflow cannula artifact in patients with LVAD. With this study, we evaluated intra-observer variability in semi-automated 3D cardiac volumetric analysis using CCT in patients with LVADs.
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Role of Coronary Artery Calcium for Stratifying Cardiovascular Risk in Adults With Hypertension
Co-authored by Matthew J. Budofff and Garth Graham (with S. M. Iftekhar Uddin, Mohammadhassan Mirbolouk, Sina Kianoush, Olusola A. Orimoloye, et al.)
We examined the utility of coronary artery calcium (CAC) for cardiovascular risk stratification among hypertensive adults, including those fitting eligibility for SPRINT (Systolic Blood Pressure Intervention Trial). Additionally, we used CAC to identify hypertensive adults with cardiovascular disease (CVD) mortality rates equivalent to those observed in SPRINT who may, therefore, benefit from the most intensive blood pressure therapy.
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Coronary Artery Calcium Scoring in Low Risk Patients With Family History of Coronary Heart Disease: Validation of the SCCT Guideline Approach in the Coronary Artery Calcium Consortium
Co-authored by Matthew J. Budoff and Garth Graham (with Ramzi Dudum, Omar Dzaye, Mohammadhassan Mirbolouk, Zeina A. Dardari, Olusola A. Orimoloye, et al.)
The Society of Cardiovascular Computed Tomography (SCCT) recommends consideration of coronary artery calcium (CAC) scoring among individuals with a family history (FH) of coronary heart disease (CHD) and atherosclerotic cardiovascular disease (ASCVD) risk <5%. No dedicated study has examined the prognostic significance of CAC scoring among this population.
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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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ABC Member CME Event
UCSF Division of Cardiology at Zuckerberg San Francisco
General Hospital and Trauma Center Seeks Chief

The University of California San Francisco (UCSF) Department of Medicine at Zuckerberg San Francisco General Hospital and Trauma Center (ZSFG) seeks an outstanding leader for its Division of Cardiology. The Division is comprised of 15 MD faculty, 2 PhD faculty and clinical/research staff.

The position is for a Chief who has a demonstrated commitment to science, education and clinical practice, the ability to lead a diverse group and work with hospital partners using a collaborative approach, success in promoting or producing scholarship and funding, and the ability to mentor young academic clinicians. Successful candidates must demonstrate exceptional leadership, administrative and organizational skills and have national stature in academic Cardiology. Board-certification in Cardiology is required. An understanding of and commitment to the safety net population is also crucial.

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ABIM Calling for Board and Committee Nominations

Help Shape the Future of Board Certification. Please consider nominating a colleague or applying yourself to join an ABIM board or committee.

The Cardiovascular Board for the American Board of Internal Medicine (ABIM) is seeking four new member(s) for the Specialty Board next year. Priorities for candidates are an adult congenital heart disease physician, allied health professional with deep expertise in cardiology, a general cardiologist with experience in a large academic or non-academic healthcare system and an interventional cardiologist.

The submission deadline has been extended to September 30, 2019.

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NHLBI Seeking exceptional candidates. Scientific excellence. Passion for leading change & leading people.
Send CV to lhellinger@nhlbi.nih.gov.
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Call-To-Action

September is PAD Awareness Month!

Today, nearly 20 million Americans are living with peripheral artery disease (PAD) and an estimated 200,000 of them – disproportionately from minorities communities – suffer avoidable amputations every year.

Fortunately, lawmakers in Congress are taking action. Representatives Donald M. Payne, Jr. (D-NJ-10) and Gus Bilirakis (R-FL-12) have worked together to establish the first Congressional PAD Caucus to educate Congress and communities about PAD while supporting legislative activities to improve PAD research, education, and treatment, with the goal of preventing non-traumatic amputations due to PAD and other related diseases.

In honor of PAD Awareness Month, ask your Member of Congress to raise #PADAwareness by becoming a member of the Congressional PAD Caucus.

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ABC Job Opening | Research Coordinator

The Association of Black Cardiologists (ABC), is a nonprofit organization whose mission is to reduce the burden of cardiovascular disease among minority populations and abolish disparities in healthcare outcomes in all people of color with a particular emphasis on the African-American population. The ABC is actively involved in research and seeks to hire a certified clinical research coordinator who will avidly engage in the broad breadth of research activities that are underway and under consideration at the ABC. This individual will work under the supervision of ABC investigators, Research Committee Chair, and the Chief Science Officer.

The research coordinator must be familiar with the various aspects of study design, clinical trial operations, study site management, data management and informatics. Additionally, it is expected that the individual will be familiar with ethical and safety aspects involved in conducting research, examining and submitting protocols to institutional review boards, assisting in writing protocols and also will be a liaison and major advocate in enhancing the participation of underrepresented minorities in the research endeavor. Qualifications entail a bachelor’s degree (Master’s preferred) and certification as a clinical research coordinator.

To apply for this opportunity, please send resume, cover letter
and salary requirements to info@abcardio.org
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