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October 10th & 17th, 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.
Similar Benefits for Thrombectomy, Medical Management, in Mild Stroke
Mechanical thrombectomy (MT) and best medical management (bMM) have comparable outcomes in patients who have had a mild stroke, new research suggests. Investigators conducted a study and performed a meta-analysis of other studies, comparing MT and bMM in patients with mild-deficits emergency larger-vessel occlusion (mELVO).
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COAPT: MitraClip Adds Years of Life, But at a Steep Price
Transcatheter mitral valve repair (TMVR) with the MitraClip (Abbott) is a reasonably cost-effective strategy but not cost-saving, even if the device were free, an economic analysis of the COAPT trial indicates. Use of the MitraClip device cost almost $50,000 up front but saves nearly $12,000 on the back end in terms of follow-up costs, compared with guideline directed medical therapy (GDMT) alone.
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Atrial Fibrillation Ablation: Two Concerning Trends
I have a Google alert for "AF ablation." The number of alerts has risen sharply in recent years. But it's not from advances in science. Rather, the alerts point to stories mostly from business analysts who tell of an expanding market for AF ablation technology.
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Most Health Data Breaches Expose Sensitive Information
Nearly three fourths (71%) of health data breaches that have occured during the past 10 years exposed protected health information (PHI), including sensitive demographic or financial information, new data show. Those exposures put 159 million patients at risk for identity or financial fraud, according to an article published online this week in the Annals of Internal Medicine.
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Adding Patiromer Allows More Spironolactone in Resistant HTN, CKD: AMBER
Adding a potassium-sequestering agent to spironolactone in patients with treatment-resistant hypertension (HTN) and chronic kidney disease (CKD) may allow them to take more of the blood pressure (BP) med for a longer time, but with a lower risk for hyperkalemia, suggests a randomized trial.
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A New Drug for Heart Failure? DEFINE-HF Bolsters Dapagliflozin Cardiovascular Cred
Once again, the antidiabetic drug dapagliflozin (Farxiga, AstraZeneca) showed that the term "antidiabetic drug" doesn't really capture all that it might offer. In the randomized DEFINE-HF trial of patients with heart failure with reduced ejection fraction (HFrEF), either with or without type 2 diabetes, those who took dapagliflozin along with their standard heart failure meds rapidly showed fewer symptoms and improved quality of life.
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Your NPI Is Easy to Steal; Here's How to Prevent That
Six physicians were near the brink of financial disaster after a criminal stole their identities and National Provider Identifiers (NPIs). Miguel de Paula Arias, a Florida con man, stole the identities of six retired and semi-retired physicians and ran a Medicare fraud scam that netted him more than $1.6 million over 5 years. He was eventually caught and sentenced in 2017 to 13 years in prison and ordered to pay restitution.
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Items of Interest
Study Unearths Gender Disparities in Twitter Influence
Among a population of health policy and health services researchers who use Twitter, women appear to have less influence on the social media platform compared with men as measured by likes and retweets, according to a new study. The results should not discourage women from being active on Twitter, especially in cardiology, one expert says.
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Black Americans With Diabetes Face Higher Hospital Readmission Rates
Researchers reported that in a retrospective cohort analysis of over 270,000 Medicare beneficiaries with diabetes, racial and ethnic differences seemed to prevail as factors significantly associated with risk for hospital readmission. Specifically, 30-day all-cause readmission rates were higher among black individuals with diabetes than other races. Certain hospital-specific factors did mediate this risk, however.
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Weightlifting Better at Reducing Heart Fat Than Aerobic Exercise
In the small study, researchers in Copenhagen have found that a certain type of heart fat, pericardial adipose tissue, was reduced in patients who did weight lifting, but not in those who worked on increasing their endurance with aerobic exercise, according to a report published in JAMA Cardiology. Both forms of exercise resulted in the reduction of a second type of heart fat, epicardial adipose tissue, which has also been linked with heart disease.
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Translational Research: Diet Affects the Heart in Multiple Ways
It's not just the actual food eaten, but also the timing and potential effects of inflammation that matter in diet‐induced cardiac dysfunction, translational research is showing.
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Latinos at High Risk For "Food Insecurity," Leading to Type 2 Diabetes
The research by UConn School of Medicine, UConn School of Dental Medicine, Yale School of Public Health, Quinnipiac University, Hartford Hospital, and the Hispanic Health Council, suggests that for Latinos with type 2 diabetes food insecurity is linked to the disease’s development and progression.
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New Studies Focus on How to Improve Food Access for Diabetic African Americans in Milwaukee
With a more than $3.2 million, five-year grant from the National Institutes of Health Institute on Minority Health and Disparities, Leonard Egede, MD, MS, professor of medicine and chief of the Division of General Internal Medicine, and Rebekah Walker, PhD, assistant professor of medicine at Medical College of Wisconsin, will test the separate and combined efficacy of monthly food vouchers for farmer’s markets and monthly mailed food stock boxes layered upon diabetes education for low income, food insecure African Americans with Type 2 diabetes.
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Diabetes Across Ethnicities and Cultures: An AACE Guide to Transcultural Diabetes Care
Ethno-cultural variables play a major role in disease prognosis and patient experience in type 2 diabetes (T2D). Consideration of transcultural factors has become a highly valuable and necessary part of patient-centered endocrine care, according to the American Association of Clinical Endocrinologists (AACE). AACE has produced a position statement focusing on 4 ethnic populations in the United States: African Americans, Latinx/Hispanics*, Asian Americans, and Native Americans. Population-specific challenges and practical steps for clinicians are discussed.
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OFFSCRIPT: Selfies, Carrots, and Push-ups: A Defense of Social Media in Modern-Day Medicine
One cardiologist’s perspective on how social media has become great for communication, medical education, and collaborations [and] has created a vibrant online community, where physicians can connect, discuss, and collaborate with global peers and one that has helped break down professional barriers and relieve professional isolation in the most powerful way. Also, highlgihts how social media influencers such as Drs. Roxanna Mehran and Quinn Capers have used social media as a vehicle for change.
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Opinion: Social Justice Is the Foundation of Healthcare — And Medical Education
Dr. Stanley Goldfarb, our medical school colleague at the University of Pennsylvania, published an essay in the Wall Street Journal last week arguing for a return to “the traditional American model of medical training.” He laments a move toward greater emphasis on social justice, health policy, and population health, with a “focus on climate change, social inequalities, gun violence, bias and other progressive causes only tangentially related to treating illness.” Yet, it is well established, for example, that bias in medicine has led to under-diagnosis of heart attacks in women, to under-treatment of depression in black patients, and to difficulty scheduling primary care appointments for low-income patients covered by Medicaid.
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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.
Successful Implementation of Healthful Nutrition Initiatives into Hospitals
Co-authored by Eugenia Gianos, Columbus Batiste and Kim Williams (with Monica Aggarwal, Ariel Grady, Daya Desai, Katrina Hartog, Lilian Correa, Robert J. Ostfeld, et al.)
Poor dietary quality is a leading contributor to mortality in the United States and to most cardiovascular risk factors. By providing education on lifestyle changes and specifically, dietary changes, hospitals have the opportunity to use the patient experience as a “teachable moment.” The food options provided to inpatients and outpatients can be a paradigm for patients to follow upon discharge from the hospital. There are hospitals in the United States that are showcasing novel ways to increase awareness of optimal dietary patterns and can serve as a model for hospitals nationwide.
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Pre-Diagnosis Exercise and Cardiovascular Events in Primary Breast Cancer - Women's Health Initiative
Co-authored by Tochi M. Okwuosa (with Roberta M. Ray, Andres Palomo, Randi E. Foraker, Lisa Johnson, Electra D. Paskett, Bette Caan and Lee W. Jones)
Cardiovascular disease (CVD) is the leading nonmalignant cause of death in patients with cancer, and it is the leading cause of death in women with primary breast cancer who are older than 65 years of age. The purpose of this study was to investigate whether pre-diagnosis exercise reduces the risk of subsequent cardiovascular events (CVEs) in women with primary breast cancer.
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A Defined, Plant-Based Diet As a Potential Therapeutic Approach in the Treatment of Heart Failure: A Clinical Case Series
Co-authored by Baxter D. Montgomery (with Rami S. Najjara)
Individuals diagnosed with congestive heart failure (CHF) have a 50% five-year mortality rate and approximately 650,000 new cases of CHF are diagnosed annually. Plant-based diets are known to improve plasma lipid concentrations, reduce blood pressure, and as part of a lifestyle intervention, lead to the regression of atherosclerotic lesions. However, a paucity of data exists with regards to plant-based diets in the treatment of CHF.
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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
ABC Member CME Event
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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Call-To-Action

Ask your Member of Congress to raise #PADAwareness by becoming a member of the Congressional PAD Caucus.

Today, nearly 20 million Americans are living with peripheral artery disease (PAD) and an estimated 200,000 of them – disproportionately from minority 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.

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Upcoming Events


Register for ABC @ AHA Events

Saturday, November 16th | Philadelphia Marriott Downtown
1201 Market Street, Philadelphia, PA 19107

‘A New Beat’ Reception | 5:15pm – 6:00pm
ABC General Membership Dinner Meeting | 6:00pm – 7:00pm
ABC Dr. Walter M. Booker, Sr. Memorial Symposium | 7:00pm – 9:00pm
“Navigating and Translating Guideline Directed Therapies and Interventions to Real-World Management of Cardiovascular Disease:
A Case Based Analysis of Therapeutic Conundrums”

Co-Chairs: John M. Fontaine, MD, MBA & Gerald DeVaughn, MD


EVENT REGISTRATION



Call for ABC Members Presenting at AHA.19

In the spirit of networking and sharing innovation, please let us know if you are chairing and/or moderating a session, serving on a panel, speaking during the conference or presenting a poster or paper. ABC will publicize this information.

Click here to include your event details no later than Friday, November 2.

SEE THE FULL EVENTS CALENDAR
ABC Job Opening | Certified Clinical 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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