Practice Management

Q&A: Obtaining Informed Consent From Participants in Medical Research

Q&A: Obtaining Informed Consent From Participants in Medical Research

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Despite being a relatively new concept in the US, informed consent of study participants in medical research is ethically essential.

Addressing Competency Requirements in Heart Failure and Transplant Training Programs

Addressing Competency Requirements in Heart Failure and Transplant Training Programs

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The Advanced Training Statement for advanced heart failure and transplant cardiology consists of 6 general competencies.

Internet-Based Lifestyle Counseling Reduces Hypertension, Improves CVD Risk

Internet-Based Lifestyle Counseling Reduces Hypertension, Improves CVD Risk

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Participants who received e-counseling had lower systolic blood pressure and pulse pressure at 12 months

VTE Recurrence Risk Reduced With Rivaroxaban: Q&A With EINSTEIN CHOICE Investigator

VTE Recurrence Risk Reduced With Rivaroxaban: Q&A With EINSTEIN CHOICE Investigator

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Results from the EINSTEIN CHOICE trial plus an interview with investigator Philip Stephen Wells, MD, FRCP(C), MSc.

Women With STEMI Experience Treatment Delays

Women With STEMI Experience Treatment Delays

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Women with ST-segment elevation myocardial infarction often experience prehospital delays to reperfusion.

LDL-C Lowered Below Current Targets Beneficial to Atherosclerotic CVD

LDL-C Lowered Below Current Targets Beneficial to Atherosclerotic CVD

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Evolocumab reduced LDL-C levels by 59% and lowered the risk of CV death, MI, stroke, hospitalization for unstable angina, or coronary revascularization by 15%.

TAVR Demonstrates Noniferiority to Surgery in Intermediate-Risk Patients

TAVR Demonstrates Noniferiority to Surgery in Intermediate-Risk Patients

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At 2 years, the estimated incidence of the primary end point was 12.6% in the TAVR group vs 14% in the surgery group.

Mitigating Poor Cardiovascular Outcomes in Diabetes Using Angiography

Mitigating Poor Cardiovascular Outcomes in Diabetes Using Angiography

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Patients with diabetes had more CV risk factors and higher rates of noninvasive testing positivity as well as 60-day aspirin, statin, ACE inhibitor, and ARB use.

Does Unsuccessful CPR Affect Critical Care Personnel?

Does Unsuccessful CPR Affect Critical Care Personnel?

Following unsuccessful CPR, researchers found elevated rates of postcode stress and PTSD.

Atrial Fibrillation Recurrence Not Reduced With Aggressive Blood Pressure Control

Atrial Fibrillation Recurrence Not Reduced With Aggressive Blood Pressure Control

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Aggressive blood pressure treatment did not reduce atrial fibrillation recurrence after catheter ablation.

Affordable Care Act Repeal May Undo Reduced Heart Transplant Disparities

Affordable Care Act Repeal May Undo Reduced Heart Transplant Disparities

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Heart transplant disparities have improved since the adoption of the Affordable Care Act; if the law is repealed, experts fear these disparities will return.

GOP Lawmakers Present Replacement Plan for Affordable Care Act

GOP Lawmakers Present Replacement Plan for Affordable Care Act

The newly proposed health care plan would include 2 of the most popular Affordable Care Act provisions: coverage for young adults through age 26 and safeguards for those with pre-existing conditions.

A Compassion Pill for Clinicians? Bring It On.

A Compassion Pill for Clinicians? Bring It On.

One clinician proposes that pharmaceutical companies turn their attention to developing a compassion pill for physicians.

Primary Care Access Remains Unaffected By Medicaid Expansion

Primary Care Access Remains Unaffected By Medicaid Expansion

From 2012 to 2016, "short waits" -- defined as 1 week or less -- decreased by 6.7% for Medicaid patients and by 4.1% for patients with private insurance.

Protecting Patient Data: Steps to Prevent Hacking

Protecting Patient Data: Steps to Prevent Hacking

Physicians at small practices may assume that they are not a target, resulting in lax security practices.

Discussing the Lack of Evidence to Support Herbal Medications for Cardiovascular Disease

Discussing the Lack of Evidence to Support Herbal Medications for Cardiovascular Disease

Evidence is still lacking to support the use of herbal medications in cardiovascular disease.

Noncardiac Surgery Risk Stratification: Best Practices

Noncardiac Surgery Risk Stratification: Best Practices

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Coronary angiography and revascularization use prior to noncardiac surgery continues to be debated.

Does Intensive Triple Antiplatelet Therapy Further Reduce Stroke Recurrence Post-TIA?

Does Intensive Triple Antiplatelet Therapy Further Reduce Stroke Recurrence Post-TIA?

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The TARDIS trial aimed to assess whether 30 days of triple antiplatelet therapy was more effective in reducing recurrent stroke after previous transient ischemic attack or non-cardioembolic stroke than current guideline-based antiplatelet therapy.

Early vs Delayed Statin Therapy in Acute Ischemic Stroke

Early vs Delayed Statin Therapy in Acute Ischemic Stroke

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Between the 2 statin groups, there were no significant changes in LDL-C or NIH Stroke Scale/Score.

Same-Day Discharge Reduces Costs in Percutaneous Coronary Intervention

Same-Day Discharge Reduces Costs in Percutaneous Coronary Intervention

Same day discharge in percutaneous coronary intervention and transradial intervention has been associated with lowered costs among Medicare beneficiaries.

Acute Stroke Outcomes Not Affected by Head Positioning

Acute Stroke Outcomes Not Affected by Head Positioning

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Patients who presented with acute ischemic stroke were randomly assigned to spend 20 to 24 hours either lying flat or sitting up.

Intracerebral Hemorrhage: Restarting Oral Anticoagulation

Intracerebral Hemorrhage: Restarting Oral Anticoagulation

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Regardless of intracerebral hemorrhage location, restarting oral anticoagulation is associated with favorable outcomes.

Implantable Cardioverter-Defibrillators, Pacemakers Can Receive MRI

Implantable Cardioverter-Defibrillators, Pacemakers Can Receive MRI

None of the patients had device failure during the MRI; however, 6 patients did have atrial fibrillation or flutter but each case stopped on its own.

Online Tool Predicts When Tests Are Needed for Chest Pain

Online Tool Predicts When Tests Are Needed for Chest Pain

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An online tool accurately predicts which patients with chest pain are likely to have normal non-invasive test results.

STEMI Mortality Reduced With Admission to Primary PCI Center

STEMI Mortality Reduced With Admission to Primary PCI Center

Direct admission to a primary percutaneous coronary intervention center for ST-segment elevation myocardial infarction was associated with lower 12-month mortality.

Implantable Cardioverter Defibrillator Shock-Related Healthcare Utilization Trends

Implantable Cardioverter Defibrillator Shock-Related Healthcare Utilization Trends

Nearly half of all implantable cardioverter defibrillator shock events utilized health care.

Renin-Angiotensin System Inhibitors in Coronary Artery Disease Without Heart Failure

Renin-Angiotensin System Inhibitors in Coronary Artery Disease Without Heart Failure

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Renin-angiotensin system inhibitors reduced cardiovascular events in patients with coronary artery disease when compared with placebo but not active controls.

Medicare Shared Savings Program Reduces Postacute Spending

Medicare Shared Savings Program Reduces Postacute Spending

Participation in the Medicare Shared Savings Program was associated with a reduction in post-acute spending.

NOACS More Adopted Into Clinical Practice

NOACS More Adopted Into Clinical Practice

Of the 80% of patients prescribed oral anticoagulants, nearly 50% were prescribed non-vitamin K antagonist anticoagulants.

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