Clinical

This channel newsfeed includes clinical content on treating patients or the clinical implications in a variety of cardiac subspecialties and disease states. The channel includes news on cardiac surgery, interventional cardiologyheart failure, electrophysiologyhypertension, structural heart disease, use of pharmaceuticals, and COVID-19.   

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Deferring revascularization in LAD deemed safe with iFR

Instantaneous wave-free ratio (iFR) can safely guide revascularization decisions in left anterior descending (LAD) arteries with moderate stenosis, according to an analysis of the DEFINE-FLAIR study published in the Journal of the American College of Cardiology

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Acute MI during pregnancy more common in recent years

The incidence of acute myocardial infarction (AMI) in pregnant women increased between 2005 and 2014, according to research published in the American Journal of Cardiology Jan. 25, but that hike was accompanied by decreases in mortality, cost of care and length of stay among expectant mothers.

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DMC cardiology residency program to face accreditation review after leadership shifts

The interventional cardiology residency program at Detroit Medical Center will undergo an accreditation inspection Feb. 8 following controversial leadership changes within the organization last fall, Crain’s Detroit Business reported.

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SPRINT extended after results suggest intensive BP control reduces cognitive impairment

Full results from the SPRINT MIND trial, published Jan. 28 in JAMA, suggest intensive blood pressure control at a systolic target of less than 120 mm Hg could reduce the likelihood of mild cognitive impairment (MCI) that leads to dementia and Alzheimer’s.

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Health plan switches Medicare patients to older insulins, saves millions

A health plan-wide intervention to switch diabetic patients from costly new insulin products to older, more affordable drugs resulted in a marginal increase in hemoglobin A1c (hbA1c) levels but didn’t change the rate of hospital visits for dangerously high or low blood sugar, researchers reported Jan. 29 in JAMA.

Self-donating blood for heart surgery cuts patients’ hospital stays, lowers transfusion rate

Patients undergoing heart surgery might see better outcomes and shorter hospital stays if they opt for intraoperative autologous blood donation, according to research out of New York.

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Alirocumab reduces risk of initial and repeat CV events after ACS

An extended analysis of the ODYSSEY OUTCOMES trial has confirmed alirocumab, a PCSK9 inhibitor that hit the medical market in 2015, reduces a patient’s total risk of nonfatal and fatal cardiovascular events after an acute coronary syndrome (ACS).

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Risk factors for stroke climbing in Native Americans

A study of Native Americans who experienced ischemic stroke showed they carried a high burden of risk factors, nearly all of which grew in prevalence from 2000 to 2016.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.