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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Heart failure discharge summaries miss mark

With Medicare penalties now at 3 percent for 30-day heart failure readmissions, many hospitals are eager to find opportunities to improve outcomes. Based on a study published online Jan. 13, discharge summaries might fit the bill.

Real-world CAS outcomes not as rosy as controlled trials

Carotid artery stenting (CAS) may benefit patients by reducing stroke risks in the long term, but recent data suggest that they may not be living long enough for that benefit to bear fruit. According to a study published online Jan. 12 in JAMA Neurology, 32 percent of elderly CAS patients died within two years of the procedure.

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Anticoagulant reversal works in preliminary study

In close timing with the FDA’s approval of edoxaban for reducing the risk of stroke in patients with atrial fibrillation, researchers reported that an agent reversed edoxaban’s anticoagulant effect in a phase 1 study.

Bivalirudin holds lead over heparin amid changing practices

Improved PCI procedural methods have not changed bivalirudin’s edge over heparin, according to a study published in the Jan. 6 issue of the Journal of the American College of Cardiology.

FDA approves edoxaban for reducing stroke risk

The FDA followed the advice of its advisory panel and added another novel oral anticoagulant to its approved drug list.

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Quality of life for heart failure patients may start with accepting illness

The ability to function with heart failure and a patient’s acceptance of his or her condition may go hand in hand. A Polish study used illness acceptance screening to reveal patterns in patient responses to quality of life surveys.

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Ups & downs of revascularization

The price for cardiac revascularization keeps rising while the need for procedures appears to be in decline. Go figure.

Heart failure blood sugar levels at ED intake predict risks for death, hospitalization

Patients who arrived at the emergency department with acute heart failure syndromes and mildly elevated blood glucose levels may be at increased risk for death or hospitalization within the first 30 days, according to a study published online Jan. 7 in the European Heart Journal.

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.