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SCAI
More Proof of Declining Paravalvular Regurgitation With Newest Balloon-expandable TAVR Devices
Two recent, single-center studies provide reassurances that both the incidence and severity of paravalvular regurgitation are reduced among TAVR patients treated with the newest iteration of a balloon-expandable valve as compared with earlier devices. Moreover, data suggest that dwindling rates of paravalvular leak are related to device refinement, rather than differences in aortic stenosis severity or operator technique, one of the studies adds.
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SCAI
In U.S. cath labs, fractional flow reserve (FFR) utilization is growing. Whereas overall use was reported at 6.1 percent in percutaneous coronary intervention for intermediate coronary stenosis in 2012 (J Am Coll Cardiol 2012;60:2337-9), more contemporary FFR utilization is estimated to be 20-25 percent in the intermediate lesion population. The SCAI Quality Improvement Toolkit encourages use of FFR in intermediate lesions as a quality initiative that should be tracked.
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SCAI
How do you respond to an unexpected disaster in the cath lab? We would like to get your impression on this topic, since little is known and, to our knowledge, it has never been studied. The results might help guide content for the future SCAI meetings or publications.
Take the Adverse Events Survey
SCAI
The U.S. Department of Health and Human Services (HHS) Office of the National Coordinator for Health Information Technology (ONC) recently released a request of information (RFI) on how to measure interoperability across health care environments. The Medicare Access and CHIP Reauthorization Act (MACRA) directs HHS to work with the health care community and technology developers to establish metrics to determine if, and to what extent, interoperability exists nationwide.
SCAI signed on with multiple medical associations in regard to overarching concerns with the actions that both the ONC and the Centers for Medicare and Medicaid Services are taking to improve interoperability. SCAI and the signing organizations are concerned that without significant changes to the health information technology measures themselves, electronic health record vendors will continue to develop products that meet federal reporting requirements rather than the needs of patients and physicians.
Read the letter here
MedPage Today
Higher than recommended doses of diarrhea drug loperamide (Imodium) can cause serious and even fatal cardiac arrhythmias, the Food and Drug Administration warned.
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The JAMA Network Journals via Medical Xpress
In a study published online by JAMA Cardiology, Elizabeth Selvin, PhD, MPH, of the Johns Hopkins Bloomberg School of Public Health, Baltimore, and colleagues examined the association of six-year change in high-sensitivity cardiac troponin T with incident coronary heart disease, heart failure and all-cause mortality. High-sensitivity cardiac troponin T, a protein that can be measured via a blood test, is a biomarker of cardiovascular risk and could be approved in the United States for clinical use soon.
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Now available with a nitinol wire, meeting preferences for a more durable wire and more tactile feel. Included is a stainless steel needle for single wall, micropuncture technique. Adding to SS and A-Kit options, Terumo now offers a full family of thin wall, introducer sheath kits for additional procedural preferences.
©2016 Terumo Medical Corporation. All rights reserved.
All brand names are trademarks or registered trademarks of Terumo. TIS-310-05242016
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Pulsara
Repeating the ECG after you've already received one from the medics wastes precious time and tissue. Rethinking that protocol could mean improved outcomes for your patients.
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The Cardiology Advisor
Cardiovascular magnetic resonance could serve as a single diagnostic tool to assess pulmonary venous anatomy and presence of left atrial and left atrial appendage (LA/LAA) thrombus, reducing the number of tests prior to pulmonary vein isolation (PVI), according to data published in JACC: Cardiovascular Imaging. Transesophageal echocardiogram is currently the standard method for detecting LA/LAA in patients with atrial fibrillation prior to PVI.
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Medscape
High-sensitivity cardiac troponin I assays used with low cutoff values, performed within the first hour after presentation, safely and effectively ruled out myocardial infarction in patients presenting to the emergency department with chest pain in two European studies.
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Cardiovascular Business
The Centers for Medicare and Medicaid Services granted an investigational device exemption May 31 for a trial that will examine Medtronic's transcatheter aortic valve replacement 2.0 system.
The prospective, single-arm, multicenter study is not yet open for participant recruitment.
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The Cardiology Advisor
Both longer length of stay and early complications were tied to severe obesity in patients undergoing coronary artery bypass grafting (CABG) surgery, according to research published in the Journal of the American Heart Association.
Researchers sought to clarify the association between obesity and perioperative adverse outcomes in patients undergoing CABG.
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