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.   

Multiple factors can interfere with pulse oximetry accuracy including skin pigmentation. Multiple studies have shown the inaccuracy of current pulse oximeters in patients with darker skin tones than whites, often over estimating their oxygenation when in fact they are hypoxic. Images courtesy of Masimo.

Inaccurate pulse oximeter readings impact Black heart failure patients and FDA plans to address this

Black patients are already less likely to receive LVADs or transplants compared to whites, and these inaccurate readings can further widen the disparities.

The Reprieve System using intelligent software and automation to manage diuretic dosing and fluid replacement for patients with acute decompensated heart failure (ADHF).

Heart failure startup emerges with $42 million in financing for its intelligent fluid management system

Reprieve Cardiovascular emerged from stealth mode this week with sizable financial backing and some big name board members to advance development for its intelligent, automated diuretic and fluid management system for heart failure.

An Illinois appellate judge upheld a pervious trial victory that cleared and central Illinois cardiologist Amit Dande, MD, and Prairie Cardiovascular Consults LLP of alleged misdiagnosis of the severity of a patient's heart condition that led to his death prior to a schedule percutaneous coronary intervention (PCI).

Illinois cardiologist not held responsible for patient's death while waiting for angiogram

A judge upheld a previous trial victory that cleared Prairie Cardiovascular Consults of alleged mishandling of a patient and not fully understanding the severity of the heart condition prior to their death.

Examples of photon-counting coronary angiography showing how clarity improves as the thickness of the image is reduced. Top: 60-year-old female, with noncalcified plaque (arrowheads) and coronary stenosis (inset images). The reduced section thickness did not affect assessment in this patient. Bottom: 56-year-old female with calcified plaque (arrowheads) and coronary stenosis. The reduced section thickness leads to less calcium blooming and therefore a less severe percentage of stenosis. Courtesy of RSNA

Coronary artery disease classification improved with photon-counting CT

After a photon-counting CT, 54% of patients had their coronary artery disease classification downgraded.

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Implementing a same-day PCI discharge pathway boils down to correct patient selection

Safety is key to which individuals are selected for SDD, and there can be benefits to both patients and health systems as this becomes the predominant model of care in elective PCI.

Staff at the new Fetal Cardiac Clinic at the Heart Institute at Children's Hospital Los Angeles. From left, Director of the Heart Institute David Romberger, RN, MSN, CCRN; attending physician Shuo Wang, MD; Executive Director of the Heart Institute Jennifer Klunder, MHA; Director of the Fetal Cardiac Clinic Jodie Votava-Smith, MD; Chief of the Division of Cardiology and Co-director of the Heart Institute Paul F. Kantor, MBBCh, MSc, FRCPC; and congenital cardiac surgeon Luke Wiggins, MD.

Children’s Hospital Los Angeles unveils new fetal cardiac clinic

Clinic for expectant mothers designed to better diagnose and treat congenital heart defects and heart diseases before birth. 

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Focused ultrasound may alleviate pain without drugs, study finds

Researchers from Virginia Tech uncovered physiological changes from altering the way the brain perceives pain.

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Artifacts from hair on X-rays shed light on health equity gap

Do radiologists see how the hair styles of Black and brown people impact imaging exams?