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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Discharge against medical advice post PCI is ‘infrequent but deadly’

Percutaneous coronary intervention (PCI) patients who discharge against medical advice (DAMA) are twice as likely to be readmitted to the hospital, according to a new study published in JACC: Cardiovascular Interventions.

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IVC filters improve in-hospital mortality rates for patients with congestive heart failure, pulmonary embolism

Inferior vena cava (IVC) filter placement is associated with improved in-hospital mortality rates for patients admitted with congestive heart failure (CHF) and pulmonary embolism (PE), according to a new study published by the American Journal of Roentgenology.

Epinephrine after OHCA: Is the survival benefit worth the neurological risk?

Epinephrine doses administered by paramedics significantly improved the odds of 30-day survival for patients following out-of-hospital cardiac arrest (OHCA), according to a randomized, placebo-controlled trial published in the New England Journal of Medicine. The survivors who received epinephrine, however, had worse neurological outcomes.

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Hypertension intervention shows promise at safety-net clinics

A hypertension management protocol from an integrated healthcare system was successfully adopted by a network of safety-net clinics, resulting in substantial improvements in blood pressure control for patients of all races.

Operator performs robot-assisted PCI from 100 miles away

“Tele-stenting” appears more possible now than ever, as Vascular Robotics announced an interventional cardiologist used its CorPath GRX System to perform a remote percutaneous coronary intervention (PCI) in a pig 100 miles away.

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Cardiology societies weigh in on TAVR volume requirements

As CMS revisits the procedural volume requirements for centers to start and maintain a transcatheter aortic valve replacement (TAVR) program, several professional societies argued for direct TAVR experience to factor more strongly into the new standards.

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How have pediatric VADs advanced and what’s next?

Pediatric ventricular assist devices (VADs) have been associated with better survival to heart transplantation in recent years, but infants and those with congenital heart disease (CHD) continue to have worse outcomes, researchers reported in the Journal of the American College of Cardiology.

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Women face greater risk of dying from heart failure

Despite decreases in heart failure (HF) incidence and mortality rates in ambulatory patients, mortality remains higher for women, according to a new study published July 16 in the Canadian Medical Association Journal.