ISCP June 2018 newsletter available online

July 03 ,2018

Overview:Including report and photos of our 23rd ISCP Annual Meeting in Kyoto. more

Analysis: CMS stopping risk adjustment payments leaves insurance premiums in limbo, jeopardizes Affordable Care Act

July 12 ,2018

Overview:Phil WatersThe CMS decision to stop further collections or payments under the risk adjustment program leaves many questions about future health coverage and insurance premiums unanswered, experts and medical associations told Healio Family Medicine.The action was seen by many as putting another nail in the Affordable Care Act’s coffin, which would help the current administration achieve its long sought-after goal of dismantling former President Barack Obama’s signature legislative achievement while raising significant questions for the health care coverage of thousands of more

Asthma increases risk for AF

July 12 ,2018

Overview:Patients with asthma and a lack of asthma control had an increased risk for atrial fibrillation, according to a study published in JAMA Cardiology.Aivaras Cepelis, MSci, of the department of public health and nursing at Norwegian University of Science and Technology in Trondheim, Norway, and colleagues analyzed data from 54,567 patients (53% women) from the HUNT2 and HUNT3 studies in Norway. Patients were excluded if they were diagnosed with AF at or before baseline.Surveys were completed by patients to collect information on asthma, symptoms and medication use. Patients were then categorized more

USPSTF: Insufficient evidence to assess benefits, harms of nontraditional CVD risk factors

July 12 ,2018

Overview:John T. WilkinsEvidence is currently insufficient regarding the benefits and harms of adding ankle-brachial index, high-sensitivity C-reactive protein or coronary artery calcification score to traditional risk assessment for CVD in patients who are asymptomatic, according to a recommendation statement released by the U.S. Preventive Services Task Force and published in JAMA.This recommendation statement is an update to the 2009 USPSTF recommendation to assess CHD risk with nontraditional risk factors.“The major change in the current recommendation is that the USPSTF evaluated the Pooled more

FDA approves next-generation device for transcatheter mitral valve repair

July 12 ,2018

Overview:Abbott announced that the FDA has approved a next-generation version of its transcatheter MitraClip device for the treatment of patients with mitral regurgitation.The next-generation catheter-based MitraClip system features advanced navigation, steering and position capabilities for operators to navigate through difficult anatomies, according to a company press release. The enhancements were made on previous generations to allow for more precise placement during deployment. The new system also features a second clip size with longer arms to increase the reach of the device in patients with more

Alteplase no better than aspirin in minor nondisabling acute ischemic stroke

July 12 ,2018

Overview:Patients with minor nondisabling acute ischemic stroke who were treated with alteplase vs. aspirin did not experience an increased likelihood of favorable functional outcome after 90 days, according to findings recently published in JAMA.“Although alteplase is the standard of care for patients with ischemic stroke and disabling deficits regardless of severity judged by [National Institutes of Health Stroke Scale] scores, the optimal management of patients with not clearly disabling deficits is unclear,” Pooja Khatri, MD, director of the Acute Stroke Program for the University of more

FDA warns against using sterile drugs from Ranier’s Compounding Laboratory

July 11 ,2018

Overview:The FDA is warning health care professionals not to use sterile drug products from Ranier’s Compounding Laboratory due to lack of sterility assurance.Medical supplies should immediately be checked, and any purportedly sterile drug products from the Jeannette, Pennsylvania, laboratory and pharmacy should be quarantined and not administered to patients, according to an FDA release.A warning letter was sent to the facility in March 2017 after an inspection found “serious deficiencies” in sterile drug production practices, which could put patients at risk. In June, the FDA more

FDA approves less-invasive LVAD for advanced HF

July 11 ,2018

Overview:Medtronic announced that a left ventricular assist device for the treatment of patients with advanced HF has received approval from the FDA.The approval of the LVAD (HeartWare HVAD, Medtronic) was based on data from the LATERAL trial, according to a press release from the company.As Cardiology Today previously reported, patients with end-stage HF who have had a ventricular assist device implanted by a thoracotomy procedure had similar survival and adverse event profiles compared with historical data of patients who had the device implanted by a standard sternotomy approach.“We have more

USPSTF: Insufficient evidence regarding benefits, harms of ankle-brachial index for PAD, CVD risk

July 11 ,2018

Overview:Mary M. McDermottThe U.S. Preventive Services Task Force has given a class I indication for the use of ankle-brachial index to screen patients who are asymptomatic for peripheral artery disease and CVD risk due to insufficient evidence that assessed the benefits and harms of this screening method, according to a recommendation statement published in JAMA.The USPSTF released a draft recommendation statement in January, which gave the same indication for ankle-brachial index (ABI).“To update its 2013 recommendation, the USPSTF reviewed the evidence on whether screening for PAD with the more

PTSD increases long-term MI, stroke risk in World Trade Center response crews

July 11 ,2018

Overview:PTSD increased the risk for MI and stroke independent of depression among workers involved in the cleaning of debris at ground zero after 9/11, according to a study published in Circulation: Cardiovascular Quality and Outcomes.“PTSD’s association with heart attack and stroke should be taken into consideration when untrained first responders are sent to respond to catastrophes of different types,” Alfredo Morabia, MD, PhD, professor of epidemiology at City University of New York and Columbia University Mailman School of Public Health, said in a press release. “Heart more

Hypertension risk increases in black patients despite BP level in young adulthood

July 11 ,2018

Overview:Black patients had a higher risk for hypertension through age 55 years compared with white patients regardless of BP during young adulthood, according to a study published in the Journal of the American Heart Association.“Regardless of blood pressure levels in young adulthood, blacks have a substantially higher risk for developing high blood pressure compared with whites through 55 years of age,” S. Justin Thomas, PhD, assistant professor in the department of psychiatry at University of Alabama at Birmingham, said in a press release. “It is urgent that health care providers more

First Meeting of WHF RHD Taskforce

July 11 ,2018

Overview:In 2017, the World Heart Federation contacted our global membership to ask for their input and comments on the role of WHF in the prevention, control and elimination of Rheumatic Fever (RF) and (RHD) following the adoption of the Resolution. In response to Member feedback on priority activities, a WHF RHD Taskforce was established to […] The post First Meeting of WHF RHD Taskforce appeared first on World Heart Federation. more

LDL triglycerides predict CVD events

July 10 ,2018

Overview:Christie M. BallantyneTriglycerides in LDL predicted CVD events and were associated with a genetic variant, according to new findings.The researchers assessed whether triglycerides in LDL (LDL-TG) and remnant-like particle cholesterol (RLP-C) were associated with incident CVD and genetic variants in 9,334 participants (5,527 women) from the ARIC study without CVD at baseline.“A lot of information we have gathered over the years has indicated that high triglyceride levels increase the risk for cardiovascular disease. Since triglycerides and cholesterol are carried through the bloodstream more

WHF attends UN Interactive Hearing on NCDs

July 10 ,2018

Overview:On 5 July, the President of the UN General Assembly and the World Health Organization (WHO) convened an interactive hearing with non-state actors as part of the preparatory process for the Third UN High Level Meeting on NCDs on 27 September 2018. The hearing was an opportunity for civil society and other stakeholders to share […] The post WHF attends UN Interactive Hearing on NCDs appeared first on World Heart Federation. more

Multivitamins, minerals fail to improve CV outcomes

July 10 ,2018

Overview:Patients who took multivitamins and minerals did not have improved CV outcomes, according to a review and meta-analysis published in Circulation: Cardiovascular Quality and Outcomes.“Although multivitamin and mineral supplements taken in moderation rarely cause direct harm, we urge people to protect their heart health by understanding their individual risk for heart disease and stroke and working with a health care provider to create a plan that uses proven measures to reduce risk,” Joonseok Kim, MD, assistant professor of cardiology in the department of medicine at University of more

EXCEL: PCI in women, CABG in men may confer worse outcomes after left main revascularization

July 10 ,2018

Overview:Patrick W. SerruysAmong patients with unprotected left main disease, sex was not an independent predictor of adverse outcomes after revascularization, according to new data from the EXCEL trial.The results, however, showed a trend toward worse outcomes among women undergoing PCI and among men undergoing CABG, which was linked to comorbidities and increased periprocedural complications.“In patients with multivessel disease and/or [unprotected left main disease], sex has been shown to be an important factor to be considered in the decision-making process of selecting the revascularization more

New guideline addresses imaging after vascular procedures

July 10 ,2018

Overview:The Society for Vascular Surgery released a new guideline outlining which kinds of imaging should be performed after endovascular and open vascular procedures, and how often imaging should be performed.“It is essential that vascular laboratory testing be performed by qualified personnel using appropriate instrumentation, as demonstrated by individual credentialing and facility accreditation,” the authors wrote.“The overall aim is to provide the best outcome from the initial procedure,” R. Eugene Zierler, MD, RPVI, medical director of the D. E. Strandness, Jr. Vascular more

A new cohort of Emerging Leaders 2018: Breaking barriers in care for Stroke patients

July 10 ,2018

Overview:At the Duke Kunshan University, just outside Shanghai China, a team of emerging leaders working in the field of Stroke came together to challenge current practice in the patient care pathway from 23-29 June 2018. 24 emerging leaders from 17 countries around the world (blue dots in map) participated in this year’s programme, representing a […] The post A new cohort of Emerging Leaders 2018: Breaking barriers in care for Stroke patients appeared first on World Heart Federation. more

Long-term survival after in-hospital cardiac arrest varies by race

July 09 ,2018

Overview:Black patients who survived in-hospital cardiac arrest were less likely to survive long-term compared with white patients, and about half of the difference was not explained by patient treatments or factors after the event, according to a study published in Circulation.“Notably, black patients were less likely to have had a heart attack during hospital admission or a prior history of heart attack,” Lena M. Chen, MD, MS, assistant professor of internal medicine at University of Michigan in Ann Arbor, said in a press release. “As a result, they were more likely to have a more

EHR tools confer improved medication reconciliation but worse BP

July 09 ,2018

Overview:Patients who received care in community health centers that utilized electronic health record tools had improved medication reconciliation and worsened BP compared with those who received usual care, according to a study published in JAMA Internal Medicine.When nurse-led support was added, understanding of medication instructions and dosing improved with no effect on BP vs. usual care.“Even with the combined intervention, self-administration errors, medication discrepancies and incomplete adherence were common, leaving much room for improvement,” Stephen D. Persell, MD, MPH, more

CTO, previous interventions predict adverse events in LIBERTY 360° cohort

July 09 ,2018

Overview:David O’ConnorChronic total occlusion and previous interventions and amputations were among the predictors of major adverse events at 18 months in the LIBERTY 360° cohort, according to data presented at the Society for Vascular Surgery Vascular Annual Meeting.As Cardiology Today’s Intervention previously reported, the LIBERTY 360° study of 1,204 patients with lower-extremity peripheral artery disease, stratified by Rutherford class 2 to 3 (n = 500; mean age, 70 years; 67% men), Rutherford class 4 to 5 (n = 589; mean age, 70 years; 62% men) and Rutherford class 6 (n = 100; more

Trial Scorecard: SWAP-4

July 09 ,2018

Overview:Evaluation of the pharmacodynamic effects of switching patients with CAD from ticagrelor (Brilinta, AstraZeneca) to clopidogrel. more

Trial Scorecard: SPRITELY (POST 3)

July 09 ,2018

Overview:Comparison of immediate pacemaker implantation vs. monitoring with an implantable loop recorder in patients aged 50 years or older with syncope and bifascicular block. more

WHF participates in the XXVIII South American Congress of Cardiology hosted by our members the South American and Peruvian Society of Cardiology

July 05 ,2018

Overview:The World Heart Federation (WHF) participated actively at the XXVIII South American Congress of Cardiology (Cardiosur 2018), hosted by our members the South American and Peruvian Society of Cardiology in Lima, Peru from 28-30 June 2018. WHF Board members engaged in various sessions on the first day, 28 June at the two joint symposiums. One was […] The post WHF participates in the XXVIII South American Congress of Cardiology hosted by our members the South American and Peruvian Society of Cardiology appeared first on World Heart Federation. more

WHF welcomes the American Heart Association’s new President and Board Members

July 03 ,2018

Overview:  The World Heart Federation would like to congratulate the newly-elected board members of our member-partners the American Heart Association, including President-Elect Dr Robert A. Harrington, and welcome Dr Ivor Benjamin in his new role as President of the Association. We look forward to working together towards our shared goal of protecting and improving the heart […] The post WHF welcomes the American Heart Association’s new President and Board Members appeared first on World Heart Federation. more

ISCP Annual Meeting 2018, Kyoto – Photo Slideshow

July 02 ,2018

Overview:Reception party more

2018 Emerging Leaders convene at Duke Kunshan University in China

June 27 ,2018

Overview:In the 5th cycle of the Emerging Leaders Programme, which is growing stronger each year, the WHF new cohort of Emerging Leaders from 18 countries have come together this week at Kunshan University in China for a 5-day think tank seminar, aiming to tackle the challenges faced in daily practice in preventing, treating and managing […] The post 2018 Emerging Leaders convene at Duke Kunshan University in China appeared first on World Heart Federation. more

WHO World No Tobacco Day 2018 Awards – Western Pacific Region: Professor Hu Dayi, Chinese Association on Tobacco Control, People’s Republic of China

June 21 ,2018

Overview:The World Heart Federation (WHF) is delighted to congratulate Prof Hu Dayi, president of our member the China Heart Federation on his WHO World No Tobacco Day 2018 award for his continued efforts in tobacco control. On the occasion of the 2018 World No Tobacco Day campaign, Dr. Gao Li, WHO Representative in China, presented […] The post WHO World No Tobacco Day 2018 Awards – Western Pacific Region: Professor Hu Dayi, Chinese Association on Tobacco Control, People’s Republic of China appeared first on World Heart Federation. more

WHO World No Tobacco Day 2018 Awards – Region of the Americas: Dr Eduardo Bianco, Coordinador Regional para las Americas de la Framework Convention Alliance (FCA), Oriental Republic of Uruguay

June 19 ,2018

Overview:Dr Bianco receiving the WHO World No Tobacco Day award for the Americas Region   The World Heart Federation (WHF) is delighted to congratulate our close collaborator Dr Eduardo Bianco, Regional Coordinator for the Americas at the FCA on his WHO World No Tobacco Day 2018 award for his continued efforts in tobacco control. Dr […] The post WHO World No Tobacco Day 2018 Awards – Region of the Americas: Dr Eduardo Bianco, Coordinador Regional para las Americas de la Framework Convention Alliance (FCA), Oriental Republic of Uruguay appeared first on World Heart Federation. more

WHO World No Tobacco Day 2018 Awards – African Region: Professor Fastone Mathew Goma, University of Zambia School of Medicine, Zambia

June 15 ,2018

Overview:The World Heart Federation (WHF) is delighted to congratulate Prof Fastone M Goma, founding President of our member the Zambia Heart and Stroke Foundation on his WHO World No Tobacco Day 2018 award for his continued efforts in tobacco control. Prof Goma told us: “I feel honoured to have been nominated for this award by […] The post WHO World No Tobacco Day 2018 Awards – African Region: Professor Fastone Mathew Goma, University of Zambia School of Medicine, Zambia appeared first on World Heart Federation. more

WHO World No Tobacco Day 2018 Awards – European Region: British Heart Foundation, United Kingdom

June 14 ,2018

Overview:Thea Emmerling (Head of the EC’s tobacco control Unit), Luminita Hayes (WHO), John Maingay (BHF), Christian Buşoi (MEP)   The World Heart Federation is delighted to congratulate our member partner, the British Heart Foundation (BHF) on their WHO World No Tobacco Day 2018 award for their continued efforts in tobacco control. BHF has funded and […] The post WHO World No Tobacco Day 2018 Awards – European Region: British Heart Foundation, United Kingdom appeared first on World Heart Federation. more

WHF to attend the WHO Executive Board meeting in January 2017

January 23 ,2017

Overview:From 23 January to 01 February 2017, the World Health Organization(WHO) will host the 140th session. From 23 January to 01 February 2017, the World Health Organization(WHO) will host the 140th session. From 23 January to 01 February 2017, the World Health Organization(WHO) will host the 140th session. From 23 January to 01 February 2017, […] more