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Medicare Tests New Quality Measure: Readmission Rates for Heart Failure
October 6, 2015
The Centers for Medicare & Medicaid Services (CMS) has wrapped up a test run of a new measure for readmission of heart failure patients as the federal agency tries to educate hospitals and hospitalists before formally including it as a quality metric in fiscal year 2018. The trial concludes O
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Hospitalists Can Earn CME Credits for Acute Coronary Syndrome Performance Improvement
October 6, 2015
Approximately 1.7 million patients are hospitalized for acute coronary syndrome (ACS), and 600,000 die of an acute myocardial infarction. Although ACS is a major cause of morbidity and mortality, a broad range of clinical strategies can affect outcomes if implemented effectively.
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Coronary Computed Tomography Angiography, Radionuclide Stress Testing Similar for Evaluation of Chest Pain
October 5, 2015
Clinical question: Is coronary computed tomography angiography better than stress testing for detecting coronary artery disease? Bottom line: For the evaluation of chest pain in intermediate-risk patients, coronary computed tomography angiography (CCTA) is comparable with myocardial perfusion ima
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Racial, Economic Disparities in Life Expectancy after Heart Attack
September 28, 2015
After a heart attack, black patients typically don't live as long as whites - a racial difference that is starkest among the affluent - according to a new U.S.
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CHADS2 Variant Calculates Stroke Risk in Heart Failure Patients
September 18, 2015
NEW YORK - A variant of the CHADS2 score that's used to estimate ischemic stroke risk in patients with atrial fibrillation (AF) is also modestly accurate in heart failure patients, even in those without AF, researchers say. The variant, CHA2DS2-VASc, calculates stroke risk based on 10 possible point
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7 Hours of Sleep Can Reduce Heart Disease
September 15, 2015
Too little sleep, or poor-quality sleep, may be linked to early markers of heart disease in asymptomatic healthy adults, a new study from South Korea suggests. More than 47,000 men and women completed a sleep questionnaire and underwent assessments of coronary artery calcium and plaque as well as
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Mortality Risk in Patients Older than 75 Presenting with Non-ST-Elevation Acute Coronary Syndrome
September 9, 2015
Clinical question: Is there a score that will predict the mortality rate in elderly patients presenting with a non-ST-elevation myocardial infarction (NSTEMI)? Background: Although they represent only 9% of patients in clinical trials, patients over the age of 75 make up one third of patients wit
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Getting in Shape May Help Reduce Irregular Heart Rhythm
July 31, 2015
(Reuters Health) - For overweight and obese people with atrial fibrillation, improving cardiorespiratory fitness with exercise may help to reduce or eliminate symptoms, a recent Australian study found. Participants with the greatest improvements in their cardiorespiratory fitness we
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No Advantage to Routine Thrombectomy Prior to Percutaneous Coronary Intervention for STEMI
June 3, 2015
Clinical question: Does the use of routine thrombectomy for patients presenting with ST-segment elevation myocardial infarction improve outcomes? Bottom line: For patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI), the rout
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Updated Guidelines for Management of Non-ST-Elevation Acute Coronary Syndrome
March 3, 2015
Clinical question: What is the recommended approach for management of non-ST-elevation acute coronary syndrome (NSTE-ACS)? Background: This is the first comprehensive update from the American Heart Association/American College of Cardiology (AHA/ACC) on NSTE-ACS since 2007 and follows a focused u