Better cardiac screening protocols might save more young athletes | 3D echo reveals right ventricular abnormalities that predict HF | Some trusted websites get preeclampsia info wrong
August 16, 2018
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Clinical Advancements in Sonography
Better cardiac screening protocols might save more young athletes
A study published in The New England Journal of Medicine found a 7-in-100,000 prevalence of sudden cardiac death in 15-to-17-year-old soccer players, which is more than three times as high as previously estimated, writes study co-author David Oxborough. Inherited heart conditions that cause sudden cardiac death can usually -- but not always -- be detected by periodic screening that includes an echocardiogram, and researchers are developing new imaging techniques and guidelines to improve cardiac screening sensitivity.
The Conversation (US) (8/14) 
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3D echo reveals right ventricular abnormalities that predict HF
Right ventricular dysfunction on a 3D echocardiogram predicts heart failure independent of left ventricular ejection fraction in elderly people, researchers reported in JAMA Cardiology. The findings suggest that right ventricle dysfunction may be present and should be screened for even in the absence of advanced cardiac disease, and 3D imaging may allow the detection of subtle abnormalities not seen on 2D images, senior author Dr. Amil Shah said.
MedPage Today (free registration) (8/15) 
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Technology Update
Some trusted websites get preeclampsia info wrong
Some of the most well-regarded consumer-facing medical websites have incomplete, outdated, incorrect or misleading information about preeclampsia. Preeclampsia Foundation Executive Director Eleni Tsigas found problems with each website she reviewed, particularly regarding postpartum preeclampsia.
ProPublica (8/14) 
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Practice News
Study: Hospitals are years away from maximizing EHR functionality
Researchers who analyzed data from HIMSS Analytics' eight-stage EMR Adoption Model collected between 2006 and 2014 found that although the number of hospitals at stages 5 and 6 should peak by 2019 and 2026, respectively, the number of hospitals on Stage 7 will not peak by 2035. The findings in the Journal of Medical Internet Research indicated that "US hospitals are decades away from fully implementing sophisticated decision support applications and interoperability functionalities in EHRs," the authors wrote.
Becker's Health IT & CIO Report (8/10) 
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Patient Care in Medicine
Low bone mass, breast arterial calcification tied to CAD risk in women
Researchers in South Korea analyzed data for 2,100 women who did not have symptoms of coronary artery disease and found that breast arterial calcification and low bone mass were associated with higher rates of coronary artery calcification and coronary atherosclerotic plaque. The findings were published in JACC: Cardiovascular Imaging.
Family Practice News (8/15) 
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No link found between TNFi use, higher cancer recurrence risk in RA
A study in the Annals of Internal Medicine found use of tumor necrosis factor inhibitors in patients with rheumatoid arthritis following a diagnosis of cancer was not tied to a higher risk of cancer recurrence, compared with nonuse. The findings were based on a population-based cohort study of 467 patients who received TNFi after cancer diagnosis and 2,164 patients who never took biologics but had the same cancer history and on an unmatched analysis of 3,826 patients with RA with a history of cancer who had not received biologic treatment.
Rheumatology Advisor (8/14) 
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Infant bone health not affected by maternal tenofovir use in pregnancy
CDC researchers found that 6-month-old infants born to mothers with hepatitis B virus and HIV who received tenofovir during pregnancy didn't have significantly reduced bone mineral content or bone mineral density, compared with those whose mothers didn't take tenofovir. The findings were published in The Pediatric Infectious Disease Journal.
Medscape (free registration)/Reuters (8/14) 
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Drug overdose mortality reaches new peak, CDC reports
Preliminary CDC data showed US drug overdose mortality hit record levels last year, increasing to more than 72,000 deaths, driven mainly by the continued increase in fatalities involving fentanyl and other synthetic opioids. Overdose deaths from synthetic opioids rose by more than 9,000 from the prior year, reaching almost 30,000 deaths in 2017, while fatalities from heroin, prescription opioids and methadone have dropped.
The Hill (8/15),  The Washington Post (tiered subscription model) (8/15) 
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Legislative & Regulatory Update
Ill. to require patient notification of breast density
Illinois is the 36th state to require that women be informed when a mammogram shows they have dense breast tissue. The law goes into effect Jan. 1.
Radiology Business (8/13) 
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