Intravascular ultrasound may help detect heart attacks in women | Cardiologists recommend heart screening for young athletes | Endoscopic ultrasound better than MRI in flagging endometriosis bowel invasion
August 17, 2017
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Clinical Advancements in Sonography
Intravascular ultrasound may help detect heart attacks in women
Heart attack symptoms in women differ from those in men and are less obvious, according to Consumer Reports health expert Lisa Gill. Intravascular ultrasound can be used to augment an angiogram, which checks for blockages in the coronary artery, to detect heart attacks in women, because plaque tends to spread more evenly in females, Gill says.
KSAT-TV (San Antonio) (8/16) 
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Cardiologists recommend heart screening for young athletes
As high-school athletes prepare for the upcoming season, cardiologists in Austin, Texas, are offering free echocardiogram and EKG screenings for genetic heart conditions such as hypertrophic cardiomyopathy and long QT syndrome. Doctors say the screening can help prevent sudden cardiac arrest.
KXAN-TV (Austin, Texas) (8/14) 
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Endoscopic ultrasound better than MRI in flagging endometriosis bowel invasion
A study in the Journal of Minimally Invasive Gynecology found that both rectal endoscopic sonography and MRI may be needed to properly diagnose and accurately determine the depth of endometriosis. RES was more accurate than MRI in diagnosing bowel invasion, leading researchers to recommend that if MRI detects the condition, RES is unnecessary; however, RES should be used to confirm the diagnosis when MRI does not flag bowel invasion.
BioNews Texas/Endometriosis News (8/14) 
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Technology Update
Many providers can open 3 or more EHR records at once, study finds
A study in the Journal of the American Medical Informatics Association showed that 44.3% of inpatient and outpatient facilities have EHR systems that allow providers to open three or more patient records at a time, while 38.3% allow only one record to be open at a time and 17.4% allow two records to be open. Researchers suggested that hospitals may reduce the risk of documentation errors by limiting the number of patient records that providers can open at once.
Becker's Hospital Review (8/15) 
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Practice News
Study: Specialist access no higher using state standards
Specialty access standards used by five state Medicaid agencies did not significantly improve access to specialist physicians, according to a study in JAMA Internal Medicine. By next year, the CMS will require state Medicaid programs to implement time and distance standards for managed care organizations to ensure Medicaid patients have adequate access to specialist physicians.
Healio (free registration) (8/15) 
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Patient Care in Medicine
Study: Adults considered fit but fat have higher heart risks
Study: Adults considered fit but fat have higher heart risks
(Lisa Maree Williams/Getty Images)
Metabolically healthy adults who were overweight had a 26% higher risk of heart disease, compared with normal-weight adults, while those who were obese had a 28% higher risk, according to a study in the European Heart Journal. People with three or more heart risk factors had twice the likelihood of developing heart disease regardless of their weight, the study found.
HealthDay News (8/14),  CNN (8/14) 
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Gestational age, birth weight tied to congenital heart disease survival
UK researchers looked at 5,070 individuals with congenital heart disease born from 1985 to 2003 and found that five-year survival rates were highest among those born post-term with high birth weight and lowest among those born very preterm with low birth weight. The findings in the Journal of the American Heart Association also showed that every year increase in year of birth was associated with a 7% lower mortality risk.
Cardiovascular Business online (8/15) 
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More sleep may lower type 2 diabetes risk in youths
Nine- and 10-year-olds who got an additional hour of sleep during weekdays had a 2.9% reduction in insulin resistance, 0.24% lower fasting glucose and 0.19% lower body mass index, which are risk factors for type 2 diabetes, compared with those who got less sleep, UK researchers reported in Pediatrics. However, the findings didn't show a link between sleep duration and HbA1C levels or cardiovascular risk.
The New York Times (free-article access for SmartBrief readers) (8/15),  MedPage Today (free registration) (8/15) 
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Legislative & Regulatory Update
CBO: Halting CSR payments would raise premiums 20% next year
Discontinuing cost-sharing reduction payments to insurers would increase premiums for silver-tier plans, the most popular plan tier sold on Affordable Care Act exchanges, by 20% next year and by 25% by 2020, and would raise the federal deficit by $194 billion through 2026, according to an analysis by the Congressional Budget Office. The move would prompt insurers in some states to exit the market, leaving about 5% of Americans with no insurance options next year, although insurers are expected to rejoin the market in 2020.
The New York Times (free-article access for SmartBrief readers) (8/15),  The Hill (8/15) 
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ARDMS News
Inscribase hoy para los examenes de Programa de Certificacion en Ultrasonido para Latinoamerica!
El periodo de inscripcion para los examenes en Abdomen y Obstetricia y Ginecologia del Programa de Certificacion en Ultrasonido para Latinoamerica esta abierto hasta el 6 de septiembre. Inscribase hoy.
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There is now more time to apply for the RPVI-China examination!
The PVI-China examination marks the highest attainable certification in physician's vascular interpretation in China. Apply by Sept. 15!
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