Study shows 8-fold higher heart attack risk among young smokers | Study: Stroke incidence down among seniors, up in younger groups | Risk factors in midlife linked to future heart failure risk
November 30, 2016
ASNC SmartBrief
News for nuclear cardiology and cardiovascular imaging professionals
Top Stories
Study shows 8-fold higher heart attack risk among young smokers
A UK study in the journal Heart found adults under age 50 who smoke had an almost 8.5 times higher risk of heart attack than their peers who used to smoke or never smoked. The findings, based on data for 1,727 individuals treated for ST-elevated myocardial infarction, also showed smokers aged 50 to 65 had a five times increased risk of heart attack and those older than 65 had a three times higher risk compared with nonsmokers and former smokers their age.
HealthDay News (11/30),  Reuters (11/29) 
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Study: Stroke incidence down among seniors, up in younger groups
Stroke rates among Americans aged at least 55 have dropped, while rates among younger groups have increased, rising 68% among people aged 45 to 54 and at least doubling among those aged 35 to 44, researchers report in the Journal of the American Heart Association. The study examined stroke incidence in 1995 to 1999 and 2010 to 2014.
HealthDay News (11/23) 
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Medical Focus
Risk factors in midlife linked to future heart failure risk
A study in the Journal of the American College of Cardiology: Heart Failure found that people ages 45 to 55 without hypertension, diabetes or obesity have as much as an 86% reduced risk of developing heart failure during their lives. Researchers examined data from participants in the Framingham Heart Study and other studies. (11/29) 
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Researchers: Insulin dose not tied to adverse CV events in diabetes
A study in The Lancet Diabetes & Endocrinology showed the dosage of daily insulin was not associated with all-cause mortality or composite major adverse cardiovascular events for patients with type 2 diabetes. Canadian researchers found an increased risk for all-cause mortality among those receiving doses higher than 25 units per day, compared with those receiving less than 25 units, but said the association was decreased after adjustments.
Healio (free registration)/Endocrine Today (11/23) 
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Other News
Your Solution to the TC-99m Shortage
With the closure of a key nuclear reactor, shortages of Tc-99m are inevitable. Implementation of low dose imaging may prevent cancelation of procedures and revenue loss. UltraSPECT low dose technology is available from many radiopharmaceutical and service suppliers. Ask your supplier or call UltraSPECT at 1888-WBR-SCAN.
Regulatory & Policy
Trump finalizes choices for HHS, CMS leadership
President-elect Donald Trump has selected Rep. Tom Price, R-Ga., chairman of the House Budget Committee and a former orthopedic surgeon, to serve as HHS secretary in the incoming administration, according to a transition team official. Trump has also chosen Seema Verma, an Indiana health policy consultant, as CMS administrator, a source said.
The Washington Post (tiered subscription model) (11/29),  Reuters (11/28),  The Wall Street Journal (tiered subscription model) (11/29) 
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Republicans may move to overhaul Medicare
House Republicans have long called for major changes to Medicare, and House Speaker Paul Ryan has advocated for a plan involving premium support for beneficiaries, who would shop an exchangelike structure for coverage, choosing from private plans and traditional Medicare. President-elect Donald Trump's transition website lists "modernize Medicare" among his priorities, but he has not shared any specifics.
The New York Times (free-article access for SmartBrief readers) (11/24),  National Public Radio (11/26) 
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Why Platform Matters When Choosing an ERP System
In order to survive, grow, and compete in the digital age, organizations need an ERP that is highly flexible and able to adapt. So, what are the tough platform questions you should ask yourself when shopping for an ERP?
Download the report to find out!
Be MACRA-ready for 2017 with the Success in Quality Payment webinar series
ASNC is pleased to offer a 2016 year-end webinar series aimed at educating you on the final components of the Medicare Access and Chip Reauthorization Act (MACRA) of 2015 and what you will be responsible for reporting in the quality payment program for 2017 and onward.
  • Part 1, Dec. 8, 3 p.m.-4 p.m. ET: MACRA Program Overview: Understand Medicare Payment Changes for 2017 and Beyond. Register for free.
  • Part 2, Dec. 14, 12 p.m.-1 p.m. ET: Making MIPS Work: What You Need to Know for 2017. Register for free.
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ASNC, IAC, SNMMI call for field to focus on radiation dose optimization in nuclear cardiology
ASNC has joined with the Intersocietal Accreditation Commission (IAC) and the Society of Nuclear Medicine and Molecular Imaging (SNMMI) to mandate specific dose ranges for myocardial perfusion imaging studies to decrease radiation exposure while maintaining image quality, thus ensuring patient safety. Read the new mandate.
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