SCAI issues consensus document on transradial angiography best practices | Risks may outweigh benefits of post-MI beta blockers | Study links use of certain NSAIDs to heart risks in older women
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July 15, 2014
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SCAI issues consensus document on transradial angiography best practices
SCAI's consensus document on transradial angiography recommends three evidence-based, best practices: minimizing radiation exposure during procedures, employing practices that preserve the radial artery and performing transradial primary PCI in STEMI patients only after adequate experience with elective cases. More research is needed to develop best practices for teaching transradial angiography, says SCAI fellow Dr. Sunil Rao, a lead author of the consensus document. Physician's Weekly (7/10)
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Risks may outweigh benefits of post-MI beta blockers
A meta-analysis of more than 100,000 subjects found that beta blockers offered no reduction in mortality risk in post-myocardial infarction patients and resulted in a 10% increased risk of heart failure and 29% increased risk of cardiogenic shock in some patients. In light of these findings, clinical guidelines for the use of beta blockers in post-MI patients should be reconsidered, researchers said. The study was published in The American Journal of Medicine. Medscape (free registration) (7/7)
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Policy & Professional News
Commentary: Docs should use their expertise to influence debates on coverage decisions
Interventionists should get involved on the local and national levels to ensure that coverage decisions, such as permitting TAVR coverage for Medicare patients, are well-informed, writes SCAI fellow Dr. Larry Dean. Such decisions are "being made every day and in every state" and have national implications, he writes. "[A]s patient advocates we must use our deep understanding of the issues to truly inform the process. We must be vigilant, proactive and involved," Dean writes. Cardiovascular Business magazine (6/2014)
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Sunshine Act lets patients know who pays their docs
The New England Journal of Medicine has reported that almost 95% of doctors in the U.S. take gifts, payments, meals, travel and other services from the makers of the medical products and drugs they prescribe. An exhaustive online database of payments to hospitals and doctors in the U.S. will be made available under the Sunshine Act beginning in September. "I think every patient out there should know who actually is paying their doctor," Harvard University's Paul Thacker said. Pharmaceutical Processing/The Associated Press (7/9)
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Medical Developments
NIH contributes $1M for stent to treat pediatric pulmonary artery stenosis
The National Heart, Lung and Blood Institute has provided $1 million in funding to Boston-based 480 Biomedical, which is developing a self-expanding, resorbable scaffold for treating pediatric pulmonary artery stenosis. The stent holds open key arteries and can be replaced through a minimally invasive surgical procedure as the child grows. MedCityNews.com (7/10)
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Study: Fasting may be unnecessary before blood lipid test
The conventional 9- to 12-hour fasting period prior to a blood lipid test may offer no predictive value, according to a study involving more than 16,000 men and women. Researchers found no difference between fasting and non-fasting blood lipid tests in predicting cardiovascular disease or death. The New York Times (tiered subscription model)/Well blog (7/11)
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SCAI News
SCAI.org Image of the Week: PCI or left ventriculogram?
Join the discussion around the introduction of the SCAI.org Image of the Week, presented by Rajan Patel, MD, FSCAI. View this case of a 79-year-old female presenting with an occluded OM2 Branch, and weigh in or whether PCI or a left ventriculogram is the best next step. Check it now.
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Society welcomes interventional/invasive cardiologists-in-training with free membership and more
School is back in session for new interventional and invasive cardiologists-in-training, and SCAI is once again welcoming them to their professional society by offering FREE Fellow-in-Training Memberships. SCAI FIT members not only receive free access to Catheterization & Cardiovascular Interventions, but also are the first to receive important announcements concerning SCAI Fall Fellows Courses as well as updates to the Society's FIT Portal. New fellows-in-training are encouraged to sign up online.
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SmartQuote
No person was ever honored for what he received. Honor has been the reward for what he gave."
-- Calvin Coolidge,
30th U.S. president
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The news summaries appearing in SCAI SmartBrief are based on original information from news organizations and are produced by SmartBrief, Inc., an independent e-mail newsletter publisher. SCAI is not responsible for the content of sites external to SCAI, nor do reports in SCAI SmartBrief constitute the official opinion of SCAI.
The SCAI SmartBrief news roundup is provided as a timely update for SCAI members and other healthcare professionals. Links to articles are provided for readers' convenience and may be of use in discussions with patients or colleagues. Questions and comments about SCAI SmartBrief may be directed to SmartBrief at scai@smartbrief.com.
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