SCAI, other groups broaden PCI competency criteria | Study looks at outcomes with angioplasty after carotid stenting | CCI study: Scoring system may help forecast angioplasty outcomes
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May 14, 2013
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News for Invasive/Interventional Cardiologists
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SCAI, other groups broaden PCI competency criteria
Criteria for evaluating interventionalists' competence should involve a number of factors in addition to procedural volume, according to a document released by SCAI and two other cardiology groups. The document, which updates the 2007 statement, defines 14 metrics under six domains, including patient care and procedure skills, and interpersonal and communication skills. "How volume correlates to outcomes is a little fuzzier than we thought, and while there is some correlation, there is no breaking point to the data that tells us what a minimum volume would be, and also, we recognize, there is so much more involved," said newly inducted SCAI President Dr. Theodore A. Bass, vice chairman of the writing committee. TheHeart.org (Montreal) (free registration) (5/9), Healio/Cardiology Today (5/8), Cardiology News online (free registration) (5/9), MedPage Today (free registration) (5/8), TCTMD.com (5/10)
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Study looks at outcomes with angioplasty after carotid stenting
In a substudy of CREST trial data presented at the SCAI 2013 Scientific Sessions, researchers found that carotid artery stenting followed by balloon angioplasty cut restenosis risk by 64% but carried a higher risk for periprocedural stroke. Patients who had post-stent deployment angioplasty faced a 3.7% chance of restenosis at two years compared with the group that received balloon angioplasty ahead of stenting. However, 19 of 20 patients who had periprocedural strokes were in the post-stent angioplasty group. CardiovascularBusiness.com (5/10), TheHeart.org (Montreal) (free registration) (5/9), Healio/Cardiology Today (5/9)
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Policy & Professional News
AHA advocates surveys to facilitate communication with patients
Asking heart patients to complete a standardized survey about their cardiovascular health and quality of life may help physicians deliver superior care and achieve better patient outcomes, according to a scientific statement from the American Heart Association. Questionnaires vary by diagnosis, but each is designed to gauge patients' mental and physical function and emotional well-being. "Cardiovascular patient health status measures may also inform clinical decision making, target health care resources, and enable accurate surveillance of disease burden," the authors wrote. MedPage Today (free registration) (5/6), DailyRx.com (5/7)
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Medical Developments
Majority of deaths within 30 days of angioplasty are not PCI-related
A study of 4,078 patients who underwent angioplasty found that more than half of those who died within 30 days of the procedure did so because of complications unrelated to the intervention. Patients whose deaths were unrelated to the procedure faced higher likelihood of presenting in cardiac arrest or cardiogenic shock, had a higher incidence of heart failure and were more likely to die during admission, according to the study. The study also found that death certificates were less accurate than patient charts in noting the cause of death. The research raises questions about the use of 30-day mortality as a quality metric. Chicago Tribune (tiered subscription model)/Reuters (5/10), TCTMD.com (5/8)
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10% of congenital heart defects are due to spontaneous mutations
Approximately 10% of congenital heart defects were associated with spontaneous gene mutations, rather than inherited mutations, according to a study published in the journal Nature. Researchers found that mutations in congenital heart disease overlapped with autism-related mutations, suggesting a possible common pathway behind a range of congenital abnormalities. DoctorsLounge.com/HealthDay News (5/12), The Wall Street Journal (5/12)
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Docs adapt treatments amid dearth of devices sized for children
Children with heart problems are routinely treated with adult-sized devices, largely because the market for pediatric devices is limited, medical experts say. While a child-sized catheter was recently approved by the FDA, "often we end up having to dramatically modify an operation simply to be able to implant a device in a child," said Dr. Pedro del Nido, chairman of the cardiac surgery department at Boston Children's Hospital. The New York Times (tiered subscription model)/Well blog (5/6)
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SCAI News
Join "Heart Health 4 Moms" chat on Twitter
Take an hour this week to help expand awareness of cardiovascular disease in women, especially women who experienced certain pregnancy complications. In recognition of Preeclampsia Awareness Month, SCAI is joining "Heart Health 4 Moms," a one-hour Twitter chat that will start at 1 p.m. (Eastern Time) this Thursday, May 16. Join the conversation with #PreAM13. Learn more.
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Who will you nominate for MSCAI?
Announcing ... the Master Fellow of SCAI (MSCAI) category of fellowship. The MSCAI designation was developed to recognize SCAI Fellows who have been recognized by their peers for demonstrated excellence in Invasive/Interventional Cardiology over a career, manifested by a commitment to the highest levels of clinical care, innovation, publication and teaching. SCAI will begin accepting nominations on June 1. Find out more and start thinking about who you will nominate.
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SmartQuote
Be not angry that you cannot make others as you wish them to be, since you cannot make yourself as you wish to be."
-- Thomas à Kempis,
Dutch religious scholar
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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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