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February 26, 2013
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News for Invasive/Interventional Cardiologists

  Top Stories 
  • True appropriate use incorporates gray areas, Marshall says
    Updated language for procedure and imaging appropriate use criteria is a step in the right direction, says SCAI President Dr. J. Jeffrey Marshall. SCAI has advocated for such a change, Marshall said. The new language eliminates the term "inappropriate" and better acknowledges the complicated nature of medical decision making, he says. "Except for some rare exceptions, physicians are always trying to perform appropriate procedures and order appropriate tests, but sometimes these decisions fall into a gray zone. Inappropriate was just not an accurate term for medical decision-making," Marshall said. He noted more improvements are needed, such as additional clinical scenarios. CardiovascularBusiness.com (2/25) LinkedInFacebookTwitterEmail this Story
  • Health care would see sweeping changes under sequestration
    Spending cuts mandated under sequestration, looking increasingly likely, will touch nearly all aspects of health care, including provider pay and the physician workforce. Physicians and hospitals predict 200,000 fewer jobs if scheduled Medicare cuts -- representing $11 billion this year alone -- take effect, and reductions at the FDA could lengthen review times. The Hill/Healthwatch blog (2/24) LinkedInFacebookTwitterEmail this Story
  Policy & Professional News 
  • The difficult conversation about costs
    While physicians have been a key focus of efforts to reduce health care costs in recent years, patients’ views play a critical role in their ability to balance resources and appropriate care, writes Dr. Pauline Chen. A study published in the journal Health Affairs finds that most people want to leave costs out of discussions about their care and would request more expensive options even if they carried only marginally greater benefit than cheaper alternatives, believing "cost was synonymous with quality," Chen writes. The New York Times (tiered subscription model)/Well blog (2/21) LinkedInFacebookTwitterEmail this Story
  • Other News
  Medical Developments 
  • Fetal heart development takes longer than previously thought
    The heart's four chambers are evident in the eighth week of pregnancy, but the heart lacks fully organized muscle tissue until the 20th week, according to a U.K. study in the Journal of the Royal Society Interface Focus. Since a fetal heartbeat begins at about 22 days of pregnancy, researchers said the findings were surprising. HealthDay News (2/21) LinkedInFacebookTwitterEmail this Story
  • Study: Mediterranean-style diet reduces cardiovascular risks
    A Mediterranean-style diet may prevent about 30% of heart attacks, strokes and deaths from cardiovascular disease in high-risk patients, according to a study published on the website of The New England Journal of Medicine. University of Vermont nutrition professor Rachel Johnson called the study from the University of Barcelona "really impressive" because it used meaningful end points rather than just risk factors such as cholesterol, hypertension or weight. The New York Times (tiered subscription model) (2/25) LinkedInFacebookTwitterEmail this Story
  SCAI News 
  • SCAI to host Twitter chat on heart health
    To round out American Heart Month, SCAI will host a Twitter Chat on Thursday, Feb. 28, from 1 p.m. to 2 p.m. EST. USA Today's Liz Szabo will moderate the chat, and partner organizations will include Mended Hearts, the Preeclampsia Foundation and Sister to Sister: The Women's Heart Health Foundation. Encourage your patients to log in with their heart health question or share their personal stories during this hourlong conversation with John P. Reilly, MD, FSCAI, and Herbert D. Aronow, MD, FSCAI. They will be taking questions and sharing information on heart disease prevention, risks, recognizing the symptoms and treatment options, as well as women and heart health. To join in the discussion or to follow along, use #heartchat. LinkedInFacebookTwitterEmail this Story
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--Friedrich Nietzsche,
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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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