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November 6, 2012
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News for Invasive/Interventional Cardiologists

  Top Stories 
  • FREEDOM weighs CABG, PCI in patients with diabetes, heart disease
    Bypass surgery carries lower risks of death and MI than percutaneous coronary intervention but higher risk of stroke in patients with diabetes who have multivessel disease, according to results of the FREEDOM trial presented at the American Heart Association meeting. "If you were to look solely at death and MI, CABG is clearly superior in this trial," said Dr. Ajay J. Kirtane of the findings. "But the two procedures are clearly different from a patient-oriented perspective, particularly with regards to the invasive nature of the two procedures and the increased stroke risk, especially within 30 days." CardiovascularBusiness.com (11/4), TheHeart.org (Montreal) (free registration) (11/4), Medscape (free registration) (11/4) LinkedInFacebookTwitterEmail this Story
  • Study finds widespread heart disease risks among U.S. adults
    U.S. adults, both male and female, face at least a 55% overall risk of cardiovascular disease, according to a new study published in the Journal of the American Medical Association and presented at the American Heart Association meeting. The findings, based on an analysis of data from five studies conducted between 1964 and 2008, highlight "the large public health burden and opportunities for prevention of total [cardiovascular disease]." U.S. News & World Report/HealthDay News (11/5) LinkedInFacebookTwitterEmail this Story
  Policy & Professional News 
  • CPORT-E analysis links PCI costs with case volume
    The cost of percutaneous coronary intervention is slightly less at facilities with surgical backup, according to an analysis of data from the CPORT-E trial, but the difference is likely explained by case volume rather than surgery capability, researchers said. The data were discussed at the American Heart Association meeting. TheHeart.org (Montreal) (free registration) (11/4) LinkedInFacebookTwitterEmail this Story
  • Other News
  Medical Developments 
  • Daily multivitamins don't cut heart risks in men
    An analysis of data from the Physicians' Health Study II involving nearly 15,000 men found that taking multivitamins regularly for about 11 years did not significantly reduce the odds of heart attack, stroke or death from heart conditions. The findings were published in the Journal of the American Medical Association and presented at the American Heart Association meeting. The Wall Street Journal (11/5), WebMD (11/5), InternalMedicineNews.com (11/5) LinkedInFacebookTwitterEmail this Story
  • Automated diagnosis of STEMI addresses inappropriate lab activation
    The use of an automated ECG reading to identify patients with ST-segment-elevation myocardial infarction leads to acceptable door-to-balloon times without increasing inappropriate activation of cath lab teams, according to research presented at the Canadian Cardiovascular Congress 2012. Session co-moderator Dr. Michel Le May said the research "opens up a new way of dealing with cardiac cath-lab activation." TheHeart.org (Montreal) (free registration) (10/30) LinkedInFacebookTwitterEmail this Story
  • Biomarkers may ID patients for prophylactic stenting
    An analysis from the PROSPECT study has identified two biomarkers that may help identify nonculprit lesions that will progress rapidly following percutaneous coronary intervention. The biomarkers sFLT-1 and GDF-15 were associated with risk of major adverse cardiovascular events, according to the analysis. The findings may help clinicians identify patients who will benefit from prophylactic stenting. TCTMD.com (10/30) LinkedInFacebookTwitterEmail this Story
  SCAI News 
  • SCAI analyzes impact of 2013 Medicare Physician Fee Schedule on interventional cardiology
    SCAI President J. Jeffrey Marshall, M.D., FSCAI, and Advocacy Committee Chair James C. Blankenship, M.D., FSCAI, have provided preliminary analysis of the 2013 Medicare Physician Fee Schedule and its impact on the practice of interventional cardiology. The message "is essential reading for all SCAI members and billing staff in the United States," said Dr. Marshall. The key take-away, he explained, is that CMS targeted established procedures for bundling and revaluation and ignored the coding and valuation recommendations developed through the AMA's CPT and RUC processes. The result is an unprecedented rejection of many of the new codes developed for PCI and 19%-28% reductions in the base codes for stenting procedures. The Final Rule underscores the importance of the free SCAI-ACC-HRS webinar to be held Nov. 28 at 3 p.m. Eastern time. Register today! LinkedInFacebookTwitterEmail this Story
  • Join SCAI for a free CME Dinner Symposium on Quality Improvement in Miami
    RSVP now to join us in Miami on Nov. 15 for a free SCAI-QIT dinner symposium on the latest developments in quality improvement, including SCAI's AUC app. Offering 2 CME credit hours, this important program will be chaired by Mauricio G. Cohen, MD, FSCAI and Lyndon Box, MD, FSCAI. Designed to facilitate a discussion-fueled, intimate learning environment for Interventional/invasive cardiologists, nurses, technicians and other cath lab health professionals, this dinner will also focus on coronary revascularization and diagnostic catheterization appropriateness use criteria (AUC), including a first-hand look at the all-new SCAI-QIT AUC & Guidelines App. Space is limited -- reserve your spot now! LinkedInFacebookTwitterEmail this Story
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--William Gibson,
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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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