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November 27, 2012
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News for Invasive/Interventional Cardiologists

  Top Stories 
  • Tools track risk in PCI patients with ACS
    The ACUITY-PCI risk score can improve risk assessment in cases of non-ST-segment elevation acute coronary syndrome where patients are undergoing percutaneous coronary intervention, according to Columbia University research. Meanwhile, an additional tool derived from the ACUITY and HORIZONS-AMI trials assesses risk of stent thrombosis in a broader pool of PCI patients. MedPage Today (free registration) (11/19), (11/22) LinkedInFacebookTwitterEmail this Story
  • Supreme Court allows ACA challenge to move forward
    The Supreme Court ruled that Liberty University's lawsuit challenging the Affordable Care Act may be reheard in a federal appellate court. The school says the law forces employers and the public to subsidize contraception and abortions in violation of First Amendment rights to religious freedom. The school might also claim that Congress exceeded its power in mandating that employers offer health insurance. Reuters (11/26) LinkedInFacebookTwitterEmail this Story
  Policy & Professional News 
  • CMS penalizing hospitals to curb readmissions
    Medicare is taking the maximum 1% penalty from 307 of 2,217 hospitals identified as having readmission rates that are too high as part of the Affordable Care Act's push to rein in Medicare spending increases and prevent unneeded care. Readmission penalties have captured the attention of hospitals, many of which are attempting to enhance supervision after discharge. Readmissions should be regarded as a challenge to conquer, said Dr. Harlan Krumholz of Yale-New Haven Hospital's Center for Outcomes Research and Evaluation. The New York Times (tiered subscription model) (11/26) LinkedInFacebookTwitterEmail this Story
  • Frustrated with regulations, doctors embrace concierge care
    A growing number of doctors are switching to a cash-only model out of frustration with insurance companies and the primary care system. The approach does carry some challenges, particularly with patients wanting to bill Medicare. Some physicians say they made the move as part of an effort to provide better care, while others charge the concierge model is more about amenities and some suggest the model may not be right for specialists. The New York Times (tiered subscription model) (11/23) LinkedInFacebookTwitterEmail this Story
  • Other News
  Medical Developments 
  • Research backs stenting for erectile dysfunction
    Placing a stent in a pelvic artery may help patients with erectile dysfunction who do not respond to sildenafil or similar drugs, according to research reported in the Journal of the American College of Cardiology. A small trial showed improvement in 60% of patients who had a zotarolimus-eluting stent implanted in the internal pudendal artery. MedPage Today (free registration) (11/23) LinkedInFacebookTwitterEmail this Story
  • CCTA shown to improve plaque identification
    Coronary CT angiography can detect significant plaque in infarct-related arteries of patients with acute myocardial infarction whose conventional angiography findings are normal, according to research published in Circulation. "Coronary angiography is the gold standard for evaluating coronary stenosis, but it only images the lumen contour of coronary vessels and does not provide any information concerning the vessel wall and plaques," the researchers wrote. Medscape (free registration) (11/26) LinkedInFacebookTwitterEmail this Story
  • Low-calorie diet may reduce the risk of age-related diseases
    Calorie restriction was associated with a slower aging process in the mitochondria of cells, resulting in a lower risk of age-related diseases including diabetes and heart disease, researchers wrote in the journal Nature. A low-calorie diet appeared to retain the cell membrane's acidity levels, which reduced the degradation of the mitochondria, researchers reported. Yahoo/Asian News International (11/22) LinkedInFacebookTwitterEmail this Story
  SCAI News 
  • SCAI-QIT Tip of the Month: Catch up with your institution's NCDR data coordinators
    Becoming familiar with the NCDR Cath/PCI Registry data form and dictionary can be insightful for individual interventional cardiologists. It may be challenging for your data coordinators to find the necessary data elements in a complex blend of outpatient/inpatient, multi-institutional, and multi-source medical record systems. You can help! Your data coordinators may also be unaware of the stylistic documentation differences among interventionalists, potentially resulting in a higher-than-desired percentage of "unclassifiable" data submissions to the NCDR. Regardless, even if you do not submit to the NCDR but have an institutional registry or quality assurance process, look for opportunities to meet and be proactive with your coders or data coordinators. Remember, they are your colleagues. Catch up with SCAI-QIT's latest quality improvement tools. LinkedInFacebookTwitterEmail this Story
  • SCAI transradial program in Houston highlighted by nurse/technician breakout session
    Whether you are trying to pick up basic skills or looking for advanced techniques and best practices in transradial interventions, SCAI TRIP Houston is designed to educate the whole interventional/invasive cardiology care team. Developed exclusively for cath lab nurses and technologists, the programs' Nurse/Technician Breakout Session will focus on equipment needs, room arrangements for radial vs. femoral, radial artery policy, TR band policy and competency, hemostasis removal documentation flow sheets, same-day PCI and more. Space is limited -- RSVP now! LinkedInFacebookTwitterEmail this Story
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Every path hath a puddle."
--George Herbert,
Welsh-British poet, orator and priest

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