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 - Doctor and older patient

More than half of patients due for replacement of their implantable cardioverter-defibrillator (ICD) generator did not realize they could opt out and many underestimated the risks of ICD replacement, according to a research letter published online July 28 in JAMA Internal Medicine.

 - urban setting

Failing to adjust measures such as Medicare’s readmissions reduction program for sociodemographic factors will put already financially stressed safety net hospitals at risk and worsen healthcare disparities, according to an editorial published online July 22 in the Annals of Internal Medicine.

 - heart, cardiology, cardiac

Physicians in the U.S. who treat patients with multivessel coronary disease rarely turn to a hybrid approach for therapy. Over a two-year period, only 0.48 percent of CABG procedures included hybrid coronary revascularization (HCR), reported a study published online July 23 in Circulation.

 - gold empty scales

Since the 1990s, well-meaning physicians have prescribed pregnant patients low-molecular weight heparin to combat complications, especially when thrombophilia or previous complications pose a risk to the mother and child. However, research suggests that there are no benefits and greater risks of increased minor bleeding when taking anticoagulant agents.

 - question mark

We haven’t always spoken the same language in acute MI studies, researchers found when trying evaluate differences and changes to mortality in male and female patients using 46 years of data. The meta-analysis published online July 22 in Circulation found that study differences made comparisons difficult.