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Chris P. Kaiser

The explosion of data that needs to be collected, stored and analyzed requires a greater scrutiny of the security of that information along the continuum of care. As cardiology practices and departments align their cardiovascular information systems (CVIS) and cardiology PACS (C-PACS) with greater accessibility throughout the enterprise, they will need to work with IT and other specialties to guarantee the security of their patient information.

It can be difficult for cardiologists to adequately manage their practices when the state of reimbursement is either in flux or in a downward spiral. Earlier this month, the CMS received a recommendation from one of its advisory panels to boost payment to physicians and and hospital by 1 percent. While that might not seem like much, it could be a harbinger of things to come.

The prevalence of sudden cardiac death (SCD) in young athletes is relatively low. The most common cause of SCD in this population is congenital cardiovascular disease, with hypertrophic cardiomyopathy being the most common cause. The American Heart Association calls for screening with physical history and exam, but others, notably in Europe, include a 12-lead ECG to the screening paradigm.

In cardiac arrest patientsin-hospital and pre-hospitaldoes resuscitation produce a good quality of life for survivors after discharge from the hospital? The answer, simply put, is yes, according to a systematic review of the literature published in this month's Resuscitation.

Implementation of a rapid response system had a significant impact on medical and surgical patients with the occurrence of and survival from a cardiac arrest out of the intensive care unit. However, researchers could not explain the disproportionate number of arrests in the medical patients, according to a study published in the April issue of Resuscitation.

In recognizing both the chance of adverse cardiac events associated with sporting events and the value of CPR and automated external defibrillators (AEDs) to help save lives, 15 members of USA Volleyball this month completed the American Heart Association's first aid certification.

Study participants who viewed a brief hands-only CPR video were more likely to attempt CPR, and perform better quality CPR in an emergency than participants who did not view the short videos, according to research reported in the April issue of Circulation: Cardiovascular Quality and Outcomes.

Sudden cardiac death (SCD) of a young athlete represents the first manifestation of cardiac disease in up to 80 percent of young athletes who remain asymptomatic before sudden cardiac arrest occurs, which explains the limited power of screening modalities based solely on history and physical exam, according to a paper in the April issue of European Journal of Cardiovascular Prevention & Rehabilitation.

Compared with placebo, pioglitazone (Actos, Takeda Pharmaceuticals) reduced the risk of conversion of impaired glucose tolerance to type 2 diabetes mellitus by 72 percent, but was associated with significant weight gain and edema, according to a study published March 24 in the New England Journal of Medicine.

In patients with suspected acute coronary syndrome (ACS), implementation of a sensitive troponin assay increased the diagnosis of MI and identified patients at high risk of recurrent MI and death in the following year, according to a study in the March 23/30 issue of the Journal of the American Medical Association. However, one researcher expresses caution about lowering the troponin threshold for MI.