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AUGUST 19, 2010 | Volume 4, Number 58
From the Editor

Improving care, advancing outcomes
Currently in the medical industry, technological and device advancements and improved drug therapies have enriched patient care and helped to thwart off and treat disease. Changes in medical practice, particularly in the cardiology field, occur with every new clinical trial and help to improve patient outcomes.
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Top Stories
P4P programs have modest impact, need better design
Pay-for-performance (P4P) programs for hospitals and physicians, often linked to public reporting, have modestly improved the quality of care delivered, according to a RAND Corporation study released Aug. 9 at a Capitol Hill briefing.
Chalk River reactor is back online
The Atomic Energy of Canada Limited (AECL) has reported that the National Research Universal (NRU) reactor at Chalk River Laboratories in Chalk River, Ontario--the world's largest producer of molybdenum-99--can again begin to create medical isotopes.
JAMA: Delays in PCI treatment time increase risk of death
Delays in treatment time, particularly a delay in first contact with emergency medical service (EMS) to balloon angioplasty, may increase mortality for STEMI patients, according to a study published in the Aug. 18 edition of the Journal of the American Medical Association.

Web Exclusives

Feature: As Maryland stent investigations continue, more oversight is needed

After 585 patients at the St. Joseph Medical Center (SJMC) in Towson, Md., received word that their cardiac stent procedures may have been unwarranted, Maryland attorneys filed a 19-page lawsuit against the facility alleging that Mark G. Midei, MD, director of the SJMC cath lab violated the Maryland Medical Practice Act. The court documents accuse Midei of performing "hundreds, if not thousands, of unnecessary cardiac stent procedures on patients." Now, this case and others like it have left most wondering what this will mean for the industry.

Financial News

Philips invests in healthcare technology companies
Royal Philips Electronics will participate in a new venture capital fund, Gilde Healthcare III, which will focus on early- and growth-stage healthcare technology companies in Europe and the U.S.

Clinical Studies

JACC: Same-day discharge safe for uncomplicated PCIs
Proper patient selection and adherence to set protocols allow same-day discharge after uncomplicated cases of elective PCI, despite using femoral access, according to a study published in the August edition of the Journal of the American College of Cardiology: Cardiovascular Interventions.

JACC: Two-device option increases suitability for arotic valve implantation
For patients with severe aortic stenosis, offering either the Edwards Lifesciences Sapian or Medtronic CoreValve devices allows a greater number of patients to be suitable for transcatheter aortic valve implantation, according to a study published in the August edition of the Journal of the American College of Cardiology: Cardiovascular Interventions.

CCI: DES benefits validated out to five years
Drug-eluting stents (DES) sustain a prognostic benefit up to five years following PCI, based on a survival analysis published in the September issue of Catheterization and Cardiovascular Interventions.

Lancet: Kidneys from cardiac-death equal to those from brain-death patients
For first-time kidney recipients, kidneys from controlled cardiac-death donors were equivalent to those donated from brain-death donors and had similar rates of graft survival and graft function, according to a study published online Aug. 19 in the Lancet.

Industry News

UN: Medical imaging radiation is main source of rad exposure
The use of radiation in medicine accounts for most human exposure to ionizing radiation, according to a report issued by the United Nations scientific committee on the effects of atomic radiation.

EHJ: Cards need to bone up on mitral valve regurgitation guidelines
Guidelines suggest repair rather than replacement should be the first course of action for asymptomatic severe mitral valve regurgitation, but more often it is not. Researchers suggest that cardiologists should become more familiar with the guidelines to ensure proper surgical referral, according to a study in the Aug. 16 edition of the European Heart Journal.

HHS announces $46 million to ensure transparency in health insurance markets
Affordable Care Act grants totaling $46 million will be distributed to 45 states and Washington, D.C. to help improve the oversight of proposed health insurance premium increases, take action against insurers seeking unreasonable rate hikes and ensure consumers receive value for their premium dollars, announced U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius.

Mergers & Acquisitions

Medco to acquire United BioSource for $730M
Medco Health Solutions has signed a definitive agreement to acquire United BioSource in an all-cash transaction valued at approximately $730 million.











Cardiovascular Business
Current Issue

Web Exclusives
Feature: More cardiac patients seen, less Medicare reimbursement
As the baby boomer population begins to age and demand more care, cardiologists are seeing a surge in patients, but are getting reimbursed less and less for their services, according to a survey conducted by MedAxiom, a subscription-based resource provider for cardiology practices.
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