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Practice Management

 - Doctor and older patient

Multisite patient-centered disease management may not be able to compete with the level of care patients already receive at Veterans Affairs medical centers. At one year, cardiomyopathy scores for heart failure patients in an intervention arm were no better than those getting usual care.

 - 4 ways to become a more strategic leader

As healthcare evolves into a more value-based system, physicians are increasingly taking the reins as leaders within healthcare systems, using their clinical background to direct stronger patient-centric care.

 - Child Doctor Heart

Parents who smoke are increasing their children’s risk for carotid atherosclerosis, found one study published online March 23 in Circulation. Researchers noted while markers remained, those who practiced good hygiene and avoided their children when smoking reduced some of that risk.

 - doctor talking to woman

Is it providence or paranoia? While numbers are hard to acquire on prevalence, an article published online March 12 in JAMA explored the potential benefits and pitfalls of patients recording what their physician says without the doctor's knowledge.

 - patient

Researchers looking into patient-reported and medically recorded MI found significant discordance between them, with telling differences. Patients who self-report acute MI may have a doubled mortality risk, even if their records say they have no history of a heart attack. 

 

More Stories

Cholesterol disorder offers clues about statins and diabetes

A study published in the March 10 issue of JAMA may help unravel the possible relationship between statin use and the increased risk of diabetes. If confirmed, the findings may provide a pathway for new treatments. 

FDA approves two-device CPR system

The FDA gave a green light to a dual-device cardiopulmonary resuscitation (CPR) system designed to maximize the compression-decompression process and improve blood circulation to the heart and other organs.

Centers venture into same-day discharge after ICD placement

Same-day discharge with elective PCIs has picked up steam in recent years. Now it looks like same-day elective implantable cardioverter-defibrillator (ICD) implantation could follow suit.

10 sessions you can’t miss at ACC.15

So many sessions, so little time. Here are 10 presentations at ACC.15 that could change how you treat patients and do business from now on.

Statin use increases risk of type 2 diabetes by 46%

Some statins may influence the development of diabetes more than previously believed. A study found that in a large population of men on statins, a significant number developed diabetes, with risk increasing in a dose-dependent manner.

Moderate coffee consumption may stave off atherosclerosis

A coffee habit may improve a patient’s cardiovascular profile. A study looking at coronary artery calcium (CAC) and coffee consumption found that those who drank three or four cups of coffee a day had lower CAC score ratios than those who consumed more or less.

Taking aim at clinic shootings: Should hospitals take the lead?

With national politicians unlikely to address the issue, hospitals need to act on their own to mitigate the increasing threat of active-shooter incidents like a recent fatal gunning of a Boston cardiac surgeon, according to a commentary.

 

115 blood tests per heart patient: In-hospital draws draining them dry

A study revealed that in one hospital, cardiac surgery-related phlebotomy was really draining its patients. Analyzing a possible link between blood draws and hospital-acquired anemia, researchers found that 74 percent of patients with normal values for hemoglobin on admission were anemic by discharge.

Truven’s top 100 hospitals: Here’s who made the cut for 2015

Truven Health Analytics named its top 100 hospitals for 2015, based on traditional performance measures such as 30-day readmission and mortality rates as well as a new metric on Medicare spending per beneficiary.

Early-bird abstracts take wing

The American College of Cardiology (ACC) decided to make most abstracts available to attendees for online viewing next week, several days before the conference starts. The move likely will change the experience for everyone.

Increased risks for PAD, heart failure seen with type 2 diabetes

The risk for peripheral artery disease (PAD) increased nearly threefold when patients had type 2 diabetes compared to those who didn’t, according to findings published in the February issue of Lancet: Diabetes & Endocrinology.

Six simple tips for minimizing your risk of a lawsuit

Darrell Ranum, JD, vice president for patient safety at The Doctors Company, shares some practical tips to help cardiologists avoid being sued for negligence.

Convicted cardiologist, two other parties to shell out $650K

In a case that dates back almost a decade, an interventional cardiologist in Louisiana who was convicted of fraud and two other entities have agreed to pay a $650,000 settlement.

Bleeding rates higher when pairing MI treatment with NSAIDs

Findings published Feb. 24 in JAMA suggest caution may be required when prescribing nonsteroidal anti-inflammatory drugs (NSAIDs) for patients with a recent MI. The population study noted that MI patients taking one or more NSAIDs had increased risk for bleeding compared with patients who weren’t taking them.

Guideline adherence, safety don’t always go hand-in-hand at hospitals

Cardiologists who want to improve patient outcomes need to strike a balance between evidence-based therapy and patient safety, according to a study published online Feb. 16 in Circulation.

Some like it hot: Saunas may provide cardio-protective benefits

This could get steamy: By frequently taking saunas, men may reduce their risk of cardiac-related fatalities, according to a study published online Feb. 23 in JAMA Internal Medicine.

Cath lab work-related pain hits techs, nurses hardest

The strain from wearing protective lead aprons in the cath lab may be taking a greater toll on allied staff than on physicians. A survey on health hazards in interventional labs found incidence of work-related pain was highest among technicians and nurses.

Chest pain patients at highest risk skip follow-up after emergency visit

It sounds counter-intuitive, but patients at highest risk for adverse outcomes may not be those most likely to seek follow-up treatment after being discharged from the emergency department for chest pain, according to research published Feb. 23.

Cholesterol takes back seat to whole diet in USDA recommendations

It’s all about the whole diet, say experts in a draft of scientific findings on the U.S. Food and Drug Administration (USDA) website. The results, published for comment through April 8, offer diets for physicians to consider with their patients when working to improve cardiovascular risks, heart disease, obesity, and other health concerns.

Dive into cardiology liability claims reveals common mistakes

If you want to avoid damaging litigation, concentrate on dialogue and details. Cardiologists who fail to maintain detailed, two-way conversations with patients and thoroughly assess diagnostic data are at risk of negligence lawsuits, a study shows.