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Many Prescriptions for Newer, More Expensive Antiplatelet Agents Go UnfilledPrescriptions for the P2Y12 inhibitors prasugrel hydrochloride and ticagrelor hydrochloride after percutaneous coronary intervention (PCI) are outpacing those for clopidogrel, but many patients are not filling those prescriptions, researchers report.
Reuters Health Information, May 2018
EuroPCR 2018FFR-Guided PCI Reduces Cardiac Death, MI in Stable CAD Analysis of pooled data from three clinical trials showed reduction in a composite of myocardial infarction and cardiac death in patients randomly assigned to FFR-guided PCI vs optimal medical therapy.
Medscape Medical News, May 2018
HRS 2018PADIT: Aggressive Antibiotics Didn't Cut CIED Infection Risk A trial assigned 28 centers to use standard prophylaxis or a longer-acting multidrug strategy at device implantations. Infections were strikingly low either way. Would that be seen outside of a trial?
Medscape Medical News, May 2018
Public Reporting of PCI Outcomes: Taking on the Status QuoExperts argue public reporting has not achieved its primary goals and that alternative strategies should be considered to strengthen care quality and avoid unintended consequences.
When Evidence Doesn't Persuade Dr Mandrola debated stenting in stable CAD. He had data on his side, but his opponent triumphed with pictures of scary-looking blockages. Why is the plumbing analogy of CAD so difficult to dispel?
Medscape, May 1, 2018
Life and Times of Leading Cardiologists: Robert GuytonThe son of famed 'Medical Physiology' textbook author Arthur Guyton tells Dr Ohman about his journey to cardiothoracic surgery and the rivalry among his nine physician siblings.
Seth Bilazarian Signs off from Clinical PracticeAfter more than 20 years, Dr Bilazarian decides to leave clinical practice and take a job in industry. He reflects on the reasons and his hopes for his new career.
theheart.org on Medscape, October 12, 2015
Incentivizing Cardiologists to Do the Right ThingDrs Harrington and Joynt Maddox discuss the move from volume-based to performance-based payment models and how to develop evidence-based quality metrics that make clinical sense.
theheart.org on Medscape, April 23, 2018
IV Diltiazem and Other Shortages at Crisis LevelA confluence of factors, including a hurricane, have left hospitals with shortages of saline and IV drugs. But long-term solutions will require the intervention of legislators, concludes Melissa Walton-Shirley, MD.
