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Circulation. Cardiovascular Quality and Outcomes

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https://www.readbyqxmd.com/read/27803093/socioeconomic-deprivation-and-survival-after-heart-transplantation-in-england-an-analysis-of-the-united-kingdom-transplant-registry
#1
Jonathan D W Evans, Stephen Kaptoge, Rishi Caleyachetty, Emanuele Di Angelantonio, Clive Lewis, K Jayan Parameshwar, Stephen J Pettit
BACKGROUND: Socioeconomic deprivation (SED) is associated with shorter survival across a range of cardiovascular and noncardiovascular diseases. The association of SED with survival after heart transplantation in England, where there is universal healthcare provision, is unknown. METHODS AND RESULTS: Long-term follow-up data were obtained for all patients in England who underwent heart transplantation between 1995 and 2014. We used the United Kingdom Index of Multiple Deprivation (UK IMD), a neighborhood level measure of SED, to estimate the relative degree of deprivation for each recipient...
November 1, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27803092/socioeconomic-disparities-in-heart-transplantation-a-universal-fix
#2
EDITORIAL
Eugene C DePasquale, Jon A Kobashigawa
No abstract text is available yet for this article.
November 1, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27803091/association-between-online-physician-ratings-and-cardiac-surgery-mortality
#3
Jessica J Liu, John Matelski, Peter Cram, David R Urbach, Chaim M Bell
No abstract text is available yet for this article.
November 1, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27803090/percutaneous-coronary-intervention-choice-decision-aid-for-stable-coronary-artery-disease-a-randomized-trial
#4
Megan Coylewright, Sara Dick, Becky Zmolek, Jason Askelin, Edward Hawkins, Megan Branda, Jonathan W Inselman, Claudia Zeballos-Palacios, Nilay D Shah, Erik P Hess, Annie LeBlanc, Victor M Montori, Henry H Ting
BACKGROUND: Percutaneous coronary intervention (PCI) for stable coronary artery disease does not reduce the risk of death and myocardial infarction compared with optimal medical therapy (OMT), but many patients think otherwise. PCI Choice, a decision aid (DA), was designed for use during the clinical visit and includes information on quality of life and mortality outcomes for PCI with OMT versus OMT alone for stable coronary artery disease. METHODS AND RESULT: We conducted a randomized trial to assess the impact of the PCI Choice DA compared with usual care when there is a choice between PCI and optimal medical therapy...
November 1, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27803089/access-to-evidence-based-statins-in-low-cost-generic-drug-programs
#5
Cynthia A Jackevicius, Katie Choi, Harlan M Krumholz
No abstract text is available yet for this article.
November 1, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27780850/health-status-outcomes-in-patients-with-acute-myocardial-infarction-after-rehospitalization
#6
Supriya Shore, Kim G Smolderen, Kevin F Kennedy, Philip G Jones, Suzanne V Arnold, David J Cohen, Joshua M Stolker, Zhenxiang Zhao, Tracy Y Wang, P Michael Ho, John A Spertus
BACKGROUND: Rehospitalizations after acute myocardial infarction for unplanned coronary revascularization and unstable angina (UA) are common. However, despite the inclusion of these events in composite end points of many clinical trials, their association with health status has not been studied. METHODS AND RESULTS: We included 3283 patients with acute myocardial infarction enrolled in a prospective, 24-center US study who had rehospitalizations independently classified by experienced cardiologists...
October 25, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27780849/guideline-appropriate-care-and-in-hospital-outcomes-in-patients-with-heart-failure-in-teaching-and-nonteaching-hospitals-findings-from-get-with-the-guidelines-heart-failure
#7
Dhavalkumar B Patel, Rachit M Shah, Deepak L Bhatt, Li Liang, Phillip J Schulte, Adam D DeVore, Adrian F Hernandez, Paul A Heidenreich, Clyde W Yancy, Gregg C Fonarow
BACKGROUND: Despite increasing awareness regarding evidence-based guidelines, considerable gaps exist for heart failure (HF) quality of care at teaching hospitals (TH) and nonteaching hospitals (NTH). We analyzed data from Get With The Guidelines (GWTG)-HF to compare the rates and trends of guideline-recommended care at TH and NTH for patients with HF. METHOD AND RESULTS: Baseline patient characteristics, performance measures, and in-hospital outcomes were compared between 197 187 HF patients admitted to TH and 106 924 patients admitted to NTH between 2005 and 2014...
October 25, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28073852/heat-maps-of-hypertension-diabetes-mellitus-and-smoking-in-the-continental-united-states
#8
Matthew Shane Loop, George Howard, Gustavo de Los Campos, Mohammad Z Al-Hamdan, Monika M Safford, Emily B Levitan, Leslie A McClure
BACKGROUND: Geographic variations in cardiovascular mortality are substantial, but descriptions of geographic variations in major cardiovascular risk factors have relied on data aggregated to counties. Herein, we provide the first description of geographic variation in the prevalence of hypertension, diabetes mellitus, and smoking within and across US counties. METHODS AND RESULTS: We conducted a cross-sectional analysis of baseline risk factor measurements and latitude/longitude of participant residence collected from 2003 to 2007 in the REGARDS study (Reasons for Geographic and Racial Differences in Stroke)...
January 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28073851/increased-risk-of-adverse-neurocognitive-outcomes-with-proprotein-convertase-subtilisin-kexin-type-9-inhibitors
#9
Abdur Rahman Khan, Chirag Bavishi, Haris Riaz, Talha A Farid, Sobia Khan, Michel Atlas, Glenn Hirsch, Sohail Ikram, Roberto Bolli
BACKGROUND: There is encouraging evidence of the efficacy of proprotein convertase subtilisin-kexin type 9 (PCSK9) inhibitors; however, their long-term safety remains unclear. We performed a meta-analysis of studies to evaluate the long-term safety of PCSK9 inhibitors. METHODS AND RESULTS: Our search strategy yielded 11 studies (9 smaller early-phase and 2 larger outcome trials). The outcomes assessed were cumulative serious adverse events, musculoskeletal adverse events, neurocognitive adverse events, and stroke...
January 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28073850/characterization-of-mineralocorticoid-receptor-antagonist-therapy-initiation-in-high-risk-patients-with-heart-failure
#10
Lauren B Cooper, Bradley G Hammill, Eric D Peterson, Bertram Pitt, Matthew L Maciejewski, Lesley H Curtis, Adrian F Hernandez
BACKGROUND: Heart failure guidelines recommend routine monitoring of serum potassium, and renal function in patients treated with a mineralocorticoid receptor antagonist (MRA). How these recommendations are implemented in high-risk patients or according to setting of drug initiation is poorly characterized. METHODS AND RESULTS: We conducted a retrospective cohort study of Medicare beneficiaries linked to laboratory data in 10 states with prevalent heart failure as of July 1, 2011, and incident MRA use between May 1 and September 30, 2011...
January 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28073849/caregivers-of-patients-with-left-ventricular-assist-devices-possible-impacts-on-patients-mortality-and-interagency-registry-for-mechanically-assisted-circulatory-support-defined-morbidity-events
#11
Courtenay R Bruce, Charles G Minard, L A Wilhelms, Mackenzie Abraham, Javier Amione-Guerra, Linda Pham, Sherry D Grogan, Barry Trachtenberg, Martin L Smith, Brian A Bruckner, Jerry D Estep, Kristin M Kostick
BACKGROUND: How caregivers contribute to positive or negative outcomes for left ventricular assist device (LVAD) patients remains unclear. Our primary study objectives were to (1) identify caregiver support attributes through a retrospective chart review of social workers' psychosocial assessments for LVAD patients and (2) determine how these attributes associated with patients' post-LVAD placement mortality and Interagency Registry for Mechanically Assisted Circulatory Support-defined morbidity events...
January 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28073848/cardiac-and-noncardiac-causes-of-long-term-mortality-in-st-segment-elevation-acute-myocardial-infarction-patients-who-underwent-primary-percutaneous-coronary-intervention
#12
Yugo Yamashita, Hiroki Shiomi, Takeshi Morimoto, Hidenori Yaku, Yutaka Furukawa, Yoshihisa Nakagawa, Kenji Ando, Kazushige Kadota, Mitsuru Abe, Kazuya Nagao, Satoshi Shizuta, Koh Ono, Takeshi Kimura
BACKGROUND: In patients with ST-segment-elevation acute myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention, long-term risks for cardiac and noncardiac death beyond acute phase of STEMI have not been thoroughly evaluated yet. METHODS AND RESULTS: We identified 3942 STEMI patients who had primary percutaneous coronary intervention within 24 hours after onset between January 2005 and December 2007 in the CREDO-Kyoto AMI registry (Coronary Revascularization Demonstrating Outcome study in Kyoto Acute Myocardial Infarction) and evaluated their short-term (within 6-month) and long-term (beyond 6-month) incidences and causes of deaths...
January 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27993943/2016-aha-acc-clinical-performance-and-quality-measures-for-prevention-of-sudden-cardiac-death-a-report-of-the-american-college-of-cardiology-american-heart-association-task-force-on-performance-measures
#13
Sana M Al-Khatib, Clyde W Yancy, Penelope Solis, Lance Becker, Emelia J Benjamin, Roger G Carrillo, Justin A Ezekowitz, Gregg C Fonarow, Bharat K Kantharia, Monica Kleinman, Graham Nichol, Paul D Varosy
No abstract text is available yet for this article.
January 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28051772/characterizing-teamwork-in-cardiovascular-care-outcomes-a-network-analytics-approach
#14
Matthew B Carson, Denise M Scholtens, Conor N Frailey, Stephanie J Gravenor, Emilie S Powell, Amy Y Wang, Gayle Shier Kricke, Faraz S Ahmad, R Kannan Mutharasan, Nicholas D Soulakis
BACKGROUND: The nature of teamwork in healthcare is complex and interdisciplinary, and provider collaboration based on shared patient encounters is crucial to its success. Characterizing the intensity of working relationships with risk-adjusted patient outcomes supplies insight into provider interactions in a hospital environment. METHODS AND RESULTS: We extracted 4 years of patient, provider, and activity data for encounters in an inpatient cardiology unit from Northwestern Medicine's Enterprise Data Warehouse...
November 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27756797/sex-differences-in-the-epidemiology-of-new-onset-in-hospital-post-coronary-artery-bypass-graft-surgery-atrial-fibrillation-a-large-multicenter-study
#15
Giovanni Filardo, Gorav Ailawadi, Benjamin D Pollock, Briget da Graca, Danielle M Sass, Teresa K Phan, Debbie E Montenegro, Vinod Thourani, Ralph Damiano
BACKGROUND: New-onset atrial fibrillation (AF) after coronary artery bypass graft surgery (CABG) is associated with increased morbidity and poorer long-term survival. Although many studies show differences in outcome in women versus men after CABG, little is known about the sex-specific incidence and characteristics of post-CABG AF. METHODS AND RESULTS: Overall, 11 236 consecutive patients without preoperative AF underwent isolated CABG from 2002 to 2010 at 4 US academic medical centers and 1 high-volume specialty cardiac hospital...
October 18, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27756796/few-disparities-in-baseline-laboratory-testing-after-the-diuretic-or-digoxin-initiation-by-medicare-fee-for-service-beneficiaries
#16
Matthew L Maciejewski, Xiaojuan Mi, Lesley H Curtis, Judy Ng, Samuel C Haffer, Bradley G Hammill
BACKGROUND: Despite the persistence of significant disparities, few evaluations examine disparities in laboratory testing by race/ethnicity, age, sex, Medicaid eligibility, and number of chronic conditions for Medicare fee-for-service beneficiaries' newly prescribed medications. In Medicare beneficiaries initiating diuretics or digoxin, this study examined disparities in guideline-appropriate baseline laboratory testing and abnormal laboratory values. METHODS AND RESULTS: To evaluate guideline-concordant testing for serum creatinine and serum potassium within 180 days before or 14 days after the index prescription fill date, we constructed retrospective cohorts from 10 states of 99 711 beneficiaries who had heart failure or hypertension initiating diuretic in 2011 and 8683 beneficiaries who had heart failure or atrial fibrillation initiating digoxin...
October 18, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27756795/socioeconomic-inequalities-in-statin-adherence-under-universal-coverage-does-sex-matter
#17
Emma Aarnio, Janne Martikainen, Aaron N Winn, Risto Huupponen, Jussi Vahtera, Maarit J Korhonen
BACKGROUND: Previous research shows that low socioeconomic position (SEP; especially low income) is associated with statin nonadherence. We investigated the relationship between SEP and statin adherence in a country with universal coverage using group-based trajectory modeling in addition to the proportion of days covered. METHODS AND RESULTS: Using data from Finnish healthcare registers, we identified 116 846 individuals, aged 45 to 75 years, who initiated statin therapy for primary prevention of cardiovascular disease...
October 18, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27756794/identifying-important-gaps-in-randomized-controlled-trials-of-adult-cardiac-arrest-treatments-a-systematic-review-of-the-published-literature
#18
Shashank S Sinha, Devraj Sukul, John J Lazarus, Vivek Polavarapu, Paul S Chan, Robert W Neumar, Brahmajee K Nallamothu
BACKGROUND: Cardiac arrest is a major public health concern worldwide. The extent and types of randomized controlled trials (RCT)-our most reliable source of clinical evidence-conducted in these high-risk patients over recent years are largely unknown. METHODS AND RESULTS: We performed a systematic review, identifying all RCTs published in PubMed, EMBASE, Scopus, Web of Science, and the Cochrane Library from 1995 to 2014 that focused on the acute treatment of nontraumatic cardiac arrest in adults...
October 18, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27703034/clinical-impact-of-subsequent-depression-in-patients-with-a-new-diagnosis-of-stable-angina-a-population-based-study
#19
Natalie Szpakowski, Maria C Bennell, Feng Qiu, Dennis T Ko, Jack V Tu, Paul Kurdyak, Harindra C Wijeysundera
BACKGROUND: Depression is prevalent among patients with myocardial infarction and is associated with a worse prognosis. However, little is known about its importance in patients with chronic stable angina. We conducted a retrospective population-based cohort study to determine the occurrence and predictors of developing depression in patients with a new diagnosis of chronic stable angina. In addition, we sought to understand its impact on subsequent clinical outcomes. METHODS AND RESULTS: Our cohort included patients in Ontario, Canada, with stable angina based on obstructive coronary artery disease found on angiogram...
October 4, 2016: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/27703033/video-only-cardiopulmonary-resuscitation-education-for-high-risk-families-before-hospital-discharge-a-multicenter-pragmatic-trial
#20
Audrey L Blewer, Mary E Putt, Lance B Becker, Barbara J Riegel, Jiaqi Li, Marion Leary, Judy A Shea, James N Kirkpatrick, Robert A Berg, Vinay M Nadkarni, Peter W Groeneveld, Benjamin S Abella
BACKGROUND: Cardiopulmonary resuscitation (CPR) training rates in the United States are low, highlighting the need to develop CPR educational approaches that are simpler, with broader dissemination potential. The minimum training required to ensure long-term skill retention remains poorly characterized. We compared CPR skill retention among laypersons randomized to training with video-only (VO; no manikin) with those trained with a video self-instruction kit (VSI; with manikin). We hypothesized that VO training would be noninferior to the VSI approach with respect to chest compression (CC) rate...
October 4, 2016: Circulation. Cardiovascular Quality and Outcomes
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