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Mashup Score: 0
Coronary heart disease, or coronary artery disease, accounts for ≈9 million deaths annually worldwide. 1 Although percutaneous coronary intervention with stents improves patient outcomes, the high cost of stents has imposed significant economic burdens. To address this issue, countries have implemented centralized procurement, price regulation, and open bidding to reduce stent costs. 2–4 In China, where there are 11.4 million patients with coronary heart disease, the country faces rising coronary heart
Source: www.ahajournals.orgCategories: General Medicine NewsTweet
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BACKGROUND: One-time atrial fibrillation (AF) screening trials in older adults have produced mixed results. In a secondary analysis of the VITAL-AF trial, we aimed to identify a subset of people in whom such screening is effective, using effect-based and risk-based approaches. METHODS: The VITAL-AF trial was a cluster-randomized trial of 1-time, 30-second single-lead ECG screening during primary care visits. It enrolled adults aged ≥65 years in 16 Massachusetts General Hospital primary care practices (2018–2019). In this secondary analysis, we tested 2 approaches to identify subgroups where screening is effective. First, we developed an effect-based model using the T-learner, a causal inference approach that estimates screening effects by separately training 2 predictive models—one for screening and one for usual care—and then compares their predictions for each individual. Second, we used a validated AF risk model (Cohorts for Heart and Aging Research in Genomic Epidemiology AF) to te
Source: www.ahajournals.orgCategories: General Medicine NewsTweet-
Identifying a Heterogeneous Effect of Atrial Fibrillation Screening in Older Adults: A Secondary Analysis of the VITAL-AF Trial @steven_lubitz @patrick_ellinor @JeffAshburner @jaymiyer @sachinjshah #AHAJournals https://t.co/fASWGUjNV1 https://t.co/CsXfYNZDSF
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Mashup Score: 0
BACKGROUND: As cardiovascular disease (CVD) is the leading cause of noncancer mortality in colorectal or gastric cancer patients, it is essential to identify patients at increased CVD risk. Coronary artery calcium (CAC) is an established predictor of atherosclerotic CVD; however, its application is limited in this population. This study evaluates the association between automated CAC scoring using chest computed tomography and atherosclerotic CVD risk in colorectal or gastric cancer patients. METHODS: A retrospective cohort study was conducted using electronic health records linked to claims data of colorectal or gastric cancer patients who underwent non-ECG-gated chest computed tomography at 2 tertiary hospitals in South Korea between 2011 and 2019. CAC was automatically quantified using deep learning software and used to classify patients into 4 groups (CAC=0, 0400). The primary outcome was major adverse cardiovascular events (myocardial infarction, stroke, or cardiovascular mortalit
Source: www.ahajournals.orgCategories: General Medicine NewsTweet-
Hidden heart risk in cancer patients revealed: 3,153 colorectal/gastric cancer patients, AI-quantified CAC on routine CTs, 9-yr f/u. Result: CAC>400 = 2.3x higher CVD risk. Opportunistic screening that could save lives! #CardioOncology @ChanDrYou https://t.co/wkcDMEdYVv https://t.co/OfavP7BCy9
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View all available purchase options and get full access to this article. Freedman B, Camm J, Calkins H, Healey JS, Rosenqvist M, Wang J, Albert CM, Anderson CS, Antoniou S, Benjamin EJ, et al; AF-Screen Collaborators. Screening for atrial fibrillation: a report of the AF-SCREEN international collaboration. Circulation. 2017;135:1851–1867. doi: 10.1161/CIRCULATIONAHA.116.026693 Sanna T, Diener H-C, Passman RS, Lazzaro VD, Bernstein RA, Morillo CA, Rymer MM, Thijs V, Rogers T, Beckers F, et al. Cryptogenic
Source: www.ahajournals.orgCategories: General Medicine News, Cardiology News and JournTweet-
Different by Design: Heterogeneity in Models of Risk Prediction and Clinical Decision Support in Screening for Atrial Fibrillation @marosenbergCO #AHAJournals https://t.co/1UjSHBfKPp
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Mashup Score: 2
BACKGROUND: Although survival for out-of-hospital cardiac arrest (OHCA) is lower at emergency medical service (EMS) agencies serving Black/Hispanic communities, it is unknown whether this is due to practice differences. METHODS: Within the Cardiac Arrest Registry to Enhance Survival (CARES) registry in the United States, we conducted a survey from 2022 to 2023 of resuscitation practices at EMS agencies with ≥10 OHCAs annually between 2015 and 2019. We examined differences in dispatch, first responder, and EMS practices between agencies with majority Black/Hispanic catchment areas (>50% residents Black or Hispanic) and majority White catchment areas using χ2 tests. We estimated each agency’s risk-standardized rate of survival to hospital admission for OHCA using multivariable hierarchical logistic regression and evaluated whether survival differences between the 2 agency groups were attenuated after adjusting for resuscitation practice differences. RESULTS: Among 470 EMS agencies (181 7
Source: www.ahajournals.orgCategories: General Medicine NewsTweet-
Practice differences between agencies with Black/Hispanic and White catchment areas partly account for OHCA survival disparities @saketgirotra @KBreathettMD @saintlukeskc #AHAJournals https://t.co/NnOwnfKvgH https://t.co/XhmOBbJfCi
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Mashup Score: 8Cardiovascular Epidemiology: From Findings to Impact | Circulation: Cardiovascular Quality and Outcomes - 12 day(s) ago
Epidemiology is at a critical juncture. In 1996, Frederick H. Epstein, MD, FRCP, posthumously shared that cardiovascular epidemiology should result in a “deepened understanding of the forces that determine individual and group attitudes and behaviors relating to the preservation of health.” 1 Since then, the field has expanded dramatically in methods, analytic approaches, and data resources. Over the past 3 decades, epidemiology has increasingly aligned with disciplines such as quality and outcomes
Source: www.ahajournals.orgCategories: General Medicine NewsTweet-
Read the recent @CircOutcomes Editor's Note📝by @KBreathettMD @emilycob @NorrinaA about the journal's upcoming CV Epidemiology special issue! 📅Submit your work by August 15, 2025 https://t.co/j6rod4fwQm @bnallamo @iamritu
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Mashup Score: 2
BACKGROUND: The accuracy of contemporary administrative claims codes to discriminate between different phenotypes of peripheral artery disease is not well defined. We aimed to validate a predefined set of International Classification of Diseases, Tenth Revision, codes used to distinguish between claudication and chronic limb-threatening ischemia (CLTI) and to optimize their diagnostic accuracy using a supervised machine-learning approach. METHODS: We included all patients who underwent a peripheral vascular intervention for claudication or CLTI in the US Medicare-matched VQI-VISION (Vascular Quality Initiative Vascular Implant Surveillance and Interventional Outcomes Network) registry database between January 2016 and December 2019. Gold standard claudication and CLTI diagnoses were determined using VQI (Vascular Quality Initiative) registry data. These diagnoses were compared with a predetermined set of International Classification of Diseases, Tenth Revision, codes in the Medicare-ma
Source: www.ahajournals.orgCategories: General Medicine NewsTweet-
2/ @SanujaBose @Roger_Tomihama #AHAJournals https://t.co/KGgc6gEHAg https://t.co/P1XV7WNC4V
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Mashup Score: 0Building a Sustainable Cardiac Surgery Program in Sub-Saharan Africa: The Case of Angola | Circulation: Cardiovascular Quality and Outcomes - 19 day(s) ago
View all available purchase options and get full access to this article. Yankah C, Fynn-Thompson F, Antunes M, Edwin F, Yuko-Jowi C, Mendis S, Thameur H, Urban A, Bolman R. Cardiac surgery capacity in Sub-Saharan Africa: quo vadis? Thorac Cardiovasc Surg. 2014;62:393–401. doi: 10.1055/s-0034-1383723 Alioke II, Idoko FL, Abiodun OO, Maduka OCD, Ugwu EO, Anya T, Layi SI, Nzewi O. Navigating the challenges in setting up a sustainable open-heart surgery unit in a resource-constrained environment in Northern
Source: www.ahajournals.orgCategories: General Medicine NewsTweet-
Building a Sustainable Cardiac Surgery Program in Sub-Saharan Africa: The Case of Angola #AHAJournals https://t.co/9f1iREOEpw https://t.co/OAlj0OpV1C
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Mashup Score: 2Living in Rural America Plants the Seeds for Congenital Heart Disease Challenges | Circulation: Cardiovascular Quality and Outcomes - 19 day(s) ago
View all available purchase options and get full access to this article. Probst J, Zahnd W, Breneman C. Declines in pediatric mortality fall short for rural US children. Health Aff (Millwood). 2019;38:2069–2076. doi: 10.1377/hlthaff.2019.00892 Lopez KN, Baker-Smith C, Flores G, Gurvitz M, Karamlou T, Nunez Gallegos F, Pasquali S, Patel A, Peterson JK, Salemi JL, et al; American Heart Association Congenital Cardiac Defects Committee of the Council on Lifelong Congenital Heart Disease and Heart Health in
Source: www.ahajournals.orgCategories: General Medicine NewsTweet-
Living in Rural America Plants the Seeds for Congenital Heart Disease Challenges #AHAJournals https://t.co/M9XD6H4ckQ
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Mashup Score: 8Cardiovascular Epidemiology: From Findings to Impact | Circulation: Cardiovascular Quality and Outcomes - 20 day(s) ago
Epidemiology is at a critical juncture. In 1996, Frederick H. Epstein, MD, FRCP, posthumously shared that cardiovascular epidemiology should result in a “deepened understanding of the forces that determine individual and group attitudes and behaviors relating to the preservation of health.” 1 Since then, the field has expanded dramatically in methods, analytic approaches, and data resources. Over the past 3 decades, epidemiology has increasingly aligned with disciplines such as quality and outcomes
Source: www.ahajournals.orgCategories: General Medicine NewsTweet-
Read the recent @CircOutcomes Editor's Note📝by @KBreathettMD @emilycob @NorrinaA about the journal's upcoming CV Epidemiology special issue! 📅Submit your work by August 15, 2025 https://t.co/j6rod4fwQm @bnallamo @iamritu
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Impact of the Volume-Based Procurement Policy on the Use of Coronary Stents in China: Cross-Sectional Study #AHAJournals https://t.co/JUAFYSaYIA https://t.co/msiuajDEap