Jack V. Tu, 1965-2018 [In Memoriam]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 13, 2018 Category: Cardiology Authors: Jackevicius, C. A., Ko, D. T., Lee, D. S. Tags: In Memoriam Source Type: research

Randomized Controlled Trial of E-Counseling for Hypertension: REACH [Original Articles]
Conclusions: To our knowledge, this is the first double-blind randomized trial of e-counseling for hypertension. Added benefit for medical therapy was achieved by combining available technology with a clinically organized protocol of motivational and cognitive-behavioral counseling. Clinical Trial Registration: https://www.clinicaltrials.gov; Unique identifier: NCT01541540 (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 13, 2018 Category: Cardiology Authors: Nolan, R. P., Feldman, R., Dawes, M., Kaczorowski, J., Lynn, H., Barr, S. I., MacPhail, C., Thomas, S., Goodman, J., Eysenbach, G., Liu, S., Tanaka, R., Surikova, J. Tags: Diet and Nutrition, Exercise, Lifestyle, Hypertension, Behavioral/Psychosocial Treatment Original Articles Source Type: research

From Cardiologist to Patient... [Patient Viewpoint]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 12, 2018 Category: Cardiology Authors: Alguire, C. Tags: Quality and Outcomes Patient Viewpoint Source Type: research

Adapting and Evaluating a Health System Intervention From Kaiser Permanente to Improve Hypertension Management and Control in a Large Network of Safety-Net Clinics [Original Articles]
Background: Nearly half of Americans with diagnosed hypertension have uncontrolled blood pressure (BP) while some integrated healthcare systems, such as Kaiser Permanente Northern California, have achieved control rates upwards 90%. Methods and Results: We adapted Kaiser Permanente’s evidence-based treatment protocols in a racially and ethnically diverse population at 12 safety-net clinics in the San Francisco Health Network. The intervention consisted of 4 elements: a hypertension registry, a simplified treatment intensification protocol that included fixed-dose combination medications containing diuretics, standar...
Source: Circulation: Cardiovascular Quality and Outcomes - July 12, 2018 Category: Cardiology Authors: Fontil, V., Gupta, R., Moise, N., Chen, E., Guzman, D., McCulloch, C. E., Bibbins-Domingo, K. Tags: High Blood Pressure, Hypertension, Health Services, Quality and Outcomes Original Articles Source Type: research

Importance of Considering Competing Risks in Time-to-Event Analyses: Application to Stroke Risk in a Retrospective Cohort Study of Elderly Patients With Atrial Fibrillation [Original Articles]
Conclusions: The incidence of death without stroke was 9-fold higher than that of stroke, leading to biased estimates of stroke risk with traditional time-to-event methods. Statistical methods that appropriately account for competing risks should be used to mitigate this bias. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 11, 2018 Category: Cardiology Authors: Abdel-Qadir, H., Fang, J., Lee, D. S., Tu, J. V., Amir, E., Austin, P. C., Anderson, G. M. Tags: Atrial Fibrillation, Epidemiology, Primary Prevention, Cerebrovascular Disease/Stroke Original Articles Source Type: research

Exposure Misclassification in Observational Studies: Setting New Standards [Editorial]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 10, 2018 Category: Cardiology Authors: Secemsky, E. A., Shen, C., Yeh, R. W. Tags: Clinical Studies, Platelets, Epidemiology Editorial Source Type: research

Multivitamins Do Not Reduce Cardiovascular Disease and Mortality and Should Not Be Taken for This Purpose: How Do We Know That? [Editorial]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 10, 2018 Category: Cardiology Authors: Haslam, A., Prasad, V. Tags: Cardiovascular Disease, Diet and Nutrition, Quality and Outcomes Editorial Source Type: research

Defining Exposure in Observational Studies Comparing Outcomes of Treatment Discontinuation [Original Articles]
Conclusions: In an example of long-term antiplatelet use, increasing restrictions on the definition of therapy continuation yielded results consistent with trial estimates by reducing exposure misclassification. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 10, 2018 Category: Cardiology Authors: Krumme, A. A., Glynn, R. J., Schneeweiss, S., Choudhry, N. K., Tong, A. Y., Gagne, J. J. Tags: Compliance/Adherence, Stent Original Articles Source Type: research

Post-Traumatic Stress Disorder and Cardiovascular Diseases: A Cohort Study of Men and Women Involved in Cleaning the Debris of the World Trade Center Complex [Original Articles]
Conclusions: This cohort study confirms that PTSD is a risk factor for MI and stroke of similar magnitude in men and women, independent of depression. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 10, 2018 Category: Cardiology Authors: Remch, M., Laskaris, Z., Flory, J., Mora-McLaughlin, C., Morabia, A. Tags: Cardiovascular Disease, Epidemiology, Mental Health, Women Original Articles Source Type: research

Association of Multivitamin and Mineral Supplementation and Risk of Cardiovascular Disease: A Systematic Review and Meta-Analysis [Original Articles]
Conclusions: Our meta-analysis of clinical trials and prospective cohort studies demonstrates that MVM supplementation does not improve cardiovascular outcomes in the general population. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 10, 2018 Category: Cardiology Authors: Kim, J., Choi, J., Kwon, S. Y., McEvoy, J. W., Blaha, M. J., Blumenthal, R. S., Guallar, E., Zhao, D., Michos, E. D. Tags: Cardiovascular Disease, Diet and Nutrition, Meta Analysis, Quality and Outcomes, Cerebrovascular Disease/Stroke Original Articles Source Type: research

Differences Between Patients Enrolled Early and Late During Clinical Trial Recruitment: Insights From the HF-ACTION Trial [Research Letter]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 6, 2018 Category: Cardiology Authors: Warraich, H. J., OConnor, C., Wu, A., Coles, A., Kraus, W. E., Pina, I. L., Whellan, D. J., Mentz, R. J. Tags: Clinical Studies, Exercise, Heart Failure Research Letter Source Type: research

Buffer or Suffer: Redesigning Heart Failure Postdischarge Clinic Using Queuing Theory [Care Innovations]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - July 3, 2018 Category: Cardiology Authors: Mutharasan, R. K., Ahmad, F. S., Gurvich, I., Alphs Jackson, H., Van Mieghem, J. A., Yancy, C. W. Tags: Heart Failure, Cost-Effectiveness, Health Services, Quality and Outcomes Care Innovations Source Type: research

Association of the Affordable Care Acts Medicaid Expansion With Care Quality and Outcomes for Low-Income Patients Hospitalized With Heart Failure [Original Article]
Background: Heart failure (HF) is the leading cause of morbidity and mortality in the United States. Despite advancement in the management of HF, outcomes remain suboptimal, particularly among the uninsured. In 2014, the Affordable Care Act expanded Medicaid eligibility, and millions of low-income adults gained insurance. Little is known about Medicaid expansion’s effect on inpatient HF care. Methods and Results: We used the American Heart Association’s Get With The Guidelines–Heart Failure registry to assess changes in inpatient care quality and outcomes among low-income patients (
Source: Circulation: Cardiovascular Quality and Outcomes - June 26, 2018 Category: Cardiology Authors: Wadhera, R. K., Joynt Maddox, K. E., Fonarow, G. C., Zhao, X., Heidenreich, P. A., DeVore, A. D., Matsouaka, R. A., Hernandez, A. F., Yancy, C. W., Bhatt, D. L. Tags: Heart Failure, Ethics and Policy, Health Services, Mortality/Survival, Quality and Outcomes Original Article Source Type: research

Focusing on the Future of Cardiovascular Outcomes Research: Highlights From the American Heart Association/American Stroke Association Quality of Care and Outcomes Research 2018 Scientific Sessions [Cardiovascular Perspective]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - June 14, 2018 Category: Cardiology Authors: Thompson, M. P., Fanaroff, A. C., Parker, J. D., Vallabhajosyula, S., Sterling, M. R. Tags: Quality and Outcomes Cardiovascular Perspective Source Type: research

Medicare Accountable Care Organizations Are Not Associated With Reductions in the Use of Low-Value Coronary Revascularization [Original Articles]
Conclusions: We found no association between provider group participation in a Medicare ACO and use of low- or high-value coronary revascularization. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - June 14, 2018 Category: Cardiology Authors: Hollingsworth, J. M., Nallamothu, B. K., Yan, P., Ward, S., Lin, S., Colla, C. H., Lewis, V. A., Ayanian, J. Z., Hollenbeck, B. K., Ryan, A. M. Tags: Cost-Effectiveness, Health Services, Quality and Outcomes, Coronary Artery Disease Original Articles Source Type: research

Return to Work After Acute Myocardial Infarction: The Importance of Patients Preferences [Editorial]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - June 12, 2018 Category: Cardiology Authors: Dreyer, R. P., Dickson, V. V. Tags: Myocardial Infarction, Quality and Outcomes Editorial Source Type: research

Adverse Change in Employment Status After Acute Myocardial Infarction: Analysis From the TRANSLATE-ACS Study [Original Articles]
Background: Inability to resume employment after acute myocardial infarction (MI) has important implications for patients. We sought to assess the prevalence of and outcomes associated with adverse change in employment after MI in a national US cohort. Methods and Results: The TRANSLATE-ACS study (Treatment with Adenosine Diphosphate Receptor Inhibitors: Longitudinal Assessment of Treatment Patterns and Events after Acute Coronary Syndrome) assessed employment status at baseline and 1 year among 9319 patients with MI (mean age, 60.8 years; SD, 11.3; 27.3% women) enrolled at 233 US hospitals. We defined adverse change in e...
Source: Circulation: Cardiovascular Quality and Outcomes - June 12, 2018 Category: Cardiology Authors: Warraich, H. J., Kaltenbach, L. A., Fonarow, G. C., Peterson, E. D., Wang, T. Y. Tags: Myocardial Infarction, Quality and Outcomes Original Articles Source Type: research

Remote Pharmacist Practice Model of Collaboration in Primary Care: Potential for Benefit or an Opportunity Lost? [Editorial]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - June 8, 2018 Category: Cardiology Authors: Pearson, G. J. Tags: Cardiovascular Disease, Primary Prevention, Risk Factors, Secondary Prevention, Health Services Editorial Source Type: research

Cluster-Randomized Trial to Evaluate a Centralized Clinical Pharmacy Service in Private Family Medicine Offices [Original Articles]
This study was a prospective trial in 12 family medicine offices cluster randomized to either the intervention or usual care. The intervention was delivered for 12 months, and subjects had research visits at baseline and 12 months. The primary outcome was adherence to guidelines, and secondary outcomes included changes in key cardiovascular risk factors and preventative health measures. We enrolled 302 subjects. There was no improvement in the Guideline Advantage score from baseline to 12 months in the control group (64.7% versus 63.1%, respectively; P=0.21). There was a statistically significant improvement in the interve...
Source: Circulation: Cardiovascular Quality and Outcomes - June 8, 2018 Category: Cardiology Authors: Carter, B. L., Levy, B., Gryzlak, B., Xu, Y., Chrischilles, E., Dawson, J., Vander Weg, M., Christensen, A., James, P., Polgreen, L. Tags: Cardiovascular Disease, Diabetes, Type 2, Lifestyle, Secondary Prevention, Health Services Original Articles Source Type: research

Examining the Influence of Component Outcomes on the Composite at the Design Stage [Data Visualizations]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - June 2, 2018 Category: Cardiology Authors: Brown, P. M., Ezekowitz, J. A. Tags: Heart Failure, Quality and Outcomes Data Visualizations Source Type: research

Evolution of Age and Female Representation in the Most-Cited Randomized Controlled Trials of Cardiology of the Last 20 Years [Original Articles]
Conclusions: Although age and female representation increased over time, the modest trends are unlikely to resolve the persistently wide gaps with actual populational prevalence, especially for coronary artery disease and HF. Representation is modulated by the cardiovascular condition studied and some modifiable protocol elements. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 31, 2018 Category: Cardiology Authors: Nguyen, Q. D., Peters, E., Wassef, A., Desmarais, P., Remillard-Labrosse, D., Tremblay-Gravel, M. Tags: Aging, Cardiovascular Disease, Women Original Articles Source Type: research

Exploring the Healthcare Value of Percutaneous Coronary Intervention: Appropriateness, Outcomes, and Costs in Michigan Hospitals [Original Articles]
Conclusions: Among Medicare patients undergoing PCI in Michigan, we found hospital-level appropriate use criteria scores did not correlate with 90-day readmission, mortality, or episode costs. This finding suggests that a comprehensive understanding of healthcare value requires multidimensional consideration of appropriateness, outcomes, and costs. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 31, 2018 Category: Cardiology Authors: Alyesh, D. M., Seth, M., Miller, D. C., Dupree, J. M., Syrjamaki, J., Sukul, D., Dixon, S., Kerr, E. A., Gurm, H. S., Nallamothu, B. K. Tags: Catheter-Based Coronary and Valvular Interventions, Health Services, Quality and Outcomes Original Articles Source Type: research

Neighborhood Socioeconomic Disadvantage and Care After Myocardial Infarction in the National Cardiovascular Data Registry [Original Articles]
Background: Patients living in disadvantaged neighborhoods are at high risk for adverse outcomes after acute myocardial infarction (MI). Whether residential socioeconomic status (SES) is associated with quality of in-hospital care among patients presenting with MI is unclear. Methods and Results: Multivariable logistic regression was used to examine the relationship between SES, quality of care, and in-hospital cardiovascular outcomes among patients with MI from diverse SES neighborhoods from July 2008 to December 2013, at 586 participating hospitals in the Acute Coronary Treatment and Intervention Outcomes Network Regist...
Source: Circulation: Cardiovascular Quality and Outcomes - May 30, 2018 Category: Cardiology Authors: Udell, J. A., Desai, N. R., Li, S., Thomas, L., de Lemos, J. A., Wright-Slaughter, P., Zhang, W., Roe, M. T., Bhatt, D. L. Tags: Epidemiology, Mortality/Survival, Quality and Outcomes, Coronary Artery Disease Original Articles Source Type: research

Correction to: 2016 ACC/AHA Clinical Performance and Quality Measures for Adults With Atrial Fibrillation or Atrial Flutter: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures [Correction]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 29, 2018 Category: Cardiology Tags: Correction Source Type: research

Comparison of Acute Ischemic Stroke Care and Outcomes Between Comprehensive Stroke Centers and Primary Stroke Centers in the United States [Original Articles]
Conclusions: CSCs and PSCs achieved similar overall care quality for patients with acute ischemic stroke. CSCs exceeded PSCs in timely acute reperfusion therapy for emergency department admissions, whereas PSCs had lower risk-adjusted in-hospital mortality. This information may be important for acute stroke triage and targeted quality improvement. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 23, 2018 Category: Cardiology Authors: Man, S., Zhao, X., Uchino, K., Hussain, M. S., Smith, E. E., Bhatt, D. L., Xian, Y., Schwamm, L. H., Shah, S., Khan, Y., Fonarow, G. C. Tags: Quality and Outcomes, Ischemic Stroke Original Articles Source Type: research

ISCHEMIA: Establishing the Primary End Point [Cardiovascular Perspectives]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 11, 2018 Category: Cardiology Authors: Bangalore, S., Maron, D. J., Reynolds, H. R., Stone, G. W., OBrien, S. M., Alexander, K. P., Hochman, J. S. Tags: Catheter-Based Coronary and Valvular Interventions Cardiovascular Perspectives Source Type: research

Pregnancy After Fontan Palliation: Caution When Details Are Lost in Translation [Editorial]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 11, 2018 Category: Cardiology Authors: Davis, M. B., Rogers, I. S. Tags: Quality and Outcomes Editorial Source Type: research

Pregnancy in Women With a Fontan Circulation: A Systematic Review of the Literature [Original Articles]
Conclusions: The most commonly reported cardiovascular complications in patients with Fontan physiology–associated pregnancy were arrhythmia and heart failure. Miscarriages were highly prevalent as was prematurity and intrauterine growth restriction. Postpartum hemorrhage seems to be the most common obstetric complication. Large-scale data sets are needed to confirm these early observations and address the late sequelae of pregnancy in women with a Fontan circulation. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 11, 2018 Category: Cardiology Authors: Garcia Ropero, A., Baskar, S., Roos Hesselink, J. W., Girnius, A., Zentner, D., Swan, L., Ladouceur, M., Brown, N., Veldtman, G. R. Tags: Pregnancy, Women, Congenital Heart Disease, Complications Original Articles Source Type: research

Predicting the Benefits of Percutaneous Coronary Intervention on 1-Year Angina and Quality of Life in Stable Ischemic Heart Disease: Risk Models From the COURAGE Trial (Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation) [Original Articles]
Conclusions: The health status outcomes of stable ischemic heart disease patients treated by OMT+PCI versus OMT alone can be predicted with modest accuracy. Angina and quality of life at 1 year is improved by PCI but is more strongly associated with other patient characteristics. Clinical Trial Registration: URL: https://www.clinicaltrials.gov. Unique identifier: NCT00007657. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 11, 2018 Category: Cardiology Authors: Zhang, Z., Jones, P., Weintraub, W. S., Mancini, G. B. J., Sedlis, S., Maron, D. J., Teo, K., Hartigan, P., Kostuk, W., Berman, D., Boden, W. E., Spertus, J. A. Tags: Quality and Outcomes Original Articles Source Type: research

Variation in Lipid-Lowering Therapy Use in Patients With Low-Density Lipoprotein Cholesterol >=190 mg/dL: Insights From the National Cardiovascular Data Registry-Practice Innovation and Clinical Excellence Registry [Original Articles]
Conclusions: Evidence-based LLT use remains low among patients with elevated LDL-C with significant variation in care. System-level interventions are needed to address these gaps and reduce variation in care of these high-risk patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 10, 2018 Category: Cardiology Authors: Virani, S. S., Kennedy, K. F., Akeroyd, J. M., Morris, P. B., Bittner, V. A., Masoudi, F. A., Stone, N. J., Petersen, L. A., Ballantyne, C. M. Tags: Lipids and Cholesterol, Cardiovascular Disease, Quality and Outcomes Original Articles Source Type: research

Of Signal and Noise: Overcoming Challenges in Blood Pressure Measurement to Optimize Hypertension Care [Cardiovascular Perspectives]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 10, 2018 Category: Cardiology Authors: Muldoon, M. F., Kronish, I. M., Shimbo, D. Tags: Hypertension, Quality and Outcomes Cardiovascular Perspectives Source Type: research

Increasing Use of Anticoagulants in Germany and Its Impact on Hospitalization for Intracranial Bleeding [Data Report]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 10, 2018 Category: Cardiology Authors: Gulker, J.-E., Kroger, K., Kowall, B., Dingelstadt, M., Stang, A. Tags: Atrial Fibrillation, Meta Analysis, Quality and Outcomes, Cerebrovascular Disease/Stroke, Intracranial Hemorrhage Data Report Source Type: research

Gastrointestinal Bleeding With Edoxaban Versus Warfarin: Results From the ENGAGE AF-TIMI 48 Trial (Effective Anticoagulation With Factor Xa Next Generation in Atrial Fibrillation-Thrombolysis In Myocardial Infarction) [Original Articles]
Conclusions: MGIB occurred more frequently with HD-ER than warfarin. The rates of life-threatening or fatal GIB were low and similar with both HD-ER and warfarin. Clinical outcomes were generally favorable. The correlation between dose, trough edoxaban level, and the risk of GIB risk suggests GIB is exposure-related. Clinical Trial Registration: URL: https://www.clinicaltrials.gov. Unique identifier: NCT00781391. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 10, 2018 Category: Cardiology Authors: Aisenberg, J., Chatterjee-Murphy, P., Friedman Flack, K., Weitz, J. I., Ruff, C. T., Nordio, F., Mercuri, M. F., Choi, Y., Antman, E. M., Braunwald, E., Giugliano, R. P. Tags: Atrial Fibrillation, Risk Factors, Complications, Mortality/Survival Original Articles Source Type: research

Correction to: Association Between Early Outpatient Visits and Readmissions After Ischemic Stroke [Correction]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 10, 2018 Category: Cardiology Tags: Correction Source Type: research

Transradial Percutaneous Coronary Intervention... Works Great! Less Billing! [Editorial]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 9, 2018 Category: Cardiology Authors: Ardati, A. K., Cohen, D. J. Tags: Catheter-Based Coronary and Valvular Interventions Editorial Source Type: research

Health Economic Analysis of Access Site Practice in England During Changes in Practice: Insights From the British Cardiovascular Interventional Society [Original Articles]
Conclusions: The transition to TRA in England has been associated with significant cost savings across the national healthcare system, in addition to the well-established clinical benefits. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - May 9, 2018 Category: Cardiology Authors: Mamas, M. A., Tosh, J., Hulme, W., Hoskins, N., Bungey, G., Ludman, P., de Belder, M., Kwok, C. S., Verin, N., Kinnaird, T., Bennett, E., Curzen, N., Nolan, J., Kontopantelis, E. Tags: Catheter-Based Coronary and Valvular Interventions Original Articles Source Type: research

Stopping {beta}-Blockers After Myocardial Infarction: Not So Fast! [Editorial]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 13, 2018 Category: Cardiology Authors: Ko, D. T., Jackevicius, C. A. Tags: Health Services Editorial Source Type: research

Overtreatment or Undertreatment of Carotid Disease: A Transatlantic Comparison of Carotid Endarterectomy Patient Cohorts [Research Letter]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 13, 2018 Category: Cardiology Authors: Pothof, A. B., van Koeverden, I. D., Pasterkamp, G., Schermerhorn, M. L., de Borst, G. J. Tags: Revascularization, Treatment, Quality and Outcomes, Statements and Guidelines Research Letter Source Type: research

Value-Based ST-Segment-Elevation Myocardial Infarction Care Using Risk-Guided Triage and Early Discharge [Original Articles]
We describe the implementation of an STEMI risk score to decrease cost while maintaining optimal patient outcomes. Methods and Results: We determined the impact of risk-guided STEMI care on healthcare value through the retrospective application of the Zwolle Risk Score to 967 patients receiving primary percutaneous coronary intervention between 2009 and 2011. Of these patients, 540 (56%) were categorized as low risk, indicating they may be safely triaged directly to a telemetry unit rather than the intensive care unit and targeted for early discharge. We subsequently developed and implemented a modified Zwolle Risk Calcul...
Source: Circulation: Cardiovascular Quality and Outcomes - April 13, 2018 Category: Cardiology Authors: Ebinger, J. E., Strauss, C. E., Garberich, R. R., Bradley, S. M., Rush, P., Chavez, I. J., Poulose, A. K., Porten, B. R., Henry, T. D. Tags: Revascularization, Cost-Effectiveness, Health Services Original Articles Source Type: research

Clinical Events After Discontinuation of {beta}-Blockers in Patients Without Heart Failure Optimally Treated After Acute Myocardial Infarction: A Cohort Study on the French Healthcare Databases [Original Articles]
Background: β-blockers have been among the first medications shown to improve outcomes after acute myocardial infarction (AMI). With the advent of reperfusion therapy and other secondary-prevention medications, their role has become uncertain, and large-scale experience after AMI in the contemporary era is lacking. In particular, the effect of stopping β-blockers in patients initially treated after AMI is unknown. Methods and Results: Using the French healthcare databases, 73 450 patients (
Source: Circulation: Cardiovascular Quality and Outcomes - April 13, 2018 Category: Cardiology Authors: Neumann, A., Maura, G., Weill, A., Alla, F., Danchin, N. Tags: Cardiovascular Disease, Epidemiology, Secondary Prevention, Chronic Ischemic Heart Disease, Mortality/Survival Original Articles Source Type: research

Association Between Early Outpatient Visits and Readmissions After Ischemic Stroke [Original Articles]
Conclusions: Thirty-day outpatient follow-up was associated with a small reduction in hospital readmission among elderly patients with stroke discharged home. Further work should assess how outpatient care may be improved to further reduce readmissions. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 13, 2018 Category: Cardiology Authors: Terman, S. W., Reeves, M. J., Skolarus, L. E., Burke, J. F. Tags: Health Services, Quality and Outcomes, Ischemic Stroke Original Articles Source Type: research

Academic Cardiology and Social Media: Navigating the Wisdom and Madness of the Crowd [Editor's Perspective]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 12, 2018 Category: Cardiology Authors: Yeh, R. W. Tags: Quality and Outcomes Editor ' s Perspective Source Type: research

Science in Social Media: Debating the Effects of Readmission Penalties [Cardiovascular Perspective]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 12, 2018 Category: Cardiology Authors: Thompson, M. P. Tags: Quality and Outcomes Cardiovascular Perspective Source Type: research

Statins and the Classic Decision Analysis: Treat, Test, or Neither? [Editorial]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 12, 2018 Category: Cardiology Authors: Pandya, A. Tags: Genetics, Treatment, Cost-Effectiveness Editorial Source Type: research

National Trends of Hospital Performance in Acute Myocardial Infarction Care: Department of Veterans Affairs, 2011-2014 [Data Report]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 12, 2018 Category: Cardiology Authors: Hess, P. L., Gunzburger, E. C., Kini, V., Liu, C.-F., Jones, J., Matlock, D., Heidenreich, P. A., Levy, C. R., Maddox, T. M., Grunwald, G. K., Ho, P. M. Tags: Quality and Outcomes, Acute Coronary Syndromes Data Report Source Type: research

Cardiovascular Genetic Risk Testing for Targeting Statin Therapy in the Primary Prevention of Atherosclerotic Cardiovascular Disease: A Cost-Effectiveness Analysis [Original Articles]
Conclusions: Testing for a 27-single-nucleotide polymorphism cGRS is generally not a cost-effective approach for targeting statin therapy in the primary prevention of ASCVD for low- to intermediate-risk patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 12, 2018 Category: Cardiology Authors: Jarmul, J., Pletcher, M. J., Hassmiller Lich, K., Wheeler, S. B., Weinberger, M., Avery, C. L., Jonas, D. E., Earnshaw, S., Pignone, M. Tags: Cardiovascular Disease, Primary Prevention, Risk Factors, Genetics, Cost-Effectiveness Original Articles Source Type: research

Racial Heterogeneity in Treatment Effects in Peripheral Artery Disease: Insights From the CLEVER Trial (Claudication: Exercise Versus Endoluminal Revascularization) [Data Report]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 11, 2018 Category: Cardiology Authors: Pokharel, Y., Jones, P. G., Graham, G., Collins, T., Regensteiner, J. G., Murphy, T. P., Cohen, D., Spertus, J. A., Smolderen, K. Tags: Health Services Data Report Source Type: research

Letter by Hochman and Maron Regarding Article, "'Faith Healing and 'Subtraction Anxiety in Unblinded Trials of Procedures: Lessons From DEFER and FAME-2 for End Points in the ISCHEMIA Trial." [Letter to the Editor]
(Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 10, 2018 Category: Cardiology Authors: Hochman, J. S., Maron, D. J. Tags: Percutaneous Coronary Intervention, Quality and Outcomes Letter to the Editor Source Type: research

Health Status Variation Across Practices in Outpatients With Heart Failure: Insights From the CHAMP-HF (Change the Management of Patients With Heart Failure) Registry [Original Articles]
Background: Although a key treatment goal for patients with heart failure with reduced ejection fraction is to optimize their health status (their symptoms, function, and quality of life), the variability across outpatient practices in achieving this goal is unknown. Methods and Results: In the CHAMP-HF (Change the Management of Patients With Heart Failure) registry, associations between baseline practice characteristics and Kansas City Cardiomyopathy Questionnaire (KCCQ) Overall Summary (OS) and Symptom Frequency (SF) scores were assessed in 3494 patients across 140 US practices using hierarchical regression after accoun...
Source: Circulation: Cardiovascular Quality and Outcomes - April 7, 2018 Category: Cardiology Authors: Khariton, Y., Hernandez, A. F., Fonarow, G. C., Sharma, P. P., Duffy, C. I., Thomas, L., Mi, X., Albert, N. M., Butler, J., McCague, K., Nassif, M. E., Williams, F. B., DeVore, A., Patterson, J. H., Spertus, J. A. Tags: Heart Failure, Health Services, Quality and Outcomes Original Articles Source Type: research

An Observational Study of the Association of Video- Versus Text-Based Informed Consent With Multicenter Trial Enrollment: Lessons From the PALM Study (Patient and Provider Assessment of Lipid Management) [Original Articles]
Background: Patient participation in clinical research is low, in part because of the length and complexity of the informed consent process. Video informed consent may enhance the appeal of research and help break down barriers to participation. Methods and Results: The PALM study (Patient and Provider Assessment of Lipid Management) enrolled 7904 patients at cardiology, endocrinology, and primary care clinics across the United States to evaluate cholesterol management practices. Of 153 participating clinics, 67 (43.8%) secured institutional review board approval to use a tablet-based video informed consent tool that pati...
Source: Circulation: Cardiovascular Quality and Outcomes - April 6, 2018 Category: Cardiology Authors: Fanaroff, A. C., Li, S., Webb, L. E., Miller, V., Navar, A. M., Peterson, E. D., Wang, T. Y. Tags: Clinical Studies, Health Services Original Articles Source Type: research