Abstract 222: Age-Related Practice and Outcome Patterns in Infective Endocarditis in the National Readmissions Database, 2010-2015 [Session Title: Poster Session PM]
Conclusion: Infective endocarditis incidence increases with age, with an incidence more than twenty-fold higher in those age 80 and older compared with 18-29 year olds. Moreover, older age is associated with higher rates of IE-related mortality, but lower rates of surgery and readmission. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Migotsky, S., Kazi, D. S., Spivak, E. S., Shah, S. U., Shah, R. U. Tags: Session Title: Poster Session PM Source Type: research

Abstract 221: Bradycardia at the Onset of Pulseless Electrical Activity Arrests in Hospitalized Patients is Associated With Improved Survival to Discharge [Session Title: Poster Session PM]
Conclusion: While a significant proportion of hospitalized patients survive a PEA arrest, many fewer survive to discharge. Bradycardia at the time of PEA arrest was associated with improved survival to discharge but not survival of arrest. Bradycardia was associated with hypoxemic arrests, in which rapid airway management should be a priority to improve the chance of successful resuscitation. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Nguyen, D., Kritek, P. A., Greco, S. A., Prutkin, J. M. Tags: Session Title: Poster Session PM Source Type: research

Abstract 220: Impact of a Cardiology-managed, Non-emergency Department, Outpatient Observation Unit [Session Title: Poster Session PM]
Conclusion: A CDAc unit may serve as a high value alternative to the ED. Further research can help assess comparative cost-effectiveness and refine patient selection. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Cajiao, K., Wallins, J., Zimetbaum, P., Gavin, M. Tags: Session Title: Poster Session PM Source Type: research

Abstract 219: Health Literacy and Numeracy in Patients Considering a Left Ventricular Assist Device: Findings From the DECIDE-LVAD Trial [Session Title: Poster Session PM]
Conclusion: All patient groups in the DECIDE-LVAD cohort of patients considering DT LVAD had improved LVAD knowledge with the use of the decision support tool. We did not observe a differential effect of the intervention by numeracy score. Compared to those with higher health literacy, patients with low health literacy improved their LVAD knowledge and values-treatment concordance after the intervention. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Raymer, D. S., Allen, L. A., Matlock, D. D., McIlvennan, C. K., Thompson, J. S., Leister, E. C., Fairclough, D. L., Dunlay, S. M., LaRue, S. J. Tags: Session Title: Poster Session PM Source Type: research

Abstract 218: Effectiveness of Telehealth on Hypertension Management and Control Among Disparate Populations - A Systematic Review and Meta-analysis [Session Title: Poster Session PM]
Conclusion: Telehealth shows promise to improve HTN control in disparate populations. Continuity of care with TH reduced SBP and DBP and thus may prevent associated serious complications. These results may inform healthcare providers, health plans, and decision makers about the benefit of using TH to improve HTN control among disparate populations. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Chowdhury, F. M., Ayala, C., Chang, T., Dalmat, D., Shantharam, S., Zhang, X. Tags: Session Title: Poster Session PM Source Type: research

Abstract 217: Smoking Cessation and Patient Outcomes in the BRIDGE Clinic Population [Session Title: Poster Session PM]
Conclusions: A quarter of patients who quit smoking at 30 days post-discharge had resumed smoking at 180 days. Surprisingly, patients who quit smoking had higher readmission rates at 180 days. This study should be repeated with a larger sample size and explore other potential factors influencing these outcomes. For example, documentation of smoking cessation education was far lower than anticipated and may not be representative of actual discussion frequency. Efforts to design better strategies to encourage smoking cessation and reduce relapse are critical. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Brown, K., Krallman, R., Montgomery, D., Morgan, S., Fried, S., Kline-Rogers, E., Eagle, K. A., Bumpus, S. M. Tags: Session Title: Poster Session PM Source Type: research

Abstract 216: Hospitalizations of Patients With Heart Failure and Reduced Ejection Fraction Treated With Sacubitril/Valsartan (S/V) vs. Angiotensin-Converting Enzyme Inhibitor or Angiotensin Receptor Blocker (ACEI/ARB) [Session Title: Poster Session PM]
Conclusions: Compared to ACEI/ARB, S/V therapy among patients with HFrEF is related to reduction of costly hospitalizations, which may translate to potential cost saving in HF care. The lack of HF hospitalization significance may represent the disparity in the sample size. Sponsorship: The study was funded by Novartis Pharmaceuticals Corp., East Hanover, NJ. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Chang, C., Song, X., Nguyen, A., Smith, D., Choi, M., Duffy, C. Tags: Session Title: Poster Session PM Source Type: research

Abstract 215: GenderDisparities in Health Care Expenditure Among Patients With MI and Depression: ResultsFrom the Medical Expenditure Panel Survey 2014 [Session Title: Poster Session PM]
Conclusion: Among both depressed and non-depressed populations, males had significantly higher proportion of MI and hospitalizations related to AMI when compared to females. But, out of total MI costs for males, less than 1% cost was accrued by depressed; whereas, of total MI cost for females, 9.6% of cost was accrued by depressed females showing gender based disparities in healthcare cost and utilization. With Medicare paying between 78%-83% of all MI costs, treating depression can result in significant savings. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Veledar, E., Saxena, A., Okunrintemi, V., Valero-Elizondo, J. Tags: Session Title: Poster Session PM Source Type: research

Abstract 214: Strict versus Lenient versus Poor Rate Control Among Patients With Atrial Fibrillation and Heart Failure: Findings From the Get With the Guidelines - Heart Failure Program [Session Title: Poster Session PM]
Conclusions: Among patients with HF and AF, 2 out of 3 patients had a heart rate that met strict-control heart rate goals at discharge. Heart rates above 80 bpm at discharge were associated with adverse outcomes irrespective of left ventricular ejection fraction. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Hess, P., Sheng, S., Matsouaka, R., Devore, A., Heidenreich, P., Yancy, C., Bhatt, D., Allen, L., Peterson, P., Ho, M., Lewis, W., Hernandez, A., Fonarow, G., Piccini, J. Tags: Session Title: Poster Session PM Source Type: research

Abstract 213: Prevalence and Regression of Left Ventricular Hypertrophy by Sokolow-lyon and Cornell Electrocardiogram Voltage Criteria After Transcatheter Aortic Valve Replacement [Session Title: Poster Session PM]
Conclusion: The presence of LVH by Sokolow-Lyon and Cornell ECG voltage criteria poorly correlates with the presence of LVH in critical aortic stenosis patients undergoing TAVR. Despite significant variability in pre-TAVR LVH manifestation by traditional ECG criteria, LVH regression by ECG criteria may be observed fairly soon after TAVR. Additional research is needed to clarify clinical implications and long-term outcomes associated with post-TAVR LVH regression. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Zhang, R., Jou, S., de la Rosa, A., El-Hajjar, M., Nappi, A., Delago, A., Steckman, D., Torosoff, M. Tags: Session Title: Poster Session PM Source Type: research

Abstract 212: Left Ventricular Hypertrophy by Electrocardiogram Criteria is Associated With Post-Transcatheter Aortic Valve Replacement High-Degree Atrioventricular Block and Left Bundle Branch Block [Session Title: Poster Session PM]
Conclusion: LVH by voltage criteria in TAVR patients is associated with post-TAVR LBBB and post-TAVR high degree AV blocks, which lead to post-TAVR pacemaker placement. Pre-TAVR LVH by ECG criteria may be used to identify high-risk patients in whom extended telemetry monitoring may be warranted. Additional studies investigating this important subject are needed. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Zhang, R., Jou, S., de la Rosa, A., El-Hajjar, M., Nappi, A., Delago, A., Steckman, D., Torosoff, M. Tags: Session Title: Poster Session PM Source Type: research

Abstract 211: Long-Term Participant Engagement in Weight Management Programs [Session Title: Poster Session PM]
In conclusion, in this large observational study, female gender, greater BMI, older age, and more comorbidities are associated with better 24-month engagement in a weight management program. Few factors stood out as predictors of better 24-month engagement as compared to 6- and 12-month engagement. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Graham, L. A., Malone, E. B., Richman, J. S., Knight, S. J., Affuso, O., Carson, A. P., Levitan, E. B. Tags: Session Title: Poster Session PM Source Type: research

Abstract 210: Coronary Artery Luminal Diameter, False Positive Stress Myocardial Perfusion Imaging and Body Mass Index: Is There an Association? [Session Title: Poster Session PM]
Conclusion: There is no association between the luminal diameter of LAD and false positive MPI. Additionally, vessel diameter does not depend upon BMI. Further studies are needed to assess these observations. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Sitwala, P., Abusara, A., Ladia, V., Lopez, P., Paul, T. Tags: Session Title: Poster Session PM Source Type: research

Abstract 209: Education Level and Long-Term Outcomes After Acute Myocardial Infarction: The China PEACE Prospective AMI Study [Session Title: Poster Session PM]
Conclusions: In a national Chinese cohort of patients hospitalized with AMI, lower educational attainment was associated with a higher risk of adverse events in the year following discharge. This association highlights the need to explore mechanisms underlying this relationship, and to consider interventions for adults with lower levels of education. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Huo, X., Khera, R., Zhang, L., Wang, Q., Herrin, J., Lu, Y., Nasir, K., Hu, S., Li, J., Li, X., Zheng, X., Masoudi, F. A., Spertus, J. A., Krumholz, H. M., Jiang, L. Tags: Session Title: Poster Session PM Source Type: research

Abstract 208: A Large, Retrospective Cohort Study Comparing Cardiovascular Outcomes With {beta}-blocker Combination Treatment in Patients With Hypertension [Session Title: Poster Session PM]
Conclusions: In adults receiving combination antihypertension therapy, NEB treatment was associated with a lower risk for CV-related hospitalization than either ATN or MET. Lower risk of hospitalization was supported by event rate data, as patients receiving NEB combined with other antihypertensives were hospitalized less frequently than patients receiving combination therapy with either ATN or MET. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Punzi, H., Ali, S., Li, Q., Patel, M., Neutel, J. Tags: Session Title: Poster Session PM Source Type: research