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A Simple Way to Measure Frailty Before Aortic Valve Replacement
An analysis of transcatheter vs. surgical aortic valve implantation showed modified BMI, a measure of frailty, predicted one-year all-cause mortality and postoperative complications.
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Mammograms as a Cardiometabolic Disease Prevention Tool
In a study of women undergoing routine mammographic screening for breast cancer, mammographic features, such as microcalcifications and breast density, were associated with the risk of developing cardiovascular disease.
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Using Cardiac MRI to Detect Suspected Tumors
Among patients with suspected cardiac tumors, cardiac MRI was highly accurate at distinguishing tumor from thrombus and benign from malignant tumors, using subsequent clinical data over five years of follow-up as the diagnostic standard.
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The Limits of Shortened Antiplatelet Therapy in Acute Coronary Syndrome
One month of dual antiplatelet therapy (DAPT) followed by clopidogrel monotherapy did not meet criteria for noninferiority vs.12 months of DAPT for a composite endpoint of ischemic and bleeding events.
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Benefits of Early Coronary Angiography in Acute Heart Failure
For patients hospitalized with acute heart failure, invasive coronary angiography within 14 days was associated with higher rates of coronary revascularization and lower rates of all-cause death, cardiovascular mortality, and heart failure hospitalization.
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A History of Violence: Leaders Must Stand Up for Nurses
Two veteran occupational health nurses described their experiences with workplace violence over the years, emphasizing this chronic situation can be stopped if individual hospital leaders set a tone that enough is enough. -
CMS to Issue Rule Mandating Vaccines for Healthcare Workers
President Biden has dropped the carrot and picked up a stick, ordering healthcare workers — all 17 million — to receive the COVID-19 vaccine, or Medicare money may be withheld from their employers. -
ANA: Nursing Shortage Is at Crisis Point
With federal COVID-19 vaccine mandates looming, burnout at record levels, and many baby boomers nearing retirement age, a national nursing shortage is approaching that could shut down critically needed care. The American Nurses Association recently sent a letter to the Department of Health and Human Services, calling for the Biden administration “to declare a national nurse staffing crisis and take immediate steps to develop and implement both short- and long-term solutions.” -
CDC Quickly Reverses ACIP’s Vote Against Booster Shots for HCWs
In a highly unusual move, CDC Director Rochelle Walensky, MD, MPH, overruled her own vaccine advisory committee when they became mired in a far-ranging debate about COVID-19 booster shots that led to an end-of-the day vote not to recommend them for healthcare workers. -
Notify Patient if Initial Radiology Read Is Incorrect
Failure to notify the patient about a new result can come back on the ED provider if it can be shown that earlier notification could have changed the patient’s outcome.