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ACC/AHA/HFSA release 2011 Heart Failure Programs Staffing Profile survey results

A recent survey by the ACC/AHA/HFSA found that heart failure programs in the US are struggling to find the right mix of clinicians to manage this growing patient population. The study concludes that staff ratios remain the same despite program growth, indicating under-staffing with reduced financial resources.

SourceAmerican College of Cardiology·JournalJournal of the American College of Cardiology·DateApr 4, 2011

Study finds racial disparities in hospital readmission rates

A study found that elderly Medicare black patients have higher 30-day hospital readmission rates for conditions like congestive heart failure and pneumonia compared to white patients. The disparities are related to hospitals that disproportionately care for black patients, suggesting a systemic issue with the healthcare system.

SourceJAMA Network·JournalJAMA·DateFeb 15, 2011

Nano-measurement of troponin levels proves an accurate predictor of deterioration in heart failure

A new study finds that even small changes in troponin levels can forecast worsening outcomes in heart failure patients, with accuracy comparable to traditional risk-factor prediction models. The introduction of highly sensitive troponin assays has improved detection and allowed for the identification of high-risk subgroups.

SourceEuropean Society of Cardiology·JournalEuropean Journal of Heart Failure·DateDec 13, 2010

Tuesday news tips, Nov. 16, 2010

Researchers discovered reusing explanted ICDs with sterilized batteries is safe for patients. Shorter sleep duration linked to carotid artery thickening in men, while rapid body cooling improves heart function after CPR. Intravenous iron treatment boosts quality of life and kidney function in some chronic heart failure patients.

Phone-in doctoring fails to improve patient outcomes

A telephone call-in program designed to improve doctor-patient communication for heart failure patients failed to show improved patient outcomes, according to a Yale University study. The six-month study tested a telemonitoring system that allowed patients to send daily information about their condition to their doctor.

SourceYale University·JournalNew England Journal of Medicine·DateNov 16, 2010

Monday news tips, Nov. 15, 2010

Researchers found that people taking anti-clotting medication often unaware of dangers of taking herbal supplements, posing a risk to patient safety. Overweight black teenagers are at high risk for cardiovascular disease due to non-traditional risk factors such as insulin resistance and family history of heart attack.

Synchronizing a failing heart

A new therapeutic implant has been proven to synchronize and strengthen a fading heart beat, reducing the risk of death by 24% compared to current treatment. The device therapy, called cardiac resynchronization therapy (CRT), also improves quality of life and reduces hospital admissions for worsening heart failure.

SourceUniversity of Ottawa Heart Institute·JournalNew England Journal of Medicine·DateNov 14, 2010

Medical researchers break down costs to care for heart failure patients at the end of life

Researchers found that majority of heart failure patients pass away in acute care hospital, resulting in significantly higher costs. The study examined data from over 30,000 elderly patients with heart failure who died between 2000 and 2006 in Alberta, highlighting the need for discussions about end-of-life care options.

SourceUniversity of Alberta Faculty of Medicine & Dentistry·JournalArchives of Internal Medicine·DateOct 12, 2010

Heart-rate-lowering drug ivabradine reduces death and hospitalization when added to standard treatments in patients with heart failure

The SHIFT study found that ivabradine significantly reduced cardiovascular death and hospitalization for worsening heart failure when added to standard treatment in patients with a high heart rate. Lowering heart rates with ivabradine was also associated with improved clinical outcomes, including an average reduction of 15 bpm.

SourceThe Lancet_DELETED·JournalThe Lancet·DateAug 29, 2010

Physicians failing to follow recommended heart-failure treatment guidelines, Stanford study finds

A recent Stanford University School of Medicine study found that physicians are losing ground in prescribing recommended medications for treating congestive heart failure. The use of ACE-inhibitors and beta blockers has declined since the early 2000s, with only about one-third of patients receiving these life-saving treatments.

SourceStanford Medicine·JournalArchives of Internal Medicine·DateAug 9, 2010

Heart failure care improved by performance intervention at outpatient cardiology practices

A new performance intervention improved adherence to national guideline-recommended therapies for heart failure patients in an outpatient setting. The program applied clinical decision support tools, structured improvement strategies, and medical chart audits with feedback to help clinicians better provide evidence-based therapies.

Study shows short-term kidney failure in heart patients may not be as detrimental

Research by UC Health cardiologists found that while worsening kidney function is common among heart failure patients, those with transient worsening kidney function have better outcomes than those with persistent kidney failure. The study of 467 patients also showed a significant difference in mortality rates between the two groups.

SourceUniversity of Cincinnati·JournalJournal of Cardiac Failure·DateJul 1, 2010

Heart pumps save lives

A new thesis from the University of Gothenburg reveals that mechanical heart pumps can significantly improve survival rates among patients with life-threatening heart failure. The treatment has been shown to be particularly effective for young and middle-aged patients, as well as those who are awaiting a heart transplant.

SourceUniversity of Gothenburg·JournalScandinavian Cardiovascular Journal·DateJun 14, 2010