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  • When in Doubt, Take It Out: Left Atrial Appendage Occlusion

    In a randomized trial of patients with atrial fibrillation, left atrial appendage occlusion during elective cardiac surgery was associated with lower rates of ischemic stroke or systemic embolism after 30 days.
  • Iron Therapy for Acute Heart Failure

    Giving intravenous ferric carboxymaltose to stabilized post-acute heart failure patients with iron deficiency improved quality of life vs. placebo-treated patients within four weeks, which persisted during subsequent therapy for up to 24 weeks.
  • Anticoagulation Plus Antiplatelet Therapy in Chronic Atherosclerosis

    An analysis of the COMPASS trial for the secondary endpoint of mortality showed the combination of low-dose rivaroxaban and aspirin significantly lowered the all-cause mortality rate vs. low-dose aspirin alone.
  • Important Lessons About Edge-to-Edge Repair

    This analysis of mitral surgery after failed transcatheter edge-to-edge repair demonstrates high rates of valve replacement as opposed to repair. Surgical mortality was higher than predicted but was significantly lower in high-volume centers.
  • Statins, Cognitive Decline, and Dementia

    An analysis of the ASPREE database showed that with almost five years of follow-up, statins are not associated with cognitive decline or dementia in a large group of elderly subjects in whom multiple tests of cognition were performed serially.
  • Reassuring Vaccine-Hesitant Healthcare Workers

    A common misperception that has led to vaccine hesitancy in healthcare workers and the public is the COVID-19 vaccines were produced with undue haste, seemingly coming out of nowhere to respond to the pandemic. The extensive scientific work with many other viruses that enabled the rapid development of the pandemic vaccines often is left out of the equation.
  • The Greatest Fear Healthcare Workers Have Faced

    It began with the first five cases reported by the CDC on June 5, 1981. What would become known as HIV/AIDS struck fear in HCWs possibly only rivaled by Ebola virus. HCWs worked at mortal risk, with some dying after needlesticks or other sharps injuries that exposed them to patient blood. What was essentially a terminal diagnosis became treatable when the first antiretrovirals were developed in 1995-1996.
  • The Joint Commission Issues Hospital Violence Prevention Standards

    Effective Jan. 1, 2022, new and revised workplace violence prevention standards will apply to all accredited hospitals and critical access hospitals, The Joint Commission recently announced.
  • DC, Maryland Mandate Vaccine for Healthcare Workers

    Seventy-four hospitals in Maryland and Washington, DC, have announced they will mandate the COVID-19 vaccine for healthcare workers under conditions that may vary at individual sites.
  • Vaccine Mandates Gain Momentum

    A federal judge in Texas dismissed a lawsuit filed against Houston Methodist Hospital for mandating the COVID-19 vaccine for healthcare workers as a condition of employment. The plaintiffs are appealing the dismissal, but the action sends a shot across the bow to healthcare workers and others who plan to challenge mandated COVID-19 vaccination programs in hospitals.