Articles Tagged With:
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Intravenous Iron Shows Long-term Benefit in Patients with Heart Failure and Iron Deficiency
Iron deficiency (ID) is common in patients with heart failure (HF), and its presence is associated with reductions in functional capacity, quality of life, and survival. Several clinical trials have shown improved outcomes in patients with HF and ID who are treated with IV iron. However, these trials only administered IV iron for short periods of time, and the long-term effects of IV iron in these patients are not well understood.
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Paravalvular Leaks and TAVR Outcomes
Moderate or severe paravalvular regurgitation (PVR) has been reported in up to one-quarter of patients following transcatheter aortic valve replacement (TAVR) and has been associated with a higher 1-year mortality. Whether PVR is the cause of increased mortality or is simply associated with mortality is unclear.
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Blood Transfusion After Cardiac Surgery
Due to the cost of blood transfusions and the lack of data supporting liberal transfusion policies, newer guidelines recommend more restrictive transfusion thresholds (e.g., hemoglobin < 7 g/dL). However, many believe cardiac surgery is an exception due to the myocardium’s high oxygen requirement.
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Unintended Consequences of Public Reporting of Procedure Outcomes
Public reporting of clinical outcomes associated with cardiovascular care has been touted as a means to improve health care delivery and patient outcomes.
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Atrial Fibrillation Risk Scores and Anticoagulation Treatment
Several guidelines recommend using the CHA2DS2-VASc score for determining the risk of stroke in patients with atrial fibrillation (AF), but the treatment recommendations are not the same in all guidelines.
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Utility of the New Cholesterol Guidelines
The American College of Cardiology/American Heart Association (ACC/AHA) released new guidelines for the use of statin drugs to prevent atherosclerotic cardiovascular disease (CVD) in 2013.
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Impaired physicians have ethical obligation to self-report, experts say
Do physicians have diminished capacity as a result of substance abuse, burnout, behavioral or psychological issues, or physical illness? Regardless of the reason for impairment, physicians have an ethical obligation to protect their patients from harm.
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Parents eager for newborn genomic testing; ethical questions currently unanswered
Parents have widespread interest in genome sequencing for newborns, regardless of their demographic background, according to a recent study led by researchers at Brigham and Women’s Hospital and Boston Children’s Hospital. Researchers queried 514 parents within 48 hours of a child’s birth.1
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Voice ethical concerns — not just during consults, but organizationwide
Clinical ethicists can voice concerns not just during consults involving individual patients, but also more generally to address organizationwide issues.
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Disruptive behavior isn’t always addressed, either in policy or practice
Disruptive behavior remains a common occurrence in health care; organizations may lack policies to identify, prevent, and address such behavior.