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Has ACVP solved a critical issue facing European medical conferences?

Thanks to the recent adoption of a new code of ethical conduct by MedTech Europe, a group of industry associations doing business in Europe, the future of European cardiology conferences may soon be in jeopardy.

The reason? More barriers to attendance.

It’s not that these conferences suffer from a lack of interested medical professionals. It’s just that, while many MDs would very much like to attend, registering for a cardiology conference in Europe is not cheap—on the order of thousands of dollars per event.

Everybody, the attendees, the presenters, with the exception of a very limited number of senior professors, has to pay, and it is understood that the physicians will attend more than a few over the course of a year.

And, in the time honored tradition of using off-site attractions as a lure for good registration numbers, the meetings are held in “not cheap” locations across the Continent, further ballooning the cost of attendance.

Continue reading Has ACVP solved a critical issue facing European medical conferences?

Is heart failure over-diagnosed? and other stories

Is heart failure over-diagnosed?

A common problem in elderly men, obstructive uropathy, can look a lot like heart failure.

When pulmonary edema is present, heart failure is often the "scapegoat" says Melissa Walton-Shirley, MD in a commentary on Medscape. Approaching heart failure with "an air of skepticism" might help.

I've seen a handful of obstructive uropathy cases masquerading as heart failure in elderly men in recent years. I shudder to think how many times I've missed it. I suspect that it's not just men who suffer. Some of our female patients with "diastolic dysfunction" and overflow incontinence seem to suffer from backpressure that finds its way into the pulmonary vasculature.

Melissa Walton-Shirley, MD
Read more on Medscape.


NYU Langone tests new transcatheter device.

Continue reading Is heart failure over-diagnosed? and other stories

New cardiology-specific EHR & diagnostic software suite unveiled

In March, the Cardiovascular Institute of the South (CIS), a multi-center and high volume cardiology practice in Louisiana, completed system-wide implementation of a brand new cardiovascular information system.

The cardiovascular information system is a stage 2 meaningful use certified electronic health records (EHR) solution that comes complete with 15 diagnostic test suites across invasive and non-invasive cardiology.

The kicker for CIS? It was designed by two CIS cardiologists, Vinod Nair, MD and Peter Fail, MD with input from their entire team.

Nair and Fail are the chief officers of Objective Medical Systems (OMS) and recently unveiled their cardiology software suite at the American College of Cardiology's 65th Annual Scientific Session & Expo.

Frustrated with usability and workflow? Try specialty-specific.

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Mitral Valve Repair: “An Opportunity for Quality Improvement”

Even in low-volume VA centers, mitral valve repair outcomes best replacement.

A large multi-center study presented at the 96th American Association for Thoracic Surgery Annual Meeting followed trends in mitral valve (MV) surgeries in the Veterans Administration Health System from 2001-2013 and provided further evidence to support the use of mitral valve repair over mitral valve replacement in patients with degenerative MV disease.

"MVRepair has a greater short-term protective effect against mortality than MVReplace has in patients with primary degenerative MR," write the authors. "Despite this survival advantage, the rate of MVRepair is low at some centers; therefore, there is clearly an opportunity for quality improvement."

Beyond a survival advantage, mitral valve repair was also found to result in fewer complications and shorter hospital stays.

Is that success dependent on volume? Not necessarily.

Continue reading Mitral Valve Repair: “An Opportunity for Quality Improvement”