Stents not effective? Study sparks debate pt. 1

U.K. PCI study sparks U.S. debate

On Wednesday, November 1, results from the Objective Randomized Blinded Investigation with Optimal Medical Therapy of Angioplasty in Stable Angina (ORBITA) study were published in The Lancet.

The next day, this article was published in the New York Times:

“A procedure used to relieve chest pain in hundreds of thousands of heart patients each year is useless for many of them,” it began… “The new study, published in the Lancet, stunned leading cardiologists by countering decades of clinical experience. The findings raise questions about whether stents should be used so often—or at all—to treat chest pain.”

Without further knowledge, the debate may start right here—the New York Times article had little in the way of medical detail to satisfy invasive cardiovascular professionals and may have further generalized results in a misleading manner.

But let’s hold off on reacting, look at the debate surrounding this particular study and also place the findings in a wider context (part two). Note: this isn’t the first time it has been suggested that stents are overused.

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SICP to Join ACVP

Uniting the Cardiovascular Profession—For Your Benefit

The Society of Invasive Cardiovascular Professionals will soon strengthen the ranks of the Alliance of Cardiovascular Professionals.

Seeing an opportunity to unite the profession and improve the benefits of current members of both organizations, ACVP and SICP leadership agreed to join together.

SICP & ACVP joining means more resources, better benefits for members.

This opportunity to consolidate resources and benefits will result in more resources, better benefits, and fewer “upkeep” costs for members of the combined organization.

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CT angiography and stress tests can predict heart attacks

Invasive angiography unnecessary?

Noninvasive CT angiography and CT myocardial stress perfusion imaging can adequately predict heart attacks and major adverse cardiovascular events, according to a study published yesterday in Radiologyno invasive coronary angiography (ICA) required.

Invasive coronary angiography (ICA), along with stress tests and single photon emission tomography (SPECT) imaging, has long been the “gold standard” for making determinations of whether a lesion is hemodynamically significant and likely to result in major adverse cardiovascular events, reads a Radiological Society of North America press release.

But this “gold standard” has its drawbacks—in costs and risk.

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Career ladders getting higher for nurses—what about allied health?

All cardiac care professionals could see more professional development, opportunity.

With the switch to value-based medicine, more nurses are becoming hospital CEOs reads an article published online today in Hospitals & Health Networks Magazine.

Three hospitals in the six-hospital Memorial Healthcare System in Florida are now run by nurses—for RNs, it seems, the career ladder has grown longer, with more nurses climbing higher in healthcare management.

Beyond Florida, an August 2016 article in Becker’s Hospital Review listed 33 nurses who transitioned to hospital CEOs.

Why are more hospitals tapping nurses to run the organization? Management competencies are changing, says Lamont Yoder, RN, of the American Organization of Nurse Executives to H&HN Magazine’s Maggie Van Dyke.

Continue reading Career ladders getting higher for nurses—what about allied health?