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Conversations in Cardiology: Music in the Cath Lab?

Conversations in Cardiology: Music in the Cath Lab?
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Be 'Mindful' of TAVI Unknowns in Younger Patients, Experts Urge

June 09, 2021 Transcatheter aortic valve implantation is approved in the United States for low-risk patients with severe aortic stenosis, without an age threshold. As the authors of a new review point out, though, much is still unknown about how youth can impact outcomes and future options. Low risk and younger age are categories that should not be conflated, they urge. “The pivotal TAVR trials in low-risk patients have, so far, demonstrated excellent clinical outcomes. However, these results should be extrapolated to younger patients with caution.” Toby Rogers, MD, PhD (MedStar Washington Hospital Center, Washington, DC, and National Institutes of Health, Bethesda, MD), who led the paper along with Charan Yerasi, MD (MedStar Washington Hospital Center), stressed a similar point to TCTMD.

Sexual Harassment Under the Lens in Series by JACC: Case Reports

May 28, 2021 Cardiology, much like the world at large, has seen an awakening of awareness when it comes to sexual harassment in recent years. Now, a three-part series in JACC: Case Reports is addressing how this misbehavior holds women and sometimes men back in the profession, as well as what can be done to turn the tide. “Sexual harassment rears its ugly head every few years, sort of like racial injustice does, and we all get fired up about it and get upset,” Gina Lundberg, MD (Emory University, Atlanta, GA), told TCTMD. This energy translates into action that tends to wane, but soon enough another “egregious thing” restarts the cycle anew, she said.

For Younger MI Survivors, Stress Boosts Adverse Outcomes

May 13, 2021 Young and middle-age adults who survive an MI face a nearly twofold increase in MACE over the subsequent 5 years if they suffer from psychological distress after their initial event, observational data show. The association between psychological stress and subsequent events was attenuated after adjusting for markers of inflammation, such as monocyte chemoattract protein-1 (MCP-1) and interleukin-6 (IL-6). That finding, said lead investigator Mariana Garcia, MD (Emory University, Atlanta, GA), suggests “mechanisms involving inflammation may be implicated.” The study results are set to be presented next week at the American College of Cardiology 2021 Scientific Session. Much progress has been made over the past few decades in terms of reducing MI risk, but heart disease remains the leading cause of death in the United States. Moreover, the gains haven’t been as great in younger adults, who also tend to be more vulnerable to post-MI stress because they have a “h

$45 Million OHSU Lawsuit Hits a Nerve for #CardiologyToo

March 05, 2021 Cardiologists and other healthcare professionals may be shocked by the specifics set out in this week’s news of a $45 million lawsuit against Oregon Health & Science University (OHSU) and a former anesthesia resident. But they’re also not surprised. Jason Campbell, MD, who is widely known as the TikTokDoc and whose dance moves brought joy during the COVID-19 pandemic, is accused in the suit of sending explicit texts, photos, and messages as well as sexual assault. What stands out is here not the months-long, all-too-common ordeal described in the lawsuit. Rather, it’s the time line showing that the woman, an employee at the Portland VA Medical Center, where Campbell occasionally worked, had to repeatedly push for OHSU to put the behavior to an end.

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