U.S. vs. Canada: The Emerging World of Sports Cardiology

This post was authored by John Vyselaar, MD, member of the ACC’s Sports and Exercise Cardiology Section.

Sports cardiology is an emerging area of cardiovascular care. It is an exciting time to be involved in this developing field. This is true not only in the U.S., but also internationally.

As a Canadian cardiologist and international member of the ACC, I have been surprised by how similar some aspects of medical practice can be regardless of jurisdiction, whereas others can be quite different. The clinical practice of medically treating patients seems pretty much the same everywhere. Certain things like access to medications or the units you use to measure your lab values (mg/dl vs. mmol/L) may differ slightly, but physicians everywhere still care about using the right anticoagulant or accurately determining a glomerular filtration rate. On the other hand, the practical and financial aspects of actually getting patient care done can vary widely. The impact of single vs. multi-payer insurance, socioeconomic factors, and litigation risk make some aspects of practicing medicine in Canada very different from the U.S. and other jurisdictions. Continue reading

Hot Topics from AHA 2014 – Day 4

Check out ACC video coverage of the latest hot topics from AHA 2014. Watch Peter Block, MD, FACC, and Deepak L. Bhatt, MD, MPH, FACC, give a recap of Wednesday’s trials. Also watch a video interview with the FITs on the GO and Laura Mauri, MD, MSc, FACC, regarding use of prolonged dual antiplatelet therapy as discussed in the DAPT Trial. Check out full coverage from the meeting at CardioSource.org.

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The Power of Social Media in Medicine

This post was authored by John Gordon Harold, MD, MACC, immediate past president of the ACC.

A study released today during AHA 2014 provided an interesting perspective on the ability of social media to effectively distribute findings of published articles. The trial, “Intention-to-Tweet,” randomized 243 articles published in Circulation to either receive social media or not and found no difference in median 30-day page views (409 [social media] versus 392 [control], P=0.80). There were also no differences observed by article type (clinical, population, or basic science; P=0.19), whether an article had an editorial (P=0.87), or whether the corresponding author was from the U.S. (P=0.73). Continue reading

Will DAPT Change My Practice?

This post was authored by Valentin Fuster, PhD, MD, MACC, editor of Journal of the American College of Cardiology.

First, I want to compliment Laura Mauri, MD, and her colleagues for conducting the landmark Dual Antiplatelet Therapy (DAPT) trial, which was presented yesterday at the American Heart Association’s Scientific Sessions in Chicago.

Recent guidelines have recommend that patients with coronary artery disease undergoing percutaneous coronary intervention (PCI) discontinue dual-antiplatelet therapy – a combination of aspirin and another platelet inhibitor (e.g., clopidogrel) – within six months to one year. Nevertheless, the U.S. Food and Drug Administration and some clinicians have been concerned about the long-term impact of stents and dual-antiplatelet therapy duration on the adverse outcome of stent thrombosis. Continue reading

All For Gender Equality in Academic Medicine

This post is authored by Priya Kansal MD, FACC, director of the Women’s Heart Program at Salem Health in Oregon, and Bina Ahmed, MD, FACC, FSCAI, an assistant professor of interventional cardiology at the University of New Mexico School of MedicineBoth are members of the Women in Cardiology section.

Recently, a young actress gave a powerful speech to introduce a new movement at a United Nations forum for gender equality. The campaign, called ‘He for She,’ aims to end all forms of discrimination against women and girls globally. The movement focuses on the need for both men and women to work in solidarity to achieve a common goal. As I heard the speech I couldn’t help but think of how applicable and important this approach would be within academic medicine. Continue reading

What Should Women Look For When Choosing a Cardiology Fellowship?

This post was authored by Maria Sobolev, MD, chief fellow in the division of cardiology at the Albert Einstein College of Medicine/Montefiore Medical Center in Bronx, NY and member of the Women in Cardiology section. 

Despite a national shortage of female cardiologists, we are fortunately seeing a gradual increase in women who are pursuing cardiology fellowships. Applicants are faced with the inevitable question, “which program will be right for me?” In addition to the usual considerations when selecting an academic program, such as academic ranking of the institution, areas of expertise, quality of training, location and proximity to family, certain gender-specific considerations come into play. Some female candidates may choose to defer personal and family priorities until after training, but many will not. Most fellows will be in their thirties after the required years of post-graduate training, and family planning factors weigh in on most decision making processes. Continue reading

The Critical Need for Collaboration to Stop Diabetes

This post was authored by Robert E. Ratner, MD, chief scientific and medical officer of the American Diabetes Association.

November is American Diabetes Month – an opportunity to raise awareness of what has become a health epidemic of global proportions. In America alone, diabetes kills more people each year than AIDS and breast cancer combined, a disproportionate number of them belonging to minority and ethnic populations. Nearly 30 million children and adults in this country live with this often debilitating, and always costly and demanding disease. Another 86 million adults have prediabetes, in which blood glucose levels are higher than normal but not yet high enough for a diabetes diagnosis. And even though we know how to prevent a vast number of these cases, prevalence continues to grow and may well triple by 2050 if we fail to reverse current trends. Continue reading