Broader CMR or SPECT imaging reduces unnecessary angiography

Results from the CE-MARC 2 trial, announced today at the European Society of Cardiology (ESC) Congress, suggest that unnecessary angiography could be significantly reduced by favoring noninvasive cardiovascular magnetic resonance (CMR) imaging or single photon emission computed tomography (SPECT) to initially investigate patients with suspected coronary artery disease (CAD).

These findings could have an "important impact on referral rates for invasive coronary angiography," says the ESC press release.

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Future of cardiology: personalized care through genetics?

Genetic arrhythmia programs are paving new roads for personalized cardiac care—from preventing unnecessary cautionary testing or treatment to improving screening.

Melvin Scheinman, MD—the first person to perform catheter ablation for arrhythmia in a human patient, now chief of the Comprehensive Genetic Arrhythmia Program at the University of California, San Francisco—believes genetic testing will lead to the "ultimate form of personalized medicine," writes Gregory A. Freeman of HealthLeaders Magazine.

"If you examine the genetic background of a patient, you may be able to identify sensitivity to specific drugs, propensity for developing some very serious heart disorders, and at the same time rule out those same things for other people," said Scheinman to HealthLeaders.

"That is really what personalized medicine is all about—delivering the right care to the patient because you truly understand the patient and don't have to treat him or her as just a member of a group with certain statistical risks."

A proliferation of genetic arrhythmia programs "across the country" have been introducing new, measured responses to a sudden cardiac death in the family—preventive healthcare for some, but not all family members.

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California Regulations to Relax on Fluoroscopy

In February, the Alliance of Cardiovascular Professionals updated members regarding progress made to remove a regulatory burden preventing provision of team-based care in California cardiac cath labs during procedures involving fluoroscopy.

In October, 2015, the Radiologic Technology Certification Committee in California unanimously passed a motion allowing an individual under the direct and immediate supervision of the S&O to use an assistant in the real time movement of the patient under fluoroscopy... (A Step Forward for CVTs in California, ACVP Advocacy)

On April 13th, 2016, the Radiologic Technology Certification Committee (RTCC) of California met with an agenda item to clarify this motion. The amended motion reads:

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VIDEO: Ultrasound identifies dangerous plaque

New research in ultrasound out of Lund University in Sweden might be key to better, broader screening for cardiovascular risk.

A relatively simple mathematical calculation developed at Lund University can be used to interpret ultrasound signals and identify whether or not plaques consist of harmless connective tissue and smooth muscle cells or dangerous lipids and macrophages.

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