Duke Heart Pulse – July 5th 2020 – New Academic Year

Chief’s Note:

Each year in July we have bittersweet transition in which we say goodbye to some of our finishing cardiology fellows and welcome to our newest members of the team.  This year was different in that we had to have these transitions in the COVID-19 era in which the graduations were Zoom based and the welcomes were for the most part also virtual.  Nevertheless, as you will see over the upcoming months, even with the challenges that we are increasingly facing around the region and country with the coronavirus, we are starting to both innovate and understand ways in which we can make the very important human connections that help our fellows and faculty continue to build teams and lead in cardiovascular disease.

Duke Heart Welcomes Three New Faculty Members

We are pleased to announce that Marat Fudim, Stephen Greene and Jennifer Rymer have each joined the Duke Heart faculty as assistant professors of medicine in Duke’s division of cardiology. All three completed fellowship training here at Duke as of June 30 and their faculty appointments were effective July 1.

Fudim and Greene both completed the Duke Advanced Heart Failure and Transplant Cardiology training program and have joined our Heart Failure team. Rymer completed her fellowship training in interventional cardiology and has joined the Cardiac Catheterization Lab. All three will conduct research in addition to their clinical responsibilities. We’ll be showcasing each of them this summer.

 

Welcome: New Cardiology & Advanced HF Fellows

Our newest Cardiovascular Disease and Advanced Heart Failure/Transplant Cardiology fellows kicked off their training on July 1.

For Cardiovascular Disease fellowship, please welcome:

  • Matthew Carlisle, MD, joining us from Duke
  • Alyssa Corley, MD, joining us from Beth Israel Deaconess
  • Karen Flores Rosario, MD, joining us from University of Texas, Southwestern
  • Cara Hoke, MD, joining us from Beth Israel Deaconess
  • Joe Lerman, MD, joining us from Duke
  • Daniel Loriaux, MD, joining us from Brigham and Women’s Hospital
  • Dennis Narcisse, MD, joining us from Duke
  • Sarah Snow, MD, joining us from University of California, Los Angeles

For Advanced Heart Failure and Transplant Cardiology, please welcome:

  • Hirak Shah, MD, joining us from the University of Minnesota (residency: Washington University in Saint Louis)

Please give them a warm welcome when you see them!

Here is the zoom photo I took from their welcome meeting with Anna Lisa Crowley, Rob Mentz, and Neha Pagidipatti.  Many great things ahead for this group.

 

 

 

 

 

 

 

 

New Fellows Hear From Several of our Faculty and Fellows in Boot Camp.

Schuyler Jones presented on STEMI management this week at our first CICU boot camp for new fellows (photo courtesy of Rob Harrison).  Thanks to Rob Harrison and Anna Lisa Crowley for setting up, Jamie Jollis, Jason Katz, Kristin Newby, and others for joining.  Special thanks to Vishal Rao and Kevin Friede for helping with the orientation.  I was excited to stop in during the afternoon when the orientation for procedures, fluro etc was going on for the CICU.

Tennyson Appointed to DUSON Faculty

We are pleased to share with you that Callie Tennyson, one of our Cardiology APPs, has been appointed to the faculty of the Duke University School of Nursing as an assistant professor. Tennyson will be primarily teaching in the Acute Care Nurse Practitioner program, where she will train masters-level nursing students in hospital and critical care medicine. The appointment was effective July 1.

“I’m really looking forward to challenging myself in expanding my scholarship and leading future generations of Acute Care nurse practitioners,” said Tennyson. “But don’t worry- I will continue working with inpatient Cardiology in a part-time capacity because I LOVE the Duke Heart Center!”

 

“We have appreciated her collaboration and contributions to the Cardiology APP team both clinically and as a preceptor for the School of Nursing and look forward to further collaborations moving forward,” said Stephanie Barnes and Rio Landa, co-team leaders of the Cardiology APP team.

 

Tennyson is deeply appreciative of all of the encouragement and support shown by her Duke Heart colleagues in this endeavor. Way to go, Callie! We are really proud of you!

 

Shout-Out to Palma

Congratulations to Richie Palma, director of the Duke Cardiac Ultrasound Certificate Program, for receiving Fellowship status from the Alliance of Cardiovascular Professionals.

Palma becomes the first sonographer ever to receive fellowship status from the Alliance of Cardiovascular Professionals, the Society of Diagnostic Medical Sonography (SDMS) and the American Society of Echocardiography (ASE). This is great news and another feather in the cap of our outstanding sonography team!

 

 

 

 

 

 

ICYMI: THEF Newsletter Features Radzom

Matt Radzom, an exercise physiologist in the CDU, and his wife Amy, an emergency physician at Wake Med, were interviewed for a story about healthcare providers on the frontlines during COVID. Their interview appears in the Triangle Healthcare Executives Forum of NC (THEF) Summer 2020 newsletter (scroll to page 9). THEF is the local chapter of the American College of Healthcare Executives. Nice job, Matt! Hat tip to Brian Coyne for sharing this news with us!

 

All Duke Campuses & Facilities Now Tobacco-Free

As part of Duke’s commitment to creating a healthy living and working environment, a tobacco-free policy is now in effect on all Duke property and grounds owned and leased by Duke University as of July 1.

The policy prohibits the use of all tobacco-based products, including but not limited to cigarettes, cigars, cigarillos, hookahs, chewing tobacco, snuff, and electronic smoking devices such as e-cigarettes, vaping products, and IQOS. To learn more, please visit: https://healthy.duke.edu/tobaccofree.

COVID-19 Updates:

All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:

 

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

Duke Heart in the News:

June 30 — Manesh Patel

Becker’s Hospital Review

How 5 cardiology leaders see the field transforming in 3 years

https://bit.ly/3eRzYKH

Duke Heart Updates – June 28th 2020

EP Team Conducts First-in-Human Case with HisPro System

Brett Atwater

Duke electrophysiologist Brett Atwater performed the world’s first-in-human use of a new conduction system pacing (CSP) lead implantation system, called the Agilis HisPro, on Friday afternoon at Duke University Hospital. The system was used twice on Friday. The first case was in a patient with an existing defibrillator/pacemaker with a lead in the right ventricular apex. Due to advancing disease of the heart’s natural conduction system, the patient required pacing from this lead and had developed worsening shortness of breath, leg edema and fatigue as a result of worsening heart failure. Atwater hopes that a successful CSP implantation using the HisPro catheter will help the patient regain energy and improvement with their heart failure symptoms. (The second case was performed in a patient receiving their first placement.) Both cases were live-streamed from the Duke EP lab to Abbott Laboratories.

In 2016, Atwater began a protocol in collaboration with Abbott Medical to completely rethink the design of CSP implantation equipment. The team used previously acquired CT data to reconstruct 3-dimensional models of a variety of patient anatomies, simulating the variations seen in the normal course of patient care (photo 1). Scientists at Abbott medical then used 3D printing to produce replicas of our patients hearts, complete with valves, ridges, and veins entering and arteries leaving the heart chambers. The location of the conduction system, acquired from prior electrophysiological testing was then marked carefully inside the models (photo 2). Using these 3-dimensional models, production engineers then designed a variety of catheter shapes and tested them with thought leaders from around the world.

The final design, now known as the Agilis HisPro catheter (photo 3) received FDA 510k approval two weeks ago. The design incorporates active catheter deflection and mapping electrodes to identify the characteristic electrical signals produced by the conduction system.  By using the electrical signals identified on the HisPro sheath electrodes, we believe the implantation should be faster, use less radiation, and have a higher likelihood of success compared to CSP implantation procedures using existing implantation systems.

This is a huge achievement and reflects years of work, persistence, and innovative creativity. Atwater helped design and develop this catheter, including its pre-clinical work in animal models. Approximately 50 labs were competing to get this distinction. This is a terrific accomplishment and wonderful example of the incredible work taking place within Duke Electrophysiology. Great job and congratulations, Brett!

 

Duke EP Performs First NC Use of SBRT to Treat VT Patient

Two weeks ago, our Duke EP team celebrated another remarkable first – two years in the making and under the stewardship of Al Sun, Jason Koontz, Zak Loring and Manisha Palta (radiation oncology), the Duke team successfully performed Duke’s first non-invasive Stereotactic Body Radiation Therapy (SBRT) treatment of refractory ventricular tachycardia (VT).

The use of SBRT at Duke is not new, of course. This technology is used daily for the treatment of patients with brain tumors and other cancers. However, the use in patients with hard to reach and/or difficult to treat arrhythmias such as refractory VT has only been done at a few select centers worldwide. This is the first time the treatment has been used for a VT patient in North Carolina.

The team performed their case on Thursday, June 18 in a patient for whom no other treatments were working, and the patient was experiencing daily runs of irregular rhythms, not improving and feeling awful. The EP team was basically out of options and, after lengthy discussions with the patient and their family members, opted to try SBRT.

We look forward to sharing more on this story in the coming weeks. We know the availability of SBRT to our EP team will be great benefit to our patients with VT that is resistant to antiarrhythmic drug therapy and catheter ablation. Congratulations to the EP team for their outstanding dedication in seeking new ways to provide help to Duke Heart patients. You’re doing incredible work!

 

Lewis Named Director, Lead Management Program for Duke EP

We are pleased to announce that Robert Lewis, MD, PhD will be assuming the role of Director of the Lead Management Program in the Division of Cardiology and Duke Heart Center, which was effective last week. Lewis completed his electrophysiology fellowship at Duke and worked at the University of Alabama at Birmingham after fellowship before returning to Duke in 2015.  The Duke Lead Management team, comprised of Linda Lewek, RN; the Duke CT Surgery and Anesthesia programs; Jonathan Piccini, MD, MHS; Donald Hegland, MD; Sean Pokorney, MD, MHS; and Dr. Lewis, have made several important contributions to the field, including pioneering the implementation of CT imaging to facilitate procedural planning and safety of lead extraction. They are recognized authorities in lead extraction and host highly regarded quarterly on-site training sessions with U.S.-based and international attendees.

We thank Dr. Piccini as the outgoing director of the Lead Management Program, a role he assumed in 2013. His leadership has been instrumental in building the lead management program at Duke to its current status as a world leader in both research and clinical volume.  We are excited to benefit from Dr. Lewis’ continued vision for the lead management program, from a programmatic, clinical, research, and educational perspective.

Congratulations Rob!

 

CVRC’s Headley Family Award Funding Announced

Sudha Shenoy, PhD, has been named the first recipient of the Headley Family Award for research within the Duke Cardiovascular Research Center (CVRC). The award to Shenoy, in collaboration with Jon Campbell, PhD, of the Duke Molecular Physiology Institute, is for her project ‘A novel approach to treat Diabetes Mellitus: Modulation of glucagon receptor ubiquitination.’

The project is focused on how a particular protein tag called ubiquitin can effect certain types of G protein-coupled receptors (GPCRs) and how they communicate signals. Her lab has been exploring how ubiquitin tagging affects the glucagon receptor (a type of GPCR), which regulates blood glucose levels. While doing so, they stumbled upon a new and unexpected finding that had not happened with other GPCRs they’ve tested.

“This award comes at a time where we have sort of stumbled onto a new finding that is of great interest to me, and there was no external funding available to support further investigation,” said Shenoy, an associate professor of medicine in the Duke division of cardiology. “I cannot put into words just how good this timing is for me, for my lab and for my work. I’m very happy and grateful to receive this funding.”

The funding is particularly important with suspension of research due to COVID-19.

“Scientific funding is incredibly competitive, says Maria Price-Rapoza, executive director of the Duke CVRC. “To have an additional tier of research support thanks to philanthropic donors is very meaningful, particularly with the impacts that COVID-19 has had on the research community. We are delighted to provide this award to Dr. Shenoy.”

The Headley Family Award was established earlier this year and made possible through the generosity of Mr. and Mrs. Harry and Dorothy Headley in support of basic cardiovascular research at Duke. The CVRC used an invited application process which began in early March. The award will provide annual one-year seed grants of $25,000 (plus indirect costs at 15 percent) targeted toward CVRC researchers who are conducting innovative research into the causes and treatment of hypertension, atherosclerosis and related cardiovascular diseases. The Headley’s, who celebrated their 61st wedding anniversary in May, have lived in Durham since 2004. The CVRC is grateful for the support they have provided to our research team.

The award is effective July 1. Congratulations, Dr. Shenoy!

 

Interventional & Structural Fellows Celebrate Year-End

On Thursday evening, the Duke Interventional Cardiology and the Duke Structural fellowship programs held their annual year-end celebration via Zoom. Schuyler wrapped up his first year as the interventional cardiology fellowship director and did a great job with the event, which included multiple costume changes and a photo montage for each fellow, as well as dinner from Convivio for each of the honorees.

The 2020 Walter Newman Award, dedicated by Mr. and Mrs. Walter Newman (a patient of Dr. Robert “Jess” Peter), is voted on by the faculty and given annually to the ‘outstanding fellow’, was awarded to Angela Lowenstern.

Congratulations to the completing fellows who were celebrated on Thursday evening:

Adam Banks (Structural); Jennifer Rymer (Interventional); Angela Lowenstern (Interventional); and David Manly (Interventional).

Shout-Out: Good Catch, Newman!

A shout-out this week to Joanna Newman, PA, of the Cardiothoracic Step-Down Unit in Duke University Hospital for her recent Good Catch Award. Her unit was caring for a post-heart surgery patient experiencing hypotension and dwindling urine output. Providers had already tried several things to treat the patient, but issues persisted. Newman’s daytime colleagues had noted their concerns prior to her starting an evening shift with the patient. It occurred to Newman that the patient could be experiencing cardiac tamponade, so she escalated the situation and it was determined that the patient needed to be returned to the OR. Although the Good Catch was awarded to Newman, she is quick to point out that problem-solving for complex patients, including this one, is a “team sport” and that everyone on the unit takes a turn carrying the problem and attempting resolution. We know this is true each and every day in Duke Heart – thank you for the time you and your colleagues took to troubleshoot and think deeply about our patient. Congratulations for this good catch and for the many others that go without an official award!

 

Poster Presentation, AAPA 2020

Todd McVeigh and Jordan Hausladen, two of our Duke Cardiology APPs, are authors of a poster selected by the American Academy of Physician Assistants for podium presentation at AAPA 2020, which was originally scheduled for May 16-20 in Nashville (but cancelled due to COVID-19). Their poster Developing Standardized Note Templates for Inpatient Rounding Teams was instead presented virtually and can be viewed here: https://www.aapa.org/research/eposters-2020 (scroll to 4th row under ‘workforce gallery). The poster illustrates findings of the Cardiology APP survey data collected regarding documentation templates.

The team sent a survey to inpatient APPs and physicians as well as outpatient APPs in cardiology to get a sense of how people viewed the documentation templates. They then worked with internal teams to determine what was liked/disliked in order to develop a more efficient documentation template that maintained what was needed for compliance and billing purposes.

Results showed that overall, people’s biggest complaint was that the old templates took too long to complete, leading to job dissatisfaction. The new template allows providers to spend less time on notes, which has led to overall better balance between documentation times and actual provision of patient care.

Great work, Jordan and Travis — what a terrific honor to be selected for an AAPA podium presentation! We know you’ve made an even greater impact on your colleagues by helping with their work satisfaction. Way to go!

 

ICYMI: ACC & SVS Registry Announcement

The American College of Cardiology (ACC) and Society for Vascular Surgery (SVS) announced this week they are collaborating on a single vascular registry to harness the strengths of both organizations in improving care and outcomes of patients with vascular disease.  Effective January 2021, the ACC’s National Cardiovascular Data Registry (NCDR) will collaborate with the SVS Vascular Quality Initiative (VQI) to support and steer a single vascular registry. This registry will be operated by SVS, creating a co-branded VQI program that will be a unique, comprehensive resource for measuring and improving the care provided to a growing population of patients with vascular diseases. To read more about it, visit this article on Healio.

 

COVID-19 Updates:

All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:

 

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

Duke Heart in the News:

June 19 — Joseph Rogers

WUNC 91.5/NC Public Radio

NC Hospitals Have Capacity For COVID Patients — For Now

https://bit.ly/3i6kyUN

 

June 19 — Oliver Jawitz

Medscape/Reuters

SAVR Following TAVR May Present Extra Risks

https://www.medscape.com/viewarticle/932569

 

June 20 — Sunil Rao

tctMD/the heart beat

Newer TAVR Devices Reassure in Failed Surgical Valves

https://bit.ly/2ZeNRMm

 

June 22 — L. Kristin Newby

WBTV (Charlotte, NC)

Duke’s MURDOCK Study launches COVID-19 research in Cabarrus County

https://bit.ly/3eAfwxH

 

June 23 — L. Kristin Newby

WRAL Tech Wire

Duke launches COVID-19 research project in Kannapolis, Cabarrus County

https://bit.ly/3eFQkpt

 

June 24 — Joseph Rogers

Bloomberg Law

Hospitals Are Counting Beds Again With Virus Cases Rising

https://bit.ly/386yhX7

 

June 24 — Joseph Rogers

WTVD

ABC 11 Eyewitness News at 11 p.m.

https://bit.ly/2Ze8gRH

Week ending June 21st 2020 – Fellow graduation ceremonies, father’s day, and “closing time”

Chief’s message:

Happy Father’s day to all of our fellows, faculty and staff families.  This is an incredibly difficult time within our state and for the country.  Hopefully you all got to spend time with your families and if you are lucky enough – some time to connect with your father.   May be affected by many of the current issues, but I was happy to be able to spend speak with my father and ensure he knows the role model he has been for me.   His work ethic, moral compass, calm demeanor in challenging times, and humor have been the guiding lights.

Highlights of the week:

Duke Cardiology Fellows Celebrate Year-End

On Friday evening, the Duke Cardiology fellowship program held their annual year-end celebration a bit differently this year thanks to COVID-19, but the evening held many surprises and the event will certainly be remembered. The fellows were celebrated by division leadership along with special guest video remarks from guests across the world, including Robert Harrington, Zainab Samad, Ivor Benjamin, Rob Califf, Wayne Batchelor, and Michelle Kittleson, who provided several #kittlesonrules for future guidance, including the recommendation to stay connected to your Duke family and to remember that “bad outcomes will make you grieve; bad decisions will change your practice.” The evening included a special musical performance by Rob Mentz and musical fellows who performed a rewritten version of Semisonic’s “Closing Time” about our collective challenges during the age of COVID, as well as video remarks from all mentors of our completing cardiology fellows. Although we somehow haven’t yet convinced Beyoncé to drop in for one of our events, David Justice joined us with a special tribute for completing fellow Michael Nanna. It was a fun and entertaining event and we thank all who joined us. Kevin Friede, Arlene Martin and Anna Lisa Crowley did an outstanding job with planning the event and video collection and development. Michelle, Vishal and Sipa produced an outstanding fellows video.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The following year-end awards were presented by the fellows:

  • Outstanding Service Award to Dawne Smith
  • Faculty Teaching Award to Rob Harrison, MD
  • Mentorship Award to Chris Holley, MD, PhD and Neha Pagidipati, MD

And the following awards were presented to our fellows:

  • Walter F. Floyd Award to Rahul Loungani
  • Joseph G. Greenfield Scholar Award to Zak Loring
  • Cassell-Saperstein Award to Jeff Dixson
  • Brandt & Belinda Louie Award to Michael Nanna

Congratulations to the graduating fellows who were celebrated on Friday: Adam Barnett, Eric Black-Maier, Jaidip Chakravartti, Sarah Goldstein, Zak Loring, Rahul Loungani, Michael Nanna, Michael Rehorn, Sounok Sen, and Jedrek Wosik.

We’ll be providing additional information and news on all graduating fellows across the next two weekends, including our extraordinary surgeons who are completing their training with our cardiovascular and thoracic surgery team. It has been an outstanding year!

Duke Cardiac Diagnostic Unit IAC Accreditation

We are pleased to share with you the great news that our Adult Echocardiography Lab and Cardiac Diagnostic Unit has been granted Intersocietal Accreditation Commission (IAC) Accreditation for a new three-year period for Adult Echo, Stress Echo, and Transesophageal Echocardiography. There are many factors that contribute to an accurate diagnosis based on echocardiography. The training and experience of the sonographer performing the procedure, the type of equipment used and the quality assessment metrics each facility is required to measure — all contribute to a positive patient outcome.

The process of accreditation includes an intensive application and review process and the team is to be congratulated for all of their hard work. Ashlee Davis, chief technologist in the CDU, said, “Thank you to everyone who participated in this year’s accreditation. It really takes a team and there is none better than the CDU! Special thanks to the QA team for pulling this together and getting it submitted even during these turbulent times. We will plan a celebration as soon as we are able.”

IAC accreditation is a “seal of approval” that patients can rely on as an indicator of consistent quality care and a dedication to continuous improvement. Great job, everyone — congratulations!

Shout-out: Cardiac Ultrasound Certificate Program

We’d like to offer a shout-out this week to Richie Palma, director of the Duke Cardiac Ultrasound Certificate Program and Anita Kelsey, medical director of the program. We learned this week that they have filled all eight slots for the inaugural year of the program, which starts with the fall semester. Palma says that although there is still much to do to prepare for the incoming students, he knows it will be an amazing group and a terrific program. Great job!

Anita Kelsey

I

 

CYMI: The Mask

Duke Cardiology second-year fellow, Francis Ugowe, has authored a personal commentary, The Mask, published online last week by the American College of Cardiology, in the Fellows In Training section of their website. It is definitely worth reading. Thank you to Francis for adding his important voice to this national conversation on racial injustice.

 

 

New Textbook Includes Contributions from Duke Sonographers

Congratulations to Alicia Armour, Jayne Cleve, Ashlee Davis and Richie Palma. Each of these cardiac sonographers are contributors of written chapters in the newly published textbook Basic to Advanced Clinical Echocardiography. A Self-Assessment Tool for the Cardiac Sonographer. Way to go!

 

8 East and 8 West Relocating to Duke Central Tower

Over the past few weeks, there has been an upward trend of COVID-19 cases at Duke University Hospital and an increase in patients requiring ICU care. To prepare for the surge in patients, DUH leadership has worked closely with the construction team for Duke Central Tower to reprioritize work to transform the new building into a safe environment to care for patients.

 

This weekend, patients and their care teams on 8 West relocated to the new Duke Central Tower. Patients and care teams on 8 East will move to the Central Tower on Saturday, July 18. This change will allow us DUH to increase ICU capacity by 56 beds.

 

COVID-19 Updates:

All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:

 

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

Duke Heart in the News:

June 12 — Guillaume Marquis-Gravel and Sreekanth Vemulapalli

tctMD/the heart beat

Most US Patients Have TAVR Options Nearby, but Proximity Isn’t Everything

https://www.tctmd.com/news/most-us-patients-have-tavr-options-nearby-proximity-isnt-everything

 

June 12 — Pamela Douglas

Medscape

CT Coronary Angiography More Accurate Than Exercise ECG in Stable Angina

https://www.medscape.com/viewarticle/932141

 

June 16 — Adrian Hernandez

The New York Times

A Mad Scramble to Stock Millions of Malaria Pills, Likely for Nothing

 

June 16 — Mohammad Shahsahebi (Duke Cancer Institute)

Medscape

Cardioprotective Meds Underutilized in Patients With Cancer History

https://www.medscape.com/viewarticle/932423?src=rss

 

June 18 — Joseph Rogers

North Carolina Health News

Amidst COVID-19, some NC hospitals may soon run out of room

Amidst COVID-19, some NC hospitals may soon run out of room

Duke Heart Updates Week ending June 14th 2020

Highlights of the week:

Engel Completes Post-Doctoral Scholars Program

Congratulations to Jill Engel, Associate Vice President for Heart Services for Duke University Health System! In May, Engel completed a one year post-doctoral Quality Implementation Scholar’s program at Duke University School of Nursing. Duke’s program is one of the first in the country and aims to further enhance doctorally-prepared nurses in formal quality improvement and implementation science in health care. The first Duke cohort, which included Engel, was comprised of four Duke Health leaders. Duke Heart’s Dr. Bradi Granger serves as a faculty member supporting the scholars program. Congratulations, Jill!

 

Shout-out to Vishal Rao!

We heard a wonderful compliment this week regarding Vishal Rao, one of our cardiology fellows. Callie Tennyson wrote, “I wanted to give a shout out to Vishal Rao who was a pleasure to work with on the VAD service the past couple weeks. He took great initiative to provide teaching during rounds while we are orienting a new PA colleague. He even circled back by emailing the papers/resources discussed. The APP team appreciates him!”

Way to go, Vishal! Thanks for all that you do!

Quality Awards from AHA

We are very excited to share with you the following American Heart Association Quality Awards recently achieved by our three Duke University Health System hospitals. These will be formally presented and recognized (virtually) during the AHA’s Quality Awards Celebration on June 24. Congratulations to all Duke Heart members for the work you do to help us achieve these award levels.

The awards are listed by hospital, then AHA program and then the award level.

Duke University Hospital

  • GWTG Heart Failure, Target Type 2 Diabetes Honor Roll
  • GWTG Heart Failure, Target HF Honor Roll
  • GWTG Heart Failure, Gold Plus
  • GWTG Stroke, Gold Plus
  • GWTG Stroke, Target Stroke Elite Honor Roll
  • GWTG Stroke, Target Stroke Advanced Therapy Honor Roll
  • GWTG Stroke, Target Type 2 Diabetes Honor Roll
  • Mission: Lifeline STEMI, Silver Receiving Plus
  • Mission: Lifeline NSTEMI, Silver

Duke Raleigh Hospital

  • GWTG Stroke, Gold Plus
  • GWTG Stroke, Target Stroke Honor Roll
  • GWTG Stroke, Target Type 2 Diabetes Honor Roll

Duke Regional Hospital                    

  • GWTG Stroke, Gold Plus
  • GWTG Stroke, Target Stroke Elite Honor Roll
  • GWTG Stroke, Target Type 2 Diabetes Honor Roll

 

ICYMI: Vascular Nursing Updated Clinical Practice Guidelines

Debra Kohlman-Trigoboff

Congratulations to Deb Kohlman-Trigoboff on her recent publication! She has been serving for the past several years on a team tasked with reviewing and updating the Society for Vascular Nursing’s endovascular abdominal aortic aneurysm repair practice guidelines to reflect current evidence-based changes. Their final article has just been published in the Journal of Vascular Nursing. Kohlman-Trigoboff is corresponding author. The article can be accessed by clicking here: Society for Vascular Nursing Endovascular Repair of Abdominal Aortic Aneurysm (AAA) Updated Nursing Clinical Practice Guideline. Many thanks to Allen Stephens for bringing this to our attention!

 

 

ICYMI: Genomic Medicine Updates: Many thanks to Geoffrey Ginsburg, co-chair and founder of both the Consortium and G2MC, for sharing these items with us!  These updates and work have helped our division and heart center stay connected with the Genomic Medicine Consortium and work going on.

COVID-19 Updates:

All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:

Upcoming Events & Opportunities

Wednesday, June 17: Walk for Solidarity, 10:30 – 11:00 a.m.

The executive team of Duke Regional Hospital has invited all interested Duke employees to join their Walk for Solidarity event on Wednesday morning. Please gather at the employee entrance near outpatient services just before 10:30 a.m. Employees are invited to walk together in solidarity. Following the walk, Duke Regional Hospital President Katie Galbraith will share brief remarks.

Any team member is welcome to participate, as long as doing so does not disrupt patient care. Managers are asked to work with their teams to ensure essential coverage for clinical areas. If you cannot participate in person, the event will be streamed via Facebook Live on Duke Regional Hospital’s Facebook page and available for later viewing.

Tuesday, June 16: Living While Black, 9:00 a.m. – 3:30 p.m.  

The entire Duke community is invited to join this online event with a distinguished group of speakers from our Black community at Duke. Faculty scholars will discuss the background, dimensions and impact of racism and racist policies and structures, and students and staff will share their perspectives and insights. We will also discuss actionable steps to move forward. This will be a first step to fully engage all members of our community to consider new ways to advance Duke’s goals toward achieving racial justice and equity. The details of this event were sent via email to all employees last week.

Registration is required for this online event. If you do not have a Zoom account on duke.zoom.us using your netID[at]duke.edu, you must create an account before registering. Please go to duke.zoom.us and create an account using your netID[at]duke.edu. Then, when registering for the event, it is critical that you use your netID[at]duke.edu email address rather than an alias (e.g., firstname.lastname[at]duke.edu). Please register here.

Sponsored by the Office for Institutional Equity and the Office of the Vice Provost for Faculty Advancement  

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

 

Duke Heart in the News:

June 5 — Eric Peterson

tctMD/the heart beat

One Less Pill in Elderly Hypertensive Patients Safe in the Short Term

https://www.tctmd.com/news/one-less-pill-elderly-hypertensive-patients-safe-short-term

June 7 — Adrian Hernandez

NBC News

Hydroxychloroquine is not dead yet

https://www.nbcnews.com/health/health-news/hydroxychloroquine-not-dead-yet-n1224586

June 9 — Joseph Rogers

WRAL

As COVID hospitalizations hit new high, NC hospitals ready to pivot away from less-urgent care

https://bit.ly/3d2sxOM

June 9 — Svati Shah

IndiaWest.com

American Association of Physicians Selects 3 Indian Americans as 2020 Members

https://bit.ly/3hv0k6I

June 10 — Oliver Jawitz

tctMD/the heart beat

SAVR After Failed TAVR: Rare and Risky, Registry Study Finds

https://www.tctmd.com/news/savr-after-failed-tavr-rare-and-risky-registry-study-finds

June 11 — Joseph Rogers

CBS17.com

State health officials say hospitals can now handle the rise in COVID-19 hospitalizations

https://bit.ly/2N03L7D

Duke Heart Week ending June 7th 2020

Chief’s message:

Another week of challenges to our Duke Heart community from longstanding racial injustice and health inequality to global pandemic.  It was nice to be  taking care of patients in our cath lab and on our wards by weeks end. Great to be with fellows and faculty in working in tangible ways to help our patients.  I am also struck by the end of year festivities and how this year we will have so many of our great resident and fellows moving on at a time of change. More to come on how we aim to make this a fun and memorable experience for our fellows.

This week was notable for awards to some of our great Duke Heart Fellows.  Rahul Loungani received the fellows teaching award from the medical residents.  A well-deserved award that highlights a dedication to educating our residents in medicine. Matthew Carlisle” one of our incoming carediology fellows won the medical student education award – the Appleseed award.  Matt will be joining Duke Cardiology from the residency and we are excited.  A quote on his nomination if found here “Even after the rotation ended, Matt continued to be a mentor. He helped me connect to residents in other fields I was interested in, and even took time on a Saturday to come in and teach me how to suture before I start my surgery rotation. Taking time out of their personal days to teach is by no means something I expect in any resident I work with, but it speaks very highly of Matt’s dedication to his students.”

Finally – the Department of Medicine gave Ralph Corey longstanding Global Health, infectious disease physician and resident / fellow educator the Lifetime Service Award on Friday. Ralph will be retiring to spend time with his family.  He has trained generations of great physicians and we are all indebted to Ralph’s work in both Duke Medicine and with Duke Cardiology residents and fellows.  Zainab Samad now the Chair of Medicine at Aga Khan in Pakistan posted these rules for being a good physician from Ralph Corey.

 

 

 

 

 

 

 

 

Highlights of the week:

Shout-outs to Jawitz, Richards

Please join us in congratulating the following Duke Heart team members:

Oliver Jawitz, a Cardiovascular and Thoracic Surgery resident and a DCRI fellow, has joined the editorial board of the Journal of Thoracic and Cardiovascular Surgery as a deputy statistical editor. Terrific news!

Carolyn Richards, our charge nurse for Duke Cardiology at Southpoint, has graduated from the University of Mount Olive RN to BSN program. (She is shown here with Annette Moore). Way to go, Carolyn!!! Special thanks to Christine Beyer-McFarlane for bringing this to our attention.

ICYMI: Genomic Medicine Updates

Nature wrote up a news brief on the International 100K Cohorts Consortium held (virtually) last month. The event featured Francis Collins, Jeremy Farrar, Elias Zerhouni, and Soumya Swaminathan as keynotes. Check it out here.

And Paloma Guzzardo, a molecular biologist, posted a piece on Medium regarding her first experience attending a virtual conference in the age of COVID-19 — the Global Genomic Medicine Collaborative (G2MC).

Both are worth a read! Summaries of both meetings as well as videos and slide decks will be posted to https://g2mc.org.

 

Safe Choices Update

We have postponed the July 8 and August 19 Heart Safe Choices events due to COVID-19; these will be rescheduled for a later date once we’re able to safely gather together. The Safe Choices event scheduled for November 11 in the Great Hall of the Trent Semans Center has not been changed. If you’d like to register for that event, please visit: https://duke.qualtrics.com/jfe/form/SV_byjHXJyNzeulaJv. For more information on Heart Safe Choices, please contact Christy Darnell.

 

Cardiology Fellowship Dinner: Going Virtual

It’s hard to believe, but another year has come full-circle and we’re getting ready to celebrate our graduating fellows over the next few weeks. Our annual End-of-Year celebration dinner for cardiology fellows – traditionally held at the Washington Duke Inn – will instead be a “virtual banquet” held online Thursday, June 19 at 6 p.m. For those of you who will join us, we look forward to gathering with you to celebrate the many accomplishments of our outstanding trainees. Stay tuned for lots of news regarding those who are wrapping up their time with us!

 

Go Red for Women “Lunch-In” – Thanks for Joining Us!

Thanks to those of you who joined the local Go Red for Women virtual “Lunch-In” on Friday. The event was hosted by Tisha Powell of WTVD and featured Svati Shah during the Q&A session; it also featured Lauren Dungan, a local SCAD heart attack survivor. The event is held annually to celebrate women and their “go red” efforts as well as to elevate awareness of women’s heart health, celebrate survivors of heart disease and stroke, and equip attendees with the knowledge to take control of their heart health. Duke Heart continues to be a proud sponsor of the American Heart Association’s Go Red for Women movement.

 

 

 

 

 

 

 

COVID-19 Updates:

All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:

 

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

 

Duke Heart in the News:

 

May 26 — Eric Peterson

Healio

BP control in older patients feasible with medication reduction

https://bit.ly/3cuZjrN

 

May 26 — Ann Marie Navar

MSN.com/Health

75 Things You Should Never Do For Your Health

https://bit.ly/374YsNu

 

May 27 — Eric Peterson

MedPage Today

Pulling Back BP Meds Feasible in the Elderly

https://www.medpagetoday.com/cardiology/hypertension/86695

 

May 30 — L. Fernando Gonzalez (Neurosurgery)

Forbes.com

Why Have The Number Of Strokes Fallen During The COVID-19 Pandemic?

https://bit.ly/3eKVwrH

 

May 30 — Adrian Hernandez

The New York Times

Scientists Question Validity of Major Hydroxychloroquine Study

 

June 3 — Pamela Douglas

MedPage Today

CT Angiography Helpful in Suspected Stable Angina, but Not Needed for All

https://www.medpagetoday.com/cardiology/prevention/86870

 

June 3 — Adrian Hernandez

MedPage Today

Surgisphere Data Used in Two COVID Studies Called Into Question

https://www.medpagetoday.com/infectiousdisease/covid19/86861

 

June 3 — Karen Alexander

Philadelphia Inquirer/phillytrib.com

Your Cardiovascular Health After 50

https://bit.ly/2XXuDdi

 

June 3 — Sean Pokorney

Reading Eagle (Reading, PA)

Don’t ignore heart attack symptoms, even during coronavirus

https://bit.ly/3dGDHdm

 

June 4 — Amit Patel

USA Today

Authors retract study that raised questions about drug used to treat COVID-19

https://bit.ly/3cyIsUV

 

June 5 — Adrian Hernandez

MSN.com/The Wall Street Journal

Authors Retract Studies That Found Risks of Antimalaria Drugs for Covid-19

https://bit.ly/2Y0kJI2

Duke Heart Week Ending – 5-31-2020

Chief’s message:

It has been a week in which our country and community have been challenged to move forward. We are all grieving for George Floyd, his family, and unfortunately all the violent deaths our country has witnessed as evidence of racism and injustice.  We can not imagine the feeling of frustration, helplessness, pain, and vulnerability.  The open wounds of racial injustice, inequality, and structural barriers to equity have festered in America for too long. These inequities have been further magnified in recent months by a pandemic and economic downturn that is creating heightened challenges and uncertainty for us all. Yet as noted by many, these hardships have fallen disproportionately on communities of color including African American, Indigenous and Latinx communities.  For our group, the path forward will continue to include listening, not tolerating any acts of hatred or racism, and striving for health equity in our own community, clinical practice, and actions.  Our core value of respect for and inclusion of people from all backgrounds will continue to be our north star.

Update from the week:

Mike Felker to become Vice-Chair of Clinical Research

We are excited to announce that Mike Felker, MD, MHS, Professor of Medicine with Tenure will assume the role of Vice Chair of Clinical Research for the Division of Cardiology.  Mike graduated from the Duke University Medical School, completed his internal medicine training at Johns Hopkins, and completed his cardiology and Heart Failure fellowships here at Duke.

Since joining the faculty in 2002, Mike has been dedicated to patient care, education, and research. He has many accomplishments during his time here at Duke, but most remarkable has been his ability to establish and grow the heart failure section through mentorship and research leadership. He has spearheaded the Heart Failure Network with the NHLBI, he has helped lead and understands our Clinical Research Unit, and now will serve as the Therapeutic Area lead for the Duke Clinical Research Institute.  During the transformation process at the DCRI, Mike was able to review and identify many of our opportunities for growth.  I am personally excited to have Mike brings his thoughtful approach to our divisional plans on clinical research reorganization as respond to and restart research during the pandemic.  When you see Mike, please welcome him to this new role.

I want to also personally thank John Alexander who has helped serve in this role in the Division over the last several years.  John provided consistent selfless leadership aimed at making our research enterprise stronger.  John will continue to be a force for our Division, and I look forward to his continued leadership with our clinical and research missions.

Congratulations to Rich Krasuski and our pulmonary hypertension group

Rich shared a few key accomplishments with our team over the last week.  The first was, that Sudar Rajagopal and Rih were awarded an investigator initiated research grant of $324,000 from Actelion/Janssen to perform the EPIPHANY (Effects of Combination Medical Therapy Followed by Balloon Pulmonary Angioplasty on Right Ventricular-PA Coupling and Hemodynamics in Chronic Thromboembolic Pulmonary Hypertension) Study.  This will be an important study in an evolving space.

The second accomplishment was, last week there was in press a special issue of Advances in Pulmonary Hypertension entitled “New Invasive Technologies and Devices in Pulmonary Hypertension” that Rich guest edited.

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

Memorial Day Weekend May 24th 2020 – Duke Heart

Chief’s message:

Memorial day reflects the unofficial start of summer… and hopefully you will have some time to spend with family to reflect.  With the country going through some changes in our stay at home status, please Stay safe.   And let’s never forget those who laid down their lives for our freedom.  Happy Memorial Day.

Highlights of the week:

Sewell Retires from EKG Support Unit

Please join us in congratulating Phyllis Sewell on her recent retirement! Sewell, a long-time member of the Duke Heart team retired from the EKG Support Unit on April 21 after 44 years of service at Duke. Due to the pandemic and restrictions that have been in place, the team has not been able to host a gathering in her honor, but she leaves a legacy of diligence and insight that the team hopes to emulate for years to come.

From her retirement announcement, we learned:

“When Phyllis began her Cardiology career as a Duke EKG technician in 1976, she performed EKGs on single-channel recorders; she created 12-lead EKG display pages by literally cutting and pasting pieces of paper. By 1977, she worked with a Hewlett-Packard computer system that required seven hours for system back-ups and, consequently, required Phyllis to stay overnight with the computer system occasionally in order to change data storage discs (manually) during the back-up process.

Phyllis learned to interpret EKGs from her mentor Joseph C. Greenfield, Jr., Duke’s former Chief of Cardiology, Chair of Medicine, and Director of the “Heart Station” (as the EKG Support Unit was formerly known). Throughout the 1980s and much of the 1990s, Cardiology Fellows interpreted hard-copy EKGs by adding their hand-written text to the computer’s interpretation.  Phyllis would then “edit” the fellows’ interpretations—often changing them wholesale, so as to prevent the fellows from incurring the wrath of faculty readers or, worst of all, seeing a note from Dr. Greenfield: “MD see me.” 

When Cardiology fellows ceased their formal role in interpreting Duke Hospital EKGs during the 2000s, the academic side of Phyllis’s career rose to prominence: she was responsible not only for reading EKGs but also instructing other EKG Editors in EKG interpretation that occurred prior to Cardiology faculty readers’ interpretations. As a result of Phyllis’s work with her Editor colleagues, Duke Health EKGs were reviewed by knowledgeable readers faster than ever.”

Sewell came to Duke because she had been in a medical secretarial program at Chowan College in Murfreesboro, and at the time they were partnered with Duke. She rotated through several Duke medical departments as part of her training. Upon finishing, she served as a medical secretary in pediatrics, but soon realized she wanted to work closer to patient care. So, she learned how to do EKGs on the floor when Duke was just starting a computerized system to read them. Her passion and enthusiasm for reading EKGs took off from there and dovetailed nicely with her love of learning.

After 44 years of fast-paced and intensive work, being at home so much is not how Sewell envisioned the start of retirement — but she says that blessings come to all of us in different ways.

“I have had the opportunity to work with a lot of wonderful people across my years at Duke and to work alongside some of the very best people in the field of cardiology,” Sewell said. “I can’t say enough about Duke. I believe it to be one of the finest places in the country. We see lots of complex issues in our heart patients – many of whom come from all over the world. There is nothing boring about a place like this. It has been fun and interesting and a wonderful opportunity to work with smart and nice people.”

Sewell says she doesn’t have major retirement plans other than to do some of the things she hasn’t had enough time for, such as golfing, exercising and walking their two Pembroke Welsh Corgis, but she knows she won’t just hang out at home. Due to stay-at-home restrictions, she has worked her way through a bunch of house projects already and isn’t interested in sitting still for long. She says she will miss her coworkers and the many cardiologists she worked with each day. Parking decks and the commute are two things she will not miss at all, but she will miss reading EKGs. “I love reading EKGs!” she added.

Congratulations on your retirement, Phyllis! We know you will be missed!

 

3100 Hosts Celebration & Surprise Pinning Ceremony

Please join us in congratulating two Duke Heart team members who are recent nursing graduates. Trace Alligood, a Certified Nursing Assistant, and Michelle Harris-Evans, Nursing Care Assistant II, both graduated from their respective programs this month and were recently honored with a pizza party and surprise pinning celebration on 3100.

Trace Alligood completed the BSN program at Campbell University. He started in Duke’s 10-week Professional Nursing Assistant summer externship program last summer and has served as a nursing assistant on 3100 since August. Originally from Richmond, VA, Alligood says he always wanted a career in healthcare. His parents are healthcare workers, so he had a lot of exposure to it growing up and nursing seemed like a natural fit. The Campbell program had everything he was looking for in a program and that it opened up some good opportunities for him in North Carolina.

Michelle Harris-Evans received her Associates Degree in Nursing from Vance-Granville Community College. She decided to go into nursing because one of her sons has epilepsy. She was planning to go back to school anyway, but she said that one day while her son was being treated here at Duke, she was struck by the wonderful care he was receiving and felt called to become a caregiver.

“I was inspired by our family’s experience and I just knew that I wanted to give that same type of care and comfort to other families,” said Harris-Evans. “Because I have five young boys, I had to find a way to get into nursing cheaply, quickly and close to home. This program worked for me.”

Harris-Evans says she is grateful to her leadership team for always being flexible with her so that she could accommodate her children’s day care needs, her school schedule and working on the unit. She felt supported by her colleagues through the entire program, and gives a great deal of credit to her support system at home. Her husband and her parents spent a lot of time managing their kids so that she could achieve her goals.

Because of the Covid-19 pandemic, neither Trace nor Michelle could experience an in-person graduation or pinning ceremony.

“This was a really fun, nice surprise,” Alligood said. “Since March, we’ve had to do everything online which was a big challenge, but we still finished on time.”

“I was just expecting a small pizza party,” Harris-Evans noted. “When it turned out to be a pinning ceremony and that our nurse managers and clinical leads had thought to do this and wanted to celebrate this accomplishment with us means so much.”

Congratulations Trace and Michelle. We are so proud of you!

 

 

Cutcliffe Leads Virtual AHA Heart Challenge Kick-off

The American Heart Association held their annual AHA Heart Challenge Kick-off event for Triangle-area executives on Thursday, May 21 to get a motivational jump-start on team-building and fundraising in preparation for the annual Heart Walk. The virtual luncheon featured Duke football coach David Cutcliffe as the keynote speaker as well as Tom Owens, president of Duke University Hospital and chair of the 2020 Heart Challenge, and David Zaas, president of Duke Raleigh Hospital.

In sharing their “Why” stories, Owens talked about the impact COVID-19 has made.

“The pandemic has highlighted health disparities as well as issues with heart and stroke,” said Owens. “Now is the time to act and find new ways to work together, to engage one another and to improve outcomes.”

ImageCutcliffe, a triple bypass survivor, is open about his ‘why’. Fifty-five years ago (to the day) his brother, Raymond, Jr., went into cardiac arrest after being hit in the chest with a baseball. No one on the ball field that day knew CPR, and his brother died. Cutcliffe was 10 years old at the time; his brother was just seven.

“Heart issues have shaped my life,” Cutcliffe told the audience on Zoom. “People used to tell me that when you get knocked down, you just have to get back up. But what I learned through sports, the secret is how fast you get up to take on the next battle.”

In taking questions, Cutcliffe was asked how he was managing the team during the Covid-19 pandemic. He said players and coaches are getting more face time than normal, something he believes is helping everyone feel more appreciative of each other.

“There will always be silver linings, said Cutcliffe. “They aren’t always easy to find, but if you look they are there.”

No one yet knows if the 2020 Triangle Heart Walk will be an in-person event or not, but we do know some type of Heart Walk-related celebration will be held in the fall. Stay tuned for further information. Either way, we hope you’ll join us!

 

GoFundMe Campaign Created to Support Duke Heart Team Member

We learned this week that Sam Pierce, daughter of Cynthia Pierce, a former cardiac catheterization lab nurse and a current Duke Heart TAVR coordinator, died suddenly and unexpectedly on Mother’s Day. Cynthia is now responsible for raising her three young grandchildren, coping with the loss of her daughter, and helping her grandchildren through this difficult loss.

A GoFundMe campaign has been established by Tom Bashore to help cover funeral and memorial costs, as well as related expenses. Any and all contributions of any amount are appreciated. Even if you cannot contribute, we know the family will welcome expressions of support. Please consider sharing this link with others who know Cynthia.

Blood Donors Still Needed

The American Red Cross is still in need of blood donors. The closest location to Duke is the Durham Donation Center located at 4737 University Drive, Durham. If you have time and are interested in donating, their website offers a convenient way to schedule appointments. As an added incentive… anyone who donates blood between now and May 31 will receive a special Red Cross donor t-shirt. To learn more, please visit redcross.org.

Go Red for Women “Lunch-In” – Join Us!

Duke Heart is a proud sponsor of the American Heart Association’s Go Red for Women movement.  Join us for the first-ever Go Red for Women virtual “Lunch-In” on Friday, June 5th from 12:00-1:00 p.m. This fun virtual event will elevate awareness of women’s heart health, celebrate survivors of heart disease and stroke, honor healthcare heroes and equip attendees with the knowledge to take control of our own heart health.

Event is free, but RSVP is required. To reserve your place and receive the Zoom webinar link, RSVP here: https://bit.ly/TriangleGRFW

Unable to join? Please consider supporting the mission of the American Heart Association and Go Red for Women with a donation: https://app.mobilecause.com/vf/GoRedTriangle

COVID-19 Updates:

All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:

 

Upcoming Opportunities/Save the Date:

Cardiology Grand Rounds

Cardiology Grand Rounds are cancelled through May, with the exception of internal faculty gatherings to discuss information related to COVID-19. Invitations to those will come via Outlook.

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

Duke Heart in the News:

May 19 — Adrian Hernandez

New York magazine

Hydroxychloroquine and the Coronavirus: What Studies Actually Say

https://nym.ag/2AQXqsd

May 19 — Adrian Hernandez

The New York Times

Amid Hydroxychloroquine Uproar, Real Studies of Drug Are Suffering

https://nyti.ms/36z49Db

 

May 19 — Duke Children’s Hospital

WWAY (Wilmington, NC)

Wilmington Girl Celebrating One Year Anniversary of Second Heart Transplant

https://bit.ly/3d84RK5

 

May 20 — Duke Clinical Research Institute

CNN.com

Fact Check: Are frontline workers taking hydroxychloroquine to prevent coronavirus?

https://cnn.it/2XkRkrR

 

May 21 — Adrian Hernandez

MSN.com

President Trump Says Frontline Workers are Taking Hydroxychloroquine to Prevent Coronavirus—But Are They?

https://bit.ly/3bSru3v

 

May 21 — Duke Clinical Research Institute

WRAL.com

Coronavirus in NC: Live updates for May 20, 2020: Hundreds of workers test positive at Tyson plant (scroll to 9:45 a.m.)

https://bit.ly/2XhKX8y

 

May 21 — Adrian Hernandez

The New York Times

Trump’s Inaccurate Claims on Hydroxychloroquine

 

May 21 — Duke Clinical Research Institute

Huffpost.com

Experts Worry Trump’s Hydroxychloroquine Claims Could Have Major Consequences

https://bit.ly/3gegvF4

 

Duke Heart Week ending May 17th 2020

Highlights of the week:

Towery Moving to Electrophysiology Team Effective June 1

We are pleased to share that Emily Towery, RN, a clinical nurse on 7300, will move to our electrophysiology team on June 1. She will serve as our new device nurse, filling the role that Kris Zanetti held prior to leaving Duke Heart. In her current role, Towery helps manage cardiology step-down patients with heart transplants, heart failure, valve disease, and arrhythmias and has served as a blood transfusion champion and infection prevention champion, all of which will be valuable as she transitions to supporting device patients.

“I’m very excited to take on this role,” Towery says. “I have big shoes to fill, but this is a great learning opportunity for me and offers a chance to focus on one area within cardiology.”

Towery received her BSN from Liberty University in 2015. She joined the Duke Heart team as a clinical nurse II on the Cardiology Step-Down Unit for Duke University Hospital in 2016.

Please join us in congratulating and welcoming Emily to her new role!

 

Blood Donors Still Needed

The American Red Cross is still in need of blood donors. The closest location to Duke is the Durham Donation Center located at 4737 University Drive, Durham. If you have time and are interested in donating, their website offers a convenient way to schedule appointments. As an added incentive… anyone who donates blood between now and May 31 will receive a special Red Cross donor t-shirt. To learn more, please visit redcross.org.

 

Duke Health Messaging: Committed to Keeping Patients Safe

As our clinics continue to reopen and more appointments and procedures are held, Duke Health is sending emails to patients via MyChart and has posted information and videos on DukeHealth.org, to reassure patients and their family members that Duke’s hospitals and clinics are safe spaces to enter. The messages include information on our safety measures and aim to encourage patients to seek care when they need it – especially if they are dealing with chronic or advanced illnesses.

Check this page to see what is being shared with all Duke patients: https://bit.ly/2WFxF6Q. The Duke Health marketing team has also posted a video message and blog post specifically for heart patients, which can be viewed here.

 

COVID-19 Updates:

All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:

 

Upcoming Opportunities/Save the Date:

 

Cardiology Grand Rounds

Cardiology Grand Rounds are cancelled through May, with the exception of internal faculty gatherings to discuss information related to COVID-19. Invitations to those will come via Outlook.

 

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

 

Duke Heart in the News:

 

May 10 — Jonathan Piccini

Cardiac Rhythm News

Medtronic shares results of BlueSync and Micra TPS CED studies

Medtronic shares results of BlueSync and Micra TPS CED studies

 

May 11 — Sana Al-Khatib

Medscape

Low Recurrence Rate Cited for Persistent-AF Ablation in PRECEPT Study

https://www.medscape.com/viewarticle/930285?src=rss

 

May 11 — Sana Al-Khatib

MedTechDive

AtriCure treatment for persistent AFib shows superiority in study

https://www.medtechdive.com/news/atricure-treatment-for-persistent-afib-shows-superiority-in-study/577643/

 

May 11 — Tracy Wang

Cardiology 2.0

CryoLife Initiates Enrollment in PROACT Xa Clinical Trial

CryoLife Initiates Enrollment in PROACT Xa Clinical Trial

 

May 13 — Duke is mentioned

TCTMD.com

COVID-19: TCTMD’s Daily Dispatch for May 13

https://www.tctmd.com/news/COVID19-daily-dispatch

 

 

Mother’s Day – Duke Heart Week Ending May 10th 2020

Chief’s message:

Today many celebrated mother’s day, even during these trying times.  Now more than ever, with increased home isolation, home schooling, and home life, we have been reminded by how important moms are in our lives.   The unconditional motherly love the support of moves much of our world forward.  Hopefully you all had an opportunity to spend a moment and celebrate mother’s day.

Highlights of the week:

Hernandez Named New Executive Director of DCRI

After a nationwide search for a new leader for the Duke Clinical Research Institute, the Duke University School of Medicine announced today it has named an executive director for the Institute.

 

Adrian Hernandez, MD, MHS, a cardiologist and internationally recognized clinical research expert, will step into the role effective May 15. Hernandez, who has served as the Vice Dean for Clinical Research for the Duke University School of Medicine since 2017, will also maintain some responsibilities of this role as he continues to guide clinical research strategy for the School.

Hernandez has a long history with the DCRI, having joined as a cardiology fellow in 2002. “I learned the power of evidence, the importance of teams, and about the unmet needs of people with everyday health challenges,” Hernandez said while reflecting on the beginnings of his DCRI career. “This early experience continues to shape my vision and thinking today. Simply put, it’s great to be back home.”

Hernandez outlined parts of his vision for the DCRI’s future in creating and implementing new models for conducting clinical research. “Our value will be realized through more efficient studies and in creating new pathways for innovative health solutions and groundbreaking research,” he said. “The future of our work will emphasize programs that are large, leveraged, and embedded within health systems or the daily lives of people. We will practice new methods that enable research at home that is frictionless, flexible, and even fun. To accomplish this, we will continue to leverage the many strengths across Duke and the School of Medicine to innovate locally and scale globally.”

Lesley Curtis, PhD, will transition out of her Interim Executive Director role and resume her full-time work as Chair and Professor of Duke’s Department of Population Health Sciences. She will also remain an active DCRI faculty member through her leadership of the DCRI Think Tanks program and her work with the NIH Collaboratory, PCORnet, and other joint research projects between the DCRI and Population Health.

“Leading the DCRI has been a rewarding journey in so many ways, and together we have made terrific progress,” Curtis said. “I remain committed to the DCRI mission and its ongoing success. I am also delighted to hand over the reins to someone who is a leading clinical researcher, a close colleague, and a substantial contributor to the DCRI for many years.”

 

Jones Receives DOM Mentoring Award

Congratulations to Schuyler Jones who was honored recently with a 2020 Department of Medicine Research Mentoring

Schuyler Jones

Award. Jones and three other awardees were featured as “master mentors” during a virtual Medicine Grand Rounds (MGR) held Friday, May 1 on Zoom. The DOM included Tracy Wang and Kenneth Schmader (geriatrics), the two 2020 School of Medicine Research Mentoring Award recipients in their panel discussion.

Each awardee served as a panelist during MGR with Leonor Corsino, MD, associate professor of medicine in endocrinology, serving as emcee. Panelists were asked to share insights into the mentoring process and a former mentee of each panelist described the impact that person has had on their career (Ajar Kochar shared thoughts on Schuyler). To learn more or to view the Zoom recording: https://medicine.duke.edu/medicinenews/lessons-master-mentors.

 

Congratulations, Schuyler!

 

Fudim Receives DOM Chair’s Research Award

Marat Fudim, a fellow in Advanced Training in Heart Failure and Transplant Cardiology, is one of two Duke fellows chosen to receive the Department of Medicine Chair’s Research Award. The award, announced May 1 by Kathleen Cooney, chair of the DOM, provides up to $95,000 in protected research time for one year to continue developing data and findings for their applications for NIH K funding. Fudim plans to use his newfound protected time to jumpstart projects related to his NIH K23 application focused on volume management in heart failure and neuromodulation. To read more, visit: https://bit.ly/2LiMw0s.

This is great news – congratulations, Marat!

 

Davis Named Chief Technologist for DUH CDU, Effective May 4

We are pleased to share that Ashlee Davis, ACS, RDCS, BSMI, FASE has been named chief technologist for the Cardiac Diagnostic Unit (CDU) in Duke University Hospital (DUH). Her role became effective May 4. As chief technologist, she will have oversight for the CDU sonographers and work in collaboration with Terri DeMuro, CDU Nurse Manager for management of operations and clinical, educational, and research considerations.

Davis joined the Duke Heart team in 2008 as a cardiac sonographer in the DUH CDU.  During her time at Duke, she has advanced to a Cardiac Sonographer, Level III; served as the Continuous Quality Improvement team lead; spearheaded the Intersocietal Accreditation Commission application process; served on both the Dyssynchrony and Congenital teams, and led multiple educational initiatives for staff.

In addition to her contributions at Duke, Davis is involved in the American Society of Echocardiography where she has served on the Bylaws and Ethics Committee, the Finance Committee, and as a member of the Leadership Academy. When not at Duke, she is often giving presentations in her field of expertise – strain and contrast, or volunteering with Team Heart doing surgical missions in Rwanda. Her work can be found in multiple book chapters and professional journal articles.

Davis earned a Bachelor of Science in Medical Imaging from the University of Oklahoma in 2008. Her credentials include Advanced Cardiac Sonographer and Registered Diagnostic Cardiac Sonographer.

Please join us in congratulating and welcoming Ashlee to her new role.

 

DIHI awards announced

The Duke Institute for Health Innovation announced their 2020 Innovation Projects and Principal Investigators in an email announcement issued May 7. A total of 11 projects were selected, two of which include members of the Duke Heart team. We are very pleased to congratulate the following projects and their investigators:

Machine Learning for Early Identification and Management of Pulmonary Embolism

Schuyler Jones, MD; Hope Weissler, MD; Alexander Sullivan, MD; Talal Dahhan, MD; Kishan Parikh, MD; Terry Fortin, MD; Alexander Limkakeng, MD; Samuel Francis, MD; Jason Katz, MD; Timothy Amrhein, MD; William Ratliff, MBA; William Knechtle, MHA, MBS; Michael Gao; Armando Bedoya, MD, MMCI; and Manesh Patel, MD

A Unified Framework for Predicting Bacteremia and Interpreting Blood Culture Results

Christopher R. Polage, MD, MAS; Deverick Anderson, MD; Cara O’Brien, MD; Raquel R. Bartz, MD, MMCi; Brian Griffith, MD; Jill Engle, DNP; Daniel Gilstrap, MD; Justin Silverman, PhD; Mark Sendak, MD, MPP; Sarah Lewis, MD, MPH; Becky Smith, MD; Jennifer Saullo, MD, PharmD; and Rebekah Moehring, MD, MPH

We’re very excited for all of you. Way to go! 

Life Is Why Updates

Our Life Is Why sponsorship with the American Heart Association (AHA) continues to thrive, despite having to make modifications due to the pandemic. We are very appreciative of the efforts our AHA partners are making to continue helping people in our community.

Many of you will (hopefully) recall our successful cooking class pilot program from the fall. We are hoping to host a second round of cooking classes as soon as we can, again in partnership with the YMCA. In light of Covid-19 restrictions, we are hoping these can be taught via Zoom with participants cooking from their homes. If so, our participants will be centrally located in one of our Durham communities, which would make pre-order grocery delivery easier for our AHA cooking-class team as well as provide an added level of safety for our participants.

Our team hosted a very successful “virtual” blood pressure training via Zoom in late March for the Durham Interdenominational Ushers Union. This was also something of a “pilot” to see if this could be done online in a meaningful way. We are pleased to report that this was so successful that we will continue trainings via Zoom until hands-on training can safely occur in person. The goal is to train “trainers” who can demonstrate how to correctly use blood pressure cuffs that have been made available to parishioners in several Durham churches thanks to our Life Is Why partnership.

We will continue to share our progress with you!

 

COVID-19 Updates:

All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:

 

Upcoming Opportunities/Save the Date:

 

Cardiology Grand Rounds

Cardiology Grand Rounds are cancelled through May, with the exception of internal faculty gatherings to discuss information related to COVID-19. Invitations to those will come via Outlook.

 

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

 

Duke Heart in the News:

 

May 3 — Michael Dee Gunn

Medicine Net

There Aren’t Enough Coronavirus Test Kits to Safely Reopen America, Experts Warn

https://www.medicinenet.com/script/main/art.asp?articlekey=230814

 

May 4 — Michael Dee Gunn

MSN.com

California isn’t ready to safely reopen. Coronavirus testing levels are inadequate, analysis shows

https://www.msn.com/en-us/news/us/california-isnt-ready-to-safely-reopen-coronavirus-testing-levels-are-inadequate-analysis-shows/ar-BB13xKaz

 

May 4 — Ann Marie Navar

Eatthis.com

75 Things You Should Never Do For Your Health

75 Things You Should Never Do For Your Health

 

May 5 — John Haney

ABC11.com (WTVD)

Outer Banks woman undergoes rare 3rd double-lung transplant at Duke Hospital despite pandemic

https://abc11.com/health/obx-woman-undergoes-rare-3rd-double-lung-transplant-at-duke/6149837/

 

May 6 — Sean Pokorney

Medpage Today

Reusing Cardiac Devices in Developing Countries Shown to Be Safe

https://www.medpagetoday.com/cardiology/chf/86345

 

May 6 — Jonathan Piccini

EP Lab Digest

Heart Rhythm Society Releases New White Paper on Atrial Fibrillation Centers of Excellence

https://www.eplabdigest.com/heart-rhythm-society-releases-new-white-paper-atrial-fibrillation-centers-excellence

 

May 6 — Jonathan Piccini

Cardiac Rhythm News

Heart Rhythm Society launches white paper on AF centres of excellence

Heart Rhythm Society launches white paper on AF centres of excellence

 

Duke Heart Newsletter May 3rd 2020

Chiefs Message

Goodbye April and cautiously looking forward to May:

Undoubtedly, that will be an April that our country, region, and health system will never forget.  Certainly, people will remember the COVID-19 pandemic and the too many lives lost and sick.  However, we will also remember the tremendous efforts of entire communities, health systems, and of course the people.  The people that in Heart that have organized, joined daily calls, volunteered to come in and be the clinic staff, the procedure labs, the CRU staff ensuring our research studies keep going, the heart center that called and set up patients, and of course the fellows and faculty that continually worked to find ways (sometimes creatively) to help.  As we enter May, the country seems to unfortunately moving towards widespread soft opening of businesses and industries.  In healthcare, we are facing a different challenge, a challenge gauge and open to the patients that have waited 6 weeks or more for care, patients that have cardiovascular disease that has remained the leading cause of morbidity and mortality through these months, and all too often – patients that are scared to come and get care. So we too will be moving in calibrated and cautious ways to help care for our patients and ensure we can continue to support our community and reduce viral spread.  All the while, as spring comes, we will try to ensure we appreciate our teams, our staff, and of course our fellows who will be graduating. This upcoming week will allow us to appreciate our nursing colleagues who have been at the heart of our response and care. The good news from my perspective is that our group has demonstrated the cohesiveness and the ability to change that will be needed as we continue to adapt to the upcoming challenges with COVID-19 and our delivery of heart care, discovery, and training of the next generation. So for the traditional first weekend in May, a weekend without the Kentucky Derby but clearly the start of spring, we welcome the opportunity to turn the page on April and focus on our steps to shaping our future care for heart patients.

It’s National Nurses’ Week

National Nurses Week (May 6-12) starts on Wednesday, and concludes on the birthday of Florence Nightingale. The World Health Organization designated 2020 as the “Year of the Nurse” to mark the 200th anniversary of Florence’s birthday. Please give them a shout-out this week – we have an incredible team of nurses throughout Duke Heart! The COVID-19 pandemic has done a great deal to change the way we live our day-to-day lives, but more than anything it has opened the eyes of the world to the incredible value and selflessness of all healthcare workers.

Duke Heart nurses represent the outstanding care delivered to our patients every day through clinical excellence, compassion, and innovation. Help us celebrate their contributions and achievements by recognizing their work!

WRAL has a list of organizations with special offers this week for nurses and other healthcare professionals – to learn more, visit: https://www.wral.com/coronavirus/free-offers-for-healthcare-employees-and-first-responders/19078377/.

The Economist has a great story commemorating the work of Nightingale and nurses overall. Check it out here: https://worldin.economist.com/edition/2020/article/17519/florence-nightingale-and-changing-face-nursing.

Happy Nurses Week!

 

Special Message to Perfusionists

Dr. Peter Smith, Chief of Cardiovascular and Thoracic Surgery, shared a photo message with the perfusion team last week in honor of their recognition week, which ended Friday.

 

DUHS Leaders Visit CICU, Celebrate CLABSI Reductions

Members of DUHS leadership, including Dr. Eugene Washington, Chancellor, and Dr. Tom Owens, President of Duke University Hospital, as well as Dr. Richard Shannon, Chief Quality Officer for DUHS, visited with our Cardiac Intensive Care Unit team on Wednesday (April 29) to celebrate the work they’ve done to reduce central line-associated bloodstream infections (CLABSI).

Dr. Shannon provided lunch for the staff to show appreciation for the extra efforts the team has put in. The CICU team explored a variety of channels, including increasing education for all staff around CLABSI risks and prevention, and looking at various products that could be more effective for our patients. Overall, the team was able to decrease the CLABSI rate by 88.3 percent since implementing all initiatives earlier in this fiscal year. The team has had only one CLABSI in the past five months.

Washington, Owens and Shannon all discussed sharing this great work with other areas of the hospital as well as coordinating the next steps in CLABSI prevention related to blood culture ordering and drawing.

They were also able to learn more about the new Duke Heart iPad program during their visit. Our iPad project allows patients and families to visit virtually during the pandemic while visitor restrictions are still in place; the team was able to showcase how family members outside the hospital are able to have conversations with the care teams of their loved one.

Many thanks to Amy Wilkerson, Elizabeth Alderton, Lauren Coggins, Greg Flynn, Kelly Kester and Heather Pena for their efforts to pull together the area visit and tour; congratulations to the entire CICU team for reducing CLABSI rates at Duke – impressive work!

Duke Heart Family Grows by One!

We are very happy to welcome Isaac Alexander Rouse to the Duke Heart family! Isaac was born April 29 to Kelsey Rouse, PA-C, (one of the wonderful PAs in the inpatient rounding cardiology group) and her husband, Austin. This is their first child. Kelsey is doing well and reports that Isaac Alexander weighed in at 7 pounds, 9.5 ounces, and is 20 inches long.

He is beautiful and we can’t wait to meet him. Kelsey is appreciative of all the support they received over the past few months.

Congratulations, Kelsey and Austin!

 

HCC Team Shines with Innovation, Adaptability During Pandemic

Like so many other groups at Duke, the Heart Center Communications (HCC) team has been adapting to the challenges of dealing with COVID-19. Although well positioned due to their past experience managing high-volume schedule changes during short periods of severe weather, the pandemic has been something else entirely. It has forced the HCC to adapt and innovate to manage schedules at a time when dates, times, hospital restrictions and state orders change almost daily.

Since the end of March, when NC stay at home orders were put in place, the team dealt with approximately 300 clinic cancellation calls per week; they have managed 107 procedure cancellations across the invasive labs, and collaborated with clinics to schedule more than 500 cardiology telehealth visits. As one might imagine, many Duke Heart patients were nervous about the novel coronavirus and anxious about getting necessary care during the pandemic. To handle this took a great deal of patience and finesse, as well as compassionate listening skills and excellent customer service.

The HCC and medical team created tracking logs for all elective cancellations so that, as the team works to reschedule cases, they can ensure all patients are accommodated safely and efficiently. Over time, daily scheduling call volume has decreased but the duration of calls has increased.

“We have spent longer periods on the phone helping to alleviate the anxieties patients feel,” said Greg Shelton, administrative director of the HCC. “People quite naturally have had a lot of questions. It has been a team effort, not only in partnering and supporting our medical providers, but making sure we could get each patient’s questions answered and that we could triage the calls coming in.”

Shelton noted that all patient case procedures were reviewed by cardiology medical directors prior to any cancellation or delay. This was done on a case-by-case basis to determine which patients could safely wait and who needed a more immediate intervention.

Another need for adaptability came when HCC staff began working to coordinate COVID-19 screening tests for EP patients who could not be rescheduled to later dates for procedures. The team continues to coordinate when and where patients can be tested. Local patients are accommodated at Duke. For non-local patients, the HCC team works to identify locations closer to their home. Simultaneously, the team is managing an increase in “patient advice” emails coming in via MyChart, as well as an increase in requests for prescription refills.

Shelton said the undertaking throughout the team has been highly collaborative. The HCC moved two-thirds of their staff to working successfully and productively from home. For the remaining one-third of the staff who is coming to campus, social distancing measures were established by using empty offices to ensure a minimum of six feet between co-workers.

The transition to telehealth visits went fairly smoothly, Shelton added.

“Patients have been very appreciative of having the option to meet with their care provider from the safety and privacy of their home and they understood immediately that changes were being made for their safety as well as the safety of healthcare providers.”

As Duke Heart moves toward a gradual reopening of clinics, we know that telehealth visits will continue to be important, but the decisions will be provider driven. Some patients will absolutely need to be seen in person, while some can continue to have either a video-based or telephone-based call with their provider.

The HCC team has done an outstanding job in providing support to our patients and our care teams. Please join us in celebrating their excellent teamwork!

 

HCC’s Chavis Moving to New Role

LaChandra Chavis, Service Access Manager with Heart Center Communications (HCC), will be stepping into a new role within Duke Heart on May 12. Chavis will become the first dedicated Service Access Manager to support Cardiac Catheterization, Electrophysiology, Cardiac MRI and Clinic 2K. She will be based in Clinic 2K and will continue to report to Greg Shelton, administrative director of HCC.

The new position was created largely due to program volume but also because of the complexity of the interventional labs, 2K and cardiac MRI spaces. These areas have been in need of a range of resources and an increased level of support that a Service Access Manager is equipped to handle.

Chavis has worked at Duke Health for more than 20 years and with HCC for the last 14. She has demonstrated a dedication to excellence and integrity, according to Shelton.

“LaChandra is excellent both from an employee relations and customer service point of view – these are two of her key strengths, said Shelton. “She’s very good at team building and has been a go-to person for us. We know she’ll be great in this new role.”

Please join us in congratulating LaChandra and wishing her well as she starts this next phase of her career.

 

Vangel Leaving Duke Heart; Stephens to Lead Ambulatory APPs

Ashley Vangel

Ashley Vangel, PA-C, clinical team lead for cardiology APPs at Duke Cardiology of Southpoint/South Durham, will be leaving the practice in mid-May to move closer to her family in the Northeast. Vangel has been a wonderful member of our Duke Heart team in no small part because of her leadership and the outstanding care she has provided to all of our patients.

Allen Stephens

Allen Stephens, PA-C, will take over as clinical team lead for the Southpoint/South Durham team. Stephens joined the outpatient Duke Heart team from the Cardiothoracic ICU nearly two years ago.

“From the start, Allen has demonstrated outstanding clinical decision making along with great compassion and empathy towards the patients in our practice,” said Mike Blazing, MD, medical director for Duke Cardiology of Southpoint. “More recently he has been instrumental in organizing the group and keeping people in touch during this monumental period of change in our outpatient practice. He has embraced phone and tele-visit practices and quickly has gone from learner to a teacher.”

Given his strengths in clinical, technical and communication skills, and the ease with which he has been able to step up and take on these tasks without interfering with any of his clinical responsibilities, we feel he is an outstanding choice to lead our Southpoint APP team.

Congratulations, Allen!

Please join us in wishing Ashley all the best in this new phase of her career. Ashley, you’ll be missed!

 

Coumadin News

Bristol-Myers Squibb, the company making Coumadin® (warfarin sodium) tablets, announced that it will discontinue the sale and distribution of Coumadin®. Many thanks to Ed Hammitt, RN, for alerting us and sharing this post from Clot Connect: https://clotconnect.wpcomstaging.com/2020/04/28/coumadin-discontinuation-of-sale/.

 

TransPop Registry Enrolls 1000th Volunteer

The Duke TransPop Volunteer Registry recently enrolled their 1000th volunteer. Kannapolis resident Andy Yoos, 49, joined shortly before the outbreak of the novel coronavirus, which causes COVID-19. As a member of the registry, he receives emails about health studies that may interest him, based on information he provided to the Duke Clinical and Translational Science Institute (CTSI). Duke CTSI’s Translational Population Health Research group, or “TransPop,” manages the registry from Duke’s office on the North Carolina Research Campus in Kannapolis.

Duke cardiologist Dr. L. Kristin Newby is the principal investigator for the Volunteer Registry. Newby, who is the faculty director for the TransPop group, also leads the MURDOCK Study, a groundbreaking Duke CTSI health research project based in Kannapolis entering its second decade.

“This virtual registry is a powerful tool for investigators and makes participating in research studies easy and convenient for volunteers,” said Newby. “I’m once again amazed and humbled by the support of our community, and we are proud to offer this new opportunity to people throughout North Carolina and beyond. Any adult can sign up.”

The Volunteer Registry is designed to collect and maintain information about participants who may be contacted for future studies. Adults 18 and older can join the registry, which has no zip code or geographic restriction. Healthy participants, as well as people suffering from a disease or condition, are invited to join.

The full story can be found here. Congratulations to our colleagues at CTSI and to the TransPop team!

 

Global Genomics Meeting Going Virtual

Geoff Ginsburg, founder of the Global Genomic Medicine Collaborative, has let us know that they’ve converted their annual meeting to a virtual meeting that will be open to the public. The event, the 5th G2MC Conference: Genomic Medicine Implementation in Low-Resource Settings, will take place this week, from May 6-8. For more information, please visit https://g2mc.org/events/.

Similarly, the 3rd summit for the International 100K+ Cohorts Consortium, co-chaired by Ginsburg, has shifted into a virtual meeting. Keynote speakers include Francis Collins, Jeremy Farrar, Elias Zerhouni, and Soumya Swaminathan; they join an amazing array of speakers. For the full list and information related to the meeting, please visit https://ihcc.g2mc.org/eventlist/. This meeting will take place May 4-5 and is by invitation only. If you’re interested in attending, please contact Geoff Ginsburg.

 

ICYMI: IT Security & Impersonation Attacks

DHTS has issued an alert regarding impersonation attacks. Please be on the lookout – to learn more, visit: https://security.duke.edu/news-alerts/impersonation-attacks-rise

 

COVID-19 Updates:

All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:

 

Upcoming Opportunities/Save the Date:

 

Cardiology Grand Rounds

Cardiology Grand Rounds are cancelled through May, with the exception of internal faculty gatherings to discuss information related to COVID-19. Invitations to those will come via Outlook.

 

Have news to share?

If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.

 

Duke Heart in the News:

 

April 24 — Michael Dee Gunn

Men’s Health

What Your Gym Might Look Like When It Reopens for Business

https://www.menshealth.com/fitness/a32272303/gyms-reopening-after-coronavirus/

 

April 24 — John Alexander

MDEdge/Cardiology News

AUGUSTUS: After ACS or PCI, aspirin gives AFib patients scant benefit

https://www.mdedge.com/cardiology/article/221239/interventional-cardiology-surgery/augustus-after-acs-or-pci-aspirin-gives

 

April 24 — Ann Marie Navar

Consultant Live

Off-Label DOAC Use Not Appropriate for LV Thrombi, Increases Stroke Risk

https://www.consultantlive.com/news/off-label-doac-not-appropriate-for-left-ventricular-thrombi-increases-stroke-risk

 

April 24 — Michael Dee Gunn

USNews.com

The Coronavirus Choice

https://www.usnews.com/news/the-report/articles/2020-04-24/as-georgia-reopens-americans-get-mixed-message-about-coronavirus-safety

 

April 27 — Michael Dee Gunn

NC Health News

NC health officials want testing of all residents, staff of nursing homes with COVID-19

NC health officials want testing of all residents, staff of nursing homes with COVID-19

 

April 27 — Tracy Wang

Healio/Cardiology Today

Dietary salt reduction initiative effective, with modest BP benefits

https://www.healio.com/cardiology/vascular-medicine/news/online/%7B63ef414f-8113-4c86-a141-c5da6393a4c8%7D/dietary-salt-reduction-initiative-effective-with-modest-bp-benefits

 

April 27 — Michael Dee Gunn

HealthDay

There Aren’t Enough Coronavirus Test Kits to Safely Reopen America, Experts Warn

https://consumer.healthday.com/infectious-disease-information-21/coronavirus-1008/there-aren-t-enough-coronavirus-test-kits-to-safely-reopen-america-experts-warn-757017.html

 

April 28 — Michael Dee Gunn and Thomas Denny (DHVI)

Healthline

What to Know About COVID-19 Testing Right Now

https://www.healthline.com/health-news/what-to-know-about-covid-19-testing-right-now

 

April 28 — John Haney

The Coastland Times (Manteo, NC)

Third double lung transplant surgery a success for Tricia Lawrenson

Third double lung transplant surgery a success for Tricia Lawrenson

 

April 28 — Duke University Hospital (cardiovascular volume is mentioned)

CBS17.com

Triangle doctors concerned people delaying key medical treatments over coronavirus fears

Triangle doctors concerned people delaying key medical treatments over coronavirus fears

 

April 28 — Tracy Wang

MedPage Today

Comprehensive Salt Reduction Intervention Works in China

https://www.medpagetoday.com/primarycare/dietnutrition/86207

 

April 28 — Ann Marie Navar

Medscape

Cautions Raised Against Off-Label DOACs to Clear Left Ventricular Thrombi

https://www.medscape.com/viewarticle/929619?src=rss

 

April 28 — Tracy Wang

tctMD/the heart beat

SMASH: Population-Based Sodium Reduction Sees Success in China

https://www.tctmd.com/news/smash-population-based-sodium-reduction-sees-success-china

 

April 29 — Eric Peterson

The New York Times

Remdesivir Shows Modest Benefits in Coronavirus Trial

 

April 29 — Sunil Rao

tctMD/the heart beat

Multivessel PCI May Be Safe in Select Shock Patients With Impella Support

https://www.tctmd.com/news/multivessel-pci-may-be-safe-select-shock-patients-impella-support

 

April 30 — John Haney

OuterBanksVoice.com

Tricia Lawrenson’s road to recovery

Tricia Lawrenson’s road to recovery