Duke Heart Pulse – week ending February 5th 2023

Highlights of the week:

Heart Month is Here – Lots to Celebrate!

We hope the first week of February has been great for you so far – of course, it’s always a good week when our Blue Devils beat Carolina!

Thank you to all team members who joined us in wearing red on Friday for National Wear Red Day, a day where we join collectively with other organizations to increase awareness of heart disease – it’s still the leading cause of death in the U.S. We have received some great photos from teams so far – shown here are members of our HR support team and clinic 2F/2G. If you haven’t shared your pics with us yet, please do!

And… if you haven’t seen these yet, we’ve installed some new signs around DUH and Duke Clinics – congratulations to our faculty and staff members for your amazing work

Ours is one of the best teams at Duke Health and one of the finest Heart Centers in the world, thanks to each one of you. This is definitely worth celebrating!

Something else worth celebrating: quick response & a life saved.

During the Jan. 31 Duke Men’s Basketball game, members of the Duke Life Flight team were honored for their extraordinary care of a patient at the November 30 home game against Ohio State. At that game, the father of an Ohio State player suffered a massive heart attack in the stands. Thanks to the swift actions of the Duke Life Flight event medicine team in conjunction with Duke Athletics staff, he was quickly stabilized and transported to the DUH Emergency Department.

The patient underwent a life-saving procedure with our Duke Heart team and was admitted to the Cardiac ICU. Thanks to all those who responded that day, he is now back at home where he is expected to make a full recovery. He shared a special message for the medical teams that played a part in his care. It was played at Cameron on Tuesday evening. Please check it out here: https://duke.is/pdaxg.

Well done, everyone!

 

Ashley Barba Named Clinical Director for CT Surgery at DUH, Effective April 1

We are excited to share that Ashley Barba, Team Lead for our Cardiothoracic Surgery SDU APPs, will be serving in an expanded role and capacity effective April 1. Barba will continue with her team lead role and clinical practice, and will also serve as the Clinical Director for Cardiothoracic Surgery at DUH. In this expanded role, she will support quality improvement, Maestro related projects and enhancements, transitional care, and special projects aimed to further support our Cardiothoracic Surgery inpatient programs, patients and the surgical teams.

Barba is a tremendous provider and team leader and will be highly effective in this role as she partners with the local nursing teams and leaders, multidisciplinary operational teams and Heart Center leadership.

Please congratulate Ashley when you see her, and feel free to reach out to her as a resource around clinical care and workflows, quality initiatives, the STS registry, or operational challenges as you continue to provide world-class care to Duke Heart patients and families.

Congratulations, Ashley! Well deserved!

 

Carroll Earns Greenfield Women in Cardiology Award

Aubrie Carroll

Congratulations to Aubrie Carroll, MD, a resident in internal medicine at Duke, for being named the recipient of the Ruth Ann Greenfield Women in Cardiology Award! The award honors Dr. Ruth Ann Greenfield’s legacy at Duke.

The announcement was made by Duke electrophysiologist Don Hegland, MD who added, “This acknowledges Dr. Carroll’s many accomplishments as a Duke Internal Medicine Resident, and will support the great things she will do with her future in Cardiology.”

Such great news! Please congratulate Aubrie the next time you see her.

 

 

 

 

 

Kudos to 2F/2G & VAD Team

We received some terrific praise this week for our 2F/2G and VAD teams via Press Ganey Survey feedback. The patient/family member wrote:

Dora at pulmonary testing was very good, Ericka at blood draw was excellent as there are difficulties with drawing blood, finding veins. Frank was great for executing walking exercise, and Dr. Katz was amazing as usual. Vanessa provided us with a video for a weekly dressing for LVAD. Assisted in training with replacing the existing dressing. Great experience again today.”

Great work everyone!!!

TJC Update & Kudos to Heart Teams

The first of two weeks of the PDC’s triennial Joint Commission survey of clinics concluded on Friday. TJC was very complimentary and spoke favorably about facilities, processes, and staff throughout the PDC. So far, 42 of 59 clinics had no findings, which is great news — among them, Duke Cardiology of Raleigh, Duke Cardiology of Cary, and Duke Cardiology of Morrisville.

Duke Heart teams received the following kudos from the surveyors:

  • Duke Cardiology of Raleigh displayed great teamwork and work culture. Nurses Joan Senter, Emily Sweet and Eddie Scott are shining stars!
  • Sarah Curtis, HCA, and Annette Moore, Nurse Manager, Duke Cardiology of Cary are outstanding and have a good understanding of operations.
  • Stephen Robinson, MD of Duke Cardiology at Morrisville, received a ‘Leading Practice’ for low level disinfection of his stethoscope before and after patient care.
  • An external-to-Duke provider ordered a medication that a patient had an allergy to. After receiving a MyChart message from the patient, Michelle Blau of Duke Cardiology of Morrisville, thoroughly reviewed the chart and alerted the cardiologist of the issue. This was a great catch!

Well done and way to go, everyone!

 

Successful Recruitment Event for SDUs Held Wed., Feb. 1

We had a successful nurse recruitment event at the DMP and DUH on Wednesday, Feb. 1. Shown here are members of our nursing leadership team who met with applicants, answered questions and gave tours. Thanks to everyone who supported this event for our Adult Stepdown Units!  Our team engaged with 27 attendees and extended eight RN offers.

Great job!

 

Bova Departs CICU for MICU

Marina Bova was celebrated by her colleagues in the cardiac intensive care unit (CICU) this week on her last official day with us before starting a new role with Duke’s MICU team. Her team held a going away party for her on Tuesday, Jan. 31 – during her final night shift.

“I want to recognize the outstanding contribution that Marina Bova has made to the CICU, said Jason Katz, MD. “She was one of the pioneer CICU APPs who worked tirelessly and collaboratively to improve the care of our patients, to teach our trainees, and to create a culture of teamwork with the nursing staff and others.”

“Marina bravely tackled this role when little was known and she, along with others, helped make the new APP group a pivotal component of CICU care,” he added.

Marina’s dedication to the CICU and in her overall efforts in representing the skills of APPs will help to ensure that the CICU APPs will always be an integral part of the CICU team and mission.

“Though we will miss her terribly, we all appreciate what she has done for our patients and will eagerly anticipate how she will elevate the MICU moving forward,” Katz said.

Shown here are Bova along with several CICU team members, and cardiology fellows Andrew Andreae and Balim Senman (who provided the cake shown here!)

Congrats and good luck, Marina!

 

Barnes’ Story Featured as Part of DUHS Recruitment Effort

Our fabulous team member, Stephanie Barnes, Clinical Director for Advanced Heart Failure Services, shared her story recently with our Duke Health recruitment team and it’s now featured on our Duke Health careers page as part of overall recruitment efforts. Check it out here: https://duke.is/r2f88.

We agree with her: Duke is a great place to work and the best is yet to come!

Dress Like Dan Mark Day

We didn’t realize this was happening this week, but it did, and it was so good! Members of the CICU decided to hold a Dress like Dan Mark Day and we hope this isn’t the last. They say imitation is the most sincere form of flattery – and who better to emulate than Dan Mark, MD? Some of the participating team members shown in the photo are Mark Brahier, a Duke IM resident, cardiology fellow Allie Levin, IM resident Sara Stallworth, and the real Dan Mark.

 

ICYMI: McGarrah, Jackson CGR Recordings

We had excellent CGR presentations in January from electrophysiologist Dr. Larry Jackson, and heart disease prevention and rehabilitation specialist Dr. Robert McGarrah. If you were unable to attend either of those sessions, we have links to the recordings here:

 

DOM Names Chief Residents for 2024-2025

Kathleen Cooney, MD, chair of the Department of Medicine, Aimee Zaas, MD, program director of the Duke Internal Medicine Residency Program, David Simel, MD, vice chair for Veterans Affairs, and Lisa Criscione-Schreiber, MD, vice chair for education, this week announced the Chief Residents for the 2024-2025 academic year.

Chief residents are selected in their final year of residency and typically complete one year of fellowship before returning to start their chief resident year.

Congratulations to:

Emory Buck, MD, Duke University Hospital. Emory is a graduate of the University of Virginia and the Georgetown University School of Medicine. She will be a fellow in Pulmonary/Critical Care Medicine at Duke prior to starting her chief resident year.

Omar Martinez-Uribe, MD, Durham VA Medical Center. Omar is a graduate of the University of Georgia and Duke University School of Medicine. He will be a fellow in Gastroenterology at Duke prior to starting his chief resident year.

Amanda Broderick, MD, Duke Regional Hospital/Ambulatory Medicine. Amanda is a graduate of Carnegie Mellon University and Baylor College of Medicine. She will be a fellow in Hematology/Oncology at Duke prior to starting her chief resident year.

The Chief Residents are a key part of the medicine residency team, providing invaluable leadership, teaching and support for our trainees. Our incoming chiefs join a strong tradition of resident leadership, and we look forward to their contributions to the Department of Medicine.

SOM Faculty Award Nomination for Excellence in Professionalism due this week

Nominations and Applications for the 2023 School of Medicine Faculty Awards are open.

The Faculty Awards are a wonderful opportunity to highlight the outstanding work conducted at Duke. The Office for Faculty is now accepting nominations and applications for the following 2023 faculty awards:

  • Excellence in Professionalism Award – Nomination Deadline: February 10, 2023
  • Research Mentoring Awards – Nomination Deadline: February 20, 2023
  • Ruth and A. Morris Williams Faculty Research Prize – Application Deadline: February 28, 2023
  • Leonard Palumbo Jr., MD Faculty Achievement Award – Nomination Deadline has passed
  • Leonard B. Tow Humanism in Medicine Award – Nomination Deadline has passed

To learn more, visit https://duke.is/4hqkb. Questions? Please contact Jennifer Meyer Dare, jennifer.meyer-dare@duke.edu. Nominations and applications should be submitted via email to facdev@dm.duke.edu.

PPE Usage Reminder

DUH/DUHS is reminding all teams that PPE continues to be a top priority as we strive to meet 100% compliance. We encourage leaders to focus on PPE in your huddles and other communications with your teams. These discussions are great opportunities to address any barriers and concerns interfering with proper PPE usage. Please refer to our detailed analytics site for real-time numbers.

Encourage team members to observe safe practices

We continue to see increasing cases of respiratory illnesses in our community, as well as COVID clusters at work. Please help remind staff to take the appropriate precautions to protect themselves and their families from the “tripledemic” of the flu, RSV, and COVID.

As a reminder, all team members are eligible to receive the bivalent COVID-19 booster shot. Appointments can be made through the Duke Vaccine website.

It is also critical that our staff continue practicing consistent hand hygiene and the appropriate donning and doffing of PPE. Thanks for your support with these efforts! You’re doing a great job.

Upcoming Events & Opportunities

 

Cardiology Grand Rounds

Feb. 21: No CGR today.

Feb. 28: Topic TBD with Sandeep Nathan of Univ. of Chicago Medicine. 5 p.m., Zoom.

Medicine Grand Rounds

Feb. 17: Topic TBD with Hyung (Harry) Jin Cho of NYU Langone Health, a 2023 Joseph C. Greenfield Visiting Professor. 8 a.m. via Zoom or in person, Duke North 2002.

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. Submissions by Noon, Wednesdays, to be considered for weekend inclusion.

Duke Heart in the News:

January 23 — Sean Pokorney

EMPR.com

Novel Oral Anticoagulant Fast Tracked for Patients With ESRD and Atrial Fibrillation

https://duke.is/gjaaa

January 27 — Pamela Douglas

tctMD

As Violent Attacks on Healthcare Workers Rise, Cardiology Takes Note

https://duke.is/9yjqt

January 27 — Duke University Hospital

Becker’s Hospital Review

Press Ganey recognizes top healthcare organizations for patient experience

https://duke.is/2n2dw

January 30 — Duke School of Medicine

Inside Higher Ed

More Universities Drop ‘U.S. News’ Medical School Rankings

https://duke.is/bubws

January 30 — Duke School of Medicine

Chief Healthcare Executive

Not banking on rankings: More medical schools withdraw from U.S. News listing

https://duke.is/485f5

January 31 — Monique Starks

Scripps News Service*

Drones are being tested to deliver AEDs to cardiac arrest emergencies

https://duke.is/vzf47

*carried in 51 U.S. news markets

February 1 — Daniel Friedman

tctMD

CRT Likely Benefits Broader Group of Patients: Meta-analysis

https://duke.is/zs5ru

February 2 — Richard Shannon

Becker’s Hospital Review

The ‘hard truth’ about staffing shortages: They aren’t going away

https://duke.is/mbe5j

February 2 — Richard Shannon

Becker’s Hospital Review

Reducing administrative burdens: 5 chief medical officers weigh in

https://duke.is/8gbzp

 

Division of Cardiology Publications Indexed in PubMed January 11-25, 2023

Avorgbedor F, Blumenthal JA, Hinderliter A, Ingle K, Lin PH, Craighead L, Tyson C, Kraus W, Sherwood A, Smith PJ. Inflammation moderates the effects of lifestyle modification on neurocognition among individuals with resistant hypertension.        J Clin Hypertens (Greenwich) 2023 Jan;25(1):106-110. PM: 36541028.

Ayer A, Truby LK, Schroder JN, Casalinova S, Green CL, Bishawi MA, Bryner BS, Milano CA, Patel CB, Devore AD. Improved Outcomes in Severe Primary Graft Dysfunction After Heart Transplantation Following Donation After Circulatory Death Compared With Donation After Brain Death. J Card Fail 2023 Jan;29(1):67-75. PM: 36351494.

Beatty AL, Beckie TM, Dodson J, Goldstein CM, Hughes JW, Kraus WE, Martin SS, Olson TP, Pack QR, Stolp H, Thomas RJ, Wu WC, Franklin BA. A New Era in Cardiac Rehabilitation Delivery: Research Gaps, Questions, Strategies, and Priorities. Circulation 2023 Jan 17;147(3):254-266. PM: 36649394.

Blumer V, Lala A, Mentz RJ. JCF Heart Failure Year-In-Review 2022…The Best is Yet to Come! J Card Fail 2023 Jan;29(1):1-5. PM: 36635020.

Coniglio AC, Bryner BS, Devore AD, Patel CB. Trends in cardiovascular medicine: Update on cardiac transplantation. Trends Cardiovasc Med 2023 Jan;33(1):46- 50. PM: 34856337.

Cosiano MF, Vista A, Sun JL, Alhanti B, Harrington J, Butler J, Starling RC, Mentz RJ, Greene SJ. Comparing New York Heart Association Class and Patient-Reported Outcomes Among Patients Hospitalized for Heart Failure. Circ Heart Fail 2023 Jan;16(1):e010107. PM: 36314126.

Coyne DW, Singh AK, Lopes RD, Bailey CK, DiMino TL, Huang C, Connaire J, Rastogi A, Kim SG, Orias M, Shah S, Patel V, Cobitz AR, Wanner C. Three Times Weekly Dosing of Daprodustat versus Conventional Epoetin for Treatment of Anemia in Hemodialysis Patients: ASCEND-TD: A Phase 3 Randomized, Double-Blind, Noninferiority Trial. Clin J Am Soc Nephrol 2022 Sep;17(9):1325- 1336. PM: 35918106.

Eikelboom R, Whitlock RP, Lopes RD, Siegal D, Jaffer IH, Drakos P, Schulman S, Belley-Côté EP. How Did We Get Here? Antithrombotic Therapy after Bioprosthetic Aortic Valve Replacement: A Review. Thromb Haemost 2023 Jan;123(1):6-15. PM: 36513278.

Fulda ES, Fichtenbaum CJ, Kileel EM, Zanni MV, Aberg JA, Malvestutto C, Cardoso SW, Berzins B, Lira R, Harden R, Robbins G, Martinez M, Nieves SD, McCallum S, Cruz JL, Umbleja T, Sprenger H, Giguel F, Bone F, Wood K, Byroads M, Paradis K,
Lu MT, Douglas PS, Ribaudo HJ, Grinspoon SK, Fitch KV. The importance of methods for site performance evaluation in REPRIEVE, a longitudinal, global, multicenter trial. Contemp Clin Trials 2023 Jan;124:107035.                                                  PM: 36462699.

Garweg C, Piccini JP, Epstein LM, Frazier-Mills C, Chinitz LA, Steinwender C, Stromberg K, Sheldon T, Fagan DH, El-Chami MF. Correlation between AV synchrony and device collected AM-VP sequence counter in atrioventricular synchronous leadless pacemakers: A real-world assessment. J Cardiovasc Electrophysiol 2023 Jan;34(1):197-206. PM: 36317470.

Granger CB, Pocock SJ, Gersh BJ. The need for new clinical trials of old cardiovascular drugs. Nat Rev Cardiol 2023 Feb;20(2):71-72. PM: 36526898.

Hijazi Z, Benz AP, Lindbäck J, Alexander JH, Connolly SJ, Eikelboom JW, Granger CB, Kastner P, Lopes RD, Ziegler A, Oldgren J, Siegbahn A, Wallentin L. Bone morphogenetic protein 10: a novel risk marker of ischaemic stroke in patients with atrial fibrillation. Eur Heart J 2023 Jan 14;44(3):208-218. PM: 36380569.

Jawitz OK, Vekstein AM, Young R, Vemulapalli S, Zwischenberger BA, Thibault DP, O’Brien S, Shahian DM, Badhwar V, Thourani VH, Jacobs JP, Smith PK. Comparing Consumer-Directed Hospital Rankings With STS Adult Cardiac Surgery Database Outcomes. Ann Thorac Surg 2023 Feb;115(2):533-540. PM: 35932793.

Kato ET, Morrow DA, Guo J, Berg DD, Blazing MA, Bohula EA, Bonaca MP, Cannon CP, de Lemos JA, Giugliano RP, Jarolim P, Kempf T, Kristin Newby L, O’Donoghue ML, Pfeffer MA, Rifai N, Wiviott SD, Wollert KC, Braunwald E, Sabatine MS. Growth differentiation factor 15 and cardiovascular risk: individual patient meta-analysis. Eur Heart J 2023 Jan 21;44(4):293-300. PM: 36303404.

Khan MS, Ahmed A, Greene SJ, Fiuzat M, Kittleson MM, Butler J, Bakris GL, Fonarow GC. Managing Heart Failure in Patients on Dialysis: State-of- the-Art Review. J Card Fail 2023 Jan;29(1):87-107. PM: 36243339.

Khan MS, Shahid I, Anker SD, Fonarow GC, Fudim M, Hall ME, Hernandez A, Morris AA, Shafi T, Weir MR, Zannad F, Bakris GL, Butler J. Albuminuria and Heart Failure: JACC State-of-the-Art Review. J Am Coll Cardiol 2023 Jan 24;81(3):270-282. PM: 36653095.

Mc Causland FR, Claggett BL, Vaduganathan M, Desai AS, Jhund P, de Boer RA, Docherty K, Fang J, Hernandez AF, Inzucchi SE, Kosiborod MN, Lam CSP, Martinez F, Saraiva JFK, McGrath MM, Shah SJ, Verma S, Langkilde AM, Petersson M, McMurray JJV, Solomon SD. Dapagliflozin and Kidney Outcomes in Patients With Heart Failure With Mildly Reduced or Preserved Ejection Fraction: A Prespecified Analysis of the DELIVER Randomized Clinical Trial. JAMA Cardiol 2023 Jan 1;8(1):56-65. PM: 36326604.

McCarthy C, Li S, Wang TY, Raber I, Sandoval Y, Smilowitz NR, Wasfy JH, Pandey A, de Lemos JA, Kontos MC, Apple FS, Daniels LB, Newby LK, Jaffe AS, Januzzi JL. Implementation of High-Sensitivity Cardiac Troponin Assays in the United States. J Am Coll Cardiol 2023 Jan 24;81(3):207-219. PM: 36328155.

Mentz RJ, Anstrom KJ, Eisenstein EL, Sapp S, Greene SJ, Morgan S, Testani JM, Harrington AH, Sachdev V, Ketema F, Kim DY, Desvigne-Nickens P, Pitt B, Velazquez EJ. Effect of Torsemide vs Furosemide After Discharge on All-Cause Mortality in Patients Hospitalized With Heart Failure: The TRANSFORM-HF Randomized Clinical Trial. JAMA 2023 Jan 17;329(3):214-223. PM: 36648467.

Nelson MB, Shiroma EJ, Kitzman DW, Duncan PW, Reeves GR, Whellan DJ, Mentz RJ, Chen H, Pastva AM. Physical activity and relationship to physical function, quality of life, and cognitive function in older patients with acute decompensated heart failure. Am Heart J 2023 Feb;256:85-94. PM: 36372251.

Nelson AJ, Pagidipati NJ, Kelsey MD, Ardissino M, Aroda VR, Cavender MA, Lopes RD, Al-Khalidi HR, Braceras R, Gaynor T, Kaltenbach LA, Kirk JK, Lingvay I, Magwire ML, O’Brien EC, Pak J, Pop- Busui R, Richardson CR, Levya M, Senyucel C, Webb L, McGuire DK, Green JB, Granger CB. Coordinating Cardiology clinics randomized trial of interventions to improve outcomes (COORDINATE)-Diabetes: rationale and design. Am Heart J 2023 Feb;256:2-12. PM: 36279931.

Pagidipati NJ, Peterson ED. Can System Solutions Be Scaled to Control High Blood Pressure and Lipids? JAMA Cardiol 2023 Jan 1;8(1):21-22. PM: 36350615.

Pierce JB, Li Z, Greiner MA, Lippmann SJ, Hardy NC, Shen X, Stampehl M, Mentz RJ, Allen LA, Peterson PN, Fonarow GC, O’Brien EC, Greene SJ. Adoption of Sacubitril/Valsartan Among Patients With Heart Failure With Mildly Reduced or Preserved Ejection Fraction: The Get With The Guidelines-Heart Failure Registry. Circ Heart Fail 2023 Jan;16(1):e010176. PM: 36314141.

Saha A, Patel KV, Ayers C, Ballantyne CM, Correa A, Defilippi C, Hall ME, Mentz RJ, Seliger SL, Yimer W, Butler J, Berry JD, De Lemos JA, Pandey A. Longitudinal Changes in Cardiac Troponin and Risk of Heart Failure Among Black Adults. J Card Fail 2023 Jan;29(1):6-15. PM: 35690315.

Siddiqi TJ, Khan MS, Karimi Galougahi K, Shlofmitz E, Moses JW, Rao S, West NEJ, Wolff E, Hochler J, Chau K, Khalique O, Shlofmitz RA, Jeremias A, Ali ZA. Optical coherence tomography versus angiography and intravascular ultrasound to guide coronary stent implantation: A systematic review and meta-analysis. Catheter Cardiovasc Interv 2022 Nov;100 Suppl 1:S44-S56. PM: 36251325.

Subashi E, Feng L, Liu Y, Robertson S, Segars P, Driehuys B, Kelsey CR, Yin FF, Otazo R, Cai J. View-sharing for 4D magnetic resonance imaging with randomized projection-encoding enables improvements of respiratory motion imaging for treatment planning in abdominothoracic radiotherapy. Phys Imaging Radiat Oncol 2023 Jan 2;25:100409. PM: 36655213.

Talha KM, Butler J, Greene SJ, Aggarwal R, Anker SD, Claggett BL, Solomon SD, McMurray JJV, Vaduganathan M, Fonarow GC. Population-Level Implications of Sodium-Glucose Cotransporter-2 Inhibitors for Heart Failure With Preserved Ejection Fraction in the US. JAMA Cardiol 2023 Jan 1;8(1):66-73. PM: 36334258.

Weissler EH, Osazuwa-Peters OL, Greiner MA, Hardy NC, Kougias P, O’Brien SM, Mark DB, Jones WS, Secemsky EA, Vekstein AM, Shalhub S, Mussa FF, Patel MR, Vemulapalli S. Initial Thoracic Endovascular Aortic Repair vs Medical Therapy for Acute Uncomplicated Type B Aortic Dissection. JAMA Cardiol 2023 Jan 1;8(1):44-53. PM: 36334259.

Zanni MV, Foldyna B, McCallum S, Burdo TH, Looby SE, Fitch KV, Fulda ES, Autissier P, Bloomfield GS, Malvestutto CD, Fichtenbaum CJ, Overton ET, Aberg JA, Erlandson KM, Campbell TB, Ellsworth GB, Sheth AN, Taiwo B, Currier JS, Hoffmann U, Lu MT, Douglas PS, Ribaudo HJ, Grinspoon SK. Sex Differences in Subclinical Atherosclerosis and Systemic Immune Activation/Inflammation Among People With Human Immunodeficiency Virus in the United States. Clin Infect Dis 2023 Jan 13;76(2):323-334. PM: 36101518.  

Division of Cardiology Publications Indexed in PubMed Jan 26 – Feb 1, 2023

Buschur KL, Riley C, Saferali A, Castaldi P, Zhang G, Aguet F, Ardlie KG, Durda P, Craig Johnson W, Kasela S, Liu Y, Manichaikul A, Rich SS, Rotter JI, Smith J, Taylor KD, Tracy RP, Lappalainen T, Graham Barr R, Sciurba F, Hersh CP, Benos PV. Distinct COPD subtypes in former smokers revealed by gene network perturbation analysis. Respir Res 2023 Jan 25;24(1):30. PM: 36698131.

Collins KA, Kraus WE, Rogers RJ, Hauser ER, Lang W, Jiang R, Schelbert EB, Huffman KM, Jakicic JM. Effect of behavioral weight-loss program on biomarkers of cardiometabolic disease risk: Heart Health Study randomized trial. Obesity (Silver Spring) 2023 Feb;31(2):338- 349. PM: 36621902.

Damluji AA, Rymer JA, Nanna MG. The Heterogeneity of Old Age: Healthy Aging in Older Adults Undergoing TAVR. JACC Cardiovasc Interv 2023 Jan 23;16(2):189-192. PM: 36697155.

Ding J, Lohman K, Molina A, Delbono O, Bertoni  A, Shea S, Post W, Guo X, Barr RG, Manichaikul AW, Pankow JS, Rotter JI, Hoeschele I, Kritchevsky SB, Liu Y. The association between aging-related monocyte transcriptional networks and comorbidity burden: the Multi-Ethnic Study of Atherosclerosis (MESA). Geroscience 2023 Feb;45(1):197-207. PM: 35737188.

Douglas PS, McCallum S, Lu MT, Umbleja T, Fitch KV, Foldyna B, Zanni MV, Fulda ES, Bloomfield GS, Fichtenbaum CJ, Overton ET, Aberg JA, Malvestutto CD, Burdo TH, Arduino RC, Ho KS, Yin MT, Ribaudo HJ, Grinspoon SK. Ideal cardiovascular health, biomarkers, and coronary artery disease in persons with HIV. AIDS 2023 Mar 1;37(3):423-434. PM: 36525544.

Fanaroff AC, Lopes RD. COVID-19 Thrombotic Complications and Therapeutic Strategies. Annu Rev Med 2023 Jan 27;74:15-30. PM: 36130046.

Friedman DJ, Piccini JP. Device-Related Thrombus After Left Atrial Appendage Occlusion: The Villain of the Piece. JACC Clin Electrophysiol 2023 Jan;9(1):108- 110. PM: 36697188.

Greene SJ, Bauersachs J, Brugts JJ, Ezekowitz JA, Lam CSP, Lund LH, Ponikowski P, Voors AA, Zannad F, Zieroth S, Butler J. Worsening Heart Failure: Nomenclature, Epidemiology, and Future Directions: JACC Review Topic of the Week. J Am Coll Cardiol 2023 Jan 31;81(4):413-424. PM: 36697141.

Guadanhim LRS, Miot HA, Soares JLM, Silva SAM, Leonardi GR, Lopes RD, Bagatin E. Efficacy and Safety of Topical or Oral Hydrolyzed Collagen in Women with Dermatoporosis: A Randomized, Double-Blind, Factorial Design Study. Dermatol Ther (Heidelb) 2023 Feb;13(2):523- 534. PM: 36547800.

Lerman JB, Felker GM. Time to diuretics in acute heart failure: the tortoise or the hare? Eur J Heart Fail 2023 Jan;25(1):52-53. PM: 36350794.

Patel RB, Greene SJ, Xu H, Alhanti B, Peterson P, Yancy CW, Piccini J, Fonarow GC, Vaduganathan M. Intersection of atrial fibrillation and heart failure with mildly reduced and preserved ejection fraction in >400 000 participants in the Get With The Guidelines-Heart Failure Registry. Eur J Heart Fail 2023 Jan;25(1):63-73. PM: 36343200.

Peters AE, Wu A, Chiswell K, Hofmann P, Nkulikiyinka R, Dinh W, Piccini JP, Mentz RJ, Fudim M. Continuous Monitoring of Heart Rate Variability and Clinical Outcomes in Patients with Implantable Cardioverter Defibrillators. Curr Probl Cardiol 2023 Mar;48(3):101520. PM: 36455797.

Ptaszek LM, Koruth J, Santangeli P, Piccini JP, Ranjan R, Mahapatra S, Pipenhagen C, Fish JM, Moon LB, Ambrosius NM, Boudlali H, Jensen JA. Safe and effective delivery of high-power, short-duration radiofrequency ablation lesions with a flexible-tip ablation catheter. Heart Rhythm O2 2022 Oct 25;4(1):42-50. PM: 36713045.

Sidhu MS, Alexander KP, Huang Z, Mathew RO, Newman JD, O’Brien SM, Pellikka PA, Lyubarova R, Bockeria O, Briguori C, Kretov EL, Mazurek T, Orso F, Roik MF, Sajeev C, Shutov EV, Rockhold FW, Borrego D, Balter S, Stone GW, Chaitman BR, Goodman SG, Fleg JL, Reynolds HR, Maron DJ, et al. Cause-Specific Mortality in Patients With Advanced Chronic Kidney Disease in the ISCHEMIA-CKD Trial. JACC Cardiovasc Interv 2023 Jan23;16(2):209-218. PM: 36697158.

Turpie AGG, Farjat AE, Haas S, Ageno W, Weitz JI, Goldhaber SZ, Goto S, Angchaisuksiri P, Kayani G, Lopes RD, Chiang CE, Gibbs H, Tse E, Verhamme P, Ten Cate H, Muntaner J, Schellong S, Bounameaux H, Prandoni P, Maheshwari U, Kakkar AK. 36-month clinical outcomes of patients with venous thromboembolism: GARFIELD-VTE. Thromb Res 2023 Feb;222:31-39. PM: 36565677.

van Essen BJ, Tromp J, Ter Maaten JM, Greenberg BH, Gimpelewicz C, Felker GM, Davison BA, Severin T, Pang PS, Cotter G, Teerlink JR, Metra M, Voors AA. Characteristics and clinical outcomes of patients with acute heart failure with a supranormal left ventricular ejection fraction. Eur J Heart Fail 2023 Jan;25(1):35-42. PM:36114655.

Weitzman ER, Gaultney A, von Scheven E, Ringold S, Mann CM, Magane KM, Lin L, Leverty R, Dennos A, Hernandez A, Lippmann SJ, Dedeoglu F, Marin AC, Cox R, Reeve BB, Schanberg LE. Construct validity of Patient-Reported Outcomes Measurement Information System Paediatric measures in juvenile idiopathic arthritis and systemic lupus erythematosus: cross-sectional evaluation. BMJ Open 2023 Jan 27;13(1):e063675. PM: 36707118.

 

Duke Heart Pulse week ending January 29th 2023

Highlights of the week:

February is Heart Month; Wear Red Day: Friday, Feb. 3

We look forward to celebrating our incredible Duke Heart team throughout the month of February, also known as Heart Month. Please join us in celebrating National Wear Red Day on Friday, Feb. 3. Organization around the U.S. — including the National Heart Lung and Blood Institute (NHLBI), The Heart Truth®, and the American Heart Association (AHA) — celebrate National Wear Red Day annually on the first Friday in February to bring greater attention to heart disease as a leading cause of death for Americans.

On Wednesday, Feb. 1 we have a recruitment/hiring event in partnership with Duke Health HR for our adult heart step-down units. If you know someone who would be a great addition to our team, please let them know about this! Registration is required. Here is the link: Registration is via Qualtrics. The event runs from 8 a.m. to 2 p.m.

Friday, Feb. 3: National Wear Red Day. Send us photos of you and/or your teams sporting some red. We’ll share photos across the month in Pulse and on Twitter.

Feb. 12-18: Cardiac Rehabilitation Week & Cardiovascular Professionals Week

On Feb. 22, we’ll join our local AHA affiliate in offering DUHS staff the opportunity to join a one-hour virtual Hands-Only CPR Awareness Class. Stay tuned for more information on this to share with any Duke team member, especially those without a BLS requirement, who are interested in learning about compression-only CPR.

As we head into February, we thank you for all you do to help in the prevention and treatment of cardiovascular and thoracic diseases in our community, and as thought-leaders in the field. Our work is important – let’s keep up the momentum!

Recognizing Duke Heart’s Exercise Professionals

A belated happy Exercise Professionals Week to the Exercise Physiologist and Exercise Scientists in Duke Heart! We are proud to work with each of you every day. You provide excellent care to the patients in Duke Heart and they reap great benefits from your expertise! The CDU would not be as successful without you — thank you!

Shown here are the Heart CDU Exercise Physiologists celebrating last week at Full Steam in Durham (L-R: Jeff Mikitka, Ashley Swavely, Olivia Dobbin, Erin Young, Anna Gray, Matt Razdom, Jacque Fee).

Trailblazer: Starks Flies High with Promising AED Drone Delivery Network

The sudden cardiac arrest of the NFL’s Damar Hamlin on the playing field has stirred intense public interest in critical, life-saving interventions such as the rapid application of automated external defibrillators (AEDs). But Hamlin’s celebrated recovery is atypical. Survival probability for the 350,000 people who annually experience out-of-hospital cardiac arrest (OHCA) in the U.S. is just 10%, where it has stubbornly remained for more than 30 years.

Duke cardiology researcher Monique Starks, MD, MHS, is working to change that. Starks is the first investigator in the U.S. to be funded by the National Institutes of Health to explore development of a drone network that is capable of delivering AEDs to OHCA bystanders, and she’s flying high with some promising early observations.

Building on her work to improve OHCA emergency response times as a co-investigator in the ongoing RACE-CARs trial, Starks and her team have created mathematical simulation models to evaluate the impact of a drone-deployed AED network on treatment of OHCA. Early results show that response times can be reduced enough to meet the critical five-minute resuscitation window required to preserve good neurological function in survivors.

Optimizing Survival Probability

Historical RACE-CARS cardiac arrest data from 48 North Carolina counties shows median response time (from 911 call to AED arrival) can be improved from eight to seven minutes by equipping all first responders with AEDs. But by adding a drone network on top of that, Starks has shown that the median response time could fall to 4.8 minutes, meeting the critical five-minute resuscitation window.

“With a drone network that’s optimized for placement in strategic areas within each county, we believe that we can reduce the medium response time for most cardiac arrests to less than 5 minutes, which is tremendous,” says Starks, associate professor in the division of Cardiology and a member of the Duke Clinical Research Institute. Starks and a team of Duke researchers and engineers from the University of Toronto recently presented the data at the 2022 American Heart Association Scientific Sessions.

Despite the low survival probability for OHCA, survival rates of 40 to 60% can be achieved if defibrillation occurs within the first five minutes of collapse. However, defibrillation within this threshold is rare as 70% of cardiac arrests occur in the home. When a cardiac arrest occurs in public, it is rare to know whether an AED is nearby and a significant percentage of first responders do not carry an AED despite arrival to the scene of OHCA before paramedics. In North Carolina, the current rate of bystander defibrillation is 2% while nationally the rate is 4%.

Across the 48 North Carolina counties evaluated, only 16% of cardiac arrests have a response time (from 911 call to AED arrival) of less than five minutes. When a first responder AED intervention is added, the percentage increased to 22.3%. Starks found that further implementation of a drone network increased the percentage of OHCA receiving defibrillation within five minutes to 63%.

“We think equipping all first responders with AEDs is the low-hanging fruit but what we show with our mathematical study is that’s a drop in the bucket compared with what drone technology could do,” says Starks.

“The idea of using drones to deliver AEDs within a few minutes of a 911 call is almost 10 years old now and we are still years and a lot of research work away from being ready to do large scale community-based tests of this. But we think it’s worth the effort because in theory, we could get survival rates up to 30-40% or higher and from where we are now that would be a massive breakthrough,” says Starks’s research colleague and clinical cardiologist, Daniel Mark, MD, MPH, professor in the division of Cardiology and Director of Outcomes Research at the Duke Clinical Research Institute. “Dr. Starks is one of the leading investigators in the world working on this incredibly difficult and challenging opportunity.”

“At Duke, we have a history of innovative thinking around ways to increase survival for heart attacks and cardiac arrest,” adds Manesh Patel, MD, Richard S. Stack Distinguished Professor and chief of the division of Cardiology at Duke. “For example, the RACE-AMI pilot study we conducted around getting people to hospitals that can provide coronary intervention and care as soon as possible. Work led by Drs. (Christopher) Granger and (James) Jollis and many interventionalists helped build that network in NC, which was then adopted across the country by the American Heart Association as ‘Mission: Lifeline’. One can imagine this type of research for cardiac arrest survival — with innovations such as drone delivery for AED use — could also become a national standard if we can show this works.”

New Directions

Starks estimates that five to eight drones would be needed for most counties in North Carolina to achieve five-minute arrival times for most cardiac arrest patients.

“We really need to move from a static AED delivery model such as the traditional public access defibrillation (AEDs placed in businesses and government institutions) to dynamic delivery (on-demand AED delivery to bystanders),” she adds. “This is where we hope to go in the U.S.”

The next step for Starks is testing over the next three months and pursuit of further funding for pilot programs with some of the 48 North Carolina counties she is working with.

“We’ve done the math now to show where they the drones are going to go and what the impact will be,” Starks says. “Now we need to work out some of the needed infrastructure and operational aspects of drone AED delivery because it’s not just a matter of flying a drone. Fully functional emergency drone networks are several years off, but we have a role to play now in establishing the effectiveness of this technology.”

This story originally ran in This Week in Medicine on Jan. 24. This is important and exciting work – well done!

 

STS Lillehei Lecture Given by Smith

Peter K. Smith, MD, gave the C. Walton Lillehei Plenary Lecture on Monday, Jan. 23 at STS 2023 in San Diego. The title of his lecture was Treatment Selection for Coronary Artery Disease: The Collision of a Belief System with Evidence. Dr. Smith recognized his many teachers over the years, including Drs. David C. Sabiston, Jr., Walter Wolfe, and Robert H. Jones — as well as his mentees – during his presentation. On Twitter, CT surgery trainee Dr. Julie Doberne wrote, “Dr. Smith, you have embodied the unwavering pursuit of truth in the field of cardiac surgery for the last several decades. Thank you for your lasting gifts to our profession. It is an honor to know you.”

We feel the same way. Your patients and our team have all been blessed to learn from you!

 

Turek, DeBlasio to Receive 2022-2023 Duke Presidential Award

Congratulations to Duke Heart chief of pediatric cardiothoracic surgery, Joe Turek, and to former Duke CTICU nurse Joe DeBlasio – this week we learned they have been named recipients of Duke University’s highest possible honor for faculty and staff: The Duke Presidential Award.

Turek and DeBlasio are two of eight individuals and five teams selected for the honor, which will be presented during a 4 p.m. ceremony on Tuesday, Feb. 28 in Page Auditorium. The awards are organized by the Office of the President in partnership with Duke Human Resources and honor teams and individuals who best demonstrate Duke’s core values of respect, trust, inclusion, discovery and excellence.

Congratulations Joe and Joe!

To read more about the 2022-2023 Presidential Award winners, please see Duke Today.

 

 

Krasuski is New Chair of ACHA Medical Advisory Board

Congratulations to Richard Krasuski! On January 22, he began a 3-year term as the Chair of the Medical Advisory Board of the Adult Congenital Heart Association (ACHA). This group of top physicians and healthcare providers in the congenital heart disease (CHD) field provides expert input and advice for all ACHA activities involving medical, scientific and/or medical profession-related content. They offer expert opinions on research and medical developments in CHD and the needs of the CHD population, and assure that ACHA policies meet the highest standards of scientific need and accuracy.

Krasuski says he is most looking forward to contributing more on a national policy level. He says the ACHA has been instrumental in bringing awareness to the plight of the over 2 million adults with CHD and the specialized care they require – and that evolving legislation will help to further procure the resources necessary to grow this rapidly growing and evolving specialty.

“Duke was one of the original medical centers to recognize the future needs of this complex patient population and has a rich history of training the current leaders in the field,” says Krasuski. “I think this is another accolade demonstrating the important role that Duke is playing in the evolution of the field. Internally at Duke, we have tremendous collaboration with several specialty programs including Pediatric Cardiology, Adult and Pediatric Cardiothoracic Surgery, Hepatology, and Heart Failure and Transplantation just to name a few. The Duke program has been a national leader in the three-core elements of an academic medical program – clinical care, research, and education – and I see a great future ahead of us.”

The ACHA was founded in 1998 as a national nonprofit organization with the mission to improve and extend the lives of millions born with congenital heart disease, through education, advocacy, and the promotion of research. Currently, ACHA has a membership of more than 14,000 patients and professionals and is the largest worldwide patient and professional organization representing Adult Congenital Heart Disease.

Congratulations, Rich!

 

Jackson Selected for 2023 Duke Clinical Leadership Program

Congratulations to Larry Jackson, MD! He is one of 28 School of Medicine faculty members selected for the 2023 Clinical Leadership Program cohort. The Duke Clinical Leadership Program (DCLP) was founded by the Chancellor for Health Affairs in 2010 to help expand leadership capacity within Duke Health. The program provides faculty with an opportunity to deepen their awareness of healthcare operations and to develop relevant leadership skills. The program is run by the School of Medicine Office for Faculty.

Congratulations, Larry!

 

Jacqueline Fee named Clinical Operations Supervisor, CDU

Duke Heart is pleased to announce that Jacque Fee, BS, MS ACSM-RCEP, will become Clinical Operations Supervisor for the DUH Cardiac Diagnostic Unit (CDU) effective Wednesday, Feb. 1. As Clinical Operations Supervisor she will have shared oversight of the CDU sonographers, cardiac technicians and exercise physiologists with Ashlee Davis for the management of clinical operations.

Jacque earned a Bachelor of Science in Sports Biology in 2012, followed by a Master of Science in Clinical Exercise Physiology at Springfield College in 2015. Her credentials include American College of Sports Medicine Registered Clinical Exercise Physiologist.

She began her career as a Clinical Exercise Physiologist at Beth Israel Deaconess Medical Center (BIDMC) in Boston, MA in 2014, advancing to Senior Clinical Exercise Physiologist while there. While at BIDMC she assisted in managing their student internship program and managed the emergency equipment and procedures for the Stress Lab.

Jacque joined the Duke Heart team in 2021 as an Exercise Physiologist in the DUH CDU. During her time at Duke, she has advanced to Exercise Physiologist, Level II, led efforts to evaluate cardiopulmonary reporting procedures, facilitated a switch from sterile processing to high level disinfectant for cardiopulmonary equipment and has led educational initiatives for staff and is a member of the Orientation Committee in the CDU. She is also an active member of the American College of Sports Medicine.

When she is not at Duke you can find her out on the trails for a run, reading a book or journal article, or cooking!

Congratulations, Jacque!

SOM Faculty Achievement Award Nominations due this Week

Nominations and Applications for the 2023 School of Medicine Faculty Awards are now open.

The Faculty Awards are a wonderful opportunity to highlight the outstanding work conducted at Duke. The Office for Faculty is now accepting nominations and applications for the following 2023 faculty awards:

  • Leonard Palumbo Jr., MD Faculty Achievement Award – Nomination Deadline: January 31, 2023
  • Leonard B. Tow Humanism in Medicine Award – Nomination Deadline has passed
  • Excellence in Professionalism Award – Nomination Deadline: February 10, 2023
  • Research Mentoring Awards – Nomination Deadline: February 20, 2023
  • Ruth and A. Morris Williams Faculty Research Prize – Application Deadline: February 28, 2023

To learn more, visit https://duke.is/4hqkb. Questions? Please contact Jennifer Meyer Dare, jennifer.meyer-dare@duke.edu. Nominations and applications should be submitted via email to facdev@dm.duke.edu.

Upcoming Events & Opportunities

Cardiology Grand Rounds

Jan. 31: Branched-Chain Amino Acids and Cardiometabolic Disease: Biomarkers and Beyond with Robert McGarrah. 5 p.m., Zoom.

Medicine Grand Rounds

Feb.17: Topic TBD with Hyung (Harry) Jin Cho of NYU Langone Health, a 2023 Joseph C. Greenfield Visiting Professor. 8 a.m. via Zoom or in person, Duke North 2002.

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. Submissions by Noon, Wednesdays, to be considered for weekend inclusion.

 

Duke Heart in the News:

January 20 — Katherine Collins (Duke Molecular Physiology Institute)

Healio/Endocrinology

Weight loss of 10% significantly affects insulin resistance, cardiometabolic biomarkers

https://duke.is/2vupd

January 23 — Nandini Abburi (Neurology)

CBS17.com/WNCN (Raleigh-Durham)

Stroke symptoms require emergency treatment even if symptoms go away quickly, new report says

https://duke.is/vxhkx

January 24 — Michael Pencina

Healio/Cardiology

Risk scores, algorithms less accurate in stroke prediction in Black vs. white adults

https://duke.is/z9med

January 24 — Michael Pencina

Neurology Live

Assessing Stroke Risk With Algorithms and Modeling Health Discrimination

https://duke.is/bjryq

January 24 — Robert Mentz

HealthDay

Mortality Similar With Torsemide, Furosemide for Patients Hospitalized With Heart Failure

https://duke.is/nmspa

*carried by 78 additional news outlets including in Buffalo, Miami & Washington, DC

January 24 — Reid Chamberlain (pediatric cardiology)

WFMY-2/CBS News (Greensboro, NC)

Hands for Hearts: Greensboro non-profit on mission to raise $300,000 for children with special hearts

https://duke.is/czgku

January 25 — Michael Pencina

WUNC-FM/NC Public Radio

AI Models Fail Black Americans in Stroke Assessment

https://duke.is/rxu23

*news clip begins @ 10:04:51

January 25 — Richard Shannon

Becker’s Hospital Review

6 clinical leaders on hospital accreditation visit prep: Act now, don’t react later

https://duke.is/prgzm

January 26 — Michael Pencina

Reuters

Health Rounds: Stroke prediction tools failing Black patients

https://duke.is/bkgzd

Duke Heart Week ending January 22nd 2023

Highlights of the week:

Tong Named Recipient of Inaugural STS/WTS Award

Congratulations to Betty Tong, MD! Tong has been named one of three inaugural recipients of the Extraordinary Women in Cardiothoracic Surgery Award. The news was announced yesterday, Jan. 21, 2023 during the 59th annual meeting of the Society of Thoracic Surgeons (STS) being held Jan. 21-23 at the Hilton Bayfront in San Diego.

The award, which is co-sponsored by the STS and Women in Thoracic Surgery, was established to recognize outstanding women surgeons specializing in the cardiothoracic space. The award celebrates those who have achieved excellence and innovation in clinical practice and who demonstrate integrity, leadership, mentorship, creativity, and advocacy on behalf of the specialty, patient population or fellow surgeons and trainees.

“Please join me in congratulating our own Dr. Betty Tong for winning this inaugural award,” said Dr. Edward P. Chen, chief of the division of cardiovascular and thoracic surgery at Duke. “This is a tremendous honor led by the WTS and STS in recognizing the outstanding achievements of women thoracic surgeons. We are truly blessed and privileged to have Dr. Tong on our faculty at Duke.”

Tong is an associate professor of surgery in the division of cardiovascular and thoracic surgery at Duke, and a member of the Duke Cancer Institute. Fellow inaugural recipients of the award include Leah Backhus, MD, thoracic surgeon at Stanford Medicine, and Jennifer Ellis, MD, thoracic surgeon at NYU Langone Health.

Shown in images are members of the Duke CT Surgery team at STS, Tong speaking at the STS award presentation, and the three recipients of the inaugural award – (L-R) Drs. Backhus, Ellis, and Tong.

Well-deserved, Betty! You truly are a rock-star mentor, surgeon, and colleague. Congratulations!

Smith to Present STS Lillehei Lecture

Former cardiovascular and thoracic division chief Peter K. Smith, MD, will present the C. Walton Lillehei Plenary Lecture tomorrow, 9 a.m. PST, at STS 2023 in San Diego. Congratulations, Peter!

Palma to Receive ASE Teaching Award

We learned this week that Richard Palma, Program Director and Clinical Coordinator of the Cardiac Ultrasound Certificate Program at Duke, will join Madhav Swaminathan among the distinguished awardees at the American Society of Echocardiography 2023 Scientific Sessions. Palma has been named the recipient of ASE’s 2023 Cardiovascular Sonographer Distinguished Teacher Award.

The award will be formally announced during ASE’s annual awards presentations at the 34th Annual Scientific Sessions on Saturday, June 24, 2023, at Gaylord National Resort, National Harbor, in Prince George’s County, MD.

Palma is an Advanced Cardiac Sonographer and teaches echocardiography to students, staff, and Duke Cardiology fellows. He is internationally known as an educator of echocardiography and ultrasound physics (ESP Ultrasound).

This is the second national teaching award for Palma. In 2011 he was named recipient of the Society of Diagnostic Medical Sonography’s Distinguished Educator award.

Congratulations, Richie – this is well-deserved!

Deadlines Approaching for SOM Faculty Award Noms

Nominations and Applications for the 2023 School of Medicine Faculty Awards are now open.

The Faculty Awards are a wonderful opportunity to highlight the outstanding work conducted at Duke. The Office for Faculty is now accepting nominations and applications for the following 2023 faculty awards:

  • Leonard Palumbo Jr., MD Faculty Achievement Award – Nomination Deadline: January 31, 2023
  • Leonard B. Tow Humanism in Medicine Award – Nomination Deadline: January 27, 2023
  • Excellence in Professionalism Award – Nomination Deadline: February 10, 2023
  • Research Mentoring Awards – Nomination Deadline: February 20, 2023
  • Ruth and A. Morris Williams Faculty Research Prize – Application Deadline: February 28, 2023

To learn more, visit https://duke.is/4hqkb. Questions? Please contact Jennifer Meyer Dare, jennifer.meyer-dare@duke.edu. Nominations and applications should be submitted via email to facdev@dm.duke.edu.

 

Adult Heart Stepdown Hiring Event – Feb. 1

Know someone who would make a great team member in Duke Heart? We have an opportunity for them to learn more about us! Our adult heart stepdown units, in partnership with Duke Health HR, will hold a hiring event on Wed., Feb. 1. Registration is required.

Interested parties can register to join our drop-in Duke Health event 8 a.m. to 2 p.m. Wednesday, February 1, to learn more about a career filled with purpose and opportunity on the Heart Adult Stepdown Units at Duke University Hospital.

At the event, they will have the opportunity to tour Duke University Hospital; learn about the many benefits of working in our health system; and meet recruiters and hiring managers for a potential same day offer.

Please share! Registration is via Qualtrics.

 

Upcoming Events & Opportunities

 

Cardiology Grand Rounds

Jan. 24: CGR is cancelled for this week.

Medicine Grand Rounds

Jan. 27: CHIP Focus Group Presentation with cardiovascular fellow Jessica Regan and hematology-oncology fellow Bennett Caughey. 8 a.m. via Zoom or in person, Duke North 2002.

Feb.17: Topic TBD with Hyung (Harry) Jin Cho of NYU Langone Health, a 2023 Joseph C. Greenfield Visiting Professor. 8 a.m. via Zoom or in person, Duke North 2002.

DOM Clinical Research Resource Fair  

Wednesday, January 25, 6th Floor, Trent Semans Building

The DOM Clinical Research Units (CRUs), which include Heart Center, Medicine and Oncology clinical research, invite faculty, fellows, residents and trainees to a clinical research resources fair to help connect you directly to resources available at Duke.

While information will be available on tables all day, representatives from each group will be available to informally meet with you in two open sessions: 8:30-10 am and 1-2:30 pm. CRU personnel hope you will consider joining for one of these sessions so you can meet those who support your clinical research work.

A light breakfast, coffee and juice will be provided during the morning session and after-lunch snacks will be available for the afternoon session. Additionally, all attendees will be entered into a drawing for a Starbucks gift card.

 

February is Heart Month

Feb. 3: National Wear Red Day. We encourage everyone to wear red on Friday, Feb. 3 to show our support for heart health overall, but especially to support women and cardiovascular disease awareness. Get your red gear ready!

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. Submissions by Noon, Wednesdays, to be considered for weekend inclusion.

 

Duke Heart in the News:

January 17 — Nishant Shah

Healio/Cardiology

Bromocriptine appears to drop BP, improve arterial stiffness in teens with type 1 diabetes

https://duke.is/rbqxq

January 17 — Robert Mentz

NIH/News Release

Comparison of diuretics shows no difference in heart failure survival

https://duke.is/5gzkr

January 17 — Nima Moghaddam

Healio/Cardiology

Most patients admitted for acute HF qualify for guideline-directed quadruple therapy

https://duke.is/ndmcx

January 17 — Magnus Ohman

Medscape/The Bob Harrington Show

The Career Pivot: Leaving Clinical Medicine for a While — or for Good

https://duke.is/be7r6

January 18 — Richard Shannon

Becker’s Hospital Review

The top items on 5 chief medical officers’ to-do lists

https://duke.is/zmcge

January 18 — Robert Mentz

Medical Dialogues

Furosemide and Torsemide Equally Effective in Improving Survival Among Patients with Heart Failure: JAMA

https://duke.is/6r7eb

January 18 — Robert Mentz

Patient Care Online

Comparison of Loop Diuretics Shows No Difference in Heart Failure Survival

https://duke.is/pbct7

January 18 — Robert Mentz

Medscape

Clarity on Torsemide vs Furosemide in HF: TRANSFORM-HF Published

https://duke.is/4tyvw

January 19 — Susanna Naggie and Adrian Hernandez

The Atlantic

Trying to Stop Long COVID Before It Even Starts

https://duke.is/9uq8a

January 19 — Robert Mentz

U.S. News & World Report/HealthDay News*

Is There a Best Diuretic Drug for Heart Failure?

https://duke.is/25mmy

*also carried by additional 146 news outlets including in Atlanta, Chicago & San Francisco markets

January 19 — Richard Shannon

Becker’s Hospital Review

Band-Aid solutions won’t bring nurses back to the bedside, Duke Health’s Dr. Richard Shannon says

https://duke.is/v5ujz

 

Division of Cardiology Publications: December 14, 2022–January 10, 2023

 

Akinmolayemi O, Ozdemir D, Pibarot P, Zhao Y, Leipsic J, Douglas PS, Jaber WA, Weissman NJ, Blanke P, Hahn RT. Clinical and Echocardiographic Characteristics of Flow- Based Classification Following Balloon-Expandable Transcatheter Heart Valve in PARTNER Trials. JACC Cardiovasc Imaging 2023;16(1):1-9. PM: 36599555.

Alenezi F, Alajmi H, Agarwal R, Zwischenberger BA. Role of cardiac magnetic resonance (CMR) in planning ventricular septal myomectomy in patients with hypertrophic obstructive cardiomyopathy (HOCM). J Card Surg 2022;37(12):4186-4189. PM: 36434805.

Almas A, Awan S, Bloomfield G, Nisar MI, Siddiqi S, Ahmed A, Ali A, Shafqat SH, Bhutta ZA, Mark DB, Douglas P, Bartlett J, Jafar TH, Samad Z. Opportunities and challenges to non-communicable disease (NCD) research and training in Pakistan: a qualitative study from Pakistan. BMJ Open 2022;12(12):e066460. PM: 36535721.

Bagai A, Ali FM, Gregson J, Alexander KP, Cohen MG, Sundell KA, Simon T, Westermann D, Yasuda S, Brieger D, Goodman SG, Nicolau JC, Granger CB, Pocock S. Multimorbidity, functional impairment, and mortality in older patients stable after prior acute myocardial infarction: Insights from the TIGRIS registry. Clin Cardiol 2022;45(12):1277-1286. PM: 36317424.

Bashir M, Jubouri M, Chen EP, Mariscalco G, Narayan P, Bailey DM, Awad WI, Williams IM, Velayudhan B, Mohammed I. Cardiothoracic surgery leadership and learning are indispensable to each other. J Card Surg 2022;37(12):4204-4206. PM: 36345687.

Bonaca MP, Szarek M, Debus ES, Nehler MR, Patel MR, Anand SS, Muehlhofer E, Berkowitz SD, Haskell LP, Bauersachs RM. Efficacy and safety of rivaroxaban versus placebo after lower extremity bypass surgery: A post hoc analysis of a “CASPAR like” outcome from VOYAGER PAD. Clin Cardiol 2022;45(12):1143-1146. PM: 36251249.

Carlisle MA, Shrader P, Fudim M, Pieper KS, Blanco RG, Fonarow GC, Naccarelli GV, Gersh BJ, Reiffel JA, Kowey PR, Steinberg BA, Freeman JV, Ezekowitz MD, Singer DE, Allen LA, Chan PS, Pokorney SD, Peterson ED, Piccini JP. Residual stroke risk despite oral anticoagulation in patients with atrial fibrillation. Heart Rhythm O2 2022;3(6Part A):621-628. PM: 36589908.

Chaudhry SP, DeVore AD, Vidula H, Nassif M, Mudy K, Birati EY, Gong T, Atluri P, Pham D, Sun B, Bansal A, Najjar SS. Left Ventricular Assist Devices: A Primer For the General Cardiologist. J Am Heart Assoc 2022;11(24):e027251. PM: 36515226.

Choi J, Lee S, Motter JN, Kim H, Andrews H, Doraiswamy PM, Devanand DP, Goldberg TE. Models of depressive pseudoamnestic disorder. Alzheimers Dement (N Y) 2022;8(1):e12335. PM: 36523848.

Chugunov IA, Mareev YV, Fudim M, Mironova NA, Mareev VY, Davtyan RV. [Cardiac contractility modulation in heart failure with reduced ejection fraction treatment]. Kardiologiia 2022;62(11):71-78. PM: 36521047.

Coniglio AC, Kittipibul V, Pelligra R, Richardson ES, Holley CL, Fudim M. One Small Step for a Patient, One Giant Leap for Orthostatic Hypotension. Cureus 2022;14(11):e31612. PM: 36540476.

Cox CE, Gu J, Ashana DC, Pratt EH, Haines K, Ma J, Olsen MK, Parish A, Casarett D, Al-Hegelan MS, Naglee C, Katz JN, O’Keefe YA, Harrison RW, Riley IL, Bermejo S, Dempsey K, Johnson KS, Docherty SL. Trajectories of Palliative Care Needs in the ICU and Long-Term Psychological Distress Symptoms. Crit Care Med 2023;51(1):13-24. PM: 36326263.

Cremer PC, Geske JB, Owens A, Jaber WA, Harb SC, Saberi S, Wang A, Sherrid M, Naidu SS, Schaff H, Smedira NG, Wang Q, Wolski K, Lampl KL, Sehnert AJ, Nissen SE, Desai MY. Myosin Inhibition and Left Ventricular Diastolic Function in Patients With Obstructive Hypertrophic Cardiomyopathy Referred for Septal Reduction Therapy: Insights From the VALOR-HCM Study. Circ Cardiovasc Imaging 2022;15(12):e014986. PM: 36335645.

de la Espriella R, Cobo M, Santas E, Verbrugge FH, Fudim M, Girerd N, Miñana G, Górriz JL, Bayés- Genís A, Núñez J. Assessment of filling pressures and fluid overload in heart failure: an updated perspective. Rev Esp Cardiol (Engl Ed) 2023 Jan;76(1):47- 57. PM: 35934293.

Eiger DS, Inoue LYT, Li Q, Bardy G, Lee K, Poole J, Mark D, Samad Z, Friedman D, Fishbein D, Sanders G, Al-Khatib SM. Factors and outcomes associated with improved left ventricular systolic function in patients with cardiomyopathy. Cardiol J 2022;29(6):978-984. PM: 33438181.

Essien UR, Chiswell K, Kaltenbach LA, Wang TY, Fonarow GC, Thomas KL, Turakhia MP, Benjamin EJ, Rodriguez F, Fang MC, Magnani JW, Yancy CW, Piccini JP. Association of Race and Ethnicity With Oral Anticoagulation and Associated Outcomes in Patients With Atrial Fibrillation: Findings From the Get With The Guidelines-Atrial Fibrillation Registry. JAMA Cardiol 2022;7(12):1207-1217. PM: 36287545.

Garcia A, Lee J, Balasubramanian V, Gardner R, Gummidipundi SE, Hung G, Ferris T, Cheung L, Desai S, Granger CB, Hills MT, Kowey P, Nag D, Rumsfeld JS, Russo AM, Stein JW, Talati N, Tsay D, Mahaffey KW, Perez MV, Turakhia MP, Hedlin H, Desai M. The development of a mobile app-focused deduplication strategy for the Apple Heart Study that informs recommendations for future digital trials. Stat (Int Stat Inst) 2022;11(1):e470. PM: 36589778.

Haddad F, Cauwenberghs N, Daubert MA, Kobayashi Y, Bloomfield GS, Fleischman D, Koweek L, Maron DJ, Rodriguez F, Liao YJ, Moneghetti K, Amsallem M, Mega J, Hernandez A, Califf R, Mahaffey KW, Shah SH, Kuznetsova T, Douglas PS. Association of left ventricular diastolic function with coronary artery calcium score: A Project Baseline Health Study. J Cardiovasc Comput Tomogr 2022;16(6):498-508. PM: 35872137.

Haji M, Lopes VV, Ge A, Halladay C, Soares C, Shah NR, Longenecker CT, Lally M, Bloomfield GS, Shireman TI, Ross D, Sullivan JL, Rudolph JL, Wu WC, Erqou S. Two decade trends in cardiovascular disease outcomes and cardiovascular risk factors among US veterans living with HIV. Int J Cardiol Cardiovasc Risk Prev 2022;15:200151. PM: 36573195.

Harrington J, Granger CB. Bleeding and risk for future cardiovascular events in patients with atrial fibrillation on oral anticoagulation: major bleeding is a major problem. Eur Heart J 2022;43(47):4909-4911. PM: 36380455.

Hassan-Tash P, Ismail U, Kirkpatrick IDC, Ravandi A, Jassal DS, Hiebert B, Kass M, Krasuski RA, Shah AH. Correlation of Impedance Cardiography-Derived and Cardiac Magnetic Resonance-Derived Stroke Volumes. Curr Probl Cardiol 2023;48(2):101457. PM: 36273652.

Hochman JS, Anthopolos R, Reynolds HR, Bangalore S, Xu Y, O’Brien SM, Mavromichalis S, Chang M, Contreras A, Rosenberg Y, Kirby R, Bhargava B, Senior R, Banfield A, Goodman SG, Lopes RD, Pracoń R, López-Sendón J, Maggioni AP, Newman JD, Berger JS, Sidhu MS, White HD, Troxel AB. Survival After Invasive or Conservative Management of Stable Coronary Disease. Circulation 2023;147(1):8-19. PM: 36335918.

Jackson LR, Holmqvist F, Parish A, Green CL, Piccini JP, Bahnson TD. Safety of continuous left atrial phased-array intracardiac echocardiography during left atrial ablation for atrial fibrillation. Heart Rhythm O2 2022;3(6Part A):673-680. PM: 36589913.

Karatela MF, Fudim M, Mathew JP, Piccini JP. Neuromodulation therapy for atrial fibrillation. Heart Rhythm 2023;20(1):100-111. PM: 35988908.

Kiernan K, Dodge SE, Kwaku KF, Jackson LR, Zeitler EP. Racial and ethnic differences in implantable cardioverter-defibrillator patient selection, management, and outcomes. Heart Rhythm O2 2022;3(6Part B):807-816. PM: 36589011.

Kotecha D, DeVore AD, Asselbergs FW. Fit for the future: empowering clinical trials with digital technology. Eur Heart J 2023;44(1):64-67. PM: 36369983.

Krychtiuk KA, Granger CB. In older men, an invitation for comprehensive CV screening did not reduce death at 5.6 y. Ann Intern Med 2022;175(12):JC140. PM: 36469924.

Krychtiuk KA, Rader DJ, Granger CB. RNA-targeted therapeutics in cardiovascular disease: the time is now. Eur Heart J Cardiovasc Pharmacother 2022;9(1):94-99. PM: 36138490.

Laffin LJ, Bruemmer D, Garcia M, Brennan DM, McErlean E, Jacoby DS, Michos ED, Ridker PM, Wang TY, Watson KE, Hutchinson HG, Nissen SE. Comparative Effects of Low-Dose Rosuvastatin, Placebo, and Dietary Supplements on Lipids and Inflammatory Biomarkers. J Am Coll Cardiol 2023;81(1):1-12. PM: 36351465.

Maron MS, Masri A, Choudhury L, Olivotto I, Saberi S, Wang A, Garcia-Pavia P, Lakdawala NK, Nagueh SF, Rader F, Tower-Rader A, Turer AT, Coats C, Fifer MA, Owens A, Solomon SD, Watkins H, Barriales-Villa R, Kramer CM, Wong TC, Paige SL, Heitner SB, Kupfer S, Malik FI, Meng L, et al. Phase 2 Study of Aficamten in Patients With Obstructive Hypertrophic Cardiomyopathy. J Am Coll Cardiol 2023;81(1):34-45. PM: 36599608.

Marquis-Gravel G, Boivin-Proulx LA, Huang Z, Zelenkofske SL, Lincoff AM, Mehran R, Steg PG, Bode C, Alexander JH, Povsic TJ. Femoral Vascular Closure Devices and Bleeding, Hemostasis, and Ambulation Following Percutaneous Coronary Intervention. J Am Heart Assoc 2023;12(1):e025666. PM: 36583436.

Marx N, Cheng AYY, Agarwal R, Greene SJ, Abuhantash H. Heart failure with reduced ejection fraction and the intersection of cardio-renal-metabolic medicine #CaReMe. Eur Heart J Suppl 2022;24(Suppl L):L29-L37. PM: 36545231.

Mc Causland FR, Singh AK, Claggett BL, Carroll K, Wittes J, McMurray JJV, Perkovic V, Snapinn S, Lopes RD, Solomon SD. Daprodustat and On-Treatment Cardiovascular Events in Chronic Kidney Disease. Reply. N Engl J Med 2022;387(26):2482- 2485. PM: 36577112.

Metra M, Pagnesi M, Claggett BL, Díaz R, Felker GM, McMurray JJV, Solomon SD, Bonderman D, Fang JC, Fonseca C, Goncalvesova E, Howlett JG, Li J, O’Meara E, Miao ZM, Abbasi SA, Heitner SB, Kupfer S, Malik FI, Teerlink JR. Effects of omecamtiv mecarbil in heart failure with reduced ejection fraction according to blood pressure: the GALACTIC-HF trial. Eur Heart J 2022;43(48):5006-5016. PM: 35675469.

Minhas AMK, Abramov D, Chung JS, Patel J, Mamas MA, Zieroth S, Agarwal R, Fudim M, Rabkin DG. Current status of perioperative temporary mechanical circulatory support during cardiac surgery. J Card Surg 2022;37(12):4304-4315. PM: 36229948.

Minhas AMK, Jain V, Li M, Ariss RW, Fudim M, Michos ED, Virani SS, Sperling L, Mehta A. Family income and cardiovascular disease risk in American adults. Sci Rep 2023;13(1):279. PM: 36609674.

Mohebi R, Liu Y, Felker GM, Prescott MF, Piña IL, Butler J, Ward JH, Solomon SD, Januzzi JL. Prediction of Left Ventricular Ejection Fraction Change Following Treatment With Sacubitril/Valsartan. JACC Heart Fail 2023;11(1):44-54. PM: 36599549.

Mohebi R, Liu Y, Felker GM, Prescott MF, Ward JH, Piña IL, Butler J, Solomon SD, Januzzi JL. Heart Failure Duration and Mechanistic Efficacy of Sacubitril/Valsartan in Heart Failure With Reduced Ejection Fraction. J Card Fail 2022;28(12):1673-1682. PM: 36122820.

O’Brien EC, Mulder H, Jones WS, Hammill BG, Sharlow A, Hernandez AF, Curtis LH. Concordance Between Patient-Reported Health Data and Electronic Health Data in the ADAPTABLE Trial. JAMA Cardiol 2022;7(12):1235-1243. PM: 36322059.

Paluch AE, Bajpai S, Ballin M, Bassett DR, Buford TW, Carnethon MR, Chernofsky A, Dooley EE, Ekelund U, Evenson KR, Galuska DA, Jefferis BJ, Kong L, Kraus WE, Larson MG, Lee IM, Matthews CE, Newton RL, Nordström A, Nordström P, Palta P, Patel AV, Pettee Gabriel K, Pieper CF, et al. Prospective Association of Daily Steps With Cardiovascular Disease: A Harmonized Meta-Analysis. Circulation 2023;147(2):122-131. PM: 36537288.

Park S, Ma Z, Zarkada G, Papangeli I, Paluri S, Nazo N, Rivera-Molina F, Toomre D, Rajagopal S, Chun HJ. Endothelial β-arrestins regulate mechanotransduction by the type II bone morphogenetic protein receptor in primary cilia. Pulm Circ 2022;12(4):e12167. PM: 36532314.

Patel SM, Qamar A, Giugliano RP, Jarolim P, Marston NA, Park JG, Blazing MA, Cannon CP, Braunwald E, Morrow DA. Association of Serial High-Sensitivity Cardiac Troponin T With Subsequent Cardiovascular Events in Patients Stabilized After Acute Coronary Syndrome: A Secondary Analysis From IMPROVE-IT. JAMA Cardiol 2022;7(12):1199-1206. PM: 36260325.

Peters AE, Mentz RJ, Sun JL, Harrington JL, Fudim M, Alhanti B, Hernandez AF, Butler J, Starling RC, Greene SJ. Patient-reported and Clinical Outcomes Among Patients Hospitalized for Heart Failure With Reduced Versus Preserved Ejection Fraction. J Card Fail 2022;28(12):1652-1660. PM: 35688408.

Piccini JP, Russo AM, Sharma PS, Kron J, Tzou W, Sauer W, Park DS, Birgersdotter-Green U, Frankel DS, Healey JS, Hummel J, Koruth J, Linz D, Mittal S, Nair DG, Nattel S, Noseworthy PA, Steinberg BA, Trayanova NA, Wan EY, Wissner E, Zeitler EP, Wang PJ. Advances in Cardiac Electrophysiology. Circ Arrhythm Electrophysiol 2022;15(12):e009911. PM: 36441565.

Popovic B, Ducrocq G, Elbez Y, Bode C, Mehta SR, Pollack CV, Sabate M, Rao SV, Parkhomenko A, Feldman LJ, Sayah N, Sabatine MS, Steg PG. Clinical Significance of Culprit Vessel Occlusion in Patients With Non-ST-Elevation Myocardial Infarction Who Underwent Percutaneous Coronary Intervention. Am J Cardiol 2023;188:95-101. PM: 36493607.

Ramaker ME, Corcoran DL, Apsley AT, Kobor MS, Kraus VB, Kraus WE, Lin DTS, Orenduff MC, Pieper CF, Waziry R, Huffman KM, Belsky DW. Epigenome-wide Association Study Analysis of Calorie Restriction in Humans, CALERIETM Trial Analysis. J Gerontol A Biol Sci Med Sci 2022;77(12):2395-2401. PM: 35965483.

Reynolds HR, Diaz A, Cyr DD, Shaw LJ, Mancini GBJ, Leipsic J, Budoff MJ, Min JK, Hague CJ, Berman DS, Chaitman BR, Picard MH, Hayes SW, Scherrer-Crosbie M, Kwong RY, Lopes RD, Senior R, Dwivedi SK, Miller TD, Chow BJW, de Silva R, Stone GW, Boden WE, Bangalore S, O’Brien SM, et al. Ischemia With Nonobstructive Coronary Arteries: Insights From the ISCHEMIA Trial. JACC Cardiovasc Imaging 2023;16(1):63- 74. PM: 36115814.

Sandhu A, Varosy PD, Du C, Aleong RG, Tumolo AZ, West JJ, Tzou WS, Curtis JP, Freeman JV, Friedman DJ, Hess PL. Device-Sizing and Associated Complications With Left Atrial Appendage Occlusion: Findings From the NCDR LAAO Registry. Circ Cardiovasc Interv 2022;15(12):e012183. PM: 36472194.

Schwamm LH, Kamel H, Granger CB, Piccini JP, Katz JM, Sethi PP, Sidorov EV, Kasner SE, Silverman SB, Merriam TT, Franco N, Ziegler PD, Bernstein RA. Predictors of Atrial Fibrillation in Patients With Stroke Attributed to Large- or Small-Vessel Disease: A Prespecified Secondary Analysis of the STROKE AF Randomized Clinical Trial. JAMA Neurol 2023;80(1):99-103. PM: 36374508.

Sinha SS, Bohula EA, Diepen SV, Leonardi S, Mebazaa A, Proudfoot AG, Sionis A, Chia YW, Zampieri FG, Lopes RD, Katz JN. The Intersection Between Heart Failure and Critical Care Cardiology: An International Perspective on Structure, Staffing, and Design Considerations. J Card Fail 2022 ;28(12):1703-1716. PM: 35843489.

Tamirisa KP, Al-Khatib SM. Sex Differences in Sustained Ventricular Arrhythmias: A Continuing Dialogue. JACC Clin Electrophysiol 2022;8(12):1563-1565. PM: 36543506.

Vaduganathan M, Claggett BL, Jhund P, de Boer RA, Hernandez AF, Inzucchi SE, Kosiborod MN, Lam CSP, Martinez F, Shah SJ, Desai AS, Hegde SM, Lindholm D, Petersson M, Langkilde AM, McMurray JJV, Solomon SD. Time to Clinical Benefit of Dapagliflozin in Patients With Heart Failure With Mildly Reduced or Preserved Ejection Fraction: A Prespecified Secondary Analysis of the DELIVER Randomized Clinical Trial. JAMA Cardiol 2022;7(12):1259-1263. PM: 36190011.

Vardeny O, Fang JC, Desai AS, Jhund PS, Claggett B, Vaduganathan M, de Boer RA, Hernandez AF, Lam CSP, Inzucchi SE, Martinez FA, Kosiborod  MN, DeMets D, O’Meara E, Zieroth S, Comin-Colet J, Drozdz J, Chiang CE, Kitakaze M, Petersson M, Lindholm D, Langkilde AM, McMurray JJV, et al. Dapagliflozin in heart failure with improved ejection fraction: a prespecified analysis of the DELIVER trial. Nat Med 2022;28(12):2504-2511. PM: 36522606.

Whellan D, McCarey MM, Chen H, Nelson MB, Pastva AM, Duncan P, Mentz RJ, Kitzman DW, Reeves G, Reed SD. Quality of Life Trajectory and Its Mediators in Older Patients With Acute Decompensated Heart Failure Receiving a Multi-Domain Rehabilitation Intervention: Results From the Rehabilitation Therapy in Older Acute Heart Failure Patients Trial. Circ Heart Fail 2022;15(12):e009695. PM: 36345825.

Wilcox JE, Al-Khatib SM. Personalizing Risk Assessment for Sudden Cardiac Death in Heart Failure: A Dream or a Reality? JACC Heart Fail 2023;11(1):55-57. PM: 36599550.

Williams AM, Shah NP, Rosengart T, Povsic TJ, Williams AR. Emerging role of positron emission tomography (PET) imaging in cardiac surgery. J Card Surg 2022;37(12):4158-4164. PM: 36345705.

Yang M, Butt JH, Kondo T, Jering KS, Docherty KF, Jhund PS, de Boer RA, Claggett BL, Desai AS, Hernandez AF, Inzucchi SE, Kosiborod MN, Lam CSP, Langkilde AM, Martinez FA, Petersson M, Shah SJ, Vaduganathan M, Wilderäng U, Solomon SD, McMurray JJV. Dapagliflozin in patients with heart failure with mildly reduced and preserved ejection fraction treated with a mineralocorticoid receptor antagonist or sacubitril/valsartan. Eur J Heart Fail 2022;24(12):2307-2319. PM: 36342375.

Ye F, Nelson MB, Bertoni AG, Ditzenberger GL, Duncan P, Mentz RJ, Reeves G, Whellan D, Chen H, Upadhya B, Kitzman DW, Pastva AM. Severity of functional impairments by race and sex in older patients hospitalized with acute decompensated heart failure. J Am Geriatr Soc 2022;70(12):3447-3457. PM: 36527410.

York M, Douglas PS, Damp JB, Fraiche AM, Gillam LD, Hayes SN, Rzeszut AK, Sulistio MS, Wood MJ. Professional Preferences and Perceptions of Cardiology Among Internal Medicine Residents: Temporal Trends Over the Past Decade. JAMA Cardiol 2022;7(12):1253-1258. PM: 36223091.

Duke Heart Pulse 1-15-2023

Highlights of the week:

Duke Designated as Platinum Level Center of Excellence for ECLS

We’re proud to formally announce that Duke has been named a Platinum Level Center of Excellence for Extracorporeal Life Support (ECLS) by the Extracorporeal Life Support Organization (ELSO). Duke is one of only 50 centers around the world at the platinum level, ELSO’s top designation.

The ELSO Award for Excellence in Life Support recognizes ECLS programs worldwide that distinguish themselves by having processes, procedures and systems in place that promote excellence and exceptional care in extracorporeal membrane oxygenation (ECMO). This designation represents our commitment to exceptional patient care, and demonstrates to others our assurance of high quality standards, the use and upkeep of specialized equipment and supplies, defined patient protocols, and advanced education of all team members.

We have an exceptional ECMO team at Duke — they are leaders nationally and internationally, elevating the care available to our Duke Heart patients and their family members.

Shown here are many of the teams that comprise our ECMO program. The official award was presented to our team by Dr. Robert H. Bartlett, who is credited with developing ECMO and is known informally as “the grandfather of ECMO”. (He is an emeritus professor of surgery at the University of Michigan Medical School, but please note the Duke hat he is sporting!)

Congratulations to our entire ECMO team, including Desiree Bonadonna, director of Duke’s ECLS program; Drs. Jacob Klapper, Jacob Schroder, and Craig Rackley, medical directors for Adult ECMO; Dr. Caroline Ozment, medical director for Pediatric ECMO; our CTOR team, our cardiac anesthesia and critical care teams, Duke Life Flight, our Respiratory Therapy ECMO specialists team, our perfusion team members, and all who support them — way to go!

 

 

Swaminathan to Receive ASE award

Madhav Swaminathan

We learned this week that Dr. Madhav Swaminathan, professor of anesthesiology at Duke, has been named the recipient of American Society of Echocardiography’s (ASE) 2023 Outstanding Achievement in Perioperative Echocardiography Award.

The award will be formally announced during ASE’s annual awards presentations and Edler Lecture session at the 34th Annual Scientific Sessions on Saturday, June 24, 2023, at Gaylord National Resort, National Harbor, in Prince George’s County, MD. The award itself will be presented on June 25 during the Annual Research Awards Gala.

Past recipients of this award from Duke Health include Drs. Joe Kisslo, Solomon Aronson and Jonathan Mark.

Congratulations, Madhav – this is well-deserved!

 

 

Keenan, Selvaraj Win Duke HCLC Innovation and Collaboration Awards

Congratulations to cardiothoracic surgeon Jeffrey Keenan, MD, and cardiologist

Senthil Selvaraj

Senthil Selvaraj, MD. The two have won Duke Heart Center Leadership Council Innovation and Collaboration Awards.

The HCLC awards are available to Early Career Faculty in cardiology and cardiothoracic surgery (defined as within 10 years of completing training). Each award provides one year of salary support and/or research program support in the amount of $40,000. Selected applicants gave presentations to the HCLC during their November, 2022 meeting.

Awardees were selected by the HCLC and notified via letter by Duke Heart Center co-directors, Drs. Manesh Patel and Edward P. Chen.

Keenan’s winning project is “A Translational Approach Towards Addressing Challenges in Heart Transplantation.” His mentors include Drs. Dawn Bowles and Carmelo Milano.

Selvaraj’s winning project is “Myocardial Fuel Consumption in Heart Failure with Preserved Ejection Fraction.” Co-investigators for his project include Drs. Marat Fudim and Svati Shah.

Congratulations, Jeff and Senthil!

 

Shah, Safdar Win DOM ‘Duke It Out!’ Teaching Competition

Nishant Shah and internal medicine resident Komal Safdar won the 3rd annual ‘Duke It Out!’  resident teaching competition held by the Department of Medicine on Thursday, Jan. 12. The duo won with a chalk talk presentation on basic fundamentals of ECMO.

The competition features three senior assistant residents (the “contestants”) who give an 8-10 minute chalk talk to guide audience knowledge acquisition on a narrow, focused topic of the contestant’s choice. Each contestant is paired with a Teaching Coach. Together, they develop a chalk talk for the competition.

Shah and two other faculty members were nominated by current members of the internal medicine residency program to serve as coaches. The coaches are selected for being extraordinary teachers — “Med-Ed Rockstars” — with great chalk talk skills.

The coach-resident team competes with the other coach-resident teams on who can give the best chalk talk. The coach’s role is to help provide guidance and mentorship to the resident on creating the best possible chalk talk.

Judges for the competition were Dr. Kathleen Cooney, Dr. Lisa Criscione-Schreiber, Dr. Ann Cameron Barr (Duke it Out! creator, and a SEEDS and rheumatology fellow), Dr. Micah Schub (SEEDS and nephrology fellow), and David Stevens (DUSOM class of 2024, executive board of the Careers in Internal Medicine Interest Group).

Congratulations, Nishant and Komal!

 

Nominations Open for SOM Faculty Awards

Nominations and Applications for the 2023 School of Medicine Faculty Awards are now open.

The Faculty Awards are a wonderful opportunity to highlight the outstanding work conducted at Duke. The Office for Faculty is now accepting nominations and applications for the following 2023 faculty awards:

  • Leonard Palumbo Jr., MD Faculty Achievement Award – Nomination Deadline: January 31, 2023
  • Leonard B. Tow Humanism in Medicine Award – Nomination Deadline: January 27, 2023
  • Excellence in Professionalism Award – Nomination Deadline: February 10, 2023
  • Research Mentoring Awards – Nomination Deadline: February 20, 2023
  • Ruth and A. Morris Williams Faculty Research Prize – Application Deadline: February 28, 2023

To learn more, visit https://duke.is/4hqkb. Questions? Please contact Jennifer Meyer Dare, jennifer.meyer-dare@duke.edu. Nominations and applications should be submitted via email to facdev@dm.duke.edu.

 

Adult Heart Stepdown Hiring Event – Feb. 1

Know someone who would make a great team member in Duke Heart? We have an opportunity for them to learn more about us! Our adult heart stepdown units, in partnership with Duke Health HR, will hold a hiring event on Wed., Feb. 1. Registration is required.

Interested parties can register to join our drop-in Duke Health event 8 a.m. to 2 p.m. Wednesday, February 1, to learn more about a career filled with purpose and opportunity on the Heart Adult Stepdown Units at Duke University Hospital.

At the event, they will have the opportunity to tour Duke University Hospital; learn about the many benefits of working in our health system; and meet recruiters and hiring managers for a potential same day offer.

Please share! Registration is via Qualtrics.

 

DOM Clinical Research Resource Fair

The DOM Clinical Research Units (CRUs), which include Heart Center, Medicine and Oncology clinical research, invite faculty, fellows, residents and trainees to a clinical research resources fair to help connect you directly to resources available at Duke.

The DOM Clinical Research Resource Fair will be held on the 6th floor of Trent Semans on Wednesday, January 25th. While information will be available on tables all day, representatives from each group will be available to informally meet with you in two open sessions: 8:30-10 am and 1-2:30 pm. CRU personnel hope you will consider joining for one of these sessions so you can meet those who support your clinical research work.

Some contributors to the event include central support staff from the CRUs such as Assistant Research Practice Managers (ARPMs), Research Practice Managers (RPMs), and finance leadership. Other SOM resources represented include staff from OASIS, contracts and DOMRA, CTSI resources, CRU statisticians, several DOCR directors including clinical operations, data, PACE, DEPRU and Research@Pickett.

While registration is not required, it will help event planners confirm expected numbers and allows them to send you a calendar invitation.

A light breakfast, coffee and juice will be provided during the morning session and after-lunch snacks will be available for the afternoon session. Additionally, all attendees will be entered into a drawing for a Starbucks gift card. (Sweet!)

Please complete the registration survey by January 19th so they are prepared for your visit!

 

 

Upcoming Events & Opportunities

Cardiology Grand Rounds

Jan. 17: 2023 CPT Evaluation and Management Changes with Laura Bushong, associate compliance officer, Duke PDC. 5 p.m., Zoom.

Medicine Grand Rounds

Jan. 27: CHIP Focus Group Presentation with cardiovascular fellow Jessica Regan and hematology-oncology fellow Bennett Caughey. 8 a.m. via Zoom or in person, Duke North 2002.

Feb.17: Topic TBD with Hyung (Harry) Jin Cho of NYU Langone Health, a 2023 Joseph C. Greenfield Visiting Professor. 8 a.m. via Zoom or in person, Duke North 2002.

February is Heart Month

Feb. 3: National Wear Red Day. We encourage everyone to wear red on Friday, Feb. 3 to show our support for heart health overall, but especially to support women and cardiovascular disease awareness. Get your red gear ready!

PERS 2023 Training Schedule Announced

Duke Health is committed to creating an environment where all team members feel physically and psychologically safe, as we prioritize high-quality safe, equitable patient care.

This course is recommended for all DUHS leaders in supervisor and above roles. Leaning includes actionable leadership skills, engagement strategies, and how to communicate clearly even when asked tough questions.

Registration is required. Please see flyer for more information.

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. Submissions by Noon, Wednesdays, to be considered for weekend inclusion.

 

Duke Heart in the News:

January 7 — Manesh Patel

El Ciudadano (Argentina)

El colapso de Damar Hamlin

https://duke.is/ztp7w

January 10 — Daniel Friedman

Healio/Cardiology

Posterior wall isolation does not improve outcomes in ablation for persistent AF

https://duke.is/mw7ua

January 10 — Harry Severance

Medpage Today

Yet Another Issue Is Disrupting the Healthcare Workplace

https://duke.is/76cpa

January 11 — Shahzeb Khan

Healio/Cardiology

In HF, possible longer-term benefits emerge with remote management strategy

https://duke.is/g5pu7

January 12 — James Lane (psychiatry)

Prevention

17 Ways to Lower Your Blood Pressure Naturally, According to Experts

https://duke.is/bn7vg

January 12 — Duke Health

Cardiovascular Business

Cardiologists push for a more diverse, inclusive healthcare workforce

https://duke.is/c9te8

Duke Heart – Week Ending January 8th 2023

Chief’s Section:  Cardiac Arrest on NFL Field Monday Night – a “Teachable Moment”

There may be no more visible way in the US to see a cardiac arrest than the Monday Night Football game this week in which Damar Hamlin suffered a cardiac arrest after making a tackle.  Even for those of us in the medical field, it is a scary thing to see, and keeping calm and continuing to carry out CPR and using an AED is critical. The medical teams did an excellent job in saving Damar’s life.  Thankfully reports show his steady improvement this week.

Much of the initial conversations in the media and in the medical teams was understandably around the possible underlying cause, with many speculating that commotio cordis (the cardiac arrest after trauma to the chest/myocardium timed during repolarization of the heart).  This is a rare but described event.  One helpful US registry shows survival improving over the years with the rare cases of commotio cordis. https://pubmed.ncbi.nlm.nih.gov/23107651/. This registry from 1994 thru 2012 reported 216 patients with a mean age of 15 but reported cases up to 51 years of age. Importantly survival was reported to be improving (still only around 35-40%) with rapid CPR (less than 3 minutes) as one of the key predictors.

I also include the AHA position statement from 2015 https://pubmed.ncbi.nlm.nih.gov/26621653/  and for those with more interest the original NEJM article of mechanism. https://pubmed.ncbi.nlm.nih.gov/9632447/

In general, as not part of his medical team, we can’t be sure exactly what happened to Damar and important not to speculate too much – but excited he is getting better.  If it turns out to be commotio cordis – the above should help put in context.  Most importantly, as noted in the registry rapid CPR might be the most important step in the Chain of Survival for cardiac arrest victims.

As often is the case, Duke Heart and our teams along with our American Heart Association local leaders have been engaged in both helping study and train to improve outcomes from cardiac events.  In the past, Chris Granger, Jamie Jollis and others helped set up the states rapid acute MI network for primary PCI.  Now many of the same team members including also Dan Mark and Monique Starks are conducting an NIH study to help increase bystander CPR.

As Chris Granger eloquently described the efforts ….. “Damar Hamlin is alive and alert today for a simple reason: when he had his cardiac arrest, he had immediate bystander CPR and had an AED applied rapidly, long before an ambulance arrived.  Moreover, he shows that cardiac arrest can occur in anyone: even an elite NFL athlete.  Sadly, the vast majority of the 6000 people with cardiac arrest each year in North Carolina do not get those simple treatments.  But that can change.  The RACE CARS cluster randomized trial, led by the DCRI and funded by the NIH, is testing if a community-based intervention aimed at increasing bystander CPR and early defibrillation will save more lives. Our goal is to have many more people treated the way Damar Hamlin was, and thus to save many more lives.”

Regarding Cardiovascular Conditions in athletes and sudden death – there too we have had some ongoing work.  Drs. Jim Daubert, Bill Kraus and many others have helped run a symposium on understanding the risk and preventing Sudden Death in athletes – a symposium we have highlighted in the past and has been supported by Heart Center Leadership Council member, Gary Davis.

We are also working with a group on a registry to understand cardiac conditions in college athletes. https://orccastudy.org/ This is the link to the outcomes registry. This work is supported by the Joel C. Cornette foundation (based in Cincinnati) and the AHA.

Finally, what can we all do.  We hope that this is a national “Teachable Moment” to engage and work to better get CPR training around the country and AEDs in more locations to help our communities.  As the new year begins and we have many goals and resolutions, this teachable moment for our communities maybe a great way to start.

 

Highlights of the week:

Duke Heart Transplant, VADs Hit Record in 2022

Internal data show that for the latest calendar year, our durable VAD volume was 90 and heart transplant volume was 142, with exceptional results for our patients. These numbers represent our highest volume-to-date at Duke University Hospital, and we believe are currently the highest volume for a U.S. program. We’ll have more on this in the coming weeks, but we wanted to share this great news with you, as well as some comments we received this week from members of DUH & DUHS leadership:

Major kudos to the transplant and VAD team for the hard work and excellent care!Jill Engel

Extraordinary!!Craig Albanese

Congratulations to the entire team – remarkable work from the best group in the country!Robert Mentz

Outstanding news! Absolutely best transplant and VAD team anywhere in the known universe-no question.Edward P. Chen

Really exceptional work from the team especially with our clinical staffing shortages (staff and providers). Thank you all for your leadership!Mary Martin

Extraordinary! Simply the best. Congratulations on staying the course and pursuing ever greater performance amidst adversity. Rick Shannon

Simply remarkable!  Thank you for delivering such extraordinary care to so many patients and families!Tom Owens

 

Duke Earns Mitral Valve Repair Reference Center Award

Duke University Hospital has received the Mitral Valve Repair Reference Center Award from the American Heart Association and the Mitral Foundation Scientific Advisory Board for the third year in a row. The recognition is given to organizations contributing to advancing best practice in the surgical treatment of mitral valve disease. This means that our Center demonstrates a record of superior clinical outcomes as well as an ongoing commitment to reporting and measuring quality and outcome metrics specific to mitral valve repairs.

Congratulations to our mitral care surgeons, physicians, care teams and our Center of Excellence teams for their outstanding performance in this area!

New Electrophysiology Labs Open

Congratulations to our Duke Electrophysiology team — Duke Regional and Duke Raleigh Hospital each have new EP labs! Regional’s opened in December and Duke Raleigh’s officially opened on Jan. 3rd.

In a note shared with us last week, Kevin Jackson, MD, wrote, “This was a four-year effort with multiple delays due to Covid and other factors, but ultimately we have a beautiful state-of-the art lab that will serve as our full-time EP procedure room and also allow us to utilize two fully-capable EP labs at Duke Raleigh.”

Shown here on opening day in the new lab at Duke Raleigh (L-R) are: Lawrence Haymond, Francis Pena, Kevin Jackson, Teri Balser, Natalie Turgeon and Jyoti Singh.

Congrats to all team members who helped get these new labs up and running. Your efforts will allow more patients to get great care here at Duke. Great work, and an excellent way to kick-off the New Year!

FY22 Publications Update, Division of Cardiology

We had an outstanding year for publications in the Division of Cardiology!

The Research Communications & Engagement group conducts an annual census of faculty publications; they have recently completed this effort for the Division of Cardiology for fiscal year 2022. We are pleased to report the Division of Cardiology had 869 total publications in FY22! To provide some context, the publications data for FY22 and the previous five fiscal years are as follows:

FY22: 869 total publications

FY21: 851 total publications

FY20: 832 total publications

FY19: 854 total publications

FY18: 660 total publications

FY17: 724 total publications

A copy of the Division of Cardiology FY22 publications report will be shared among the faculty and fellows. The report is organized by faculty and lists the number of publications, the number of high impact publications (IF ≥10), and the aggregate impact factor.   The faculty continue to produce meaningful scientific discoveries in cardiovascular medicine.

Truly remarkable, everyone!

 

Gunn Grant Writing Series

Michael Gunn

Dr. Michael Gunn has designed a 14-session course, Research Project and Proposal Development: A Stepwise Approach. This Special Topic in the Victor J. Dzau Seminar Series, which is sponsored by the Mandel Center for Hypertension and Atherosclerosis, will be particularly helpful for those planning grant submissions in 2023. More details below under ‘events’. Registration is required. Course begins tomorrow and runs through May.

 

 

 

Shout-out to Goodwin, Abraham for Outstanding Care

Our colleague, Christina R., would like to recognize Drs. Goodwin and Abraham for their excellent care of her loved one who was recently in the Duke ED and on the cardiology service. In Christina’s words:

“I felt that it was important to write and recognize one of the CVD fellows, Dr. Nathan Goodwin.

“In the ED, Dr. Goodwin sat down with (my loved one*) and very patiently went through the medication list I brought and asked a lot of great questions regarding their indications. Within a minute he found a MAJOR allergy my loved one has to Quinapril, one that created an allergic reaction so profound they needed an emergency tracheotomy several years ago. He grabbed someone and had them immediately enter that ACE inhibitors cause angioedema into Epic so that it would not be missed. I must say, I was so impressed with his professionalism, bedside manner, medical knowledge and the way he explained everything to us so we understood without being condescending. He was very reassuring in that Duke would get them well and look at their extensive med list and get them on track. I know now that Dr.

Dennis Abraham

Dennis Abraham will be my loved one’s cardiologist and am ecstatic to hear this news as my loved one is extremely fond of him and his demeanor as well. My loved one looks and feels better already and is actually excited for their follow-up appointments so that is truly a testament to their amazing bedside manner.

Dr. Goodwin was thorough, kind, understanding and I left that evening knowing what was going to be done overnight and what the plan of attack was. Most importantly I felt comfortable leaving them there in good, competent hands and was glad that they weren’t being rushed out the door but actually watched for observation and testing. How their care was handled was exactly how I hoped it would be, the nurses and staff were all amazing (Lisa and Michelle were 2 nurses I spoke to).

My family is extremely grateful for all of the time and energy the department put into their care… when I learned they would be admitted to the 7th floor that was the first time all day that I felt the weight lift from my shoulders because I knew regardless of which doctor was assigned, they would get the best care in the world. Just seeing the pictures from Thanksgiving to seeing what was just taken for Christmas my loved one looks like a different person thanks to Dr. Abraham and Dr. Goodwin getting them started on the right treatment in the ED. I feel like it was the first time someone actually listened to us and it made me extremely proud to say I work for Duke.”  — Christina

*for patient privacy, certain identifiers have been removed.

Way to go, Dennis and Nathan! You are both amazing clinicians. When our colleagues trust us enough to care for their loved ones, we know we’re doing a good job – especially when they tell us they felt a sense of peace and relief!

 

DUH 7100 Shout-Outs!

The Duke University Hospital 7100 Cardiology Stepdown Unit has had a lot to celebrate! As of the end of December, the unit had been over 400 days without a Catheter Associated Urinary Tract Infection (CAUTI).  The team celebrated this accomplishment over bagels and coffee last month. Great job!

Additionally, Callie Brown, a Travel Nurse who has been working on 7100 since July, was recognized for a Great Catch Award!  Way to go team – nicely done!

 

ICYMI: Forward Together — Staying Close During a Breast Cancer Battle

Carmen Watson has spent her career as a surgical technologist, assisting surgeons in operating rooms, where the work is hard, and the stakes are high. Watson, who has spent most of her career at Duke University Hospital, knows that teamwork is crucial, as every precaution must be taken to ensure a good outcome for the patient.

And when she endured a breast cancer battle during a brief period when she wasn’t employed by Duke, her friends in Duke University Hospital’s Cardiothoracic Surgery unit turned that focused healing energy on her.

“These are good people,” said Watson, 60, a breast cancer survivor who rejoined Duke’s staff in 2020 after a few years away. “They see life and death every day. They know my situation could have gone a different way. Everybody just looked out for me.”

Watson’s history at Duke goes back to the early 2000s, when she joined the staff of the cardiothoracic surgery team as a full-time staff member and, with her calm demeanor, deep knowledge and encouraging attitude, became an indispensable resource.

Dr. Jacob Klapper, an associate professor of surgery, has been in operating rooms alongside Watson since he was a cardiothoracic surgery fellow at Duke a decade ago.

“She would always look out for me and make sure I was doing things in a way that would make the attending surgeon happy,” Klapper said. “As a trainee, you always look for those people who are trying to guide you in the right direction, and we became friendly that way. And now, as a faculty member, she always makes sure the critical things I need for an operation are there and that just translates into a positive work environment.”

Around five years ago, Watson felt she wanted a change and decided to leave Duke and work for a different company as a travelling nurse, eventually leading to a relocation to Florida. After a year there, her husband, Westley, began experiencing health problems and, in late 2018, the couple moved back to the Triangle.

Not long after she returned to North Carolina, Watson got a mammogram that showed stage-3 cancer in both breasts. Over much of the next year, she endured a double mastectomy, chemotherapy and radiation. Without health insurance for some of this period due to her job as a travelling nurse with another company ending, Watson faced immense financial strain.

Through her treatment, Watson said several of her former Duke colleagues contacted her often, asking how she was doing and occasionally providing financial help when things got especially tight. Around this time, Klapper and other staff and faculty members began looking into the possibility of bringing Watson back to Duke in her old role.

“We hoped she’d come back because we just value having someone like that next to you, a good person, a reliable person in high-stress situations, someone who knows exactly what you’re going through,” Klapper said.

In January of 2020, a now-cancer free Watson was hired by Duke, rejoining her old team. But a month after returning, she fell ill with radiation pneumonitis, requiring a brief hospital stay and nearly four months of mostly unpaid leave from work.

And again, colleagues rallied behind Watson, staying in close contact, and helping her ease back into work when she was ready.

“We just wanted to make sure she knows that she’s part of the team, she’s valued and everything is going to be OK,” said Nurse Manager for Operations in the Cardiothoracic Operating Room and Perioperative Services Rachael Knoll.

Since fall of 2020, Watson has been back with her team, deftly assisting surgeons, mentoring younger colleagues and doing her best to spread the culture of empathy, loyalty and selflessness which her team showed when she needed it most.

“That meant everything,” Watson said.

The above story originally appeared in the Jan. 4, 2023 issue of Working at Duke.

In a note to the team earlier this week, Dr. Edward P. Chen, chief of the division of cardiovascular and thoracic surgery wrote, “The example of caring and support given to our colleagues by Dr. Klapper and Rachel Knoll, as illustrated in this article, is what makes our CT Surgery team at Duke uniquely special. Happy New Year.”

Indeed! Keep up the incredible work you do not only to care for our patients, but your colleagues too. Duke Heart is a very special place.

 

2022 CTSI Translational Impact Report: Advancing Equity

Throughout a global pandemic that has brought unprecedented challenges and altered workflows and lives in dramatic ways, the Duke Clinical & Translational Science Institute (CTSI) continues to advance clinical research and translational science that enables equity and makes health improvement more accessible for all. Following a dynamic and fast-paced reaction to the spread of COVID-19, the Duke CTSI funded or otherwise supported numerous studies that draw upon the breadth and scope of research at Duke and its partners and collaborators.

CTSI programs and centers support each step along the translational spectrum: from preclinical discovery and entrepreneurship; through clinical trials to assess efficacy; to implementation into widespread practice that improves public health. As one of 61 NIH National Centers for Advancing Translational Science (NCATS) Clinical and Translational Science Award-funded hubs – with strong and generous institutional support from the Duke University Health System – the CTSI continues to strengthen resources and expand opportunities for their members.

The CTSI’s newly released Impact Report showcases many of their accomplishments over the past year, including their contributions to meaningful and equitable health improvement within our communities and beyond.

 

 

Holiday Photos

We hope all of you enjoyed the holidays… Back in December, members of our Duke Heart nursing leadership took carts filled with coffee, tea, hot chocolate, candy canes, and snacks and went to all areas in Heart spreading cheer and expressing gratitude to all. Here are several shots from our holiday gathering, as well. Cheers and Happy New Year to all!

 

PPE Reminder

Please remain vigilant with masking, hand hygiene, PPE, and other safe behaviors to prevent the spread of infection. Pay special attention to the proper wearing and securing of gowns and be mindful of PPE compliance. Thank you for all you do to keep everyone safe and healthy, especially as we kick off a new year!

 

Upcoming Events & Opportunities

 

Cardiology Grand Rounds

Jan. 10: A Path Toward Remediating Racial and Ethnic Disparities in Arrhythmia Care with Dr. Larry Jackson. 5 p.m., Zoom.

Jan. 17: 2023 CPT Evaluation and Management Changes with Laura Bushong, associate compliance officer, Duke PDC. 5 p.m., Zoom.

 

CME & Other Events

Grant Writing Series – A Special Topic in the Victor J. Dzau Seminar Series, sponsored by the Mandel Center for Hypertension and Atherosclerosis.

Dr. Michael Gunn has designed a 14 session course, Research Project and Proposal Development: A Stepwise Approach. Using a “flipped classroom” design, this course will teach you how to conceptualize and develop a major research project into a fundable grant proposal. We will present a stepwise approach and structured exercises that guide you through all aspects of research project development, from defining a problem of importance, to developing an experimental plan, to writing a compelling NIH-style grant application. Within this course, each student will develop their own research project and proposal using best practices, proven approaches, and continuous feedback. This course will be particularly helpful for those planning grant submissions in 2023.

  • Mondays, Jan. 9 – May 1, 2023. 5:00-6:30 p.m., via Zoom. Registration required to get link.

Please email Cheryl Woodard at cheryl.woodard@duke.edu to register.

 

Medicine Grand Rounds

Jan. 27: CHIP Focus Group Presentation with cardiovascular fellow Jessica Regan and hematology-oncology fellow Bennett Caughey. 8 a.m. via Zoom or in person, Duke North 2002.

Feb.17: Topic TBD with Hyung (Harry) Jin Cho of NYU Langone Health, a 2023 Joseph C. Greenfield Visiting Professor. 8 a.m. via Zoom or in person, Duke North 2002.

 

February is Heart Month

Feb. 3: National Wear Red Day. We encourage everyone to wear red on Friday, Feb. 3 to show our support for heart health overall, but especially to support women and cardiovascular disease awareness. Get your red gear ready!

 

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. Submissions by Noon, Wednesdays, to be considered for weekend inclusion.

 

Duke Heart in the News:

December 19 — Pamela Douglas and Zainab Samad

Dawn.com

‘One body, two hearts’

https://duke.is/m9dfe

December 22 — Richard Shannon, Michael Pencina, Ricardo Henao, and Shelley Rusincovitch

Healthcare Innovation

Will Your Health System Hire a Chief AI Officer in 2023?

https://duke.is/wdd6s

December 26 — Samuel Katz

The Scientist

Remembering Those We Lost in 2022

https://duke.is/jbdtb

December 26 — Jennifer Li

WRAL

One expert recommends parents avoid latest booster vaccine for healthy children

https://duke.is/ygvx7

December 27 — Pamela Douglas

Healio/Cardiology

‘We know more about disease than health,’ but advances in CV imaging may change that

https://duke.is/rk98w

December 29 — Duke Health

Healio/Cardiology

Top HF news from 2022: Firsts in xenotransplantation, FDA approves empagliflozin and more

https://duke.is/mnydb

December 30 — James Jollis

Medscape

STEMI Times-to-Treatment Usually Miss Established Goals

https://duke.is/8jqa7

December 30 — Shahzeb Khan

Healio/Cardiology

Benefits of empagliflozin consistent regardless of cause of HFrEF

https://duke.is/2744w

January 3 — William Kraus

The Daily Beast

Damar Hamlin’s Injury Exposes the NFL’s Medical Theater

https://duke.is/59t68

January 3 — Duke Health

Healio/Cardiology Today

Top cardiology news in 2022: Successful xenotransplants; statins vs. supplements; and more

https://duke.is/ne4pk

January 3 — Manesh Patel

WNCN-CBS17

Insight into a traumatic heart incident during a football game

https://duke.is/bxtg2

(*clip begins @ 05:06:37)

January 3 — Kevin Hill (pediatric cardiology)

HealthDay News

Methylprednisolone No Benefit in Cardiopulmonary Bypass for Infants

https://duke.is/4vq3m

January 3 — Manesh Patel

WRAL-NBC5

‘It’s a very rare occurrence’: Triangle doctors provide perspective on what happened to Bills player Damar Hamlin

https://duke.is/9pzfv

January 4 — Manesh Patel

sportingnews.com

What is commotio cordis? Explaining sudden heart stoppage that ‘likely’ led to Damar Hamlin going into cardiac arrest

https://duke.is/2m7hf

January 5 — Michael Pencina and Mary Klotman

Healthcare Innovation

Partnership to Expand Duke Health’s Capabilities in Health Analytics

https://duke.is/4qqus

January 5 — Michael Pencina

Healio/Cardiology

CAD polygenic risk score may guide statin initiation for younger adults

https://duke.is/56zk3

Duke Heart Pulse week ending December 18th 2022

Highlights of the week:

Duke Heart Welcomes Two New Family Members

What better way to kick off holiday celebrations than by celebrating two new Duke Heart family members? That’s what we’re doing this week!

Congratulations to Joey Harrington and Thomas Rose on the birth of their son, Harry Rose, on Dec. 9. He weighed in at 7 lbs, 15 oz.

And congratulations to Dennis & Sara Lynne Narcisse who welcomed their third child, Leo Lane, on Dec. 14. “Mom and baby are doing well and his older twin brothers, Tripp and Henry, are anxiously awaiting to meet him at home!”

They are gorgeous and we are so happy for both families!

 

SCMR Publishes First Training Recs for CMR Techs

The Society for Cardiovascular Magnetic Resonance (SCMR) has recently issued their first framework to define the knowledge, experience and skills required for a technologist to be competent in cardiovascular magnetic resonance (CMR) imaging. The international team of authors include three members of Duke’s Cardiovascular MRI team: Raymond Kim, MD; Stephen Darty, BSRS, RT-N, MR, and Elizabeth Jenista, PhD.

In drawing up their recommendations, the authors sought to address the following:

      • Significant regional variations in CMR service delivery.
  • The need for competent and well-trained CMR technologists, as they are fundamental to the success of CMR programs. The current limited availability of CMR technologists is a challenge for CMR adoption more widely into clinical care.
  • Guidelines and/or formal education in CMR imaging for magnetic resonance (MR) technologists are neither widely available nor standardized worldwide.

The SCMR recommendations were published Dec. 5, 2022 in the Journal of Cardiovascular Magnetic Resonance.

This is a terrific accomplishment for our Duke authors and speaks to our team’s dedication to advancing the use of CMR. Well done and congratulations!

 

Bloomfield Presents at AKUPI-NCD Research Symposium

Gerald S. Bloomfield, MD, MPH was invited to speak on Research Methodology Experience in Non-Communicable Diseases as part of the Aga Khan University Pakistan Initiative for Non-Communicable Diseases (AKUPI-NCD) Research Symposium: Landscape of Research in Pakistan. The symposium represents the first nation-wide initiative to bring together researchers from multiple disciplines and backgrounds focused on NCDs, from across Pakistan as well as international partners. This event was held in Karachi, Pakistan, Dec. 5-6, 2022.

AKUPI-NCD was created to address a critical gap in the response to the NCD epidemic. The Aga Khan University partnered with Duke University to design a comprehensive, integrated, multi-disciplinary training program to prepare the next generation of leaders in NCD research. The program, focused on cardiovascular and cerebrovascular diseases and their shared risk factors, is funded by a research training grant by the U.S. National Institutes of Health via the Fogarty International Center.

AKUPI-NCD is led by principal investigator (PI) Dr. Zainab Samad, the Ibn-e-Sina endowed Professor and chair of the Dept. of Medicine at Aga Khan University in Karachi. Additional PIs include Drs. Aysha Almas (AKU), Ayeesha Kamal (AKU) and Gerald Bloomfield.

Pictured here are Gerald Bloomfield, Zainab Samad, Adil Haider, Dean of the AKU School of Medicine, and a number of NCD researchers from across Pakistan at the Symposium Dinner event. Participants were gifted a Topi hat and Ajarak shawl/scarf.

Dr. Samad also shows off her selfie skills with Dr. Adil Haider (AKU Dean, SOM) and Gerald Bloomfield on the AKU campus in Karachi.

Great work!

Zak Loring

Loring Invited to PACE Editorial Board

Congratulations to Zak Loring! He has been invited to serve on the Pacing and Clinical Electrophysiology (PACE) Editorial Board. His term will run three years.

“This is pretty impressive for an assistant professor who joined our faculty less than six months ago,” said Jon Piccini, Director, Cardiac Electrophysiology.

We concur! This is great news, Zak!

 

Ngeno Selected for 2023 LEADER Cohort

The School of Medicine Office for Faculty recently announced their 2023 LEADER participants.

The Leadership Development for Researchers (LEADER) Program is designed for junior faculty who are leading a research group and driving their own research agenda. The course provides insight into leadership and team building as well as direction on how to develop and manage a scientific laboratory or research program, how to improve productivity, and how to harness creativity and innovation. The program was developed to bridge the gap between the scientific expertise that led individuals to a career in academic medicine, and the management skills that will be required to succeed as the leaders of small business units.

Among the 23 members of the cohort is our very own Gedion Ngeno. Congratulations, Titus!!!

 

Shout-out to STEMI Team

A big shout-out to our STEMI team, especially Larry Crawford, Caitlyn Dresher, Nadia, Gordon, Rebecca, and Brad — who were recently involved in the care of a patient who was brought to us shortly after collapsing during a Duke men’s basketball game. The family is deeply appreciative for the great care their loved one received.

We have an incredible STEMI team and together, we do amazing things for our community and visitors to our area. Way to go!

 

Wang Celebrated During CGR

Thanks to everyone who joined us via Webex on Tuesday evening to celebrate Tracy Wang, MD. It was great to revisit the work she has done over the years, and to hear about it through the comments of several mentees and colleagues who know her best!

Former mentees Jake Doll and Jenn Rymer started off the hour. Doll gave us some background on how the ARTEMIS trial got its name and we learned that no detail is too small for Wang. Among the many things he and Rymer learned under Wang is that clarity is the highest virtue – and anything worth writing is worth writing well. Rymer shared her gratitude for Wang’s guidance along with some ‘words to live by’ which are included in the image here.

Pam Douglas, Jason Katz, Manesh Patel, Adrian Hernandez, Terry Fortin, Kristin Newby, Nishant Shah, and Mitch Krucoff each contributed across the evening, which culminated in comments from Wang, who thanked all of us for 20 years of fun, friendship, and life-changing moments.

It was a fitting and well-deserved tribute to Wang and her legacy at Duke. Great job, Nishant and Jenn for planning this special session of Grand Rounds!

 Some Pictures from the week:

Holiday Party pics and Matt Brennan helping clean up at the THA office after a “near miss’ with some Soda.

 

 

Additional Reminders:

  • Thank you for all you do to keep everyone safe and healthy. Please remain vigilant with masking, hand hygiene, PPE, and other safe behaviors to prevent the spread of infection. Please pay special attention to the proper wearing and securing of gowns and be mindful of PPE compliance.
  • Pulse is taking a break for two weeks and will return on Jan. 8, 2023. Enjoy the holidays!

 

 

Upcoming Events & Opportunities

Cardiology Grand Rounds

Dec. 20: TTR Amyloidosis:  Recognizing that it’s Not Uncommon with Dr. Michel Khouri. Webex.

Dec. 27: No CGR this week. Happy holidays!

Jan. 10: Our guest speaker will be Dr. Larry Jackson. Zoom. 5 p.m.

CME & Other Events

Dec. 19: PDC Annual Member Meeting. 5:30-6:30 p.m. Zoom.

The meeting will be recorded and posted the following day. Submit questions to: PDC-President@dm.duke.edu. Agenda items will include:

  • Financial Year In Review
  • Review of Retirement Portfolio Performance from CAPTRUST
  • The Path Forward for 2023: Duke Health Integrated Practice
  • Anticipated Member Asset Distribution Plan

 

February is Heart Month

Feb. 3: National Wear Red Day. We encourage everyone to wear red on Friday, Feb. 3 to show our support for heart health overall, but especially to support women and cardiovascular disease awareness.

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. Submissions by Noon, Wednesdays, to be considered for weekend inclusion.

 

Duke Heart in the News:

December 6 — Nishant Shah

Healio/Cardiology

Bromocriptine appears to drop BP, improve arterial stiffness in teens with type 1 diabetes

https://duke.is/zrkjq

December 12 — Duke Health/Duke Heart

Becker’s Hospital Review

28 moves from top US heart centers in 2022

https://duke.is/8gk7k

December 13 — Christopher O’Connor

Medpage Today

Omecamtiv Mecarbil Not Ready for Prime Time, FDA Advisors Say

https://duke.is/gqd2m

December 14 — Joseph Turek & the Sinnamon family

WAFB-BTR (CBS News 9/Baton Rouge, LA)

Heart transplant makes medical history

(*clip begins @ 05:49:43)

https://duke.is/23j6e

December 14 — Pamela Douglas

tctMD

Bullying in Cardiology: Has More Diversity Led to Backlash?

https://duke.is/v8dwu

 

Division of Cardiology Publications Indexed in PubMed December 8-13, 2022

Abtan J, Bhatt DL, Elbez Y, Ducrocq G, Goto S, Smith SC, Ohman EM, Eagle KA, Fox K, Harrington RA, Leiter LA, Mehta SR, Simon T, Petrov I, Sinnaeve PR, Pais P, Lev E, Bueno H, Wilson P, Steg PG. External applicability of the Effect of ticagrelor on Health Outcomes in diabEtes Mellitus patients Intervention Study (THEMIS) trial: An analysis of patients with diabetes and coronary artery disease in the REduction of Atherothrombosis for Continued Health (REACH) registry. Int J Cardiol 2023 Jan 1;370:51-57. PM: 36270493.

Butler J, Usman MS, Anstrom KJ, Blaustein RO, Bonaca MP, Ezekowitz JA, Freitas C, Lam CSP, Lewis EF, Lindenfeld J, McMullan CJ, Mentz RJ, O’Connor C, Rosano GMC, Saldarriaga CI, Senni M, Udelson J, Voors AA, Zannad F. Soluble guanylate cyclase stimulators in patients with heart failure with reduced ejection fraction across the risk spectrum. Eur J Heart Fail 2022 Nov;24(11):2029-2036. PM: 36250238.

Chunawala ZS, Qamar A, Arora S, Pandey A, Fudim M, Vaduganathan M, Mentz RJ, Bhatt DL, Caughey MC. Prognostic significance of obstructive coronary artery disease in patients admitted with acute decompensated heart failure: the ARIC study community surveillance. Eur J Heart Fail 2022 Nov;24(11):2140-2149. PM: 35851711.

Friedman DJ, Pierre D, Wang Y, Gambone L, Koutras C, Segawa C, Farb A, Vemulapalli S, Varosy PD, Masoudi FA, Lansky A, Curtis JP, Freeman JV. Development and validation of an automated algorithm for end point adjudication for a large U.S. national registry. Am Heart J 2022 Dec;254:102-111. PM: 36007567.

Greene SJ, Goto D, Wang D, Hilkert R, Lautsch D, Fonarow GC. Outpatient versus inpatient intravenous diuretic therapy for heart failure in the United States. Eur J Heart Fail 2022 Nov;24(11):2199-2202. PM: 36334074.

Kaolawanich Y, Azevedo CF, Kim HW, Jenista ER, Wendell DC, Chen EL, Parker MA, Judd RM, Kim RJ. Native T1 Mapping for the Diagnosis of Myocardial Fibrosis in Patients With Chronic Myocardial Infarction. JACC Cardiovasc Imaging 2022Dec;15(12):2069-2079. PM: 36481075.

Kapur NK, Kim RJ, Moses JW, Stone GW, Udelson JE, Ben-Yehuda O, Redfors B, Issever MO, Josephy N, Polak SJ, O’Neill WW. Primary left ventricular unloading with delayed reperfusion in patients with anterior ST-elevation myocardial infarction: Rationale and design of the STEMI-DTU randomized pivotal trial. Am Heart J 2022 Dec;254:122-132. PM: 36058253.

Kester KM, Hatton J, Kelly J, Carroll M, Lindsay M, Jordan N, Fuchs MA, Patel MR, Engel J, Granger B. Moving nursing innovation to prime time through the use of creative partnerships. Nurs Outlook 2022 ;70(6):820-826. PM: 36154773.

Longo de Oliveira ALM, de Oliveira Pereira RF, Agati LB, Ribeiro CM, Kawamura Suguiura GY, Cioni CH, Bermudez M, Pirani MB, Caffaro RA, Castelli V, Resende Aguiar VC, Volpiani GG, Paschoa A, Scarlatelli Macedo AV, de Barros E Silva PGM, de Campos Guerra JC, Fareed J, Lopes RD,  Ramacciotti E. Rivaroxaban Versus Enoxaparin for Thromboprophylaxis After major Gynecological Cancer Surgery: The VALERIA Trial : Venous thromboembolism prophylxis after gynecoogical plvic cancer surgery with varoxaban versus enoxparin (VALERIA trial). Clin Appl Thromb Hemost 2022;28:10760296221132556. PM: 36474344.

Mori M, Mark DB, Khera R, Lin H, Jones P, Huang C, Lu Y, Geirsson A, Velazquez EJ, Spertus JA, Krumholz HM. Identifying quality of life outcome patterns to inform treatment choices in ischemic cardiomyopathy. Am Heart J 2022 Dec;254:12-22. PM: 35932911.

Murray EM, Greene SJ, Rao VN, Sun JL, Alhanti BA, Blumer V, Butler J, Ahmad T, Mentz RJ. Machine learning to define phenotypes and outcomes of patients hospitalized for heart failure with preserved ejection fraction: Findings from ASCEND-HF. Am Heart J 2022 Dec;254:112-121. PM: 36007566.

Nardin M, Pivato CA, Cao D, Sartori S, Zhang Z, Vogel B, Nicolas J, Chiarito M, Qiu H, Chandrasekhar J, Spirito A, Abizaid A, Christiansen EH, Colombo A, de Winter RJ, Haude M, Jakobsen L, Jensen LO, Krucoff MW, Landmesser U, Saito S, Suryapranata H, De Luca G, Dangas G, Mehran R. The mega COMBO collaboration: An individual patient data pooled analysis of patients undergoing PCI with COMBO stent. Int J Cardiol 2023 Jan 1;370:149-155. PM: 36270496.

Nelson AJ, Inohara T, Rao SV, Kaltenbach LA, Wojdyla D, Wang TY. Comparing the Classification of Percutaneous Coronary Interventions Using the 2012 and 2017 Appropriate Use Criteria: Insights From 245,196 Patients in the NCDR CathPCI Registry. Am Heart J 2023 Jan;255:117-124. PM: 36220357.

Rosario KF, Brezitski K, Arps K, Milne M, Doss J, Karra R. Cardiac Sarcoidosis: Current Approaches to Diagnosis and Management. Curr Allergy Asthma Rep 2022 Dec;22(12):171-182. PM: 36308680.

Rymer JA, Kirtane AJ, Farb A, Malone M, Jaff MR, Seward K, Stephens D, Barakat MK, Krucoff MW. One-Year Follow-Up of Vascular Intervention Trials Disrupted by the COVID-19 Pandemic: A Use-Case landscape. Cardiovasc Revasc Med 2022 Dec;45:67-73. PM: 35953406.

Schwartz FR, Daubert MA, Molvin L, Ramirez-Giraldo JC, Samei E, Marin D, Tailor TD. Coronary Artery Calcium Evaluation Using New Generation Photon-counting Computed Tomography Yields Lower Radiation Dose Compared With Standard Computed Tomography. J Thorac Imaging 2023 Jan 1;38(1):44-45. PM: 36490311.

 

 

 

Duke Heart Pulse – December 11th 2022

Highlights of the week:

Gutierrez Named Durham VA Cath Lab Director

Antonio Gutierrez, MD, has been named Cardiac Catheterization Lab Director at the Durham Veterans Affairs Medical Center (VAMC). The position was effective as of Dec. 1.

Antonio Gutierrez

Gutierrez is a nationally-recognized academic interventional cardiologist specializing in the management of coronary and peripheral arterial disease. He is the recipient of a highly prestigious VA Career Development Award, which provides five years of protected federal research funding and support. During this time, Gutierrez is focusing on the development and implementation of a virtual, home-based, supervised exercise therapy program for Veterans with peripheral arterial disease.

Gutierrez currently serves on the editorial board of Circulation: Cardiovascular Interventions. He has consistently shown excellent leadership skills, having previously served as a Duke Chief Resident, received the 2018 CRT Young Leadership Award, and participated in the 2021 ACC Emerging Faculty Leadership Academy.

He completed internship and residency training at Duke; cardiology and vascular medicine fellowships at Brigham & Women’s Hospital, and interventional fellowship at Duke prior to joining the Duke and Durham VA faculty in 2017. Gutierrez is taking over this role from Rajesh Swaminathan, MD, who will now focus on leadership responsibilities as Section Chief and with Regional VISN-6, the VA Mid-Atlantic Health Care Network.

In this new role, Dr. Gutierrez will build on VAMC Cath lab innovation, focus on Cath lab staff education, and continue to expand the robust site-based research program.

Congratulations, Tony!

 

This week: CGR Celebrates Tracy Wang, MD

Be sure to join us on Tuesday evening, Dec. 13 at 5 p.m. via Webex. We’ll celebrate Tracy Wang, MD, who is now serving as Chief of Comparative Effectiveness Research at the Patient Centered Outcomes Research Institute (PCORI).

Tracy Yu-Ping Wang

Shout-out to 7W, 6E Team Members

A big shout-out this week to members of our Duke Heart team. We received the following message from Lisa Clark Pickett, Chief Medical Officer, Duke University Hospital, in follow-up to a patient compliment.

“Greetings, Heart Team!

We received this glowing compliment about the Heart Team and our awesome (general surgery) resident, Holly Lewis! Thank you all for your commitment to excellence, compassion, and efficiency! I was so impressed! I hope that you will share this, personally, with the heart nurses, as I do not have their last names listed to allow me to thank them in this email!

You are all living out Duke Values so visibly, and for that I am most thankful.

Best wishes to you all for a lovely holiday season.” –Lisa

“Excellent care from admission to discharge. Everyone was courteous and professional, from admitting, Pre-op, OR, ICU, nursing, and the physicians. In 7 West, Darby and Gil, and on 6 East, Brooke, Leah, Marjorie, Amanda, Scott, Taylor Q, Demetria were all fantastic. Extra special thanks to Nurses David and Lena who took care of me for 3 days! They were incredible and I really appreciated how comfortable they made my stay. Also want to thank Dr. Holly Lewis for expediting my discharge. She personally walked me down to X-ray twice to help get my chest tube out ASAP!” — a grateful patient (name withheld for privacy)

“Outstanding, team! Thanks so much!”Chantal Howard, Chief Nursing & Patient Care Services Officer, Duke University Hospital

You all continue to make a great impression on our patients — keep up the excellent work!

 

Ulrich Departing DUHS at Year End

The upcoming departure of Kate Ulrich was shared earlier this week in a Leadership Update. The announcement was made by Mary Ann Fuchs, Vice President of Patient Care and System Chief Nurse Executive and Clif Flintom, Service Line Vice President of Perioperative Services for Duke University Health System

“Dear Colleagues,

With mixed feelings, we announce that Kate Ulrich, MS, BSN, RN, NEA-BC, is leaving her position as assistant vice president of Perioperative Nursing at DUHS to take a leadership role at Tampa General Hospital in Tampa, Florida. In her new role, Kate will serve as senior vice president of perioperative services at Tampa General Hospital, a 1,040-bed hospital and one of the largest hospitals in Florida.

Kate has been at DUHS since 2011 and has held positions with increasing levels of responsibility, including her current role as the first AVP for DUHS Perioperative Nursing. Kate is proud of being a strong advocate of the nursing profession and advancing nursing practice across perioperative services. Her advocacy for nursing has influenced perioperative practice standards across DUHS, improving the quality and safety of patient care.

She begins her new position in mid-January and will remain at DUHS until Dec. 31. Tara Walczak-Daege, DNP, RN, NE-BC, CNOR, associate chief nursing officer, Duke Raleigh Hospital, will cover Kate’s role until a permanent replacement is found.

Kate is known as an advocate for patients and leaves behind a legacy of always putting the patient first. She and her team of more than 700 staff provided clinical and administrative operations that supported over 79,000 surgeries and procedures in the most recently completed fiscal year across DUHS’s surgical platforms, ambulatory surgery centers and peri-anesthesia care units.

Kate has been a tremendous leader as Perioperative Services has transformed from a single-entity service line to a health system service line encompassing acute care and ambulatory surgery platforms across multiple campuses. We are grateful for the many contributions she has made to DUHS nursing and Perioperative Services.

Please join us in congratulating Kate on this exciting new phase of her career and thank her for all she has done to serve our patients and teams.”

Kate has been an important partner to the Duke Heart team – especially our surgical teams– and a wonderful colleague. We wish her all the best!

 

Reminder: ORA Holiday Deadlines

The Office of Research Administration (ORA) will operate with a reduced staff during the holiday season to allow team members time to recharge.  To help ORA respond as timely as possible to your needs, please plan in advance based on the following:

Last two weeks of December

For any transactions with due dates between December 19 – January 2, please have submitted in ready-form to ORA by Thursday, December 15 to ensure there is adequate time and staffing to respond to your needs.

Please note: the next NIH SBIR/STTR deadline is Jan. 5, 2023, and the internal deadline is 8 a.m. on Dec. 28, 2022. Because this deadline falls in the last two weeks in December when ORA will be operating with reduced staff and because these award mechanisms are usually complex and require careful institutional coordination before submission:

  1. Please complete Intent to Submit for all planned SBIR/STTR applications no later than Dec. 5, 2022; and
  2. Please plan to route a submission-ready application no later than Dec. 15, 2022; if more time is needed, please submit a late waiver request so that ORA can plan for appropriate coverage to support these applications.

For anything submitted in the last two weeks of December that can wait until after the holiday break, ORA will be back up to speed with a full team on Jan. 3, 2023 and will look forward to managing all pending issues at that time.

 

Additional Reminders:

  • We’re seeing improvements with PPE throughout DUH – great job! It is vital that we all remain vigilant with masking, hand hygiene, PPE, and other safe behaviors to prevent the spread of infection. Please pay special attention to the proper wearing and securing of gowns and be mindful of PPE compliance. Thank you for all you do to keep everyone safe and healthy.
  • Next week will be our final Pulse of 2022! We’ll break for two weeks and return on Jan. 8, 2023!

 

Upcoming Events & Opportunities

Cardiology Grand Rounds

Dec. 13: Celebration for Dr. Tracy Wang. 5 p.m. Webex.

Dec. 20: Our featured speaker will be Dr. Michel Khouri. Webex.

Dec. 27: No CGR this week.

CME & Other Events

Dec. 19: PDC Annual Member Meeting. 5:30-6:30 p.m. Zoom.

The meeting will be recorded and posted the following day. Submit questions to: PDC-President@dm.duke.edu. Agenda items will include:

  • Financial Year In Review
  • Review of Retirement Portfolio Performance from CAPTRUST
  • The Path Forward for 2023: Duke Health Integrated Practice
  • Anticipated Member Asset Distribution Plan

Call for abstracts: 2023 Duke Health Quality and Safety Conference

The virtual poster submission period for the 2023 Duke Health Quality and Safety Conference is now open. The deadline for submission is Wednesday, Dec. 14. The 2023 Conference will be held the weeks of March 13 and 20, with an in-person event on Thursday, March 23.

For more information and to submit your abstract, please click here.

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. Submissions by Noon, Wednesdays, to be considered for weekend inclusion.

 

Duke Heart in the News:

November 27 — Soderblom family

Monroe (NC) Enquirer Journal

Monroe ‘miracle’ baby receives rare partial heart transplant

https://duke.is/9wkrp

December 5 — Amy Berkman (pediatrics)

Health Thoroughfare

Young Cancer Survivors See Higher Risk of Cardiovascular Disease

https://duke.is/vr9vt

December 5 — Amy Berkman

Medicalxpress.com

Young cancer survivors face elevated risk of developing cardiovascular disease, but factors that may impact this risk

https://duke.is/zb6bn

December 5 — Amy Berkman

HealthDay

CVD Risk Increased for Adolescent, Young Adult Cancer Survivors

https://duke.is/8fvqb

December 7 — Duke Health

Becker’s Hospital Review

42 cardiology firsts in 2022 (see 14, 36)

https://duke.is/4y84j

December 8 — Pamela Douglas

Fox News

Bullies in white coats? ‘Too many’ health care workers experience toxic workplaces, studies show

https://duke.is/nu9sq

December 8 — Richard Krasuski

ABC News

Doctors should ask heart patients if they take supplements to manage heart failure

https://duke.is/bf6ar

December 8 — Pamela Douglas

New York Post

Health care workers treating each other ‘disrespectfully’ on the rise

https://duke.is/2jkfn

December 8 — Stephen Greene

tctMD

Sequencing HF Meds? Most Doctors Stick to Old Habits, Survey Says

https://duke.is/g4wq8

December 8 — Manesh Patel

Medpage Today

TAVR at 20: How Much Longer Will Medicare Mandate a Registry?

https://duke.is/vsdwc

Duke Heart Pulse – December 4th 2022

Chief’s message: Welcome to our New Cardiology Fellows and Ongoing Work to do around Heart Disease.

As we approach the final month of the year, this week we were excited to welcome our next fellowship class to Duke.  These are the next generation of leaders that will help us continue to discover and deliver heart health.  We were also excited to have some end of year meetings with the CVCT (CardioVascular Clinical Trials) conference with several Duke Faculty and Fellows presenting.  Lots more work to do to ensure our evidence generation system improves to include more patients, work faster to get answer to patients and groups that need it the most.  It was again great to see some rising stars around the country in clinical research and heart from leaders like Dr. Califf from the FDA.

We also have had the start of the BacktoHeart22 Cardiology conference which is a Hybrid Medscape conference (in-person and Virtual) summarizing the years lessons in CV medicine.  This conference led by Bob Harrington and Fatima Rodriquez from Stanford and feature several interactive sessions.  The conference started this AM with a powerful survivor story from Bob Harper (Fitness Expert and Host of the Biggest Loser) who shared his near fatal Acute Heart Attack story.  He shared that bystander CPR and cardiac rehab after angioplasty and stent for his AMI saved his life.  He also shared the work he is doing to increase awareness around Lp(a) levels.

So through all our challenges and work to ensure access to healthcare, as the year comes to an end we are reminded about the significant work we still have to do to bend the curve on cardiovascular death and disability around the world and in our local communities.

Highlights of the week:

Incoming Cardiology Fellows Announced

We are excited to share with you the new members of our cardiology fellowship class starting in July, 2023. They are:

Jawan Abdulrahim     

Residency: Duke

Medical School: UAB

Aubrie Carroll

Residency: Duke

Medical School: University of Virginia

Jonathan Hanna

Residency: Yale

Medical School: Yale

Seamus Hughes

Residency: UTSW

Medical School:

John Hopkins

Damarcus Ingram

Residency: Duke

Medical School: Drexel

Ivan Nenadic Wood

Residency: Michigan

Medical School: Mayo

Josh Rushakoff

Residency: Cedars Sinai

Medical School: UC San Francisco

Husam Salah

Residency: Arkansas

Medical School: Jordan University

Aarti Thakkar

Residency: John Hopkins

Medical School: Duke

Eric Xie

Residency: Johns Hopkins

Medical School: John Hopkins

Anna Lisa Chamis would like to especially thank Manesh Patel, Camille Frazier Mills, Neha Pagidipati, Chris Holley, Rob Mentz and Chris Wrobel along with the fellowship recruitment committee, faculty interviewers and all the fellows for their time and efforts to recruit this amazing incoming class. In addition, Anna Lisa would like to thank Kayla Humphreys and Brianna Small for effectively and efficiently managing the administrative aspect of this virtual recruitment season.

We look forward to welcoming this outstanding team of fellows in July. Great job, everyone!

 

Shout-out: Outstanding Week for Duke EP Team

A big shout-out this week to Duke’s EP team. Way to go!

“I just wanted to recognize everyone on the invasive labs team (including Cath & CVSSU) for orchestrating the most number of cases completed in a single day ever by the DUH EP Lab!  Thank you for the Herculean effort by our incredible team,” Shawn Johnson, Assistant Nurse Manager, Adult Electrophysiology Lab.

On Dec. 1, the team completed 17 cases, including four Outpatient Tilt, seven Outpatient Devices, four Outpatient Ablations, one Inpatient Device, and 1 Inpatient Ablation.

“Sometimes we do special things and they go unnoticed. This should not. While the number of cases itself is not necessarily important, the cooperation, collaboration, and commitment required of the whole team to accomplish this milestone is truly impressive,” said Jonathan Piccini, MD, director of Cardiac Electrophysiology. “Thank you for your leadership and thanks to every member of the team that enabled this to happen – particularly on a day in which we were understaffed and short-handed. Our patients get the best because we have the best team.”

“Dr. Piccini said it so well. Kudos and thanks to the EP team for their tremendous dedication and talent, added Jill Engel, DNP, Service Line Vice President for Duke Heart. “We appreciate everything you do and are fortunate to have each of you on team Duke Heart!”

 

Scientific Sessions Twitter Space Link Now Available

As we mentioned previously in Pulse, Manesh Patel and Kelly Arps were the featured guests in a Twitter Space held Tuesday, Nov. 8 on Twitter. Patel and Arps did a recap of some of the most notable findings presented at Scientific Sessions. That link was made available to us this week. To check it out, please visit: https://duke.is/jq953.

 

Pickett Leaving as DUH CMO; Becoming Hospice & Palliative Care Fellow

Earlier this week we learned that Duke University Hospital Chief Medical Officer Lisa Pickett, MD will leave her role in 2023. She has been accepted into the Duke Hospice and Palliative Care Fellowship program. The announcement was made earlier this week by Tom Owens and Mary Martin:

It is with mixed emotions that we share the news that Dr. Lisa Pickett, FACS, has been accepted into the Duke Hospice and Palliative Care Fellowship program, beginning in July 2023. In pursuit of this next phase of her career, Lisa will step back from her current role as Chief Medical Officer for Duke University Hospital. The transition will take place in Spring 2023, and we will share more details as they are confirmed.

So many of us at Duke University Hospital, and across the entire Duke community, have been touched by Lisa’s compassionate care and servant leadership. As the hospital’s first female Chief Medical Officer, Lisa has shaped the role of hospital physicians at Duke and has supported our teams through more than ten years of transformational change.

As a member of the DUH Senior Leadership team, Lisa has helped develop the Health System Disruptive Patient and Visitor Policy, coordinated patient moves for both DMP and DCT, and worked to create an environment of gratitude and appreciation among our teams.

Throughout her career, Lisa’s passion for caring for our patients and families during their most difficult care journeys has always been evident. This will serve her very well in this next professional opportunity.

Lisa will join the Palliative Care Fellow class in July and so will continue her time with our Duke family. For those who may not know, Lisa began her career at Duke as an Intern and then a Resident in General Surgery in 1994. She subsequently completed a Fellowship in Critical Care and joined our faculty where she currently serves as Assistant Professor of Surgery and Critical Care.

Lisa also worked at Duke Regional Hospital, where she helped build a general surgery program and a 24/7 Critical Care service. She served as Chief Medical Officer at DRH for three years before beginning her current role as Duke University Hospital Chief Medical Officer in 2012.

We will share our plans for identifying our next Chief Medical Officer in the coming weeks. For now, please join us as we congratulate Lisa on this exciting new phase of her career and thank her for all she has done as a leader in our hospital and throughout the Duke community. Thank you, Lisa!

 

Reminder: ORA Holiday Deadlines

The Office of Research Administration (ORA) will operate with a reduced staff during the holiday season to allow team members time to recharge.  To help ORA respond as timely as possible to your needs, please plan in advance based on the following:

Last two weeks of December

For any transactions with due dates between December 19 – January 2, please have submitted in ready-form to ORA by Thursday, December 15 to ensure there is adequate time and staffing to respond to your needs.

Please note: the next NIH SBIR/STTR deadline is Jan. 5, 2023, and the internal deadline is 8 a.m. on Dec. 28, 2022. Because this deadline falls in the last two weeks in December when ORA will be operating with reduced staff and because these award mechanisms are usually complex and require careful institutional coordination before submission:

  1. Please complete Intent to Submit for all planned SBIR/STTR applications no later than Dec. 5, 2022; and
  2. Please plan to route a submission-ready application no later than Dec. 15, 2022; if more time is needed, please submit a late waiver request so that ORA can plan for appropriate coverage to support these applications.

For anything submitted in the last two weeks of December that can wait until after the holiday break, ORA will be back up to speed with a full team on Jan. 3, 2023 and will look forward to managing all pending issues at that time.

 

Additional Reminders:

  • We’re seeing improvements with PPE throughout DUH – great job! It is vital that we all remain vigilant with masking, hand hygiene, PPE, and other safe behaviors to prevent the spread of infection. Please pay special attention to the proper wearing and securing of gowns and be mindful of PPE compliance. Thank you for all you do to keep everyone safe and healthy.

Upcoming Events & Opportunities

Cardiology Grand Rounds

Dec. 6: No CGR this week.

Dec. 13: Celebration for Dr. Tracy Wang. 5 p.m. Webex.

Dec. 20: Our featured speaker will be Dr. Michel Khouri. Webex.

Dec. 27: No CGR this week.

CME & Other Events

Dec. 19: PDC Annual Member Meeting. 5:30-6:30 p.m. Zoom.

The meeting will be recorded and posted the following day. Submit questions to: PDC-President@dm.duke.edu. Agenda items will include:

  • Financial Year In Review
  • Review of Retirement Portfolio Performance from CAPTRUST
  • The Path Forward for 2023: Duke Health Integrated Practice
  • Anticipated Member Asset Distribution Plan

 

Call for abstracts: 2023 Duke Health Quality and Safety Conference

The virtual poster submission period for the 2023 Duke Health Quality and Safety Conference is now open. The deadline for submission is Wednesday, Dec. 14. The 2023 Conference will be held the weeks of March 13 and 20, with an in-person event on Thursday, March 23.

For more information and to submit your abstract, please click here.

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. Submissions by Noon, Wednesdays, to be considered for weekend inclusion.

Duke Heart in the News:

November 23 — Pamela Douglas

Healio

Health care industry struggles to keep pace with ‘tectonic shift’ in paid family leave

https://duke.is/najvu

November 23 — Ravi Karra and Navid Nafissi

Medscape

Test for ‘Concealed Cardiomyopathy’ After Sudden Unexplained Death

https://duke.is/btdbj

November 29 — Wayne Feng (neurology/Duke Stroke Center)

Neurology Live

Expanding the Capabilities of Treating Neuromuscular Poststroke Symptoms: Wayne Feng, MD, FAHA

https://duke.is/4rktq

Division of Cardiology Publications Indexed in PubMed November 19-30, 2022

Berwanger O, Pfeffer M, Claggett B, Jering KS, Maggioni AP, Steg PG, Mehran R, Lewis EF, Zhou Y, van der Meer P, De Pasquale C, Merkely B, Filippatos G, McMurray JJV, Granger CB, Solomon SD, Braunwald E. Sacubitril/valsartan versus ramipril for patients with acute myocardial infarction: win-ratio analysis of the PARADISE-MI trial. Eur J Heart Fail 2022 Oct;24(10):1918-1927. PM: 36054480.

Bonafiglia JT, Swinton PA, Ross R, Johannsen NM, Martin CK, Church TS, Slentz CA, Ross LM, Kraus WE, Walsh JJ, Kenny GP, Goldfield GS, Prud’homme D, Sigal RJ, Earnest CP, Gurd BJ. Interindividual Differences in Trainability and Moderators of Cardiorespiratory Fitness, Waist Circumference, and Body Mass Responses: A Large-Scale Individual Participant Data Meta-analysis. Sports Med 2022 Dec;52(12):2837-2851. PM: 35781787.

Brown LC, Halabi S, Somarelli JA, Humeniuk M, Wu Y, Oyekunle T, Howard L, Huang J, Anand M, Davies C, Patel P, Staats J, Weinhold KJ, Harrison MR, Zhang T, George DJ, Armstrong AJ. A phase 2 trial of avelumab in men with aggressive- variant or neuroendocrine prostate cancer. Prostate Cancer Prostatic Dis 2022 Apr;25(4):762-769. PM: 35292724.

Capodanno D, Baber U, Bhatt DL, Collet JP, Dangas G, Franchi F, Gibson CM, Gwon HC, Kastrati A, Kimura T, Lemos PA, Lopes RD, Mehran R, O’Donoghue ML, Rao SV, Rollini F, Serruys PW, Steg PG, Storey RF, Valgimigli M, Vranckx P, Watanabe H, Windecker S, Angiolillo DJ. P2Y inhibitor monotherapy in patients undergoing percutaneous coronary intervention. Nat Rev Cardiol 2022 Dec;19(12):829-844. PM: 35697777.

Chanfreau-Coffinier C, Tuteja S, Hull LE, MacDonald S, Efimova O, Bates J, Voora D, Oslin DW, DuVall SL, Lynch JA. Drug-drug-gene interaction risk among opioid users in the U.S. Department of Veterans Affairs. Pain 2022 Dec 1;163(12):2390-2397. PM: 35319502.

Doberne JW, Maisonave Y, DeVore A, Guinn N, Schroder JN. Bloodless HeartMate 3 explantation and orthotopic heart transplant in a heart failure patient refusing blood products. J Heart Lung Transplant 2022 Dec;41(12):1859-1860. PM: 36115786.

Fiorino C, Liu Y, Henao R, Ko ER, Burke TW, Ginsburg GS, McClain MT, Woods CW, Tsalik EL. Host Gene Expression to Predict Sepsis Progression. Crit Care Med 2022 Dec 1;50(12):1748-1756. PM: 36178298.

Greene SJ, Fonarow GC, Butler J. Sodium-glucose cotransporter 2 inhibitors for heart failure with mildly reduced or preserved ejection fraction: time to deliver implementation. Eur J Heart Fail 2022 Oct;24(10):1902-1905. PM: 36097872.

Inzucchi SE, Claggett BL, Vaduganathan M, Desai AS, Jhund PS, de Boer RA, Hernandez AF, Kosiborod MN, Lam CSP, Martinez F, Shah SJ, Verma S, Han Y, Kerr Saraiva JF, Bengtsson O, Petersson M, Langkilde AM, McMurray JJV, Solomon SD. Efficacy and safety of dapagliflozin in patients with heart failure with mildly reduced or preserved ejection fraction by baseline glycaemic status (DELIVER): a subgroup analysis from an international, multicentre, double-blind, randomised, placebo-controlled trial. Lancet Diabetes Endocrinol 2022 Dec;10(12):869-881. PM: 36372069.

Januzzi JL, Omar AMS, Liu Y, Murphy S, Butler J, Felker GM, Piña IL, Ward J, Solomon S, Contreras J. Association Between Sacubitril/Valsartan Initiation and Mitral Regurgitation Severity in Heart Failure With Reduced Ejection Fraction: The PROVE-HF Study. Circulation 2022 Nov 22;146(21):1638-1640. PM: 36183276.

Jollis JG, Granger CB, Zègre-Hemsey JK, Henry TD, Goyal A, Tamis-Holland JE, Roettig ML, Ali MJ, French WJ, Poudel R, Zhao J, Stone RH, Jacobs AK. Treatment Time and In-Hospital Mortality Among Patients With ST-Segment Elevation Myocardial Infarction, 2018-2021. JAMA 2022 Nov 22;328(20):2033-2040. PM: 36335474.

Karády J, Ferencik M, Mayrhofer T, Meyersohn NM, Bittner DO, Staziaki PV, Szilveszter B, Hallett TR, Lu MT, Puchner SB, Simon TG, Foldyna B, Ginsburg GS, McGarrah RW, Voora D, Shah SH, Douglas PS, Hoffmann U, Corey KE. Risk factors for cardiovascular disease among individuals with hepatic steatosis. Hepatol Commun 2022 Dec;6(12):3406-3420. PM: 36281983.

Karra R, Nafissi NA. Expanding the Molecular Autopsy to Uncover Occult Cardiomyopathy: Concealed to Revealed. J Am Coll Cardiol 2022 Nov 29;80(22):2069-2071. PM: 36423991.

Kern MJ, Cox D, Fearon W, Johnson N, Klein L, Krucoff M, Moses J, Naidu SS, Pinto D, Ramee S, Teirstein P, Yeung A. Is FFR dead? A conversation in cardiology. Catheter Cardiovasc Interv 2022Nov;100(6):1045-1050. PM: 36273434.

Liang J, Wang H, Cade BE, Kurniansyah N, He KY, Lee J, Sands SA, A Brody J, Chen H, Gottlieb DJ, Evans DS, Guo X, Gharib SA, Hale L, Hillman DR, Lutsey PL, Mukherjee S, Ochs-Balcom HM, Palmer LJ, Purcell S, Saxena R, Patel SR, Stone KL, Tranah GJ, Boerwinkle E, Lin X, Liu Y, et al. Targeted Genome Sequencing Identifies Multiple Rare Variants in Caveolin-1 Associated with Obstructive Sleep Apnea. Am J Respir Crit Care Med 2022 Nov15;206(10):1271-1280. PM: 35822943.

Long C, Tcheng JE, Marinac-Dabic D, Iorga A, Krucoff M, Fisher D. Developing minimum core data structure for the obesity devices Coordinated Registry Network (CRN). BMJ Surg Interv Health Technol 2022 Nov11;4(Suppl 1):e000118. PM: 36393892.

Navar AM, Fine LJ, Ambrosius WT, Brown A, Douglas PS, Johnson K, Khera AV, Lloyd-Jones D, Michos ED, Mujahid M, Muñoz D, Nasir K, Redmond N, Ridker PM, Robinson J, Schopfer D, Tate DF, Lewis CE. Earlier treatment in adults with high lifetime risk of cardiovascular diseases: What prevention trials are feasible and could change clinical practice? Report of a National Heart, Lung, and Blood Institute (NHLBI) Workshop. Am J Prev Cardiol 2022 Nov 13;12:100430. PM: 36439649.

Navar AM, Kolkailah AA, Overton R, Shah NP, Rousseau JF, Flaker GC, Pignone MP, Peterson ED. Trends in Oral Anticoagulant Use Among 436 864 Patients With Atrial Fibrillation in Community Practice, 2011 to 2020. J Am Heart Assoc 2022 Nov15;11(22):e026723. PM: 36346063.

Orvin NJ, Beavers JC, Russell SD. Acute Diuretic-Sparing Effects of Sacubitril-Valsartan: Staying in the Loop. J Pharm Pract 2022 Dec;35(6):859-863. PM: 33882753.

Ostrominski JW, Vaduganathan M, Claggett BL, de Boer RA, Desai AS, Dobreanu D, Hernandez AF, Inzucchi SE, Jhund PS, Kosiborod M, Lam CSP, Langkilde AM, Lindholm D, Martinez FA, O’Meara E, Petersson M, Shah SJ, Thierer J, McMurray JJV, Solomon SD. Dapagliflozin and New York Heart Association functional class in heart failure with mildly reduced or preserved ejection fraction: the DELIVER trial. Eur J Heart Fail 2022 Oct;24(10):1892-1901. PM: 36054231.

Patel D, Vatterott P, Piccini J, Epstein LM, Hakmi S, Syed I, Koweek LM, Bolen M, Schoenhagen P, Tarakji KG, Francis N, Shao M, Wilkoff BL. Prospective Evaluation of the Correlation Between Gated Cardiac Computed Tomography Detected Vascular Fibrosis and Ease of Transvenous Lead Extraction. Circ Arrhythm Electrophysiol 2022Nov;15(11):e010779. PM: 36306341.

Prabhakaran D, Singh K, Kondal D, Raspail L, Mohan B, Kato T, Sarrafzadegan N, Talukder SH, Akter S, Amin MR, Goma F, Gomez-Mesa J, Ntusi N, Inofomoh F, Deora S, Philippov E, Svarovskaya A, Konradi A, Puentes A, Ogah OS, Stanetic B, Issa A, Thienemann F, Juzar D, Zaidel E, et al. Correction: Cardiovascular Risk Factors and Clinical Outcomes among Patients Hospitalized with COVID-19: Findings from the World Heart Federation COVID-19 Study. Glob Heart 2022 Oct 31;17(1):79. PM: 36382154.

Rao VN, Mentz RJ, Coniglio AC, Kelsey MD, Fudim M, Fonarow GC, Matsouaka RA, DeVore AD, Caughey MC. Neighborhood Socioeconomic Disadvantage and Hospitalized Heart Failure Outcomes in the American Heart Association Get With The Guidelines-Heart Failure Registry. Circ Heart Fail 2022 Nov;15(11):e009353. PM: 36378758.

Regan JA, Truby LK, Tahir UA, Katz DH, Nguyen M, Kwee LC, Deng S, Wilson JG, Mentz RJ, Kraus WE, Hernandez AF, Gerszten RE, Peterson ED, Holman RR, Shah SH. Protein biomarkers of cardiac remodeling and inflammation associated with HFpEF and incident events. Sci Rep 2022 Nov 22;12(1):20072. PM: 36418363.

Reid HW, Parente V, Gupta MD, Hantzmon S, Olsen MK, Yang H, Jackson LR, Johnson KS, Pollak KI. Examining the relationship between clinician communication and patient participatory behaviors in cardiology encounters. Patient Educ Couns 2022 Dec;105(12):3473- 3478. PM: 36137906.

Scherba JC, Karra R, Turek JW, Bursac N. Toward improved understanding of cardiac development and congenital heart disease: The advent of cardiac organoids. J Thorac Cardiovasc Surg 2022 Dec;164(6):2013-2018. PM: 35307217.

Sedrakyan A, Marinac-Dabic D, Campbell B, Aryal S, Baird CE, Goodney P, Cronenwett JL, Beck AW, Paxton EW, Hu J, Brindis R, Baskin K, Cowley T, Levy J, Liebeskind DS, Poulose BK, Rardin CR, Resnic FS, Tcheng J, Fisher B, Viviano C, Devlin V, Sheldon M, Eldrup-Jorgensen J, et al. Advancing the Real-World Evidence for Medical Devices through Coordinated Registry Networks. BMJ Surg Interv Health Technol 2022 Nov 11;4(Suppl 1):e000123. PM: 36393894.

Selvaraj S, Seidelmann SB, Soni M, Bhattaru A, Margulies KB, Shah SH, Dugyala S, Qian C, Pryma DA, Arany Z, Kelly DP, Chirinos JA, Bravo PE. Comprehensive nutrient consumption estimation and metabolic profiling during ketogenic diet and relationship with myocardial glucose uptake on FDG-PET. Eur Heart J Cardiovasc Imaging 2022 Nov17;23(12):1690-1697. PM: 35366303.

Simard T, Vemulapalli S, Jung RG, Vekstein A, Stebbins A, Holmes DR, Czarnecki A, Hibbert B, Alkhouli M. Transcatheter Edge-to-Edge Mitral Valve Repair in Patients With Severe Mitral Regurgitation and Cardiogenic Shock. J Am Coll Cardiol 2022 Nov 29;80(22):2072- 2084. PM: 36126766.

Toro C, Ohnuma T, Komisarow J, Vavilala MS, Laskowitz DT, James ML, Mathew JP, Hernandez AF, Goldstein BA, Sampson JH, Krishnamoorthy V. Early Vasopressor Utilization Strategies and Outcomes in Critically Ill Patients With Severe Traumatic Brain Injury. Anesth Analg 2022 Dec 1;135(6):1245-1252. PM: 35203085.

Winther S, Schmidt SE, Foldyna B, Mayrhofer T, Rasmussen LD, Dahl JN, Hoffmann U, Douglas PS, Knuuti J, Bøttcher M. Coronary Calcium Scoring Improves Risk Prediction in Patients With Suspected Obstructive Coronary Artery Disease. J Am Coll Cardiol 2022 Nov 22;80(21):1965- 1977. PM: 36396197.

Yamada Y, Zhang X, Henderson MET, Sagayama H, Pontzer H, Watanabe D, Yoshida T, Kimura M, Ainslie PN, Andersen LF, Anderson LJ, Arab L, Baddou I, Bedu-Addo K, Blaak EE, Blanc S, Bonomi AG, Bouten CVC, Bovet P, Buchowski MS, Butte NF, Camps SG, Close GL, Cooper JA, Cooper R, Das S. Variation in human water turnover associated with environmental and lifestyle factors. Science 2022 Nov 25;378(6622):909-915. PM: 36423296.

Duke Heart Pulse – November 27th 2022

Chief’s message:

Thanksgiving is a time where we get to spend time hopefully recharging and in the presence of friends and family contemplating the people and things we are grateful for in our lives.  It is also a time of traditions with the familiarity of food, family, and often sporting events.  This year I was again able to be a referee in the annual Thanksgiving day Turkey Bowl played between the medicine residents representing the VA Hospital and Duke Hospital  (VA Jets vs. Duke Marines).  This annual flag football game has been a tradition for nearly 50 years (Harvey Cohen – pictured helping with the Coin Toss in the Turkey Hat is checking on the actual first game (1973 or 1974).  As every year, the goal is the have a good time, avoid all injuries, and identify a winner for bragging rights over the next year.  Additionally, the game allows families in town, dogs, kids, and others to come and see our tradition. Over the last 10-15 years the game has gotten much more serious (wrist bands with plays), set plays, positions, and variety of tactics to help conduct a good game.  In 2020 it was a softball game and is now back to flag football.   Despite the world cup, Duke Basketball, NFL and College games, this is one of the more entertaining and generally close events of the Thanksgiving weekend activities.  This year it reminded me of the special place we have in Academic Medical Centers – in the ability to interact and train the next generation of leaders, residents, fellows, and junior faculty that quickly become the day to day fabric of Duke.  Many of the sideline cheering squads, referees, team coaches (Dr. G) and others have been part of or have influenced generations of residents playing in these games. The last few years of pandemic, consolidation and strains on our health systems have worked to put tremendous stress on our faculty, residents, fellows and staff.   These times of interreacting outside the hospital, getting to do things not directly related to our day to day activities serve as important moments for our teams to be together and appreciate each other.  Hopefully, we will continue to find venues for these types of activities with each other.  Oh, and as to the outcome of the game: 14-14 Tie on a last second Hail Mary touchdown from the VA to end the game as the clock ran out.

Importantly, we are also grateful during this time and the upcoming holidays for our staff and faculty/fellows/residents that help care for our patients in the hospital.  In this version of the pulse you will some photos below of our staff and others seen around town.

Highlights of the week:

Chet Patel Accepts New Role as Associate Vice Chair, Strategic Physician Relations

Congratulations to Chet Patel, MD! He will soon serve as associate vice chair for strategic physician relations for the Duke Department of Medicine. The announcement was made on Wednesday, Nov. 23 by Dr. Kathleen Cooney, chair, Department of Medicine. Her statement reads:

“Over the past five years, the Department of Medicine has been working coordinately with Duke University Health System and the PDC to extend our clinical practice into Wake County and other strategic areas. This work is very different from our usual clinical operations/quality management and requires strategic thinking as well as close collaboration with internal and external groups.  I am pleased to announce that Chet Patel, MD, our current Vice Chair of Clinical Affairs, has accepted a new leadership position within the Department of Medicine as Associate Vice Chair, Strategic Physician Relations.

Dr. Patel’s new responsibilities will include supporting the implementation of the clinical strategic plan for the Department with a focus on internal and external partnerships. He will represent the Department of Medicine in agreements with external entities by coordinating efforts with the DUHS strategic planning office. He will also focus on facilitating communication to physicians about specialty services and procedures provided at DUHS while streamlining those efforts. In this role he will report to the Vice Chair for Clinical Affairs.

Dr. Patel will transition to this new role once a new Vice Chair for Clinical Affairs has been selected. A search to fill the Vice Chair role will begin on Monday, November 21 led by David D’Alessio, MD, chief, Endocrinology, Metabolism, and Nutrition. Candidates interested in the role of Vice Chair for Clinical Affairs are asked to email a brief letter of intent and an updated CV to emelia.dunston@duke.edu by Wednesday, December 21.

View the job description, duties and responsibilities here. Additional position details will also be sent in a subsequent email message for those interested in the role.”

We are excited for you, Chet!

 

Tong, Zwischenberger Featured in WTS Oracle

Duke Heart’s Betty Tong, MD and Brittany Zwischenberger, MD are featured in the latest issue of Oracle, an annual magazine produced by Women in Thoracic Surgery. The article is about Lise Tchouta, a 4th year General Surgery resident at Columbia University Medical Center and recent recipient of the Brigid Scanlan Traveling Mentorship Award. Tchouta chose to spend four weeks at Duke under the mentorship of Tong and Zwischenberger; the article speaks to the importance of mentorship and increasing the number of women in the field.

It’s a terrific piece in a powerful edition of Oracle. Well worth the read (p. 22)!

Both Allan Kirk, MD and Edward P. Chen, MD chimed in on the piece.

“Congratulations on such a wonderful story,” said Kirk. “Thanks for projecting the progressive side of Duke CT Surgery and helping move us to a better future.”

“Great job Betty and Brittany in attracting future female CT surgeons to Duke, Chen added.”

The importance of mentors can never be overstated. Way to go!

 

Loring Awarded Pilot Study Grant

Zak Loring

Zak Loring, MD has been awarded a Durham VA Health Services Research & Development ADAPT COIN pilot study grant for his proposal Improving Disparities in Atrial Fibrillation Care Through ECG-based Machine Learning Risk Models. This is a 1-year preliminary project award worth $50,000 aimed at enhancing healthcare equity.

We also learned that Loring has passed his boards. Great news all around, Zak! Congratulations!!!

 

 

 

In Gratitude to Our Many Teams!

We hope each of you enjoyed the holiday. Thank you to all of our many team members who cared for patients on our units over the holiday weekend. We hope you’ve had some time to decompress and relax! We’ve had an amazing year of accomplishments. Thank you for all that you do.

Reminder: ORA Holiday Deadlines

The Office of Research Administration (ORA) will operate with a reduced staff during the holiday season to allow team members time to recharge.  To help ORA respond as timely as possible to your needs, please plan in advance based on the following:

Picture of the Week

Seen in the Cameron Crazie section of the Duke Basketball game

 

Last two weeks of December

For any transactions with due dates between December 19 – January 2, please have submitted in ready-form to ORA by Thursday, December 15 to ensure there is adequate time and staffing to respond to your needs.

Please note: the next NIH SBIR/STTR deadline is Jan. 5, 2023, and the internal deadline is 8 a.m. on Dec. 28, 2022. Because this deadline falls in the last two weeks in December when ORA will be operating with reduced staff and because these award mechanisms are usually complex and require careful institutional coordination before submission:

  1. Please complete Intent to Submit for all planned SBIR/STTR applications no later than Dec. 5, 2022; and
  2. Please plan to route a submission-ready application no later than Dec. 15, 2022; if more time is needed, please submit a late waiver request so that ORA can plan for appropriate coverage to support these applications.

For anything submitted in the last two weeks of December that can wait until after the holiday break, ORA will be back up to speed with a full team on Jan. 3, 2023 and will look forward to managing all pending issues at that time.

 

Additional Reminders:

  • It is vital that we all remain vigilant with masking, hand hygiene, PPE, and other safe behaviors to prevent the spread of infection. Please pay special attention to the proper wearing and securing of gowns and be mindful of PPE compliance. Thank you for all you do to keep everyone safe and healthy.

 

Upcoming Events & Opportunities

Cardiology Grand Rounds

November 29: No CGR this week.

CME & Other Events

Call for abstracts: 2023 Duke Health Quality and Safety Conference

The virtual poster submission period for the 2023 Duke Health Quality and Safety Conference is now open. The deadline for submission is Wednesday, Dec. 14. The 2023 Conference will be held the weeks of March 13 and 20, with an in-person event on Thursday, March 23.

For more information and to submit your abstract, please click here.

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. Submissions by Noon, Wednesdays, to be considered for weekend inclusion.

Duke Heart in the News:

November 8 — Pamela Douglas

Cardiovascular Business

VIDEO: PRECISE trial shows cardiac CT with FFR-CT significantly improves patient outcomes

https://duke.is/9mu94

November 9 — Manesh Patel

Everyday Health

Dietary Supplements Don’t Lower ‘Bad’ Cholesterol, Study Finds

https://duke.is/b9nq6

November 9 — W. Schuyler Jones

Medpage Today

Surgery Bests Endovascular Therapy for Most Limb-Threatening Ischemia Patients

https://duke.is/cfvgf

November 10 — Neha Pagidipati

Medscape

Remote Care May Help Curb High Blood Pressure, High Cholesterol

https://duke.is/5cnhr

November 10 — Robert Mentz

Pharmacy Pratice News

No Efficacy Difference Between 2 Common Loop Diuretics

https://duke.is/nyw3x

November 10 — Renato Lopes

Medscape

No Benefit of Rivaroxaban in COVID Outpatients: PREVENT-HD

https://duke.is/r6wzq

November 11 — Jennifer Rymer

tctMD

Cangrelor After Ticagrelor Pretreatment in ACS Might Be OK: SWAP-5

https://duke.is/8buun

November 11 — Kevin Hill (pediatric cardiology)

EMJ

Methylprednisolone in Infants Undergoing Cardiopulmonary Bypass Surgery

https://duke.is/phvjj

November 11 — Kevin Hill

tctMD

STRESS Shows ‘Borderline Results’ for Methylprednisolone in Infant Cardiac Surgery

https://duke.is/gkspc

November 11 — Neha Pagidipati

Patient Care

Fully Remote Intervention for Hypertension, Lipids Proves Feasible, Successful in Large, Diverse Health Care Network

https://duke.is/65dnu

November 14 — Jennifer Li and Kevin Hill (peds cardiology)

Diagnostic and Interventional Cardiology

Largest Randomized Trial Evaluates Steroids for Infant Heart Surgery

https://duke.is/mvvtt

November 14 — Renato Lopes

Healio/Cardiology Today

Trial does not support routine antithrombotic use in ill outpatients with COVID-19

https://duke.is/7mrd3

November 14 — Manesh Patel

tctMD

Drug Preconditioning Before CABG, Valve Surgery Shows Promise: START

https://duke.is/v3sss

November 15 — Christopher Granger

tctMD

Many STEMI Patients Not Treated Within National Time Goals

https://duke.is/gwwct

November 17– Duke Clinical Research Institute

Practical Cardiology

Almost 1 in 3 High-Risk AFib Patients Not Receiving Anticoagulation

https://duke.is/9augu

November 17 — Jonathan Piccini

Healio/Cardiology Today

Botulinum toxin injection does not prevent postoperative AF: NOVA

https://duke.is/2pk25

November 18 — Jonathan Piccini

Medscape

Neurotoxin to Avert Postoperative AF: Patient Selection Clues in NOVA

https://duke.is/4svy7

November 21 — Josef Turek and the Sinnamon family

KFVS-CBS12 Cape Girardeau (MO)

18-month old medical miracle from world’s first heart-thymus procedure

https://duke.is/p4n3a

November 21 — Manesh Patel

Parallax by Ankur Kalra

EP 80: AHA’s Scientific Sessions: Science, Innovation and Community With Dr Manesh Patel

https://duke.is/6jwkw

November 22 – Stephen Greene

Healio/Cardiology Today

Low household income may predict higher risk for 30-day HF readmission

https://duke.is/5knzk

November 23 — Jonathan Piccini

Medscape

Factor Xa Inhibitors Tied to Interstitial Lung Disease in AF

https://duke.is/rtw5h

 

Duke Heart Pulse November 20th 2022

Highlights of the week:

Happy Thanksgiving to All!

On behalf of the entire Duke Heart leadership team, we wish you and your loved ones a happy Thanksgiving. During this time of reflection on our many personal blessings, we also give thanks for the incredible team we have here in Duke Heart. Together, we have persevered through some big challenges over the last several years, and also accomplished a great deal. We have a lot to be proud of. Thank you for all that you do — each member of our team makes a difference. Warm wishes to you and we hope you have some time to spend with your family, friends, and loved ones.

CVRC Announces Research Staff Appreciation Awardees

Each year, the Duke Cardiovascular Research Center (CVRC) presents research staff appreciation awards to members of their team who have made an exceptional contribution to their team. Due to the pandemic, the CVRC was unable to formally celebrate as a group last year due to the pandemic, so this year was extra special! We are excited to share with you their awardees for both 2021 and 2022. The CVRC awards were made on Nov. 9.

The 2021 awardee is Xinhe Yin of the Holley Lab, nominated by Dr. Chris Holley with support from colleague Brittany Elliott, PhD. In their summary, Holley and Elliott shared the following:

“Xinhe is a valuable member of the Holley Lab and CVRC. This is evidenced by her ever-growing knowledge base of technical expertise, the efforts she makes to care about and help the scientific endeavors in the CVRC succeed, and by being a good citizen of the CVRC by going above and beyond to maintain instrumentation within the shared CVRC resource. Xinhe brings multiple areas of expertise to the lab. First, she is an expert in managing our mouse colony, including breeding, genotyping, and tissue collection. Second, she performs a significant amount of cell culture for the laboratory, maintaining a wide variety of human, mouse, and rat cell lines, including many CRISPR-modified clonal lines. Third, she has developed the necessary expertise to prepare samples for our UPLC-MS/MS method that quantifies RNA modifications. Fourth, she has developed expertise with the Seahorse platform, which has allowed her to supervise this instrument for the CVRC. Her technical expertise contributes to every project in the lab!

“Xinhe also serves as our lab manager, taking responsibility for safety protocols, inspections, maintaining lab equipment and supplies, and ensuring that successful transitions as lab members join then eventually leave the lab. She is the primary contact for many collaborations, coordinating animal and material transfers. She serves as an emergency contact for the animal colony and the remote monitoring of our freezers. One of the things that I really respect about Xinhe is that when she sees something that seems wrong, or she doesn’t understand something, she asks about it instead of ignoring it.”

The 2022 awardee is Longquan Xu of the Rockman Lab, nominated by Dr. Howard Rockman with support from colleague Darion Rapoza, PhD. In their nomination, Rockman and Rapoza shared:

“Longquan Xu is a highly skilled small animal cardiac microsurgeon and echocardiographer in the CVRC Cardiovascular Physiology Core. He is by far one of the most conscientious technicians we have ever had the pleasure of working with. His technical expertise is exemplary. He is the go-to person in the CVRC Core for performing cardiac surgeries and the precision analyses of B mode 2D echocardiograms. He is totally dedicated to excellence and precision in performing noninvasive and invasive hemodynamic studies. When there is time available in his schedule, and on his own initiative, he will practice surgeries to hone newly acquired skills or to keep his procedural skills sharp and at the highest level of competency. Moreover, he is willing to learn new techniques and will practice new procedures until he has achieved perfection. He is always eager to be helpful. He is a supportive teacher, flexible, and always cooperative in sharing the workload to keep the core’s performance at its best for the PIs and their research programs. From COVID precautions to barrier facility protocols, he rigorously complies with guidelines and assists other in doing so as well, because, in his words, “It matters.”

Congratulations to Xinhe and Longquan!

To be eligible for a CVRC Research Staff Award, an individual must be employed by the Duke School of Medicine and must meet all of the following criteria:

  • Technicians, Lab Research Analysts, Project Leaders, or any staff member who provides exemplary support in the conduct of basic or translational research within the CVRC.
  • Current role provides technical expertise to support basic or translational research program(s) in a manner which strengthens the research mission of the CVRC.
  • At least 5 years of continuous service in a research role in the CVRC.
  • Demonstrated record of excellent performance and good citizenship.

Not Eligible: Faculty or staff members who have primary investigator status, research fellows, research associates and senior research associates, post-doctoral fellows and graduate students, administrative professionals.

 

Harper Recognized for Years of Service to Duke Heart

Our long-time colleague, Monica Harper, will be retiring on November 30, 2022 after more than 39 years of service at Duke. Monica has worked in the Heart Center since 1990 in varying roles including staff nurse, assistant head nurse, and — since 2000 — as 7300 Nurse Manager of Operations. Throughout her time with our team she served on many task forces and committees.

Monica is known for her calm and humble demeanor, her approachability, fair and consistent practice, and patient and staff advocacy. It came as a surprise to no one when she was named a recipient of the highly esteemed Duke Friends of Nursing Leadership Award.

On behalf of the entire Duke Heart Center Leadership team, we thank Monica for her loyalty and dedication to our patients, the faculty and staff of Duke Heart, and to Duke University Hospital.

She will certainly be missed. Please join us in wishing her well in her retirement!

 

National Nurse Practitioner Week, Nov. 13-19

In recognition of the Nurse Practitioner profession and the many contributions they make to Duke Health and the health of the nation. Did you know there are more than 355,000 certified NPs in the U.S. caring for patients of all ages? We are deeply grateful for the efforts and contributions these vital Duke Heart team members make each and every day.

As highly skilled team members and healthcare leaders, NPs provide exceptional patient care in virtually all health care specialties and settings. NPs are pivotal in the health care delivery of Duke Heart and Duke Health, serving in critical roles throughout clinical care, education, health administration, leadership, and research.

We hope all of our amazing Duke NPs had a great week!

 

High Five to Harris-Holloway!

Sandra Harris-Holloway, CCP, LP, Associate Chief, Adult Services Manager for Perfusion Services at Duke University Hospital received a High Five on Nov. 7.

“Sandra has an office close to a patient care area. She noticed a patient who was frequently sitting by the windows outside her office to get sunlight. Sandra partnered with the care team and advocated for administrative approval for the patient to go outside. During a time of restrictions, Sandra advocated for this patient’s mental health and wellbeing by going above and beyond her duties.”

We know this made a big difference for this patient. Way to go, Sandra!

 

Duke Heart Family Expands by One!

We are excited to share the happy news that Nishant Shah and Nikita Goel welcomed their son, Asher Jayden Shah, on November 17. Mom and baby are doing well, and big sister Amara is excited to have a little brother!

He’s adorable and we can’t wait to meet him in person. Welcome to the Duke Heart family, Asher. Congratulations to the Shah family!

 

ICYMI: Krasuski Featured Guest on CardioNerds

Rich Krasuski was recently a featured guest on the popular podcast, CardioNerds. A link to episode 242 appears here ACHD: Atrial Septal Defects with Dr. Richard Krasuski.

Nicely done, Rich!

ORA Holiday Deadlines

The Office of Research Administration (ORA) will operate with a reduced staff during the holiday season to allow team members time to recharge. During this period, please plan as far in advance as possible.

To help ORA respond as timely as possible to your needs, please plan in advance based on the following:

Thanksgiving Day and the Friday After

If you need something processed BEFORE the Thanksgiving holiday, please have it submitted in ready-form to ORA by Thursday, November 17. Otherwise, if it can wait, ORA will process the following week (beginning November 28).

Last two weeks of December

For any transactions with due dates between December 19 – January 2, please have submitted in ready-form to ORA by Thursday, December 15 to ensure there is adequate time and staffing to respond to your needs.

Please note: the next NIH SBIR/STTR deadline is Jan. 5, 2023, and the internal deadline is 8 a.m. on Dec. 28, 2022. Because this deadline falls in the last two weeks in December when ORA will be operating with reduced staff and because these award mechanisms are usually complex and require careful institutional coordination before submission:

  1. Please complete Intent to Submit for all planned SBIR/STTR applications no later than Dec. 5, 2022; and
  2. Please plan to route a submission-ready application no later than Dec. 15, 2022; if more time is needed, please submit a late waiver request so that ORA can plan for appropriate coverage to support these applications.

For anything submitted in the last two weeks of December that can wait until after the holiday break, ORA will be back up to speed with a full team on Jan. 3, 2023 and will look forward to managing all pending issues at that time.

This has been another year of tremendous growth in research at Duke. The Office of Research Administration thanks you for your continued partnership in support of Duke’s research mission and they send warm holiday wishes to all!

Additional Reminders:

  • It is vital that we remain vigilant with masking, hand hygiene, PPE, and other safe behaviors to prevent the spread of infection. Please pay special attention to the proper wearing and securing of gowns and be mindful of PPE compliance. Thank you for all you do to keep everyone safe and healthy.
  • November is American Diabetes Month, Pulmonary Hypertension Awareness Month, and National COPD Awareness Month. Thanks for all you do to help patients with these conditions!
  • November 13-19 National Nurse Practitioner Week.

Upcoming Events & Opportunities

Cardiology Grand Rounds

November 22: Calcium Modification in Percutaneous Coronary Intervention with Ali Corley. 5 p.m., Webex.

CME & Other Events

Call for abstracts: 2023 Duke Health Quality and Safety Conference

The virtual poster submission period for the 2023 Duke Health Quality and Safety Conference is now open. The deadline for submission is Wednesday, Dec. 14. The 2023 Conference will be held the weeks of March 13 and 20, with an in-person event on Thursday, March 23.

For more information and to submit your abstract, please click here.

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. Submissions by Noon, Wednesdays, to be considered for weekend inclusion.

Duke Heart in the News: Our news coverage will return Nov. 27.