Duke Heart Week ending 7-26-2020
Highlights of the Week
PROMISE Aging Sub-study Selected as a Top CT Paper of the Year
We learned this week that Age-Related Differences in the Noninvasive Evaluation for Possible Coronary Artery Disease: Insights From the Prospective Multicenter Imaging Study for Evaluation of Chest Pain (PROMISE) Trial was selected by presenters at the Society of Cardiovascular Computed Tomography (SCCT) as “a top 8 cardiac CT paper of the year”. The SCCT held their annual meeting (virtually) last weekend.
“For his “top eight” list, Todd Villines, MD (University of Virginia, Charlottesville), said that he excluded guideline publications and societal statements from his presentation. Instead, Villines “tried to prioritize research that would impact clinical practice in an immediate or near-immediate term.”
The PROMISE aging sub-study was led by Angela Lowenstern; the full author team includes Lowenstern, Karen Alexander, C. Larry Hill, Brooke Alhanti, Michael Nanna, Rajendra Mehta, and Pamela Douglas – all of Duke, as well as Patricia Pellikka, Lawton S. Cooper, Renee P. Bullock-Palmer and Udo Hoffman.
Kudos to all authors! This is terrific recognition and speaks to the excellent work done on the PROMISE trial.
Updated Echo Reference Guide Edited, Co-Authored By Heart Team Members
Duke continues to lead the way in Echocardiographic education with publication of the fifth edition of the New Echocardiographer’s Pocket Reference. Considered the primary reference text for sonographers and all students of Echocardiography, this new edition is written with integrated videos and color images that cover a broad spectrum of complex cardiac disease states. Duke is highlighted in this edition with Richard Palma as editor; contributing authors: Jon Owensby, Danny Rivera, Carissa Marsiglio, Ashlee David, Alicia Armour, David Adams, and foreword by Anita Kelsey.
The book is in currently in pre-publication status, but you can sign up to be notified once it’s available for ordering: https://azheartfoundation.org/echocardiographers-pocket-reference-preview-new-fifth-edition. The preview looks great and is sure to be enormously beneficial. Congratulation to everyone involved – book projects are a major undertaking. Way to go!
EPIC-SEC 2020 Going Virtual
EPIC-SEC is transitioning from an in-person event to a fully virtual conference taking place August 27-29, 2020. The event planners have shared the following with us:
“During the COVID pandemic we believe it is critical for the cardiovascular community to engage in and disseminate relevant,
practical, and cutting-edge clinical and educational content. EPIC-SEC will offer live case demonstrations of complex coronary, structural, and peripheral endovascular procedures from Emory University, Ochsner, and Los Robles Regional Medical Center. In addition, there will be succinct evidence-based presentations, debates, and discourse related to everyday clinical decisions and dilemmas. Keynote addresses will cover controversies related to major recent clinical trials, cardiovascular leadership in the COVID-era, and how the COVID pandemic will catalyze technical innovations in cardiovascular medicine.
Each of the three days of the EPIC-SEC will take place online on three distinct live channels recreating general, coronary, structural, peripheral, clinical cardiology, advanced practice provider, and breakout sessions virtually. True to the spirit of the consortium, parts of the curriculum will be broadcast from North Carolina, Texas, and Virginia.
Join us for three days of CME accredited live cases, debates, and presentations—all free of charge. The sessions include an APP Summit on Friday, which is also free. To register for Virtual EPIC-SEC 2020, please visit: https://form.jotform.com/201476381799165
Save the dates for EPIC-SEC 2021, currently scheduled for April 15-17.
Shout-out to Swavely!
Congratulations to Ashley Swavely, one of our newest exercise physiologists who is now working with the Cardiac Diagnostic Unit. She is co-author on a paper that is has been published online in Sports Medicine and Health Science journal. The article, “Anxiety disorders in patients with cardiopulmonary diseases: A brief review” can be accessed here: https://bit.ly/2D8nTCK.
The paper is related to work she did for her master’s degree. Hat tip to Brian Coyne for sharing this news with us. Great job, Ashley!
Duke Heart PFAC Update
The Duke Heart Patient and Family Advisory Council was able to gather virtually last week via Zoom and had the opportunity to learn about COVID-19 and its impact on the cardiovascular patient population thanks to a presentation by Manesh Patel, “Cardiovascular Effects and Changes from COVID and How We Are Protecting Patients”. The platform was a great way to bring the group together again, since several of our members live at a distance from Durham.
Discussion included projects they are hoping to get underway later this year. If you have any questions about the PFAC or know of anyone who would make a great volunteer, we’d love to know! The Duke Heart PFAC is one of the most active within Duke Health, but there is always room for additional perspective and more voices. Please reach out to Mary Lindsay or Brian Wofford with recommendations. Thank you!
Moments to Movement: Black Women at Duke Panel
Duke held the second of three panel conversations on race and social injustice this week as part of Moments to Movement. The panel, Black Women at Duke and in America, was held on Thursday. It was another powerful and enlightening discussion, with panelists sharing their perspectives on recent events, what it’s like to be a Black woman leader, and what they hope for in the future. If you weren’t able to attend, a recording is available here: https://warpwire.duke.edu/w/i_YDAA/?start=50 (You will need your NET ID and passcode to access).
A third panel is planned for August 13, called Clinicians on Race and Health Disparities. Information about registering and accessing the sessions have been shared via email. If you have not received an invitation and would like to attend the panels, please send a note to DUHSLeaders@duke.edu.
The first panel session included Duke Heart’s Brian Wofford as a panelist and can be viewed here: https://players.brightcove.net/5844457457001/default_default/index.html?videoId=6167555251001
For additional resources, please see the website for Duke’s Office for Institutional Equity. They have an extensive list of resources that may be of interest to you and others on your team. https://oie.duke.edu/resources-understanding-and-confronting-racism-and-its-impact.
COVID-19 Updates:
All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:
Have news to share?
If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.
Duke Heart in the News:
July 20 — PROMISE team
tctMD/the heart beat
ISCHEMIA, Patient Age in PROMISE Among Top CT Papers of the Year at SCCT
https://www.tctmd.com/news/ischemia-patient-age-promise-among-top-ct-papers-year-scct
July 22 — Ann Marie Navar
MedPage Today
TRIUMPH: A Caveat to Polypill’s Benefit in Hypertension
https://www.medpagetoday.com/cardiology/hypertension/87701
Duke Heart Week ending July 17th 2020
Chief’s Note:
This weekend Representative John Lewis longtime congressman and civil rights leader died after a 6 month battle with cancer. He rose from a farm upbringing in Alabama to become a leader of the civil rights movement most notably surviving a brutal beating by police during the 1965 march to Selma Alabama at the Edmund Pettus Bridge. He was a follower of Martin Luther King Jr. and participated in Freedom Riders challenging segregation with bus rides, lunch counter sit-ins, and was the youngest speaker at age 23 at the historic 1963 March on Washington. His continuous and unwavering commitment to justice over 50 years lead to the Presidential Medal of Freedom in 2011. He embraced non-violence and forgiveness as a way of life even under tremendously trying circumstances, stating “we must never hate, the way of love is a better way.” He also advocated for speaking up when some thing was not right and “never be afraid to make some noise and get in good trouble, necessary trouble.” John Lewis will be missed, and hopefully his actions and lessons will be remembered.
Navar Heading to UT Southwestern; Leaving Duke in September
Ann Marie Navar, MD, PhD, Associate Professor of Medicine in the Division of Cardiology, Associate Director for Outcomes Research with Duke Forge, and member of the Duke Clinical Research Institute, has accepted a faculty position with the UT Southwestern Medical Center (UTSW) in Dallas. She will serve as Associate Professor of Medicine in the Cardiology Division, and is joining their cardiovascular prevention team. Her last day at Duke will be Sept. 18.
A native Texan, Ann Marie was born and raised in Corpus Christi. After completing college at the University of Texas at Austin, she headed to Johns Hopkins Bloomberg School of Public Health where she obtained an MHS and later, a PhD in Global Disease Epidemiology and Control.
Navar has called Duke and Durham home since 2005, when she arrived for medical school at Duke. She completed medical school at Duke in 2009, and then went onto residency in Internal Medicine and Pediatrics. Ann Marie’s interest in cardiovascular disease began when she carried out research as a resident with Dr. Eric Peterson and Dr. Michael Pencina. She stayed at Duke for fellowship in cardiology, where she continued to focus on cardiovascular prevention research, with publications in many major journals including NEJM, JAMA, JACC and Circulation She was selected for the Greenfield award for outstanding research by a fellow in 2016, and successfully applied for a K award during her research year at the DCRI on her first attempt.
In four years on faculty, Navar has developed into nationally recognized expert in cardiovascular disease prevention. Her work has centered on using large databases to identify gaps in cardiovascular prevention, determine reasons for under-utilization, and explore ways to improve use of guideline based prevention therapies. She has become a frequently invited international speaker on real world data and cardiovascular prevention, served on numerous NHLBI working groups, and spoken before an FDA Advisory Committee. Currently, she is a board member of the American Society for Preventive Cardiology and an associate editor at JAMA-Cardiology. With a focus on innovation, Navar also served for the past four years on the American Heart Association’s Health Tech advisory group, chaired the Health Tech program at AHA’s Scientific Sessions, and served as DCRI’s Director of Innovation. In this role, she led a collaboration with Cerner that is now developing EHR-based tools for clinical research across a national network of health systems and creating new EHR-based datasets for clinical research. Recognizing this body of work, Navar was promoted to Associate Professor at Duke this past year.
Navar is especially grateful to her prevention research collaborators including: Eric Peterson, Michael Pencina, Neha Pagidipati, Mike Nanna, and Adam Nelson. “I owe them a lot of credit for my success, because they have all served as mentors, colleagues and mentees – everybody in every role at various times over the years. They’ve been the best part of working here, and I am so grateful to have had the chance to work with all of them.”
Ann Marie will also be remembered as a caring clinician and teacher. “I’ve had the opportunity to work with so many amazing people. I am so grateful for the nurses in the CCU who taught me the basics as an intern and showed me how to float an emergent temp wire as a fellow, the residents and fellows who supervised me as a medical student, the attendings I learned from in fellowship, and of course the amazing team of APPs that I get to work with when I am on the inpatient PAC service. But more than anything, I have had the best residents and fellow mentees I could have asked for.”
Outside the hospital, Ann Marie was notable for her infectious personality and initiator of fun and mischief. Despite not being able to throw a ball overhand, Ann Marie managed to be the longest serving player on the Duke Heart softball team, Number Needed to Harm. She will be remembered for her speed on the base pads, her ‘swinging bunt grand slam’ and her top-of-her-lungs cheering at for teammates. Simply put, she was the heart of the team.
Moving forward, Navar will be joining the faculty at UTSW working in cardiovascular prevention, and will have an Adjunct appointment in the Department of Population & Data Sciences. One strength of UTSW that was particularly appealing to Navar was the work the Department is conducting to improve population health at Parkland Hospital, which serves a diverse community in Dallas. “I’m excited to join a team that is already doing great things in implementation science and population health in the community, and I look forward to helping expand this work to cardiovascular prevention.”
Navar looks forward to closer collaboration with a number of other national experts in cardiovascular prevention at UTSW. “Fifteen years of connections at Duke are impossible to say good-bye to,” Navar says. “Instead, choose to see this as adding a new team to my group of collaborators. If there’s one thing COVID has taught us, it’s that we don’t have to be in the same room to work together. Regardless of where I am, I expect to remain closely connected to Duke for life.”
We will post information in Pulse regarding going-away celebrations as they are planned. Meanwhile, please join us in congratulating Ann Marie and wishing her continued success!
ICYMI: International Coordination Leads to first for Duke Health
Thanks to a talented team at Duke Raleigh Hospital (DRaH), a patient in the southern hemisphere is now receiving ongoing, life-changing care. Argentina’s Silvia Macagno is Duke University Health System’s first patient to receive a CardioMEMS implant and then be followed by international remote monitoring. This device measures and transmits changes in pulmonary artery pressure to signal worsening fluid retention in the lungs due to heart failure.
Macagno grew up with a heart malformation first diagnosed at the age of six resulting in a life dealing with heart failure, pulmonary hypertension and a series of surgeries. Her connection to DRaH came through Alex Barbagelata, MD, a cardiologist and adjunct professor in Duke’s Department of Medicine who practices in Argentina. (Barbagelata is an active DUCCS member.)
In December 2019, Macagno traveled to North Carolina where she was evaluated to be a candidate for pulmonary hypertension care, including the implantation of the CardioMEMS to remotely monitor and manage her pulmonary artery pressures. Kishan Parikh, MD, cardiologist and pulmonary hypertension specialist with Duke Health, led the effort.
“Fluctuations in these pressures can predict clinical changes. If we can act on this data, we can reduce heart failure complications,” said Parikh. “The information provided by the CardioMEMS device is like having data from a right heart catheterization procedure daily.”
The data from Macagno’s device is now transmitted to an online portal where Parikh monitors the readings, allowing him to work with Barbagelata to manage Macagno’s condition from Raleigh while she is at home in Argentina.
“This device helps bring care delivery from inside the hospital and clinic, to the patient’s home,” said Parikh. “It allows us to see trends, instead of just a snapshot every couple of months, so we can be proactive instead of reactive in our care of Ms. Macagno.”
This story appeared this week in Inside DukeHealth and in an earlier blog post for DRaH: https://bit.ly/3hlTDTX.
Nicely done!
Certificate of Excellence Awarded to 7100
Congratulations to the Duke University Hospital Unit 7100 team for their collaboration with EVS to ensure a clean environment for our patients and team. They received a Certificate of Excellence this week for having earned the Duke Hospital Highest Cleanliness Score (June, 2020) for their score of 91.7 under the HCHAPS metric “How Often Was Your Room and Bathroom Kept Clean.” Pictured here are some of our 7100 staff and leadership along with Elizabeth Webb, EVS Patient Experience Manager. Great job!!
ACLS/BLS Second Make-Up Course Held
The Duke Heart Leadership ACLS Instructor group, led by Dr. Kristen Newby, held their second faculty ACLS/BLS make-up session at DMP this week. The courses had been pushed out and required a new process due to new safety guidelines around COVID-19.
Shown here are Joe Rogers, Laura Dickerson and Jill Engel.
Thanks again to Cory Miller, Laura Dickerson, Heather McKinney, Mary Lindsay and Jill Engel for their efforts!
Duke Moments to Movement Series on Race and Social Injustice
A reminder that Duke is hosting an online series of panel conversations on race and social injustice, called Moments to Movement. The next panel, Black Women at Duke and in America, will take place on Thursday, July 23 at 1 p.m. A third is planned for August 13, called Clinicians on Race and Health Disparities. Information about registering and accessing the sessions have been shared via email. If you have not received an invitation and would like to attend the panels, please send a note to DUHSLeaders@duke.edu.
The first panel session included Duke Heart’s Brian Wofford as a panelist and is now available for viewing. Please visit: https://players.brightcove.net/5844457457001/default_default/index.html?videoId=6167555251001
For additional resources, please see the website for Duke’s Office for Institutional Equity. They have an extensive list of resources that may be of interest to you and others on your team. https://oie.duke.edu/resources-understanding-and-confronting-racism-and-its-impact.
DHTS: Email Services Update, July 24 & 25
REMINDER! DHTS is planning an email services update the weekend of July 24-25. Beginning at 11:59 p.m. on Friday, July 24, through 11:59 p.m. on Saturday, July 25, Duke University and Duke Health email services will be updated and access to email, MS Teams and other programs may be temporarily impacted during this time. A user’s email account and related Microsoft services may become temporarily unavailable anytime within the 24-hour window, however no individual user should be impacted for more than 4 hours.
COVID-19 Updates:
All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:
Have news to share?
If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.
Duke Heart in the News:
July 10 — Joseph Rogers
The News & Observer
There’s some good news buried in North Carolina’s rising COVID-19 hospitalization numbers
https://duke.app.box.com/s/tkcdv3d3q5n56jlxstliw4g4zfj1yqr2
(Requires access to Duke Box)
July 10 — Jennifer Li, Sarah Armstrong and Asheley Skinner (Pediatrics, Population Health)
MDEdge/Endocrinology
Early childhood overweight, obesity tied to high cardiometabolic syndrome risk
https://bit.ly/2CMRKAv
July 10 — Michael Nanna and Eric Peterson
tctMD/the heart beat
Black Patients in RCTs of PCI Show Worse Long-term Outcomes
https://www.tctmd.com/news/black-patients-rcts-pci-show-worse-long-term-outcomes
July 16 — Guillaume Marquis-Gravel
MDEdge/Emergency Medicine
PCI or not, mortality climbs with post-ACS bleeding complications
https://bit.ly/3fO2m0E
Duke Heart Week Ending July 12th 2020
Highlights of the week:
New Faculty Spotlight: Stephen Greene, MD, Advanced Heart Failure Team
We recently welcomed Stephen Greene, MD, to the Duke faculty as an assistant professor of medicine in the division of cardiology. We spoke with Greene about his experiences in fellowship, his research goals, and his decision to join our faculty.
“Duke has been an outstanding place to train – it really is the best place to be in terms of training for clinical care and clinical research,” said Greene. “There are other places across the country that do one or the other really well, but Duke is unique in that it provides both in an outstanding way. For this same reason, I’m very glad to be coming on board as faculty with the heart failure team.”
Greene developed a strong interest in heart failure during medical school and planned to focus in this clinical area once he arrived at Duke.
“While a medical student at Northwestern, I met Dr. Mihai Gheorghiade. He was the first person who sparked my interest in heart failure and clinical research,” adds Greene. “I can’t quantify how much I learned from him and the support he gave me. He was also an adjunct professor at Duke and had so many Duke collaborators. He was the first person to put Duke on my radar and strongly recommended it for fellowship.”
Also while at Northwestern, Greene began collaborating with Rob Mentz, who he also credits with driving his interest in Duke for training. Once at Duke, he received a lot of support and guidance from Mike Felker, Adrian Hernandez, Chet Patel, and Adam DeVore and says “I felt right at home from the get-go. Everyone is so great to work with, great mentors everywhere you look.”
Greene is particularly interested in outcomes research and clinical trials for patients with worsening heart failure, and exploring strategies to close gaps in the use and dosing of guideline-directed medical therapy for heart failure.
“We have a lot of evidence that approved heart failure medications offer major benefits in this patient population, but they just aren’t being used like they need to be. There are huge gaps in what we should be doing and what we are actually doing. We need to address it — whether novel strategies involve behavioral economics, patient education, provider incentives, having alerts in the electronic health record, or something else. The great thing about Duke is that we have the ability to be at the forefront of this type of research and make a lasting difference for heart failure patients.
“I want heart failure patients to be aware of all the therapies available to them, all that they are eligible for, and to understand the risks of both trying and not trying new treatments. Heart failure is a journey for both patients and clinicians, and each one of these decisions on therapies is a potential fork in the road. When I see patients, I want them to be aware of the pros and cons for each decision so they make a truly informed choice. In this way, I like to tie my research to how I practice on the wards and in the clinic.”
Originally from Litchfield, CT, Greene received his BA from Brown University and his MD from the Feinberg School of Medicine at Northwestern University. He remained in Chicago for residency at McGaw Medical Center of Northwestern University. Greene arrived at Duke in 2015 for Cardiovascular Medicine fellowship training; he completed fellowship in Cardiovascular Clinical Research with Duke Clinical Research Institute and most recently, the fellowship in Advanced Heart Failure and Cardiac Transplantation. He is the recipient of a number of honors and awards, including the Joseph C. Greenfield Scholar in Cardiology Award (2019), the DCRI’s Executive Director Pathway Award (2018) and the Heart Failure Society of America’s Young Investigator Award (2017-2019), and is a co-author on more than 150 peer-reviewed publications.
Steve and his wife Lora reside in Durham with their 2-year-old son Adam. Lora is an emergency medicine physician at Duke Regional Hospital. They just moved into a new home and continue to love living in the Triangle area.
We are very pleased to welcome him to the Duke Heart faculty. Congratulations, Steve!
CDU Hosts Annual Echo Boot-camp for Fellows
The Cardiac Diagnostic Unit hosted our new Duke Cardiology fellows at the annual Echo Boot camp on July 3rd and 7th. This year, the schedule allowed for a more extensive boot-camp format across two days with lectures from faculty and senior sonographers as well as a scanning workshop. The first day of boot-camp, lectures included “Echocardiography Emergencies”, “Echo Instrumentation and Knobology,” and “Basic Echo Measurements,” among other interesting topics. Day two of boot-camp, the fellows learned about important IT considerations, and the basics of scanning an echo. Fourteen Duke CDU sonographers were involved with teaching the Cardiology fellows the basics of scanning each view, how to get an image, and machine orientation. Great teamwork made it all come together! Special thanks to Dr. Anita Kelsey, Dr. Anna Lisa Crowley, and Jon Owensby who put together a great program. Shout out to CDU sonographers Danny Rivera, Rebekah Henry, Stephen Shipman, Carissa Marsiglio, Brenda Sedberry, Emily Deason, Sarah Hatton, Anna Pruzaneic, Andy Dhimitri, Jean Woolard, Eddy Sandoval, Jeff Graham, Dallas Gardner, John Toptine and Richie Palma for their excellent teaching.
ACLS/BLS Courses Held
The Duke Heart Leadership ACLS Instructor group, led by Dr. Kristen Newby, held the first of two faculty ACLS/BLS make-up sessions at DMP last week. The courses were pushed out and required a new process due to new safety guidelines around COVID-19. The ACLS Instructor group includes Cory Miller, Laura Dickerson, Heather McKinney, Mary Lindsay and Jill Engel. With support of Clinical Education and Professional Development and Cory Miller’s dedication, the team was able to use a modified online and in-person training combination to get 16 faculty members through their required ACLS and BLS courses, including mega code sessions, while observing social distancing guidelines.
The faculty were great – everyone was prompt and prepared, and the course went off without a hitch. The team is looking forward to completing the second make-up class on July 16. Great job, everyone!
ICYMI: Duke Moments to Movement Series on Race and Social Injustice
Along with the impacts of COVID-19, people across the U.S. are engaging in important discussions related to race and social injustice. Our HR teams are working to create sessions and safe forums to promote discussion and awareness throughout Duke. One such way is through the Duke Moments to Movement Series on Race and Social Injustice. The most recent session, Black Men at Duke and in America, was held on June 25.
Panelists shared their thoughts, experiences and reactions to recent events, what it’s like to be a Black leader at Duke, how to be a good ally and what they hope for in the future. The panel included:
Dr. A. Eugene Washington, Chancellor for Health Affairs at Duke University and President and CEO of the Duke University Health System; Dexter Nolley, Chief Human Resource Officer, Duke Regional Hospital; Fabian Stone, Associate Vice President, Revenue Cycle & Health Information Management at Duke University Health System; and Brian Wofford, Vice President, Heart Operations for Durham County. The session was moderated by Rhonda Brandon, Senior Vice President and Chief Human Resources Officer at Duke University Health System.
To view the session, you can visit: https://players.brightcove.net/5844457457001/default_default/index.html?videoId=6167555251001
For additional resources, please see the website for Duke’s Office for Institutional Equity. They have an extensive list of resources that may be of interest to you and others on your team. https://oie.duke.edu/resources-understanding-and-confronting-racism-and-its-impact.
Duke is keeping the conversation going with their next two panels: Black Women at Duke and in America (July 23 at 1:00 p.m.) and Clinicians on Race and Health Disparities (August 13). Information about these sessions are being sent via email. If you have not received an email invitation to attend these panels and would like to, please send a note to: DUHSLeaders@duke.edu.
DHTS: Email Services Update, July 24 & 25
Head’s up. DHTS is planning for an email services update the weekend of July 24-25. Beginning at 11:59 p.m. on Friday, July 24, through 11:59 p.m. on Saturday, July 25, Duke University and Duke Health email services will be updated and access to email, MS Teams and other programs may be temporarily impacted during this time. A user’s email account and related Microsoft services may become temporarily unavailable anytime within the 24-hour window, however no individual user should be impacted for more than 4 hours.
This important update will touch all Duke email accounts through Microsoft Office 365, regardless of whether they are accessed through Outlook, webmail or mobile phone. No email will be lost during the update, and messages will be visible once a user logs back in after the update is complete. Maestro Care will not be affected. For more information, including contact numbers for Duke’s technology service desks, visit the Office of Information Technology website.
COVID-19 Updates:
All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:
Have news to share?
If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.
Duke Heart in the News:
July 2 — Joseph Rogers
The Charlotte Observer
Despite rise in COVID-19 cases, Triangle hospitals say it’s safe to have visitors again
https://www.charlotteobserver.com/news/coronavirus/article243926607.html
July 6 — Eric Peterson
DAIC Diagnostic and Interventional Cardiology
Blacks Have Higher Mortality After PCI
https://www.dicardiology.com/content/blacks-have-higher-mortality-after-pci
July 6 — Eric Peterson and Michael Nanna
Healio/Cardiology Today
MACE risk after PCI higher for Black patients than white patients
https://bit.ly/38OifkX
July 6 — Shannon Boxter
DailyNurse.com
Nursing Side Gigs: Working as a Photographer
https://bit.ly/38OifkX
July 6 — Guillaume Marquis-Gravel
tctMD/the heart beat
PCI or Not, Post-ACS Bleeding Is Tied to Mortality
https://www.tctmd.com/news/pci-or-not-post-acs-bleeding-tied-mortality
July 6 — Michael Nanna
HealthDay News
Black Patients Fare Worse After Angioplasty
https://bit.ly/3ef5hxF
(story carried by 11 other news outlets including United Press International & U.S. News & World Report)
July 6 — Ann Marie Navar
tctMD/the heart beat
Statins Cut CV Risk but Don’t Boost Disability-Free Survival in Healthy Elderly
https://bit.ly/38LQR7h
July 7 — Adam Nelson
Healio/Cardiology Today
Over Age 75? Statins Still Linked to Outcomes in Primary Prevention
https://www.medpagetoday.com/cardiology/prevention/87432?vpass=1
July 8 — Guillaume Marquis-Gravel
Cardiovascular Business
Post-discharge bleeding among ACS patients: Does PCI have a fatal effect?
https://bit.ly/2W6jmre
July 9 — Adam Nelson
Physician’s Weekly
Statins for Primary Prevention in Elderly Reduce All-Cause Mortality
https://bit.ly/2BXzPXO
July 9 — Adam Nelson
MDedge
Primary prevention statins cut mortality even in the very elderly: VHA study
https://bit.ly/3ekbjNH
July 9 — Oliver Jawitz
Cardiovascular Business
Outcomes ‘worse than expected’ when TAVR fails and surgery is required
https://bit.ly/2ZgQWwF
July 10 — Kevin Thomas and Oluwandamilola Fuyanju
News & Observer
Duke Professors: To fight COVID-19, health officials need to build trust in government
https://bit.ly/2OcMTuT
(accessible only to those with Duke Box accounts)
July 10 — Kevin Thomas
Spectrum News
Discussion on COVID-19 Racial Disparities
https://bit.ly/38Hq0t4
(news clip starts at 4:36:15)
Duke Heart Pulse – July 5th 2020 – New Academic Year
Chief’s Note:
Each year in July we have bittersweet transition in which we say goodbye to some of our finishing cardiology fellows and welcome to our newest members of the team. This year was different in that we had to have these transitions in the COVID-19 era in which the graduations were Zoom based and the welcomes were for the most part also virtual. Nevertheless, as you will see over the upcoming months, even with the challenges that we are increasingly facing around the region and country with the coronavirus, we are starting to both innovate and understand ways in which we can make the very important human connections that help our fellows and faculty continue to build teams and lead in cardiovascular disease.
Duke Heart Welcomes Three New Faculty Members
We are pleased to announce that Marat Fudim, Stephen Greene and Jennifer Rymer have each joined the Duke Heart faculty as assistant professors of medicine in Duke’s division of cardiology. All three completed fellowship training here at Duke as of June 30 and their faculty appointments were effective July 1.
Fudim and Greene both completed the Duke Advanced Heart Failure and Transplant Cardiology training program and have joined our Heart Failure team. Rymer completed her fellowship training in interventional cardiology and has joined the Cardiac Catheterization Lab. All three will conduct research in addition to their clinical responsibilities. We’ll be showcasing each of them this summer.
Welcome: New Cardiology & Advanced HF Fellows
Our newest Cardiovascular Disease and Advanced Heart Failure/Transplant Cardiology fellows kicked off their training on July 1.
For Cardiovascular Disease fellowship, please welcome:
- Matthew Carlisle, MD, joining us from Duke
- Alyssa Corley, MD, joining us from Beth Israel Deaconess
- Karen Flores Rosario, MD, joining us from University of Texas, Southwestern
- Cara Hoke, MD, joining us from Beth Israel Deaconess
- Joe Lerman, MD, joining us from Duke
- Daniel Loriaux, MD, joining us from Brigham and Women’s Hospital
- Dennis Narcisse, MD, joining us from Duke
- Sarah Snow, MD, joining us from University of California, Los Angeles
For Advanced Heart Failure and Transplant Cardiology, please welcome:
- Hirak Shah, MD, joining us from the University of Minnesota (residency: Washington University in Saint Louis)
Please give them a warm welcome when you see them!
Here is the zoom photo I took from their welcome meeting with Anna Lisa Crowley, Rob Mentz, and Neha Pagidipatti. Many great things ahead for this group.
New Fellows Hear From Several of our Faculty and Fellows in Boot Camp.
Schuyler Jones presented on STEMI management this week at our first CICU boot camp for new fellows (photo courtesy of Rob Harrison). Thanks to Rob Harrison and Anna Lisa Crowley for setting up, Jamie Jollis, Jason Katz, Kristin Newby, and others for joining. Special thanks to Vishal Rao and Kevin Friede for helping with the orientation. I was excited to stop in during the afternoon when the orientation for procedures, fluro etc was going on for the CICU.
Tennyson Appointed to DUSON Faculty
We are pleased to share with you that Callie Tennyson, one of our Cardiology APPs, has been appointed to the faculty of the Duke University School of Nursing as an assistant professor. Tennyson will be primarily teaching in the Acute Care Nurse Practitioner program, where she will train masters-level nursing students in hospital and critical care medicine. The appointment was effective July 1.
“I’m really looking forward to challenging myself in expanding my scholarship and leading future generations of Acute Care nurse practitioners,” said Tennyson. “But don’t worry- I will continue working with inpatient Cardiology in a part-time capacity because I LOVE the Duke Heart Center!”
“We have appreciated her collaboration and contributions to the Cardiology APP team both clinically and as a preceptor for the School of Nursing and look forward to further collaborations moving forward,” said Stephanie Barnes and Rio Landa, co-team leaders of the Cardiology APP team.
Tennyson is deeply appreciative of all of the encouragement and support shown by her Duke Heart colleagues in this endeavor. Way to go, Callie! We are really proud of you!
Shout-Out to Palma
Congratulations to Richie Palma, director of the Duke Cardiac Ultrasound Certificate Program, for receiving Fellowship status from the Alliance of Cardiovascular Professionals.
Palma becomes the first sonographer ever to receive fellowship status from the Alliance of Cardiovascular Professionals, the Society of Diagnostic Medical Sonography (SDMS) and the American Society of Echocardiography (ASE). This is great news and another feather in the cap of our outstanding sonography team!
ICYMI: THEF Newsletter Features Radzom
Matt Radzom, an exercise physiologist in the CDU, and his wife Amy, an emergency physician at Wake Med, were interviewed for a story about healthcare providers on the frontlines during COVID. Their interview appears in the Triangle Healthcare Executives Forum of NC (THEF) Summer 2020 newsletter (scroll to page 9). THEF is the local chapter of the American College of Healthcare Executives. Nice job, Matt! Hat tip to Brian Coyne for sharing this news with us!
All Duke Campuses & Facilities Now Tobacco-Free
As part of Duke’s commitment to creating a healthy living and working environment, a tobacco-free policy is now in effect on all Duke property and grounds owned and leased by Duke University as of July 1.
The policy prohibits the use of all tobacco-based products, including but not limited to cigarettes, cigars, cigarillos, hookahs, chewing tobacco, snuff, and electronic smoking devices such as e-cigarettes, vaping products, and IQOS. To learn more, please visit: https://healthy.duke.edu/tobaccofree.
COVID-19 Updates:
All the latest official DUHS information regarding coronavirus/COVID-19 response at the following locations:
Have news to share?
If you have news to share with the Pulse readership, please contact Tracey Koepke, director of communications for Duke Heart at tracey.koepke@duke.edu. We would love to hear about your latest accomplishments, professional news, cool happenings, and any events or opportunities that may be of interest to our Duke Heart family. Please call with any questions: 919-681-2868. Feedback on Pulse is welcome and encouraged.
Duke Heart in the News:
June 30 — Manesh Patel
Becker’s Hospital Review
How 5 cardiology leaders see the field transforming in 3 years
https://bit.ly/3eRzYKH
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