Home » 2021 » April

Monthly Archives: April 2021

Duke Heart Week Ending April 25th 2021

Chief’s message: Spring Days

Spring days long days of sunlight are good for all of us.  It is notable in North Carolina that there is a yellow covering on all things – the season of pollen.  This week was notable for some more important announcements around change (see the announcement below around Dr. Fulkerson), continued teamwork by groups of faculty, fellows and staff in caring for our patients (see the photo from cath lab on Friday), and continue involvement in changing how we care for patients (ISHLT meeting 2021- lead by Joe Rogers).  We are blessed to at any given time at Duke Heart to be surrounded by great colleagues, partners, fellows, and staff, many of whom are shaping the field of cardiovascular medicine.   As we move through the ongoing change in healthcare, we will have trust and lean into working with each other to shape our future.  As I have often said, the people we get to work with make Duke Heart special.

Updates from the week:

Dr. Wiliam Fulkerson to Step Down from EVP of Duke Health December 21st  2021

Dr. Bill Fulkerson announced this week that he will be stepping down as the Executive Vice President of Duke Health system at the end of this year.  He noted that he will be continuing to support the health system, but wanted the next person who will be shaping our future to engage in this time of transition.

Dr. Eugene Washington provide the following statement around the tremendous impact Dr. Fulkerson has had on Duke Health.

“Dr. Fulkerson’s transition as EVP will be a great loss for Duke, but we will benefit from the fruits of his superb leadership for many years to come. When Dr. Fulkerson became the second EVP of the health system back in July 2010, he was already a seasoned leader, as well as an accomplished academician. He had served as Senior Vice President of Clinical Affairs for DUHS, CEO of Duke University Hospital, Vice President of DUHS, Chief Medical Officer for both DUHS and the Private Diagnostic Clinic (PDC), and Professor of Medicine in the Duke University School of Medicine. Throughout his leadership trajectory, Dr. Fulkerson has amassed a reputation of being an outstanding physician and administrator of integrity who cares deeply, is an award-winning teacher, has a passion for excellence, and is truly committed to championing DUHS to be the best in the industry.

As EVP over the past decade-plus, he has amply demonstrated his exceptional dedication and abilities as an executive administrator, a creator of innovative programs, a builder of state-of-the-art facilities, a respected colleague and mentor, and a collaborative broker of strategic partnerships across Duke Health, Duke University, Durham and beyond.

Dr. Fulkerson’s career has not only had a substantial positive impact on Duke, but also has improved hundreds of thousands of lives, in part due to the tremendous growth that DUHS has experienced under his leadership. Today, we are 24,000 people strong compared to approximately 15,000 when he started as EVP. Scores of individuals in DUHS have been recruited and have thrived under his tutelage. Our reach in touching lives has extended locally, regionally and nationally. The number of patients we cared for across Duke Health increased nearly 50% – from approximately 550,000 in 2010 to nearly 820,000 last year. Groundbreaking multidisciplinary, multisector programs and ventures have advanced and excelled with Dr. Fulkerson at the helm of DUHS. Our DUHS and broader Duke Health Clinical Enterprise footprint and facilities have also expanded impressively with Dr. Fulkerson as a driving force.

During this period of unprecedented growth, we continued to lead in the delivery of highest-quality, patient-centered care, deservedly receiving multiple professional accolades to affirm our high standards. DUHS’ financial performance has been stellar during Dr. Fulkerson’s EVP tenure, with revenue increasing 85% – from $2.1 billion in 2010 to $3.9 billion in 2020 and an average operating margin of approximately 8%. Importantly, DUHS’ success over this period has enabled $1.5 billion in support for our academic missions, principally the Duke University School of Medicine.”

We look forward to continuing to partner with Dr. Fulkerson and work with the Health system as we engage in our future state to discover deliver health to our community.

 

Shout-Out to Samsky

Together with Aimee Zaas, the Program Director of the Duke IM residency, and Sunil Rao, we want to give a HUGE thank you to Marc Samsky who covered the VA Cardiology Consult service for multiple days last week when a significant number of residents were out sick with food poisoning.

Thank you Marc!! – Anna Lisa Crowley

Nicely done, Marc!

 

Kudos to Loungani

We’re pleased to share the following note received last week by Anna Lisa Crowley – more great teamwork shown by cardiology fellow Rahul Loungani!

My housestaff and I responded to a nursing call that our patient had SVT. Rahul was walking by and saw the tachycardia and our interventions and stepped in to help. Over the next 1.5 hours, he hung out with us at bedside as we managed (the patient’s) arrhythmias. Ultimately he also helped us arrange transfer to the CCU. We were all at bedside until close to 8 pm.

“I really appreciate the way he saw an opportunity to help colleagues and a patient and jumped in, even if it wasn’t his responsibility. These little acts of kindness and professionalism always fill me with happiness.

“FYI- the patient did great and is coming back out of the CCU, so the story also has a good ending.” — Joanna Kipnes, MD

Great job, Rahul!

 

Esther Kim CGR SCAD Presentation

Cardiology Grand Rounds this past week was presented by Duke alumnae Dr. Esther Kim, who is Associate Professor of Medicine and Medical Director of the Vascular Labs at Vanderbilt University Medical Center. She is an expert in vascular medicine and her wonderful presentation focused on spontaneous coronary artery dissection (SCAD), with particular attention to the recognition and treatment of SCAD events, as well as the links between SCAD and other systemic diseases like fibromuscular dysplasia. To see the recorded presentation of her CGR presentation, please visit: https://bit.ly/2QRDQ73.  Shown here is a screenshot of her take-home points.

Photo of the Week

A rare together at-work sighting of the Hernandez family! Photo of Adrian Hernandez and Tracy DeWald courtesy of Jon Piccini.

Triangle Go Red Luncheon – Registration Open

The American Heart Association’s 2021 Triangle Go Red for Women Luncheon digital celebration will be held on May 14th from 11:30 a.m. – 1 p.m. Join us as we celebrate the impact of Go Red for Women in the Triangle, learn tips to structure self-care into your day, participate in a series of health and wellness breakout sessions, and hear from inspiring survivors who are “Living Fierce” and not letting cardiovascular disease stand in their way. Registration is free and open to all. If interested, please visit https://events.bizzabo.com/301164.

 

COVID-19 Updates:

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

Upcoming Opportunities/Save the Date:

Cardiology Grand Rounds

April 27: Cardio-Oncology: Moving Forward in 2021 with Daniel J. Lenihan, Director, Cardio-Oncology Center of Excellence, Washington University in St. Louis. 5 p.m., Webex.

April 29: A Special celebration of Joe Rogers with Duke faculty, alumni & friends. 5 p.m., Zoom.

 

Upcoming (Virtual) 2021 Duke Heart CME

We have dates set for two upcoming virtual symposia; registration is not yet available.

October 8: Duke Advanced Heart Failure Symposium. Course director is Richa Agarwal

November 5:  13th Annual NC Research Triangle Pulmonary Hypertension Symposium. Course directors are Terry Fortin and Jimmy Ford (UNC).

 

Final Mental Health Webinar in Series

Apr. 27: Mental Health in Children of Color. Noon-12:30 p.m. Led by Erikka Dzirasa, MD, MPH, consulting associate in Psychiatry & Behavioral Sciences (Link below).

This is the final webinar of a six-part series, “Taking Care of Yourself and Your Loved Ones,” for all Duke University and Duke Health community members and their families. The 30-minute topical webinars provide practical expert advice on topics including emotional wellness, substance misuse, suicide prevention, and mental health for children, adolescents and teens.

The webinar series runs through April 27. Learn more, watch past webinars and join upcoming webinars:  http://bit.ly/DukeMHSeries.

 

Have news to share?

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

 

Duke Heart in the News:

April 13 — Harry Severance

Chattanoogatrend.com

The COVID-19 Vaccine and Reopening the World: What might it look like?

https://bit.ly/3tJE8f4

April 15 — TransPop, MURDOCK Study mentioned

WBTV.com (Charlotte, NC)

Duke CTSI launches kidney disease study in Kannapolis for people with African ancestry

https://bit.ly/3xj2qi0

April 20 — William Kraus

EatThis.com

Genius Little Ways You Can Move More Every Single Day

https://www.eatthis.com/exercise-more-every-day/

May 2021 issue — John Alexander

Scientific American

COVID Has Pushed Medical Research into Remote Trials, Benefiting Patients and Scientists

https://bit.ly/3sIINfK

Division of Cardiology Publications Indexed in PubMed April 15-21, 2021

Birati EY, Najjar SS, Tedford RJ, Houston BA, Shore S, Vorovich E, Atluri P, Urgo K, Molina M, Chambers S, Escobar N, Hsich E, Estep JD, Alexander KM, Teuteberg JJ, Chaudhry SP, Ravichandran A, DeVore AD, Margulies KB, Hanff TC, Zimmer R, Kilic A, Wald JW. Characteristics and Outcomes of COVID-19 in Patients on Left Ventricular Assist Device Support. Circ Heart Fail 2021;14:e007957. PM: 33813838.

Blumer V, Mentz RJ, Sun JL, Butler J, Metra M, Voors AA, Hernandez AF, O’Connor CM, Greene SJ. Prognostic Role of Prior Heart Failure Hospitalization Among Patients Hospitalized for Worsening Chronic Heart Failure. Circ Heart Fail 2021;14:e007871. PM: 33775110.

Desai NR, Sciria CT, Zhao X, Piccini JP, Turakhia MP, Matsouaka R, Fonarow GC, Lewis WR. Patterns of Care for Atrial Fibrillation Before, During, and at Discharge From Hospitalization: From the Get With The Guidelines-Atrial Fibrillation Registry. Circ Arrhythm Electrophysiol 2021;14:e009003. PM: 33724875.

Giarraputo J, Giamberardino S, Arvai S, Maichle S, Eckstein C, Newby LK, Gregory S. Profiling serum neurofilament light chain and glial fibrillary acidic protein in primary progressive multiple sclerosis. J Neuroimmunol 2021;354:577541. PM: 33725477.

Julien HM, Stebbins A, Vemulapalli S, Nathan AS, Eneanya ND, Groeneveld P, Fiorilli PN, Herrmann HC, Szeto WY, Desai ND, Anwaruddin S, Vora A, Shah B, Ng VG, Kumbhani DJ, Giri J. Incidence, Predictors, and Outcomes of Acute Kidney Injury in Patients Undergoing Transcatheter Aortic Valve Replacement: Insights From the Society of Thoracic Surgeons/American College of Cardiology National Cardiovascular Data Registry-Transcatheter Valve Therapy Registry. Circ Cardiovasc Interv 2021;14:e010032. PM: 33877860.

Kansal A, Green CL, Peterson ED, Newby LK, Wang TY, Sendak M, Balu S, Patel MR, Fanaroff AC. Electronic Health Record Integration of Predictive Analytics to Select High-Risk Stable Patients With Non-ST-Segment-Elevation Myocardial Infarction for Intensive Care Unit Admission. Circ Cardiovasc Qual Outcomes 2021;14:e007602. PM: 33757310.

Khan MS, Sreenivasan J, Lateef N, Abougergi MS, Greene SJ, Ahmad T, Anker SD, Fonarow GC, Butler J. Trends in 30- and 90-Day Readmission Rates for Heart Failure. Circ Heart Fail 2021;14:e008335. PM: 33866827.

Lee CL, Lee JW, Daniel AR, Holbrook M, Hasapis S, Wright AO, Brownstein J, Da Silva Campos L, Ma Y, Mao L, Abraham D, Badea CT, Kirsch DG. Characterization of cardiovascular injury in mice following partial-heart irradiation with clinically relevant dose and fractionation. Radiother Oncol 2021;157:155-162. PM: 33545252.

Lekavich CL, Allen JD, Bensimhon DR, Bateman LA, Slentz CA, Samsa GP, Kenjale AA, Duscha BD, Douglas PS, Kraus WE. Aerobic Versus Resistance Training Effects on Ventricular-Arterial Coupling and Vascular Function in the STRRIDE-AT/RT Trial. Front Cardiovasc Med 2021;8:638929. PM: 33869303.

Nguyen AH, Lefkowitz RJ. Signaling at the endosome: cryo-EM structure of a GPCR-G protein-beta-arrestin megacomplex. FEBS J 2021;288:2562-2569. PM: 33605032.

Sawant AC, Rizik DG, Rao SV, Pershad A. Algorithms for challenging scenarios encountered in transradial intervention. Indian Heart J 2021;73:149-155. PM: 33865510.

Shah AH, Puri R, Krasuski RA. Transcatheter Closure of Patent Foramen Ovale: Not Always an “Open or Shut” Case. Circulation 2021;143:1539-1541. PM: 33872078.

Sherwood MW, Gupta A, Vemulapalli S, Li Z, Piccini J, Harrison JK, Dai D, Vora AN, Mack MJ, Holmes DR, Rumsfeld JS, Cohen DJ, Thourani VH, Kirtane AJ, Peterson ED. Variation in Antithrombotic Therapy and Clinical Outcomes in Patients With Preexisting Atrial Fibrillation Undergoing Transcatheter Aortic Valve Replacement: Insights From the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve. Circ Cardiovasc Interv 2021;14:e009963. PM: 33877866.

Varma N, Cygankiewicz I, Turakhia M, Heidbuchel H, Hu Y, Chen LY, Couderc JP, Cronin EM, Estep JD, Grieten L, Lane DA, Mehra R, Page A, Passman R, Piccini J, Piotrowicz E, Piotrowicz R, Platonov PG, Ribeiro AL, Rich RE, Russo AM, Slotwiner D, Steinberg JS. 2021 ISHNE/HRS/EHRA/APHRS collaborative statement on mHealth in Arrhythmia Management: Digital Medical Tools for Heart Rhythm Professionals: From the International Society for Holter and Noninvasive Electrocardiology/Heart Rhythm Society/European Heart Rhythm. J Arrhythm 2021;37:271-319. PM: 33850572.

Updates – Duke Heart Week Ending April 18th 2021

Chief’s message: Global Health

This past year, more than most years over the last quarter century has made all of the public and those of us in medicine look carefully at our relationship with global health and health care, and specifically at how we deliver care and train the next generation.  With this background, we were blessed to have one of our former Duke Cardiology Faculty, Zainab Samad, now the Chair of Medicine at Aga Khan University in Pakistan, virtually give our cardiology grand rounds this week as our visiting Global Health Lecture.  Gerry Bloomfield has led the Duke Cardiovascular Global Health group partnering on work with Zainab and also colleagues at Moi Teaching and Referral Hospital in Kenya with bilateral educational exchanges with Duke and Kenyan Faculty and Students.  Zainab’s grand rounds was notable for her own journey from Pakistan to Duke for residency, fellowship, and early faculty life, and now returning to lead the Department of Medicine at Aga Khan.  Additionally, she highlighted measuring the clinical outcomes, building programs, and most notably developing specific pathways to reduce health inequities for women in Pakistan and worldwide.  This included the work she and others have instituted around training, where now over 50% of the medical students are women.  In addition to the inspiring talk and work, it was wonderful to see a colleague and friend working to make the world a healthier and more equitable place.

Highlights of the week:

Thomas to Receive Excellence in Professionalism Award

Kevin Thomas

Congratulations to Kevin Thomas, MD, Associate Dean for Underrepresented Faculty Development at Duke and associate professor of medicine in the Division of Cardiology, who has been selected as the 2021 recipient of the Duke School of Medicine’s Excellence in Professionalism Award. The award recognizes a faculty member who exemplifies professionalism and personifies Duke’s guiding principles of respect, trustworthiness, diversity, teamwork and learning.

“I am incredibly honored to receive this award,” said Thomas.

The Excellence in Professionalism award is normally given during the Spring Faculty Celebration, but due to the continuing pandemic, an alternate virtual event is being planned. Since we’re unsure of when that will take place, we thought we’d share some of the comments made by colleagues in support of his nomination.

One faculty member shared, “Kevin is one of Duke’s most stalwart champions of professional equity and fairness. Work on the anti-racism committee is often emotional and requires faculty members to bring a certain amount of vulnerability ‘to the table’ in order to advance a meaningful dialogue. Kevin is tremendously adept at helping individuals share this vulnerability while creating a safe professional space for the intellectual and emotional growth that anti-racism work requires.”

Another wrote, “He leads with integrity, compassion, empathy and a palpable respect for both dismantling racism and for those with whom he labors to do so. As a respected leader, I have confided in Dr. Thomas on countless occasions over the years. His private words and actions mirror those made in public; a testament to his consistent character and a model of professionalism for the faculty at large.”

Yet another added, “In these difficult times, it has never been more important to have colleagues who embody principles of compassion, grace, and professionalism. The struggle to redefine our approach to systemic racism will particularly require engagement of faculty members with deep knowledge and commitment coupled with the ability to engage in hard conversations in a respectful manner. Kevin Thomas has all of these attributes. Moreover, at this moment where addressing racial inequality effectively is paramount for the survival of our university, I believe that Kevin is among a very small set of the most important and impactful faculty members that we have. He is richly deserving of this award, and he has my deepest support.”

Kevin, your contributions to Duke are seen, valued and deeply appreciated and will undoubtedly have a transformative and lasting impact at Duke. We congratulate you on this well-deserved recognition!

School of Medicine Awards Duke Cardiology Winners 2021:
Kevin Thomas, MD – Excellence in Professionalism

Rob Mentz, MD – Early Career Mentoring Award in Clinical – Population Science

Terry Fortin, MD – Master Clinician Award

Brock Elected Associate of the ACC

Gail Brock

Gail Brock, one of our wonderful nurse practitioners, has been elected to Associate of the American College of Cardiology. She will take the official oath during the Convocation ceremony at the 70th Annual ACC Scientific Sessions taking place May 15-17. The Sessions will be held virtually this year due to the ongoing pandemic.

Her nominators, Kristen Bova Campbell and Rebecca Yapejian, noted that they are pleased to see Gail receive the professional validation she deserves for her contributions to cardiology and electrophysiology. We agree! Gail, we are very happy for you – congratulations!

 

 

Butler Honored During TBJ Virtual Celebration

Kiersten Butler was honored on Thursday, April 15 during the Triangle Business Journal‘s virtual 2021 Health Care Heroes Award Ceremony. Butler is a nurse on the 7E/Cardiac Intensive Care Unit. We are so proud of you, Kiersten! Congratulations.

NC Walk for Victory Held

The North Carolina Walk for Victory to support families of Marfan patients was held yesterday at Laurel Hills Park in Raleigh. Duke Heart and the Duke Center for Aortic Disease served as the presenting sponsor with Dr. G. Chad Hughes as the medical chair for the walk. We had a great time cheering on and supporting the families who attended – from those with Marfan syndrome to those with Loeys-Dietz (LDS), Vascular Ehlers-Danlos (VEDS), and related conditions.

Thanks to all who helped support this event!

Triangle Go Red Luncheon – Registration Open

The American Heart Association’s 2021 Triangle Go Red for Women Luncheon digital celebration will be held on May 14th from 11:30 a.m. – 1 p.m. Join us as we celebrate the impact of Go Red for Women in the Triangle, learn tips to structure self-care into your day, participate in a series of health and wellness breakout sessions, and hear from inspiring survivors who are “Living Fierce” and not letting cardiovascular disease stand in their way. Registration is free and open to all. If interested, please visit https://events.bizzabo.com/301164.

 

COVID-19 Updates:

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

 

Upcoming Opportunities/Save the Date:

Cardiology Grand Rounds

April 20: Spontaneous Coronary Artery Dissection with Esther (Soo Hyun) Kim of Vanderbilt University Medical Center. 5 p.m., Webex.

April 23: A Tale of Two Callings with Robert J. Lefkowitz. Noon, Zoom. All Medicine Grand Rounds attendees will have the chance to win a signed copy of Dr. Lefkowitz’s book, “A Funny Thing Happened on the Way to Stockholm.”

April 27: Cardio-Oncology: Moving Forward in 2021 with Daniel J. Lenihan, Director, Cardio-Oncology Center of Excellence, Washington University in St. Louis. 5 p.m., Webex.

April 29: A celebration of Joe Rogers with Duke faculty, alumni & friends. 5 p.m., TBD.

 

Upcoming (Virtual) 2021 Duke Heart CME

We have dates set for two upcoming virtual symposia; registration is not yet available.

October 8: Duke Advanced Heart Failure Symposium. Course director is Richa Agarwal

November 5:  13th Annual NC Research Triangle Pulmonary Hypertension Symposium. Course directors are Terry Fortin and Jimmy Ford (UNC).

 

Final Mental Health Webinar in Series

Apr. 27: Mental Health in Children of Color. Noon-12:30 p.m. Led by Erikka Dzirasa, MD, MPH, consulting associate in Psychiatry & Behavioral Sciences (Link below).

This is the final webinar of a six-part series, “Taking Care of Yourself and Your Loved Ones,” for all Duke University and Duke Health community members and their families. The 30-minute topical webinars provide practical expert advice on topics including emotional wellness, substance misuse, suicide prevention, and mental health for children, adolescents and teens.

The webinar series runs through April 27. Learn more, watch past webinars and join upcoming webinars:  http://bit.ly/DukeMHSeries.

 

AGS/NIA Conference on Cancer & CV Disease – Application Available

The American Geriatrics Society has announced that “Cancer and Cardiovascular Disease”– the third in a three-part series of U13 Bench-to-Bedside Conferences — will be held at the Heart House – American College of Cardiology in Washington, DC on Monday, October 18 and Tuesday, October 19, 2021. A preliminary agenda for the conference can be accessed HERE.

The conference, sponsored by the National Institute on Aging (NIA) and the American Geriatrics Society (AGS), will provide attendees the opportunity to learn about cutting edge research developments, participate in the creation of recommendations for future research, and network with colleagues and leaders in the field. Learn more here.

The application for the conference is now available; applications are due by MONDAY, JUNE 14, 2021 and applicants will be notified if they are invited to participate by the end of July. Please review the following eligibility criteria before applying.

Applicants must meet the following criteria:

  1. At least 1-2 years of research experience in a related field.
  2. Hold an MD, PhD, PharmD or equivalent degree (e.g., DO, OD, DPT, DDS, Psy.D).
  3. Have an academic appointment as a research fellow, instructor or faculty member.

If you are interested in participating or learning more about the conference please contact Elisha Medina-Gallagher, AGS Manager for Special Projects, egallagher@americangeriatrics.org or 212-308-1414.

 

Have news to share?

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

Duke Heart in the News:

April 7 — Sunil Rao

tctMD

Radial Superior to Femoral Access in Patients With Prior CABG

https://bit.ly/3wTTDmt

April 9 — Theresa Bayless; heart patient wedding

The New York Times

A Final Celebration of Their Life Together

April 9 — Nishant Shah

Cardiology Advisor

Managing the Interplay of Familial Hypercholesterolemia and COVID-19

https://bit.ly/3uQNBRY

April 12 — Mollie Kettle and Kelly Kester

Healthcare NOW Radio (podcast)

iPad workarounds for COVID visitation restrictions

https://bit.ly/32jAb4o

April 13 — Cary Ward

Spectrum News

Pregnancy Complications & Heart Disease

https://bit.ly/3wW2wvM

Division of Cardiology Publications Indexed in PubMed April 8-14, 2021

Carnicelli AP, Al-Khatib SM, Xavier D, Dalgaard F, Merrill PD, Wojdyla DM, Lewis BS, Hanna M, Alexander JH, Lopes RD, Wallentin L, Granger CB. Premature permanent discontinuation of apixaban or warfarin in patients with atrial fibrillation. Heart 2021;107:713-720. PM: 32938772.

Gargiulo G, Cannon CP, Gibson CM, Goette A, Lopes RD, Oldgren J, Korjian S, Windecker S, Esposito G, Vranckx P, Valgimigli M. Safety and efficacy of double vs. triple antithrombotic therapy in patients with atrial fibrillation with or without acute coronary syndrome undergoing percutaneous coronary intervention: a collaborative meta-analysis of non-vitamin K antagonist oral anticoagulants. Eur Heart J Cardiovasc Pharmacother 2021;7:f50-f60. PM: 33119069.

Gaudino M, Di Franco A, Bhatt DL, Alexander JH, Abbate A, Azzalini L, Sandner S, Sharma G, Rao SV, Crea F, Fremes SE, Bangalore S. The association between coronary graft patency and clinical status in patients with coronary artery disease. Eur Heart J 2021;42:1433-1441. PM:33709098.

Kochav JD, Kim J, Judd R, Kim HW, Klem I, Heitner J, Shah D, Shenoy C, Farzaneh-Far A, Polsani V, Kalil R, Villar-Calle P, Nambiar L, Sultana R, Parker M, Cargile P, Khalique OK, Leon MB, Karmpaliotis D, Ratcliffe M, Levine R, Zoghbi WA, Devereux RB, et al. Ischemia-Mediated Dysfunction in Subpapillary Myocardium as a Marker of Functional Mitral Regurgitation. JACC Cardiovasc Imaging 2021;14:826-839. PM: 33744130.

Malik J, Loring Z, Piccini JP, Wu HT. Interpretable morphological features for efficient single-lead automatic ventricular ectopy detection. J Electrocardiol 2021;65:55-63. PM: 33516949.

Povysil G, Chazara O, Carss KJ, Deevi SVV, Wang Q, Armisen J, Paul DS, Granger CB, Kjekshus J, Aggarwal V, Haefliger C, Goldstein DB. Assessing the Role of Rare Genetic Variation in Patients With Heart Failure. JAMA Cardiol 2021;6:379-386. PM: 33326012.

Sullivan K, Doumouras BS, Santema BT, Walsh MN, Douglas PS, Voors AA, Van Spall HGC. Sex-Specific Differences in Heart Failure: Pathophysiology, Risk Factors, Management, and Outcomes. Can J Cardiol 2021;37(4):560-571. PM: 33383166.

Urban P, Gregson J, Owen R, Mehran R, Windecker S, Valgimigli M, Varenne O, Krucoff M, Saito S, Baber U, Chevalier B, Capodanno D, Morice MC, Pocock S. Assessing the Risks of Bleeding vs Thrombotic Events in Patients at High Bleeding Risk After Coronary Stent Implantation: The ARC-High Bleeding Risk Trade-off Model. JAMA Cardiol. 2021;6:410-419. PM: 33404627.

Weissler EH, Aboyans V, Bauersachs R, Brodmann M, Nikol S, Debus S, Patel MR, Jones WS. The Role for Combined Antithrombotic Therapy With Platelet and Coagulation Inhibition After Lower Extremity Revascularization. JACC Cardiovasc Interv 2021;14:796-802. PM: 33826501.

 

The Pulse: Duke Heart Week Ending April 11th 2021

Chief’s message: Good Outcomes

Like most health systems, we have discussed at great length both in our clinics and hospital rounds what are desired clinical outcomes.  Focused on delivering patient centered care that leads to improved patient health and experiences is not a new consideration, and in fact in the era of big data, public reporting, and registries there is importantly more transparency on the care we provide.  I believe a remaining large hurdle in providing more patient centered care and reducing health inequity is the science around shared decision making and understanding patient preferences.  Despite tremendous work in some parts of cardiovascular medicine, the art of medicine is still critical to shared decision making in which understandable best available information on medical care is provided to the patient, and the patient provides back their preferences based their values informed by their cultural, social, and religious beliefs. Although this construct sounds straight forward, the actual practice is often complicated with wonderful and knowledgeable patients asking what we would recommend if they were our family member.  It is with this background, that many were struck by the story in the New York Times this weekend  https://nyti.ms/3uUoBcD  of Jeffrey Benesch, a person with advanced congestive heart failure, who got married while receiving palliative care at Duke Hospital.  The story highlights the couple’s relationship and wishes, and is a testament to the Duke Staff and teams that cared for him.  As with many Heart Centers we focus on our mortality rates, the number of patients that get transplants, left ventricular support devices, and the critical care and teams-based CV procedures for our advanced heart patients.  However, in the coming years we will also continue to work to measure the  ‘good outcomes’ that our patients and their families want by investing in the ways in which we can better capture their preferences, values, and decisions on the care we provide.

Highlights of the week:

Mentz to Receive SOM Research Mentoring Award

Robert Mentz

Congratulations to Robert Mentz, MD, chief of the Heart Failure Section in the Division of Cardiology, who has been selected as the 2021 recipient of the School of Medicine’s Early Career Mentoring Award in Clinical/Population Health Science. The Research Mentoring Awards honor outstanding research mentors in the Duke SOM. Winners of the award demonstrate excellence in numerous aspects of mentoring, including accomplishments of individual mentees, programs implemented by the mentor, or by exceptional creativity in mentoring.

The award was announced by Dr. Ann Brown, Vice Dean for Faculty, who shared the news in an email to Mentz, Dr. Kathleen Cooney, Chair of the Department of Medicine, and Dr. Mary Klotman, Dean of the SOM. The award is typically given during the Spring Faculty Celebration, but due to the continuing pandemic, an alternate virtual celebration is being planned.

“I am very honored by this recognition,” said Mentz. “I appreciate the nomination and support I’ve received from the division.”

Congratulations, Rob, this is well deserved!

Greene Selected for DOM Chair’s Award

We are pleased to share that the review committee for the Department of Medicine Chair’s Awards has selected

Stephen Greene

Stephen Greene’s research proposal, “Use and Effectiveness of Outpatient Intravenous Diuretics for Worsening Heart Failure” for funding. The Chair’s Award is a one-year award for $95,000 and will begin on July 1, 2021. Dr. Kathleen Cooney, Chair of the Department of Medicine and the George Barth Geller Distinguished Professor of Medicine, formally announced the award in a letter to Greene earlier this week.

“I’m very honored to receive this award and truly appreciate the Department’s support,” said Stephen Green, MD, assistant professor in the division of cardiology. “I look forward to a productive and rewarding year.”

Congratulations, Steve!

 

Granger & SON Study Team Receive Alpha Phi Foundation Award

Congratulations to Bradi Granger and the Duke School of Nursing study team who were selected as the recipient of the Alpha Phi Foundation Heart to Heart award for their proposal, “Improving the Visibility of Women: Patients as Partners in Management of Uncontrolled Hypertension.”

The research project, led by Dr. Bradi Granger and Dr. Holly Biola, in conjunction with Awanya Caesar, RN at Lincoln Community Health Center, will use a community-based intervention that will identify and reduce disparities and inequities among women with high blood pressure, resulting in an increase in the proportion of women with hypertension under control.

“Community-based interventions using peer partners and existing social-cultural infrastructure, such as barbershops, have been effective for reducing blood pressure in [Black] men,” says Granger. According to the principal investigators, 43 percent of all women in the United States are affected by uncontrolled blood pressure, which is a significant contributor to heart attack, heart failure, stroke, and death. Duke University School of Nursing seeks to tailor a similar intervention to women, especially Black women who make up 42.9 percent of the affected population.

Hypertension disproportionately affects women of differing racial and socioeconomic backgrounds, and proper support in health education is essential to preventing further cardiovascular disease. Looking closely at disparate populations in the Raleigh-Durham area, specifically among women of color, the team at Duke is focusing on teaching local women how to integrate heart-healthy care into their everyday activities through their peers.

Granger, Biola, and Caesar will be training “Hypertension Heroes,” a group of volunteers who will serve as community health workers aiding in patients’ hypertension treatment and maintenance. Volunteers will be paired with members of their local communities who need assistance in maintaining healthy blood pressure. Using skills-based training with blood pressure cuffs, physician-prescribed medications, and other interventions, these women will help one another gain control over their health.

Awarded annually, the Heart to Heart Grant of $100,000 funds research and educational programs that support the advancement of women’s heart health and cardiac care.

Congratulations, Bradi and team!

Bradi and Team have also been invaluable partners in our AHA Life is Why campaign in which Duke Heart has partnered with community members to raise awareness and measure Blood Pressure across our community.

 

Heart Bedflow Update

As you know, Paul Clausing retired officially on March 31, 2021.  We wanted everyone to know that his duties have a seamless transition to a core group of charge nurses in 7E CICU who covered for Paul in the past. The day shift CICU bedflow CN is ONLY covering bedflow and does not have any additional responsibilities. To ensure a smooth transition to the night shift CICU CN, the day shift bedflow coverage has expanded to 7 p.m. There have been NO changes to any processes or job duties; all duties have transitioned to the CICU bedflow CN. The pager and phone number remain the same:

  • Mobile: 919-812-6340
  • Pager: 919-970-2508

If you have any delays in response, please notify Kelly Kester, COD, at 919-812-0331 or Pager 919-970-6517. You can also escalate to Mary Lindsay, pager 919-970-6575 or Jill Engel at 919-407-9753.

 

Marfan NC Walk for Victory, April 17

The North Carolina Walk for Victory to support families of Marfan patients is coming up next weekend. The event will be held from Noon to 3 p.m. at Laurel Hills Park on Edwards Mill Road in Raleigh on Saturday, April 17. Duke Heart is the presenting sponsor and Dr. G. Chad Hughes is the medical chair.

Help us support all Marfan families as well as those with Loeys-Dietz (LDS), Vascular Ehlers-Danlos (VEDS), and related conditions. We’d like to also show our full support for the Howell family of Greensboro, who are serving as the community chairs of the event.

Walk for Victory is The Marfan Foundation global walk program. The event is non-athletic and family oriented to focus on fun! To learn more about The Marfan Foundation, please visit marfan.org.

To register for our event, please visit: https://give.marfan.org/event/2021-north-carolina-walk-for-victory/e303480

DukeHeart On The Go: Latest PAD/CAD CME Modules Now Available

The fourth and final program in our CAD/PAD educational series has launched on the DukeHeart On The Go and MedEd On The Go educational platforms. Take a look and learn: Improving Clinical Outcomes in Patients with CAD/PAD – A Case-based Review on Discharge Planning, Compliance and Adherence in the Ambulatory Patient. The CME/CNE certified program, developed in collaboration with the Society for Vascular Medicine and Society for Vascular Surgery, aggregates up-to-the-minute perspectives on important milestones in PAD/CAD patient care.

Please share widely. The courses are available for free.

AGS/NIA Conference on Cancer & CV Disease – Application Available

The American Geriatrics Society has announced that “Cancer and Cardiovascular Disease”– the third in a three-part series of U13 Bench-to-Bedside Conferences — will be held at the Heart House – American College of Cardiology in Washington, DC on Monday, October 18 and Tuesday, October 19, 2021. A preliminary agenda for the conference can be accessed HERE.

The conference, sponsored by the National Institute on Aging (NIA) and the American Geriatrics Society (AGS), will provide attendees the opportunity to learn about cutting edge research developments, participate in the creation of recommendations for future research, and network with colleagues and leaders in the field. Learn more here.

The application for the conference is now available; applications are due by MONDAY, JUNE 14, 2021 and applicants will be notified if they are invited to participate by the end of July. Please review the following eligibility criteria before applying.

Applicants must meet the following criteria:

  1. At least 1-2 years of research experience in a related field.
  2. Hold an MD, PhD, PharmD or equivalent degree (e.g., DO, OD, DPT, DDS, Psy.D).
  3. Have an academic appointment as a research fellow, instructor or faculty member.

If you are interested in participating or learning more about the conference please contact Elisha Medina-Gallagher, AGS Manager for Special Projects at egallagher@americangeriatrics.org or 212-308-1414.

 

COVID-19 Updates:

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

 

Upcoming Opportunities/Save the Date:

Cardiology Grand Rounds

April 13: Advancing Gender Equity in Global Cardiovascular Health Outcomes with Zainab Samad of Aga Khan University. 7:15 a.m., Webex.

April 20: Spontaneous Coronary Artery Dissection with Esther (Soo Hyun) Kim of Vanderbilt University Medical Center. 5 p.m., Webex.

April 23: A Tale of Two Callings with Robert J. Lefkowitz. Noon, Zoom.

April 27: Cardio-Oncology: Moving Forward in 2021 with Daniel J. Lenihan, Director, Cardio-Oncology Center of Excellence, Washington University in St. Louis. 5 p.m., Webex.

April 29: A celebration of Joe Rogers with Duke faculty, alumni & friends. 5 p.m., TBD.

 

Upcoming (Virtual) 2021 Duke Heart CME

We have dates set for three upcoming virtual symposia; registration is not yet available.

May 14: Duke Sports Cardiology & Sudden Death in Athletes Symposium*. Course directors are Jim Daubert and Bill Kraus. (*PUSHED TO 2022)

October 8: Duke Advanced Heart Failure Symposium. Course director is Richa Agarwal

November 5:  13th Annual NC Research Triangle Pulmonary Hypertension Symposium. Course directors are Terry Fortin and Jimmy Ford (UNC).

 

Six-Part Mental Health Webinar Series Available Through April

Apr. 14: Understanding and Preventing Youth Suicide. 4-4:30 p.m. Led by assistant professor Angela Tunno, PhD, MS (Link below).

This is the fifth in a six-part webinar series, “Taking Care of Yourself and Your Loved Ones,” for all Duke University and Duke Health community members and their families. The 30-minute topical webinars provide practical expert advice on topics including emotional wellness, substance misuse, suicide prevention, and mental health for children, adolescents and teens.

The webinar series runs through April 27. Learn more, watch past webinars and join upcoming webinars:  http://bit.ly/DukeMHSeries.

 

Have news to share?

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

 

Duke Heart in the News:

April 2 — Duke University Hospital/Heart patient wedding

WSOC-TV 9 (Charlotte, NC)

Final wish: Patient marries fiancee at North Carolina hospital week before his death

https://bit.ly/3uCCRXb

April 5 — Duke University Hospital/Heart patient wedding

WSET.com/ABC-13 (Lynchburg, VA)

Martinsville woman mourns loss of husband days after wedding at hospital

https://bit.ly/2OC7WLi

April 5 – Piers Barker and Joe Turek

DukeStories

At the Heart of Research and Medicine

https://bit.ly/39Trgek

April 6 — Robert Califf

SciTechDaily.com

Tsunami of Chronic Health Conditions Expected as a Result of COVID-19 Pandemic – Will Affect Society for Decades

https://bit.ly/3d51ypc

April 6 — J. Antoinio Gutierrez

Healio/Cardiology

COVID-19 confers elevated VTE risk in veterans

https://bit.ly/3fX5Fpm

April 7 — Vanessa Blumer

Cardiovascular Business

How prior hospitalizations affect a heart failure patient’s chances of survival

https://bit.ly/2QbsXNn

Division of Cardiology Publications Indexed in PubMed April 1-7, 2021

Alenezi F, Rajagopal S. The right atrium, more than a storehouse. Int J Cardiol 2021;331:329-330. PM: 33548383.

Anastasius M, Maggiore P, Huang A, Blanke P, Patel MR, Nørgaard BL, Fairbairn TA, Nieman K, Akasaka T, Berman DS, Raff GL, Hurwitz Koweek LM, Pontone G, Kawasaki T, Rønnow Sand NP, Jensen JM, Amano T, Poon M, Øvrehus KA, Sonck J, Rabbat MG, Mullen S, De B. The clinical utility of FFR stratified by age. J Cardiovasc Comput Tomogr 2021;15:121-128. PM: 33032976.

Chan AT, Dinsfriend W, Kim J, Yum B, Sultana R, Klebanoff CA, Plodkowski A, Perez Johnston R, Ginsberg MS, Liu J, Kim RJ, Steingart R, Weinsaft JW. Risk stratification of cardiac metastases using late gadolinium enhancement cardiovascular magnetic resonance: prognostic impact of hypo-enhancement evidenced tumor avascularity. J Cardiovasc Magn Reson 2021;23:42. PM: 33814005.

Cunningham LC, Fonarow GC, Yancy CW, Sheng S, Matsouaka RA, DeVore AD, Jneid H, Deswal A. Regional Variations in Heart Failure Quality and Outcomes: Get With The Guidelines-Heart Failure Registry. J Am Heart Assoc 2021;10(7):e018696. PM: 33759546.

Fudim M, Patel MR, Boortz-Marx R, Borlaug BA, DeVore AD, Ganesh A, Green CL, Lopes RD, Mentz RJ, Patel CB, Rogers JG, Felker GM, Hernandez AF, Sunagawa K, Burkhoff D. Splanchnic Nerve Block Mediated Changes in Stressed Blood Volume in Heart Failure. JACC Heart Fail 2021;9(4):293-300. PM: 33714749.

Goldstein SA, Sorenson L, Chapa JB, Krasuski RA. Pregnancy in a woman with congenitally corrected transposition of the great arteries. Cleve Clin J Med 2021;88(4):228-236. PM: 33795247

 

Duke Heart – April 4th 2021

Chief’s message:

Hope Springs Eternal. This expression coined by Alexander Pope in a poem (An Essay on Man, 1732) quickly became proverbial and is often used around the Spring and Easter time.

Hopefully all of you have found some time to be with family and friends this Easter weekend.  This spring is thankfully in contrast to a year ago when were in the midst of the COVID pandemic’s first wave with so much illness and unknown.  We have learned over the year that some of our foundations of belief in science, research, and health care are essential and with continued work we can follow them as bellwethers for progress.  Yet, we have also been faced again with the tremendous social injustice and health inequities in our communities.  So, as we look forward with continued cautious optimism that our communities can continue to be vigilant and start to open up more from the pandemic, we also take time this spring to start to do the heavy lifting of re-organizing and doing the internal and external work to confront the health inequities and social injustices that are all too present.  As with most things, these changes occur due to the people.  It’s the people, the friends, colleagues, and members of Duke Heart that constantly provide me with the belief and hope the we will serve the greater good to make a difference in our communities and each others lives.

Highlights of the week:

Seven Duke Heart Nurses Receive FON Excellence Awards

Duke’s 2021 Friends of Nursing Excellence Awards were announced this week by Mary Ann Fuchs, DNP, RN, NEA-BC, FAAN, Vice President of Patient Care and System Chief Nurse Executive, Duke University Health System.

We are pleased to share with you that seven of the 38 FON awardees are nurses on the Duke Heart team:

Stephanie G. Barnes, MSN, AGPCNP-C, PCCN

Nurse Practitioner

Clinical Director for Advanced Heart Failure Services

Duke Heart Center

Duke University Hospital

Nan & Hugh Cullman Heart Center Award for Excellence in Nursing Practice

Allison W. Dimsdale, DNP, NP-C, AACC, FAANP

Associate Vice President

Private Diagnostic Clinic

Nurse Practitioner

Division of Cardiology, Department of Medicine

Duke University School of Medicine

Clinical Associate Faculty

Duke University School of Nursing

Nan & Hugh Cullman Heart Center Award for Excellence in Nursing Practice

Mollie Kettle, BSN, RN, CCRN-CSC

Clinical Lead

Cardiothoracic Intensive Care Unit, DMP 7 West

Duke University Hospital

The Fuchs Family Award for Excellence in Innovation

 

Elaine Milton, BSN, RN, PCCN

Clinical Nurse III

Cardiac Telemetry Unit 5-2

Duke Regional Hospital

Duke Regional Hospital Medical Staff Award for Excellence in Nursing Practice

 

Brenda Smith, RN-BC, FHRS, AACC

Clinical Services Nurse III

Electrophysiology Clinic

Duke University Hospital

Wilma Minniear Award for Excellence in Nursing Mentorship

 

Courtney Stierwalt, BSN, RN, PCCN

Clinical Lead

Cardiothoracic Surgery Stepdown Unit 3300

Duke University Hospital

Heart Center Award for Excellence in Cardiovascular Nursing in Recognition of Mary Ann Peter

 

Katie Toy, BSN, RN, CCRN

Clinical Nurse III

Cardiac Intensive Care Unit DMP 7 East

Duke University Hospital

Ernestine Davis & Edward L. Cole Award for Excellence in Coronary Care Unit Nursing

 

In a message sent via Nursing Update, Fuchs said:

“Over the past several weeks, I have had the honor of announcing the winners of the 2021 Friends of Nursing (FON) Excellence Awards, one by one, across our health system and the Private Diagnostic Clinic. Our tradition is to surprise the winners in person during their shift. This year, we also joined virtual meetings or huddles to share the news.

I am pleased to announce the 38 winners of the 2021 FON Excellence Awards. However, I am sad to say that one of the winners is being honored posthumously. Edward Lavoie, BSN, RN, CNOR, a former CNIII in the orthopaedic OR at Duke University Hospital, passed away in a tragic accident this past August. For the announcement on Ed’s unit, we invited his family to participate, and were so pleased that his wife, Rebecca Padilla, also a Duke Nurse, attended, along with other family members.

I also congratulate all of the nurses nominated this award cycle. It is an honor to be nominated for an award! FON received more than 275 nominations, and many of those included one or more letters of support. And, thank you to everyone who took the time and effort to nominate a colleague.

We have much to celebrate in 2021, because of the extraordinary contributions of Duke Nurses over the past year. As always, thank you for everything you do to care for our patients, their loved ones and each other.”

Please join us in congratulating Stephanie, Allison, Mollie, Elaine, Brenda, Courtney and Katie!

Karpurapu Named 2021 Goldwater Scholar

We are thrilled to share with you that Anish Karpurapu, a Duke undergraduate student working in Ravi Karra’s lab, has been named a 2021 Goldwater Scholar.

Karpurapu has been working with Karra in the Duke Cardiovascular Research Center (CVRC) to identify and model growth niches in the heart that underlie heart regeneration. In the future, he plans to pursue an MD/PhD and direct his own research program focused on drug discovery through stem cell biology. He is from Vienna, VA and is majoring in both Biomedical Engineering and Computer Science.

The announcement was made by Peggy Goldwater Clay, chair of the Board of Trustees of the Barry Goldwater Scholarship and Excellence in Education Foundation, in partnership with the Department of Defense Education Programs.

The Goldwater Scholarship Program is one of the oldest and most prestigious national scholarships in the United States and seeks to identify undergraduates that are poised to become members of the next generation of research leaders.

Karpurapu is one of 410 college students nationwide to be selected as a Goldwater Scholar. From an estimated pool of more than 5,000 college sophomores and juniors, 1256 natural science, engineering and mathematics students were nominated by 438 academic institutions to compete for the 2021 Goldwater scholarships.

Congratulations, Anish!

Clausing Retirement Celebration Held

A small retirement celebration was held Tuesday morning, March 30 to thank Paul Clausing for his many years of service to Duke Heart. Thank you to all who joined us!

Heart Team Helps Patient Fulfill Wedding Wish

Jeffrey Benesh and Sarah Myler were married at Duke University Hospital last Friday evening.  Jeffrey and Sarah, who are from Martinsville, VA, have spent the past nine years together and knew they wanted to get married. Jeffrey’s heart disease and ongoing hospitalizations have kept the couple from having the wedding they hoped for. Jeffrey learned late last week that he has only days to live and the one thing he wanted to do before dying was to marry the love of his life.

Staff members from DUH 7300, including Tenita Sawyer, Jennifer Hill, Valentina Amponsah and Monica Harper, along with Sarah and her family were able to arrange the wedding within 24 hours. Duke chaplain Theresa Bayless married the couple. Music was provided by William Dawson, musician-in-residence for Duke Arts & Health. Robert Moss and Francine Clark of Duke’s gift shop provided balloons, decorations, chocolate and roses. Nicholas Walter and Dustin Voltz provided valet parking passes for members of the family.

We thank everyone for pulling this together for this couple. Well done, team! (Please see news coverage, below.)

Marfan NC Walk for Victory, April 17

Join us for the 2nd annual (and first in-person) North Carolina Walk for Victory to support families of Marfan patients. The event will be held from Noon to 3 p.m. at Laurel Hills Park on Edwards Mill Road in Raleigh on Saturday, April 17. Duke Heart is the presenting sponsor and Dr. G. Chad Hughes is the medical chair.

Help us support all Marfan families as well as those with Loeys-Dietz (LDS), Vascular Ehlers-Danlos (VEDS), and related conditions. We’d like to also show our full support for the Howell family of Greensboro, who are serving as the community chairs of the event.

Walk for Victory is The Marfan Foundation global walk program. The event is non-athletic and family oriented to focus on fun! To learn more about The Marfan Foundation, please visit marfan.org.

To register for our event, please visit: https://give.marfan.org/event/2021-north-carolina-walk-for-victory/e303480

 

Poetry heals: Writing workshop for healthcare workers

Science has shown that writing is excellent for boosting our well-being. As a form of respite to healthcare workers, and to celebrate National Poetry Month, an interactive writing workshop will enable participants to slow down for 90 minutes, breathe, read poems, and do some reflective writing. It takes place on Saturday, April 24, from 1-2:30 EST, via Zoom.

The session is intended for healthcare workers only—all roles and interdisciplinary. We trust that if you RSVP, this describes you. Learn more and register at this link. Deadline for registration is April 10.

COVID-19 Updates:

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

Upcoming Opportunities/Save the Date:

Cardiology Grand Rounds

April 6: Management of POTS with Camille Frazier-Mills. 5 p.m., Webex.

April 13: Advancing Gender Equity in Global Cardiovascular Health Outcomes with Zainab Samad of Aga Khan University. 7:15 a.m., Webex.

April 20: Spontaneous Coronary Artery Dissection with Esther (Soo Hyun) Kim of Vanderbilt University Medical Center. 5 p.m., Webex.

April 27: Cardio-Oncology: Moving Forward in 2021 with Daniel J. Lenihan, Director, Cardio-Oncology Center of Excellence, Washington University in St. Louis. 5 p.m., Webex.

Upcoming (Virtual) 2021 Duke Heart CME

We have dates set for three upcoming virtual symposia; registration is not yet available.

May 14: Duke Sports Cardiology & Sudden Death in Athletes Symposium. Course directors are Jim Daubert and Bill Kraus.

October 8: Duke Advanced Heart Failure Symposium. Course director is Richa Agarwal

November 5:  13th Annual NC Research Triangle Pulmonary Hypertension Symposium. Course directors are Terry Fortin and Jimmy Ford (UNC).

Six-Part Mental Health Webinar Series Available Through April

Apr. 14: Understanding and Preventing Youth Suicide. 4-4:30 p.m. Led by assistant professor Angela Tunno, PhD, MS (Link below).

This is the fifth in a six-part webinar series, “Taking Care of Yourself and Your Loved Ones,” for all Duke University and Duke Health community members and their families. The 30-minute topical webinars provide practical expert advice on topics including emotional wellness, substance misuse, suicide prevention, and mental health for children, adolescents and teens.

The webinar series runs through April 27. Learn more, watch past webinars and join upcoming webinars:  http://bit.ly/DukeMHSeries.

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:

March 25 — Stephen Greene

tctMD

Patient-Reported Outcomes Beat NYHA Class for Tracking Gains in HFrEF

https://bit.ly/3rIBx33

*also carried by Practical Cardiology

 

March 25 — Manesh Patel and Robert Harrington

Medscape

COVID and the Athlete’s Heart

https://wb.md/3mhvJg4

March 26 — Manesh Patel

Medscape

Long COVID Brings Welcome Attention to POTS

https://www.medscape.com/viewarticle/948174

March 28 — Adam DeVore

WNCN News (Durham/CBS17.com)

Years after pregnancy-related heart failure, mom receives life-saving transplant at Duke

https://bit.ly/3cITKJG

*also carried by WGHP FOX-8, Greensboro

March 28 — William Kraus

MSN.com

Psst…A 10-Minute Walk Could Be as Good for You as a 50-Minute Run

https://bit.ly/3uga7TV

March 29 — Stephen Greene

Physician’s Weekly

Heart Failure: KCCQ A Better Predictor of Outcome Than NYHA Class

https://bit.ly/3dA7w0y

March 29 — Stephen Greene

HCP Live

KCCQ-OS Superior Model in Classifying Cardiovascular Conditions

https://bit.ly/3uv5SnN

*also carried by MD Magazine

March 29 — Duke University Hospital/Heart patient wedding

WSLS News (Roanoke, VA)

Martinsville couple gets married at Duke University Hospital amid heart disease battle

https://bit.ly/3wpfIt5

March 29 — Duke University Hospital/Heart patient wedding

WSET News (Lynchburg, VA)

‘We wanted this memory:’ Martinsville couple marries as groom receives end-of-life care

https://bit.ly/39DmLoa

*also carried by 5 additional outlets

March 30 — Duke University School of Medicine

U.S. News & World Report

U.S. News & World Report Announces 2022 Best Graduate Schools

https://bit.ly/3wmSOT3

March 30 — Duke University Hospital/Heart patient wedding

WRAL.com

However long we have, it’s forever for us

https://bit.ly/3dmVnvu

March 30 — Duke University Hospital/Heart patient wedding

WTVD/ABC-11

Couple marries at Duke University Hospital amid battle with heart disease

https://abc11.tv/3uimqix

March 30 — Duke University Hospital/Heart patient wedding

Martinsville Bulletin

Martinsville couple vows to have a ceremony

https://bit.ly/2PxeAmv

March 31 — Duke University School of Medicine

News & Observer

UNC, Duke and NC State universities earn top US News rankings for graduate programs

https://bit.ly/3uv5zt9

April 1 — Duke University Hospital/Heart patient mentioned

WECT News (Wilmington)

‘It’s forever for us’: Dying patient marries fiancée at NC hospital

https://bit.ly/3mqUlDb

*also carried by 187 additional outlets

April 1 — Karen Alexander

Killeen Daily Herald

Study to look at drug’s effect on dementia

https://bit.ly/31V01vL

April 1 — Rob Mentz

Medpage Today

Language Matters During This ‘Exciting Time’ in Heart Failure

https://bit.ly/3sHKYB8

April 2 — John Alexander

Scientific American

COVID Showed How Trials for New Drugs Could Be Faster and Better

https://bit.ly/3rNLJY9

Division of Cardiology Publications Indexed in PubMed March 25-31, 2021

Atkins J, Fudim M, Tedford RJ. Turning Pressure Into Success: Preload Restriction in HFpEF? JACC Basic Transl Sci 2021;6(3):199-201. PM: 33779658.

Bick AG, Weinstock JS, Nandakumar SK, Fulco CP, Bao EL, Zekavat SM, Szeto MD, Liao X, Leventhal MJ, Nasser J, Chang K, Laurie C, Burugula BB, Gibson CJ, Niroula A, Lin AE, Taub MA, Aguet F, Ardlie K, Mitchell BD, Barnes KC, Moscati A, Fornage M, Redline S. Author Correction: Inherited causes of clonal haematopoiesis in 97,691 whole genomes. Nature 2021;591(7851):E27. PM: 33707633.

Coetzee T, Ball MP, Boutin M, Bronson A, Dexter DT, English RA, Furlong P, Goodman AD, Grossman C, Hernandez AF, Hinners JE, Hudson L, Kennedy A, Marchisotto MJ, Myers E, Nowell WB, Nosek BA, Sherer T, Shore C, Sim I, Smolensky L, Williams C, Wood J, et al. Data Sharing Goals for Nonprofit Funders of Clinical Trials. J Particip Med 2021;13(1):e23011. PM: 33779573.

Dorling JL, Ravussin E, Redman LM, Bhapkar M, Huffman KM, Racette SB, Das SK, Apolzan JW, Kraus WE, Höchsmann C, Martin CK. Effect of 2 years of calorie restriction on liver biomarkers: results from the CALERIE phase 2 randomized controlled trial. Eur J Nutr 2021;60(3):1633-1643. PM: 32803412.

Geurink K, Holmes D, Ezekowitz MD, Pieper K, Fonarow G, Kowey PR, Reiffel JA, Singer DE, Freeman J, Gersh BJ, Mahaffey KW, Hylek EM, Naccarelli G, Piccini JP, Peterson ED, Pokorney SD. Patterns of oral anticoagulation use with cardioversion in clinical practice. Heart 2021;107(8):642-649. PM: 32591363.

Kanwar MK, McIlvennan CK, Lohmueller LC, Bailey SH, Rogers JG, Teuteberg J, Cowger J. Defining Optimal Outcomes in Patients with Left Ventricular Assist Devices. ASAIO J 2021;67(4):397-404. PM: 32701625.

Nurmohamed NS, Navar AM, Kastelein JJP. New and Emerging Therapies for Reduction of LDL-Cholesterol and Apolipoprotein B: JACC Focus Seminar 1/4. J Am Coll Cardiol 2021;77(12):1564-1575. PM: 33766264.

Salah HM, Fudim M, Al’Aref SJ, Khan MS, Almarzooq ZI, Devabhaktuni SR, Mentz RJ, Butler J, Greene SJ. Meta-Analysis of Efficacy of Sacubitril/Valsartan in Heart Failure With Preserved Ejection Fraction. Am J Cardiol 2021;145:165-168. PM: 33529619.