Duke Heart Pulse — March 31, 2024

Duke Heart Pulse – March 31, 2024

Highlights of the week:

Happy Elite 8 Easter Weekend

To all those celebrating the holiday this weekend with family and friends, we wish you a very Happy Easter, and to all those celebrating the advancement of their favorite NCAA teams in the men’s and women’s tournaments, a big congratulations!

We’re excited to see Duke MBB take on the Wolfpack today at 5 p.m. and hopefully continue onward to the Final Four. Go Duke!

 

 

Gaca Appointed Section Chief, Adult Cardiac Surgery

We are pleased to share that Jeffrey Gaca, MD, has been appointed section chief for Adult Cardiac Surgery. The announcement was made last week by Dr. Carmelo Milano, MD, chief of the division of cardiovascular and thoracic surgery.

Gaca completed his undergraduate degree at Cornell University and medical school at Columbia University. His training in both general surgery and cardiovascular and

Jeffrey Gaca

thoracic surgery was accomplished at Duke University.

In 2008, after completing an additional aortic surgery fellowship at the University of Pennsylvania, Gaca joined the Duke Surgery faculty as an assistant professor in the Division of CT Surgery. In 2016, he rose to the academic rank of associate professor.

Gaca is one of our most talented cardiac surgeons and has developed a tremendous valvular surgery practice with regional and national referrals, Milano said. He has distinguished himself as a leading educator of our residents and is the recipient of the Dr. Dwight C. McGoon award for commitment to resident development.

In addition, he has been an important mentor for junior faculty, helping them navigate complex cases and challenging intraoperative situations. He is also known for his innovation and has worked closely with Dr. Don Glower to expand minimally invasive heart surgery, making Duke University a leading referral center for these procedures.

He has worked with Dr. Chad Hughes and the cardiologists to grow the transcatheter valve replacement program. In his new role, Gaca will work closely with Milano to develop young cardiac surgery faculty and further drive innovation and growth.

Please join us in congratulating and welcoming Jeff in this new role!

 

Kelsey to Receive SOM Master Clinician Award

Anita Kelsey

We are excited to share that Anita Kelsey, MD, has been selected as a recipient of the Duke School of Medicine’s Master Clinician/Teacher Award for 2024. This award was created to honor individuals for superlative accomplishment in teaching and/or clinical care at Duke’s School of Medicine. The intent is to honor those individuals who have made an extraordinary commitment “above and beyond” normal expectations. “Dr. Kelsey has certainly met the criteria and is most deserving of the honor,” said Edward Buckley, MD, in his notification letter.

The award will be presented to Kelsey at the annual Faculty Celebration at Duke Gardens on May 13, 2024.

Congratulations, Anita!

 

 

ACC.24: Fortified Eggs Did Not Raise Cholesterol in Modest-Sized Cardiology Study

There are often conflicting headlines about whether certain foods are good or bad for you, and the news about eggs has been especially confusing. Search the topic online and you’ll find a wealth of articles spanning back decades.

A study that will be presented during the American College of Cardiology’s Annual Scientific Sessions and led by researchers at Duke, offers new evidence on fortified eggs, which are eggs enriched with various vitamins or nutrients. In a modest-sized randomized trial, researchers found that fortified eggs did not have a negative impact on bad cholesterol (LDL cholesterol) or good cholesterol (HDL cholesterol) over the course of the four-month study.

The study was sponsored by Eggland’s Best, a company that makes and sells fortified eggs. It also provided the eggs used in the research.

The study had 140 participants, all people aged 50 or older, who had experienced at least one cardiac event in the past or had risk factors for cardiovascular disease such as diabetes. Researchers randomized participants into two groups, asking half to eat two or fewer eggs per week for four months. The other half were provided with fortified eggs and asked to eat 12 per week for the same period of time.

While no significant changes in bad or good cholesterol were found, a secondary finding hinted there could be some benefit associated with fortified egg consumption for older patients and patients with diabetes.

That secondary finding was not statistically significant due to the number of study participants, but cardiologist and senior researcher, Robert Mentz, MD, associate professor of medicine at the Duke University School of Medicine, said it’s an interesting signal that the researchers would like to investigate in future work.

“If we can explore this area further, in a larger study, specifically focusing on the type of patients who appear to have potentially experienced some benefit, and over a longer period of time, we could see if it is possible for fortified eggs to improve cholesterol,” Mentz said.

The study’s first author, Nina Nouhravesh, MD, a cardiology fellow at the Duke Clinical Research Institute, said the study can be viewed as a pilot study.

“While it was modest in size, it did include a broadly generalized population,” Nouravesh said. “The average age of participants was 66 years, half were women, and more than 25 percent identified as Black.”

Mentz said the enrollment was representative of the community, especially for a study aimed at cardiology patients.

He said he would like to move forward with a larger study assessing clinical outcomes, particularly when considering the topic of equity and food access.

“There are disparities around access to food,” Mentz said. “Individuals who are the most socially disadvantaged (and likely have more instances of high blood pressure and diabetes), often have less access to healthy foods. Often what we hear described in the community is access to fresh fruits and vegetables. Those are really time-limited foods that may go bad quickly. Fortified eggs can be safely stored in the refrigerator for longer periods of time. Investigating potential health benefits of an easily accessible and less time-limited food is something we should be doing.”

“I think we are in this exciting time where people think of food as medicine,” Mentz said. “Some foods are fortified and nutritionally optimized before they’re disseminated, similar to medications, so it’s exciting to use the same rigor that’s applied in medication trials to food science.”

In addition to Mentz and Nouhravesh, study authors include Josephine Harrington, Laura H. Aberle, Cynthia L. Green, Kathleen Voss, Dave Holdsworth, Kurt Misialek, Bartel T. Slaugh, Mandee Wieand, William S. Yancy, and Neha Pagidipati.

 

Duke-DCRI Reception at ACC.24

For those of you attending the American College of Cardiology’s Annual Scientific Sessions (April 6-8), please join us at the annual Duke-DCRI Reception taking place on Saturday, April 6, 2024, from 5:30-8:30 p.m. EDT, at the Omni Atlanta Hotel at Centennial Park in Grand C Ballroom, North Tower-M4.

 

Team Builder’s Gift Launches Heart Innovation Hub

(This story was posted to Giving to Duke Health.)

Most people understand the importance of team building, but few take it as seriously as Bob Keegan: building innovative and successful teams was the tenet of his professional career. Now Keegan is empowering a pioneering Duke Health team with a transformational gift to kick-start the new Duke Heart Precision and Innovation Collaboratory headed by Manesh Patel, MD, chief of the division of cardiology and the division of clinical pharmacology.

“I am grateful for the many contributions Bob has made to Duke Heart,” Patel said. “We are excited to use his philanthropy to build our team, expand our cardiovascular knowledge base, and then translate that knowledge into new treatments, disease prevention, health promotion, and outstanding patient care. Most importantly, he is supporting our innovation efforts with the next generation of leaders.”

Keegan grew up around teams. His father was a professional baseball player for the Chicago White Sox, and while Keegan was a talented athlete who grew up thinking baseball was in his future, his love of academics prevailed. What followed was a degree in mathematics from Le Moyne College and an MBA in finance from the University of Rochester. Business, it turns out, was Keegan’s calling. He knew early on that what drove him was a heartfelt desire to build teams that would produce innovative products people would love and benefit from.

Decades later, it was time to scale back, be closer to family, and plan for the future. Keegan knew that living near a top-notch medical facility such as Duke was important, and with four grandchildren nearby, moving to the Triangle was an easy decision.

When he suffered heart trouble, Keegan experienced firsthand the incredible talent and skill of the Duke heart team. “My surgery was an amazing experience,” he said. “I benefitted from a tremendous group of talented people, before and after the procedure.”

The professionalism and team culture he witnessed ignited Keegan’s desire to bolster Duke Heart’s impact and accomplishments. So, when a friend suggested he join the Duke Heart Leadership Council, he leapt at the chance to contribute his time and business expertise. Currently serving as the council chair, Keegan is extending his support with his personal philanthropy toward the development of the new Duke Heart Precision and Innovation Collaboratory.

The Duke Heart Precision and Innovation Collaboratory aims to expand the boundaries of the possible and improve cardiovascular health worldwide with a comprehensive, long-range, and multi-phased team approach. Phase 1 will identify promising discoveries in precision genomics, device innovations, and human performance. Phase 2 will scale those discoveries to launch clinical trials, research grants, and new treatment options.

An effort this visionary and all-encompassing, with the potential for global impact, requires immense resources. With a stellar leadership team in place and eager to see the potential realized, Keegan contributed the first $1.5 million toward the Collaboratory’s $10 million fundraising goal.

This initial funding stimulates the process of collecting and compiling huge swaths of data to build the country’s first comprehensive cardiac genomic database and first comprehensive cardiac performance database. Such large volumes of data will allow Duke Health researchers to conduct in-depth analysis and gain a better understanding of trends and patterns.

A second area of further research is a deeper understanding of human heart performance. The gap between a high-performing heart and a failing one is surprisingly small, and the variations and drivers that account for the difference are not well understood. The Collaboratory aims to close this gap.

In addition to this work, the team will optimize devices capable of improving individual patients’ physiology. Duke Heart is an innovator in this space, with one of the largest heart failure device laboratories in the United States. Personalizing the future of device therapy for patients with heart failure will save countless lives.

Keegan built his successful business career by making teams better. Sometimes it was a matter of switching personnel, but often it was choosing the right stimulus to bring out the best of existing team members.

“Duke Heart is a great team that already produces a great product,” he said. “I’m just doing what I can to keep it moving forward so that people are as proud of Duke’s accomplishments in 40 years as they are today.”

 

Bova Campell to Join HRS Board

Kristen Bova Campbell, clinical pharmacist for Duke Electrophysiology, has been appointed to serve on the Board of Trustees of the Heart Rhythm Society (HRS). She will become the first PharmD to serve in this capacity when she begins her term in May during the HRS Scientific Sessions scheduled for May 16-19 at the Boston Convention & Exhibition Center, Boston.

“It is an honor to be selected as the first PharmD on the HRS Board and to represent all Allied Health Professionals within HRS,” says Bova Campbell. “I am excited to collaborate and contribute to the Society’s mission of providing optimal care to patients with heart rhythm disorders.”

Bova Campbell is director of the PGY2 Cardiology Pharmacy Residency and director of the Duke Heart Center Anticoagulation Clinic. She will join Jonathan Piccini, MD, section chief of electrophysiology, who also serves as a member of the Board, and Sana Al-Khatib, MD, currently serving as 2nd Vice President for the Board.

Congratulations, Kristen!

 

Rebecca Dial Named NM, Invasive Labs & CVSSU

We are happy to announce that Rebecca Dial, BSN, RN will serve as Nurse Manager, Operations for the adult Invasive Labs and Cardiovascular Short Stay Unit effective April 1, 2024.

Rebecca earned a Bachelor of Science in Nursing from the University of North Carolina Greensboro in 2013. Her career spans cardiovascular telemetry, cardiac-surgical stepdown, and cardiac catheterization lab nursing. She has worked in the Adult Cardiac Catheterization Lab at Duke University Hospital since August 2020 and served in a variety of roles, including preceptor and charge nurse. In July 2023, she transitioned into the Assistant Nurse Manager role within the labs and has focused on improving scheduling practices and providing professional development opportunities to staff.

Rebecca is looking forward to partnering with leaders across the organization. Please join us in welcoming her to her new role!

 

Frye Regional TAVR Training

Dr. John Morrison, an interventional cardiologist with Frye Regional Medical Center and a community consulting associate with the division of cardiology at Duke, spent time throughout March with our Duke Heart Transcatheter Aortic Valve Replacement (TAVR) team.

Frye Regional Medical Center is a Duke LifePoint hospital and full-service cardiovascular center serving a large geographic area in the Catawba Valley region of NC. As an affiliate partner, members of Duke Heart and the Duke Heart Network have been working closely with the team at Frye Regional to help them prepare for the launch of their new TAVR program.

“The willingness of the Duke Heart team to collaborate with regional partners has been clearly evident to Dr. Morrison and he has commented on how wonderful every interaction has been,” said Lisa Kotyra, senior director, Duke Heart Network.

Under the guidance of Kevin Harrison, MD, Morrison had the opportunity to observe all Duke structural cardiologists, cardiac surgeons, and our multidisciplinary team as they worked through the TAVR process and procedure.

Morrison is shown here with Drs. Harrison and Hughes.

Kudos to Gaca!

In a note forwarded this week from David Gallagher, chief medical officer for Duke University Hospital, we have a kudos for Jeff Gaca, our new section chief for adult cardiac surgery:

“We received this nice feedback (from Press Ganey HCAHPS) about the great care you and your team gave to a patient at Duke Hospital. Thank you for the high quality and compassionate care you provide to patients! I believe this is the third Press Ganey inpatient comment in a short period of time from patients who are so appreciative of you.” — David Gallagher, MD

“I can’t say enough good about the nurses in the ICU unit after open heart surgery. I came to Duke from Naples, FL and so glad I did. Dr. Gaca is an amazing surgeon.” — a grateful patient

Way to go, Jeff!

 

Shout-out to Cheri Wills!

A note of appreciation to Cheri Wills, health center administrator (HCA) for Duke Cardiology of Raleigh and Duke Cardiology of Morrisville, whose last official day with Duke Health is today, March 31. Erica Bradshaw is the new HCA for these locations; she has been training with Cheri since last summer.

Cheri, we wish you all the best in retirement, and thank you for your terrific work over the years!

 

Duke Heart & 2024 NC Walk for Victory

Duke Heart will again serve as the presenting sponsor of the upcoming NC Walk for Victory in support of Marfan Syndrome, LDS, VEDS, and related conditions, with Dr. Chad Hughes serving as co-medical chair for the walk with Carly Scarborough of Levine Children’s Hospital.

The event is scheduled for 12-3 p.m. on Saturday, April 20 at Laurel Hills Park in Raleigh. To learn more, please visit the NC Walk website and consider joining the Duke Aorta team to raise funds for research!

 

Last chance! Mere Days Remain to Support Frazier-Mills!

Camille Frazier-Mills

If you have not already done so, please join us in supporting electrophysiologist Camille Frazier-Mills, MD, one of the Triangle American Heart Association’s Women of Impact in her campaign to raise funds to support Go Red for Women.

Frazier-Mills is representing Duke Health as a Woman of Impact in the 2024 campaign and we want to help her reach her campaign goal. By donating, each of us can support her campaign and help ensure more women have equitable access to cardiovascular care and better representation in critically needed medical research.

** Check out Camille Frazier-Mills’ campaign page and please donate by April 4. **

Every year across the country, a select group of individuals are nominated to be a part of Woman of Impact because of their passion and drive to make a difference. This 9-week blind competition is relentlessly focused on women’s heart health. The campaign launched on National Wear Red Day (Feb. 2) and closes on April 4. During this time, the nominees work to build campaign plans, recruit Impact teams, and inspire their networks to support the American Heart Association’s lifesaving mission.

At the end of the campaign, this special group of changemakers will be celebrated for the overall impact they have on the AHA’s mission and the Triangle community. The nominee who makes the greatest impact and raises the most funds locally will be named a local 2024 Woman of Impact Winner.

Additionally, the nominee who makes the greatest impact nationwide will be named the American Heart Association 2024 National Woman of Impact Winner.

Let’s help her reach and exceed her goal – let’s help her WIN! Go, Camille!

 

Upcoming Events & Opportunities

 

Cardiology Grand Rounds

April 2: SCERRI Stories: Mechanistic Insights Into Sepsis Induced Cardiovascular Dysfunction with Willard Applefeld, MD. 5 p.m., DN 2003 or via Zoom.

April 4: Using Nationwide Registries to Conduct Pragmatic Randomized Trials with Tor Biering-Sorensen, MD of the Center for Translational Cardiology and Pragmatic Randomized Trials, Denmark. 5 p.m., DN 2002 or via Zoom. *Special CGR event*

April 9: Heart Failure: Does Sex Really Matter? with Carolyn Lam, of Duke-NUS MD. 5 p.m., DN 2002 or via Zoom.

All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:

NET ID and password required. Enjoy!

 

CD Fellows Core Curriculum Conference

April 3: EP Case Presentation with Joshua Rushakoff and Jawan Abdulrahim. Noon, DMP 2W96 (in-person only).

April 5: We will not meet today.

 

Upcoming CME Symposia

April 12: Duke Sports Cardiology & Sudden Death in Athletes

May 4: Duke Heart Failure Symposium

For any questions you might have about either event, please reach out to Christy Darnell.

 

2024 Feagin Leadership Forum

Consider joining members from throughout the Duke community for a special Duke Centennial event, the 15th Annual Feagin Leadership Forum at the JB Duke Hotel on May 17-18. The theme for the Forum is Compassion, Collaboration, and Compromise: Leadership in a Polarized World. World-class leaders from business, healthcare, the military, and athletics will share their leadership expertise and how they address the challenges of our complex world. There will be special welcomes from Duke leaders, and the future leaders of healthcare — this year’s Feagin Leadership Scholars — will share their work and leadership insights.

For more details, go to https://www.feaginleadership.org/schedule-1.

To register, visit https://www.feaginleadership.org/2023registration-1.

 

Improving Conversation Skills with Seriously Ill Patients

To ensure that clinicians feel comfortable and empowered to have difficult conversations regarding goals of care with patients and their families, members of the Duke Hospice and Palliative Care team offer VitalTalk communication training so that they can help clinicians do their best to take care of our patients.

VitalTalk skills training is open to those involved in conducting or supporting Goals of Care conversations for our patients with serious illnesses across Duke Health. The course consists of a 30-minute didactic lecture in the LMS system, followed by a 3-4 hour skills practice session. CME/CEU credits are available once both activities (LMS and live practice) are completed.

A limited number of seats are available in each of the upcoming online VitalTalk skills practice courses – use https://duke.is/VitalTalk to view available dates and times and to register.

If you have any questions, please contact Jonathan Fischer, MD, medical director of palliative care for Duke’s Population Health Management Office.

 

Have news to share?

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

 

Duke Heart in the News:

March 22 — Adrian Hernandez

Medpage Today

Tracking Trends in Lung Cancer Incidence, Death in the U.S.

March 22 — Jenny Wu, Brian Southwell, Jonas Swartz

JAMA Network

Patients Are Turning to TikTok for Health Information—Here’s What Clinicians Need to Know

March 23 — Susan Spratt

Senior Resource

Medicare to Cover Wegovy for Patients with Heart Disease

March 23 — Nishant Shah

Everyday Health

Weight Cycling May Increase the Risk of Heart Attack and Stroke

March 25 — Susan Dent (medical oncology)

The ASCO Post

Cardio-Oncology Is a Growing Subspecialty, but Where Are the Oncologists?

March 26 — Harry Severance

Becker’s Physician Leadership

The erosion of physician autonomy

March 27 — Stephen Greene

tctMD

Most HFrEF Patients Eligible for Quadruple Therapy, but Few Get It

March 28 — Nina Nouhravesh

Good Morning America/ABC News

Eating a dozen eggs a week doesn’t hurt your cholesterol: Study

March 28 — Monique Starks

The Clemmons Courier

Demonstration of historic, first-in-the-nation, AED drone delivery held by FCSO

March 28 — Nina Nouhravesh

Today/NBC News

Are eggs bad for cholesterol? New study reveals how many you can eat

March 28 — Duke Health

The People’s Pharmacy

The Never-Ending Egg Dispute Continues

March 28 — Nina Nouhravesh

Talker

Scientists bust myth that eggs are bad for your heart

*also carried by 80 affiliate outlets including in Chicago, Dallas Ft. Worth and New York

March 28 — Nina Nouhravesh

Healio/Cardiology Today

Routinely eating fortified eggs may not adversely affect cholesterol

March 28 — Nina Nouhravesh

Healthline

Eating 12 Eggs a Week Didn’t Raise Cholesterol Levels, New Study Finds

Duke Heart Pulse — March 24, 2024

Chief’s message:

Thomas Awarded Distinguished Professorship, Effective July 1

Congratulations to electrophysiologist Kevin Thomas, MD, the newly named Donald F. Fortin, M.D. Distinguished Professor of Cardiology.

Thomas is among 32 faculty members at Duke University selected to receive distinguished professorships this year. Approval was made by Duke’s Board of Trustees during their February meeting. Each awardee will be recognized during a ceremony at the Washington Duke Inn on May 23. Their new professorships will be effective on July 1.

“I am very pleased to honor these faculty members with distinguished professorships,” said President Vincent Price. “Their outstanding scholarship has advanced knowledge across a wide variety of fields and made a positive impact on society, and I am proud to have them as colleagues.”

Distinguished professorships honor faculty who are well-established members of the Duke academic community and have also achieved distinction as creative scholars in their field or in their ability to transcend disciplines.

“I congratulate my colleagues on receiving distinguished professorships recognizing their impressive scholarly achievements and leadership in our academic community and beyond,” said Provost Alec D. Gallimore. “Duke is tremendously fortunate to count these bold thinkers among its faculty.”

Well deserved, Kevin! Congratulations!

 

Gutierrez, Rymer Selected for SCAI ELM Cohort

Antonio Gutierrez

Congratulations to interventional cardiologists Tony Gutierrez and Jennifer Rymer! We learned this week that both have been selected as fellows for the Society for Cardiovascular Angiography & Interventions (SCAI) 2024-2026 Emerging Leader Mentorship (ELM) Program. Only 12 interventionalists are chosen each year. 

The mission of the ELM Program is to take a small, highly select group of up-and-coming physicians and support their transition into the next

Jennifer Rymer

generation of great thinkers, presenters, teachers, and leaders. Interaction of the ELM Fellows with a highly accomplished panel of Mentors and other ELM Alumni will be fostered during the program, which will also provide Fellows with individualized tools and resources. SCAI conducts this program in partnership with the American College of Cardiology (ACC) and the Cardiovascular Research Foundation (CRF).

During the cohort period fellows will attend dedicated in-person training sessions three times per year during the SCAI, TCT, and ACC annual meetings. They will also be given opportunities for faculty speaking at SCAI and partnering organizations that are congruent with their interests and area of focus. In this way, the ELM Program will assist participants in reaching maximum potential and transitioning into national and societal leaders.

A core mission of the ELM Program is to encourage participation in service opportunities including positions on Councils and Committees that coincide with each Fellow’s clinical, research, or educational interests.

This is a wonderful opportunity for Drs. Gutierrez and Rymer and we are so excited for them.

Congratulations, Jenn and Tony!

 

Podgoreanu, Selvaraj & Voora Appointed to CPH Faculty Leadership Team

The Center for Precision Health (CPH) has announced the addition of 10 faculty members, including three Duke Heart team members who will serve on the CPH leadership team: Mihai Podgoreanu, MD, chief, division of cardiac anesthesiology; Senthil Selvaraj, MD, assistant professor of medicine in cardiology, and Deepak Voora, MD, associate professor of medicine in cardiology and executive director of the Veterans Affairs National Pharmacogenomics Program. The leadership team also includes surgical oncologist Shelley Huang, MD, vice chair of research in the Department of Surgery.

CPH is a collaborative effort between Duke Clinical & Translational Science Institute (CTSI) and the Precision Genomics Collaboratory (PGC) that works to harness the power of genomic, biomarker, and health data to transform patient care and population health.

The new faculty team will help CPH expand clinical genetics, conduct clinically relevant translational research, perform cutting-edge implementation science, engage with and build trust in the community, as well as contribute to educating the ‘workforce of tomorrow.’

“We are thrilled to have an amazing cohort of faculty joining the Center for Precision Health,” said cardiologist Svati H. Shah, MD, MHS, the Ursula Geller Distinguished Professor of Research in Cardiovascular Diseases, associate dean for translational research and director of the CPH.  “Their talents and expertise will help us expand our basic, translational, and clinical research and allow us to harness the power of genomic, biomarker and health data to transform patient care and population health.”

To read more and see the full list of faculty for CPH, please visit https://duke.is/j/4vud.

Congratulations Mihai, Senthil, and Deepak!

 

Newest JACC Editors Named; Duke Well Represented

Incoming Journal of the American College of Cardiology (JACC) Editor-in-Chief Harlan M. Krumholz, MD, SM, FACC, cardiologist with Yale University, this week announced the members of his new Editorial Board, each of whom will be responsible for helping to position the journal as the leading beacon for advancing global cardiovascular health, effective July 1.

Several Duke faculty members are on the team, as well as a number of Duke graduates and former trainees, including:

  • Lesley H. Curtis, PhD, Duke professor of population health sciences and of medicine. Curtis will serve as a deputy editor.
  • Melvin Echols, MD, cardiologist with Morehouse School of Medicine and a former Duke Cardiology fellow. Echols will serve as an associate editor.
  • Kushal T. Kadakia, MSc, a Duke graduate and former member of Duke-Margolis Institute for Health Policy. Kadakia will serve as a deputy associate editor.
  • Carolyn Lam, MBBS, PhD, cardiologist with Duke-National University of Singapore, will serve as a deputy editor.
  • Neha Pagidipati, MD, MPH, cardiologist and director of the Duke Cardiometabolic Prevention Clinic will serve as an associate editor.
  • Anne Marie Valente, MD, of Harvard Medical School, is a former Duke fellow in pediatric cardiology and in adult cardiovascular disease. Valente will serve as an associate editor.

Congratulations to all!

 

Burleson Named Nurse Manager, DUH 3100, Effective April 1

Duke Heart is pleased to announce that Matt Burleson, BSN, RN will become Nurse Manager, Operations for Duke University Hospital’s Cardiothoracic Stepdown Unit 3100 effective April 1.

Matt earned a Bachelor of Science in Nursing from the University of Tennessee, Knoxville in 2015 and is currently pursuing his Master of Science in Nursing through East Carolina University. He began his nursing career on a progressive cardiac care unit in Atlanta, Georgia and transitioned to Duke’s Surgical Trauma Intensive Care Unit in September of 2016. His time spent on the Surgical Trauma ICU has been carried out through a variety of roles including Preceptor, Resource Nurse, and Charge Nurse. Over the past 2.5 years, he has served as Assistant Nurse Manger. As ANM, he has contributed to the continuation of the SICU CLABSI Reduction Initiative, lead Mass Casualty Incident Plan preparedness, and facilitated Armed and Dangerous drills.

He enjoys the opportunity to listen to, teach, and coach team members. Matt also has been an active member of Duke’s Patient Response Team where he has appreciated building relationships and caring for patients across a wider breadth of the hospital. Matt is looking forward to joining the Duke Heart Team and continuing his journey as a Duke Nurse Leader.

Please join us in congratulating and welcoming Matt to his new role.

 

Shout-out to Fox!

A shout-out to Duke Heart clinical nurse specialist, Allison Fox, who presented at the 2024 National Association for Clinical Nurse Specialists (NACNS) Annual Conference. NACNS 2024 was held on March 10-13 in New Orleans. Fox shared her abstract presentation, “Introducing Subcutaneous Diuretic Therapy in the Ambulatory Setting,” which highlighted the CNS role in bridging the gap between innovation and clinical practice in the heart failure clinic.

Way to go, Allison!

 

Kudos to Heart Care Team & Zwischenberger!

We received a wonderful patient comment this week regarding heart surgeon Brittany Zwischenberger, MD, and the patient’s full care team. The note, captured by Press Ganey HCAHPS, went to David Gallagher, chief medical officer. He then shared it with our team:

“I must commend the following people for their good care – Miles, Colby, Ashley, Erica, Lindsey, Amber, Catherine, Mallory, Taylor, and Dr. Brittany Zwischenberger. Plus Joan in pre-op.” – a grateful patient

Thank you for the high quality and compassionate care you provide to patients! – Dr. David Gallagher

Kudos, Brittany and team – you’re amazing providers and we are fortunate to have you on our team!

 

Duke-DCRI Reception at ACC.24

For those of you attending the American College of Cardiology’s Annual Scientific Sessions (April 6-8), please join us at the annual Duke-DCRI Reception taking place on Saturday, April 6, 2024, from 5:30-8:30 p.m. EDT, at the Omni Atlanta Hotel at Centennial Park in Grand C Ballroom, North Tower-M4.

 

USNWR Voting Closes Wednesday

USNWR voting for Best Hospitals by specialty is still open in Doximity. If you are board-certified in the U.S. and have claimed your Doximity profile already, please log into your account by Wednesday, March 27 to complete the brief survey: submit your nominations.

New to Doximity? Find and register your profile to vote. Just go to Doximity’s login page, scroll to the bottom and click on “find your profile” – find yours and claim it/register. You can participate in the survey as long as you register on Doximity prior to the survey closing on March 27.

The survey allows you to list up to five hospitals as Best Hospital in the specialty in which you are board-certified. Your ballot counts even if you vote only for one hospital.

As with primaries and national elections, every vote is important!

 

Just 11 Days Remain to Support Frazier-Mills!

Camille Frazier-Mills

If you have not already done so, please join us in supporting electrophysiologist Camille Frazier-Mills, MD, one of the Triangle American Heart Association’s Women of Impact in her campaign to raise funds to support Go Red for Women.

Frazier-Mills is representing Duke Health as a Woman of Impact in the 2024 campaign and we want to help her reach her campaign goal. By donating, each of us can support her campaign and help ensure more women have equitable access to cardiovascular care and better representation in critically needed medical research.

** Check out Camille Frazier-Mills’ campaign page and please donate by April 4. **

Every year across the country, a select group of individuals are nominated to be a part of Woman of Impact because of their passion and drive to make a difference. This 9-week blind competition is relentlessly focused on women’s heart health. The campaign launched on National Wear Red Day (Feb. 2) and closes on April 4. During this time, the nominees work to build campaign plans, recruit Impact teams, and inspire their networks to support the American Heart Association’s lifesaving mission.

At the end of the campaign, this special group of changemakers will be celebrated for the overall impact they have on the AHA’s mission and the Triangle community. The nominee who makes the greatest impact and raises the most funds locally will be named a local 2024 Woman of Impact Winner.

Additionally, the nominee who makes the greatest impact nationwide will be named the American Heart Association 2024 National Woman of Impact Winner.

Let’s help her reach and exceed her goal – let’s help her WIN! Go, Camille!

 

Improving Conversation Skills with Seriously Ill Patients

Did You Know? Patients from Duke cardiology, hepatology and oncology are the most likely to end up in the hospital during their last month of life. These are the patients most in need of goals of care conversations, according to researchers from Duke in their recently published findings in the Journal of Pain and Symptom Management.

To make sure that clinicians feel comfortable and empowered to have these difficult conversations with patients and their families, members of the Duke Hospice and Palliative Care team offer VitalTalk communication trainings so that they can help clinicians do their best to take care of our patients.

VitalTalk skills training is open to those involved in conducting or supporting Goals of Care conversations for our patients with serious illness across Duke Health. The course consists of a 30-minute didactic lecture in the LMS system, followed by a 3-4 hour skills practice-session. CME/CEU credits are available once both activities (LMS and live practice) are completed.

A limited number of seats are available in each of the upcoming online VitalTalk skills practice courses – use https://duke.is/VitalTalk to sign up for one of the following:

  • March 19, 1 – 5 pm
  • April 10, 8 am to 12 pm
  • April 10, 1 – 5 pm
  • April 12, 8 am to 12 pm
  • April 12, 1 – 5 pm
  • May 1, 8 am to 12 pm
  • May 1, 1 – 5 pm
  • May 16, 8 am to 12 pm
  • May 16, 1 – 5 pm
  • June 18, 8 am to 12 pm
  • June 18, 1 – 5 pm
  • June 21, 8 am to 12 pm
  • June 21, 1 – 5 pm

Once registered, you will receive an Outlook calendar invite, Zoom details, and instructions for completing the required pre-work module in LMS.

Please keep in mind these trainings are limited to a small number of participants because they are extremely interactive. If you are interested in training but these dates do not work for you, please contact Jennifer Bowen to be added to a distribution list for future signups.

Once registered, if your plans change or you are unable to dedicate your full attention during the course, please let the team know ASAP so that you can be rescheduled and your seat offered to others on the waitlist.

If you have any questions, please contact Jonathan Fischer, MD, medical director of palliative care for Duke’s Population Health Management Office.

 

Upcoming Events & Opportunities

  • March 30 is National Doctor’s Day
  • Happy Spring, everyone!

 

Cardiology Grand Rounds

March 26: New Direction for CABG: Women and Robots with Brittany Zwischenberger, MD. 5 p.m., DN 2002 or via Zoom.

April 2: SCERRI Stories: Mechanistic Insights Into Sepsis Induced Cardiovascular Dysfunction with Willard Applefeld, MD. 5 p.m., DN 2003 or via Zoom.

April 9: Heart Failure: Does Sex Really Matter? with Carolyn Lam, of Duke-NUS MD. 5 p.m., DN 2002 or via Zoom.

All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:

NET ID and password required. Enjoy!

 

CD Fellows Core Curriculum Conference

March 27: DHP Case Presentation with Aubrie Carroll. Noon, DMP 2W96 (in-person only).

March 29: Endocarditis with Andrew Wang. Noon, Zoom only.

 

Upcoming CME Symposia

April 12: Duke Sports Cardiology & Sudden Death in Athletes

May 4: Duke Heart Failure Symposium

For any questions you might have about either event, please reach out to Christy Darnell.

 

Have news to share?

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

 

Duke Heart in the News:

March 13 — Christopher Granger

Inside Precision Medicine

NIH Launches Trials to Evaluate Best Treatments for Autonomic Nervous System Dysfunction Related to Long COVID

March 18 — John Guyton (emeritus/endocrinology)

Medscape

Niacin and CV Risk: Should Advice on Intake Change?

March 18 — Padma Gulur (anesthesiology)

Daily Mail

Heart attacks and suicide: The dark truth about ketamine – the mental health ‘wonder drug’ endorsed by Elon Musk

March 18 — Ralph Snyderman (Chancellor Emeritus)

Medium

Must-Read Books on the Advancement of Healthcare

March 19 — Joseph Turek

Scientific American

Partial Heart Transplants Grow with Their Young Recipients

March 20 — Duke University Hospital (lung tx)

Newson6.com (Oklahoma)

A Breath of Hope: The Remarkable Journey of Oklahoma Triple Lung Transplant Survivor

March 20 — Mary Klotman

WFMY (Greensboro, NC)

First Lady Dr. Jill Biden makes stop in Durham to talk research in women’s health

Duke Heart Pulse — March 17, 2024

Duke Heart Pulse – March 17, 2024

Highlights of the week:

Happy St. Patrick’s Day

We hope you are having a terrific weekend – Happy St. Patrick’s Day to one and all!

 

 

 

 

CV Emergencies Summit Held at Duke

The Summit for Regional Systems of Care for Cardiovascular Emergencies, hosted by Duke Heart, was held at University Tower on Friday, March 15. The event was open to regional partners in the care of patients with acute myocardial infarction including referring hospitals, EMS agencies, and other PCI centers. The event allowed participants to collaboratively review data and discuss processes to improve acute MI care across the state and region.

This was the first such regional CV emergencies summit held since before the COVID pandemic, with nearly 40 attendees representing Alamance, UNC Health, Mariah Parham, the Durham VAMC, the American Heart Association, and other sites across the Triangle participating. 

“We had great leadership from Dr. Granger, Duke Cardiology, and the Duke Heart Network to reinvigorate this work post-COVID and continue driving emergency cardiovascular care and response forward,” said Jill Engel, Service Line Vice President, Duke Heart & Vascular.

A big thanks to all who joined us, to Melissa Williams and Natalie Horseman for helping to plan the event, and to Drs. Christopher Granger and Schuyler Jones, and all presenters for taking the time to share your knowledge.

Plans are already underway to host another regional summit in 2025. Great job all — Go Duke!!

 

Match Day 2024

Congratulations to all future Duke trainees! Duke’s Internal Medicine Residency matched 45 Categorical, 1 PSTP, 2 Medicine-Psychiatry, 6 Medicine-Pediatrics, 7 Neurology Preliminary, and 4 Preliminary trainees. Additionally, the categorical interns will have attended 37 different medical schools, 21 are female, 24 are male, and 17 identify as under-represented in medicine. Matches were announced on Friday, March 15.

To read the full story and find a link to a slide deck of incoming IM residents, please visit https://duke.is/r/y6y9.

A big shout-out to cardiologist and Cardiovascular Research Center member Chris Holley who, along with nephrologist Xunrong Luo, manage the physician-scientist training program (PSTP) recruitment for the Department of Medicine.

 

Improving Conversation Skills with Seriously Ill Patients

Did You Know? Patients from Duke cardiology, hepatology, and oncology are the most likely to end up in the hospital during their last month of life. These are the patients most in need of goals of care conversations, according to researchers from Duke in their recently published findings in the Journal of Pain and Symptom Management.

To make sure that clinicians feel comfortable and empowered to have these difficult conversations with patients and their families, members of the Duke Hospice and Palliative Care team offer VitalTalk communication training so that they can help clinicians do their best to take care of our patients.

VitalTalk skills training is open to those involved in conducting or supporting Goals of Care conversations for our patients with serious illnesses across Duke Health. The course consists of a 30-minute didactic lecture in the LMS system, followed by a 3-4 hour skills practice session. CME/CEU credits are available once both activities (LMS and live practice) are completed.

A limited number of seats are available in each of the upcoming online VitalTalk skills practice courses – use https://duke.is/VitalTalk to sign up for one of the following:

  • March 19, 1 – 5 pm
  • April 10, 8 am to 12 pm
  • April 10, 1 – 5 pm
  • April 12, 8 am to 12 pm
  • April 12, 1 – 5 pm
  • May 1, 8 am to 12 pm
  • May 1, 1 – 5 pm
  • May 16, 8 am to 12 pm
  • May 16, 1 – 5 pm
  • June 18, 8 am to 12 pm
  • June 18, 1 – 5 pm
  • June 21, 8 am to 12 pm
  • June 21, 1 – 5 pm

Once registered, you will receive an Outlook calendar invite, Zoom details, and instructions for completing the required pre-work module in LMS.

The trainings are limited to a small number of participants because they are extremely interactive. If you are interested in training but these dates do not work for you, please contact Jennifer Bowen to be added to a distribution list for future signups.

Once registered, if your plans change or you are unable to dedicate your full attention during the course, please let the team know ASAP so that you can be rescheduled and your seat offered to others on the waitlist.

If you have any questions, please contact Jonathan Fischer, MD, medical director of palliative care for Duke’s Population Health Management Office.

 

Support Frazier-Mills, Duke Health’s 2024 AHA Woman of Impact!

Camille Frazier-Mills

Please join us in supporting electrophysiologist Camille Frazier-Mills, MD, one of the Triangle American Heart Association’s Women of Impact in her campaign to raise funds to support Go Red for Women.

Frazier-Mills is representing Duke Health as a Woman of Impact in the 2024 campaign and we want to help her reach her campaign goal. By donating, each of us can support her campaign and help ensure more women have equitable access to cardiovascular care and better representation in critically needed medical research.

** Check out Camille Frazier-Mills’ campaign page and please donate by April 4. **

Every year across the country, a select group of individuals are nominated to be a part of Woman of Impact because of their passion and drive to make a difference. This 9-week blind competition is relentlessly focused on women’s heart health. The campaign launched on National Wear Red Day (Feb. 2) and closes on April 4. During this time, the nominees work to build campaign plans, recruit Impact teams, and inspire their networks to support the American Heart Association’s lifesaving mission.

At the end of the campaign, this special group of changemakers will be celebrated for the overall impact they have on the AHA’s mission and the Triangle community. The nominee who makes the greatest impact and raises the most funds locally will be named a local 2024 Woman of Impact Winner.

Additionally, the nominee who makes the greatest impact nationwide will be named the American Heart Association 2024 National Woman of Impact Winner.

Let’s help her reach and exceed her goal – let’s help her WIN! Go, Camille!

 

Please Vote in USNWR Best Hospitals for Cardiology & Heart Surgery

USNWR voting for Best Hospitals by specialty is still open in Doximity. If you are board-certified in the U.S. and have claimed your Doximity profile already, please log into your account by March 27 to complete the brief survey: submit your nominations.

New to Doximity? Find and register your profile to vote. Just go to Doximity’s login page, scroll to the bottom and click on “find your profile” – find yours and claim it/register. You can participate in the survey as long as you register on Doximity prior to the survey closing on March 27.

The survey allows you to list up to five hospitals as Best Hospital in the specialty in which you are board-certified. Your ballot counts even if you vote only for one hospital.

As with primaries and national elections, every vote is important!

 

ICYMI: A New Lemur to Visit

In happy (non-medical) news, the Duke Lemur Center recently announced the birth of Albus, a male Coquerel’s sifaka, who weighed in at 118 grams. Albus, which is Latin for “white,” was a common Roman surname and the moniker for the Roman port city of Portus Albus  (“White Harbor”), was born to parents Rodelina and Johann. He has an older sister, Egeria.

The Duke Lemur Center, founded in 1966, is an internationally acclaimed non-invasive research center housing over 200 lemurs and bush babies across 13 species—the most diverse population of lemurs on Earth, outside their native Madagascar.

New additions are a great reason to visit the Center! Plan ahead, however, as reservations are required to visit. The main tour season opens in May and runs through the end of September.

 

Upcoming Events & Opportunities

  • March is National Nutrition Month
  • USNWR Best Hospitals Voting is open (through March 27). Please check your Doximity account and vote!

 

Cardiology Grand Rounds

March 19: Beyond the Bump: Navigating the Interplay of Cardiovascular Health and Obstetrics in the Modern Era with Sarah Snow, MD. 5 p.m., DN 2002 or via Zoom.

March 26: New Direction for CABG: Women and Robots with Brittany Zwischenberger, MD. 5 p.m., DN 2002 or via Zoom.

All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:

NET ID and password required. Enjoy!

CD Fellows Core Curriculum Conference

March 19: HF/Txp Case Presentation with Aubrie Carroll. Noon. DHN 2201 (in-person only). Note room change!

March 22: Update on Mechanical Circulatory Support with Imran Aslam. Noon, Zoom only.

Upcoming CME Symposia

April 12: Duke Sports Cardiology & Sudden Death in Athletes

May 4: Duke Heart Failure Symposium

For any questions you might have about either event, please reach out to Christy Darnell.

 

Have news to share?

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

Duke Heart in the News:

March 9 — Harry Severance

LinkedIn Pulse

Federal “Anti-Referral/Kickback” Laws – How They Paradoxically End Up Hurting Patient Care

March 11 — Duke Health

Becker’s Hospital Review

16 of nation’s top health systems form AI clinical safety network

March 12 — Duke Health

Medical Automation

First Partial Heart Transplant

March 12 — Nishant Shah

Health Central

Which Chronic Diseases Could New Gene Editing Technology Eradicate?

March 12 — Christopher Granger

NIH.gov

NIH opens long COVID trials to evaluate treatments for autonomic nervous system dysfunction

March 12 — Michael Pencina

Healthcare Dive

Microsoft forms health AI governance network

March 12 — Salim Idriss

U.S. Food & Drug Admin/CDER Science

First-of-kind Pediatric ECG Data Warehouse for Use in Pediatric Product Development Programs and Prevention of Sudden Cardiac Death in the Young

March 12 — Duke Health

AHA.org (American Hospital Assoc.)

Consortium aims to promote responsible AI use for health

March 13 — Marat Fudim

Healio/Cardiology Today

Scale using biosensor technology detects HF events more often than standard of care

March 13 — Christopher Granger

Philly Voice

New clinical trials to examine treatments for long COVID symptoms

 

Duke Heart Pulse — March 10, 2024

Chief’s message:

Busy week at Duke Heart with lots of faculty and fellows working hard to get ready for the American College of Cardiology meeting (ACC 2024), taking care of patients with teams working to help solve problems in unique ways (e.g. Nicole Pristera and AHF teams caring for patients with mechanical devices), and Duke – UNC basketball game weekend.  This next week starts the spring break season with the upcoming easter week being the most popular week for spring break in the area.  So, however you connect with us at Duke Heart, we are grateful for your continued support and hope you and your family get time this spring to spend time to recharge, get perspective, and appreciate the difference we are able to make with Duke Heart.  Please find highlights from the week below.

Highlights of the week:

Ramadan Begins Tonight

Now that we’re past the always exciting Battle of the Blues and ESPN Game Day, we hope everyone is adjusting to the return of daylight saving time (which occurred this morning — hopefully you remembered!). Today also marks the start of Ramadan. To all those on our team and beyond who are participating, we wish you, “Ramadan Mubarak!”

Kittipibul Wins Abstract Competition at THT 

We are thrilled to share that Mark Kittipibul, MD, a third-year Duke cardiology fellow, won the Fellows’ Abstract Competition at the Cardiovascular Research Foundation’s (CRF) Technology and Heart Failure Therapeutics (THT) 3rd annual meeting. THT 2024 was held March 4-6 at the Westin Boston Seaport in Boston.

Kittipibul won for his abstract presentation, “Blood Volume Profiles and Correlations with Pressures in Heart Failure with Impaired Renal Function,” which utilized data from the Multi-center Blood Volume Analysis Registry led by Marat Fudim, MD, who is also his mentor.

Great job, Mark!

Cardiac Ultrasound Students Awarded National Scholarships

We’re pleased to announce that three students training in our Duke Cardiac Ultrasound Certificate Program (DCUCP) have been selected as national scholarship award recipients.

Mariah Byington has been selected to receive the Alan Waggoner Award and Anna Lise McGowan has been selected to receive the Sandy Katanick Award from the American Society of Echocardiography (ASE). The awards will be presented to them during ASE’s upcoming 35th Annual Scientific Sessions planned for June 14-16, 2024 at the Oregon Convention Center in Portland, OR. Each award comes with a $1,000 scholarship and $1,000 for travel to the meeting.

Morgan Osborne has been selected as the recipient of the Cardiovascular Credentialing International (CCI) Aaron S. White Educational Grant. Of the two CCI grants awarded annually, only one goes to a student. Osborne will receive $2,500.

This is the third year in a row that DCUCP students have earned ASE awards and the second year in a row that one of our students has won the CCI grant. Congratulations, Morgan, Mariah, and Anna Lise!

 

Shah to Serve on ACC Faculty Development Work Group

Nishant Shah

Nishant Shah, MD, assistant professor of medicine in cardiology, has been selected for the Faculty Development Work Group (FDWG) of the American College of Cardiology (ACC). He will serve for two years. The mission of the FDWG is to educate and develop ACC faculty and to support the education endeavors of the College.

Last year, Shah was selected for the ACC’s highly competitive Emerging Faculty Leadership Academy. With this next step, Shah will have the opportunity to help create and lead educational content for the ACC. His first meeting as a member of the FDWG will occur during the ACC Annual Scientific Sessions taking place from April 6-8 in Atlanta, GA. 

Congratulations, Nishant!

 

Think-tanks, CRT Annual Meeting Taking Place in DC

It’s another busy weekend in Washington for cardiovascular leaders from Duke! 

Cardiovascular Research Technologies (CRT) is holding its annual meeting at the Washington Hilton Hotel in Washington, DC (March 9-12). CRT is a leading educational forum on new cardiovascular technology and procedures for physicians and healthcare professionals. For this year’s meeting, Mitch Krucoff, MD is serving as course director for the Cardiogenic Shock, FDA Town Hall, and Japan FDA Town Hall programs.

Duke/Duke Clinical Research Institute, in conjunction with the CRT meeting, holds annual in-person think tanks for two of their most mature public-private partnerships (PPP) under Memoranda of Understanding (MOUs) between Duke/DCRI and the U.S. Food & Drug Administration (FDA). Think-tanks are being held this weekend for the Cardiac Safety Research Consortium (CSRC), which is in its 18th year, and the Medical Device Epidemiology Network (MDEpiNet) Predictable And SuStainable Implementation Of National CardioVascular Registries (PASSION CV Registries), a PPP in its 12th year.

The CSRC think-tank program will focus on cardiogenic shock and features the American Heart Association’s national Cardiogenic Shock Registry—a part of the AHA’s Get With the Guidelines registry portfolio (and the only professional society-sponsored shock registry in the world) — as the team rolls out their first pilot research directions for 2024. Krucoff co-chairs the Cardiogenic Shock Registry steering committee with David Morrow, MD, director of the Levine Cardiac Intensive Care Unit at Brigham and Women’s Hospital.

The MDEpiNet think-tank program will focus on multiple areas of novel clinical trial approaches to regulatory science and evidence development for heart valves, coronary devices, PAD intervention, mechanical circulatory support devices for shock, and aortic intervention. Drs. Jimmy Tcheng; C. Michael Gibson and Bobby Yeh of Harvard; David Erlinge from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR); and Ernest Spitzer from Cardialysis in Rotterdam, Netherlands, along with multiple industry experts, including Bram Zuckerman from the FDA’s Center for Devices and Radiologic Health (CDRH) who will focus on advancing real-world data interoperability to support better, more efficient and re-usable prospective device trial operations and evidence quality.

 

Growing Cardiovascular Care Services in Low-Resource Settings

As part of the Duke Department of Medicine celebration of Black History Month, Titus Ngeno, MD, assistant professor of medicine in cardiology and member of the Duke Global Health Institute was highlighted in a Q&A on Feb. 27.

Born and raised in Kenya, he trained in medicine at the University of Nairobi and then as a medical officer at Moi Teaching and Referral Hospital (MTRH) in Eldoret, Kenya, where he became known to several Duke faculty members as an outstanding clinician with notable leadership qualities. 

Ngeno is a graduate of the Master of Science in Global Health program at Duke and he recently completed the global health pathway for a second time as a cardiovascular disease global health fellow. He completed his medical training in 2017, choosing to pursue cardiology and global health as a specialist because the unique combination allowed him to spend time caring for patients at the bedside while working to improve access to health care.

The Q&A piece is well worth checking out, as Titus speaks about his passion for helping improve cardiovascular care both here and abroad.

 

Shout-out to Thakkar!

Anna Lisa Chamis shared a wonderful note she received this week regarding patient care and guidance provided by Aarti Thakkar.

“Dear Dr. Chamis, I wanted to send a big shout-out filled with gratitude to the cardiology fellow Dr. Aarti Thakkar. I am a neurology resident covering nights this week, and we had a floor stroke patient we were concerned may be developing cardiogenic shock. We walked over to the CCU for advice, and Dr. Thakkar was very kind with some guidance. She then walked over to evaluate the patient herself and recommended transfer to the CCU for further care. She went above and beyond to help us, and she provided the best care for the patient. I just wanted to share how much we appreciated her assistance.” — Jordan Larsen, Neurology PGY3

Nicely done, Aarti!

 

Kudos to Pinel!

We are pleased to recognize Duke Heart nursing team member Anna Pinel, CNIV, of our 3200/7200 Cardiology Stepdown unit for her heroic effort at a bowling alley last weekend.  Anna was competing in a bowling tournament when another player collapsed. Anna quickly jumped in to administer CPR – providing solo CPR until EMS arrived. The gentleman was transported to a local hospital for further treatment and is expected to make a full recovery. The physicians who received the patient shared that, without Anna’s efforts, the outcome would have been vastly different.  

“We are so proud to have Anna on our Duke Heart team!!!”team members from 3200/7200

 “Anna, I am truly moved by the incredible courage and selflessness displayed by you! Your swift and unwavering response during the bowling tournament is nothing short of heroic. It’s heartwarming to hear that the gentleman is expected to recover! The fact that you persisted with high-quality CPR for ten minutes is a testament to your determination!!! I can only imagine how emotionally challenging this experience must have been for you. We are all immensely proud to have you as part of the Duke nursing family,” said Chantal Howard, Chief Nursing and Patient Care Services Officer, Duke University Hospital

 “Your actions saved this man’s life and truly impacted him and his family. Truly amazing and we are fortunate to have you on the Duke Heart/ Duke team.”Mary Lindsay, Associate Chief Nursing Officer, Duke Heart Services

This is amazing and I’m very proud of Anna for jumping in and literally saving a life,”Jill Engel, Service Line VP, Duke Heart & Vascular Services

Way to go, Anna!

 

ICYMI: Intramural Basketball Player Rescued with CPR, AED

For another example of Duke team members using CPR to save a life, read about what occurred when a Duke physical therapist collapsed in Wilson Recreation Center and quick-thinking, well-trained individuals revived him. The story was featured in the March 6 issue of Duke Today.

https://today.duke.edu/2024/03/life-saved-intramural-basketball-player-rescued-cpr-aed

 

DUHS Leadership Updates

Two leadership updates were made on Thurs., March 7 by Tom Owens, executive vice-president and COO, Duke University Health System (DUHS), and Gregory Pauly, president, Duke University Hospital (DUH).

First, Kristie Barazsu, MBA has been named Associate Chief Operating Officer (ACOO) for Patient Flow, Emergency Services, and Support Services at DUH. Kristie has served as ACOO in an interim capacity since May 2023. Kristie assumes this role permanently, effective immediately.

In addition to the service areas mentioned above, Kristie will have oversight of the Operations Administrators (OAs), Patient Information Services, and contractual relationships for Food Services, Environmental Services, and Valet Parking. She will also be responsible for representing DUH as the liaison to Engineering & Operations, Transportation & Parking, Security, and FPDC.

Next, with the departure of Carey Unger as Service Line Vice President for Neurosciences and Behavioral Health at the end of this week (March 15), Unger’s system responsibilities will transition temporarily to Jill Engel, Vice President for Heart & Vascular Services for DUHS. Jill will serve in that role for the next 3-4 months while a sustainable long-term plan is determined.

Congratulations to Kristie and Jill on their expanded roles within DUHS!

 

Nursing Leaders Attend Specialty Hiring Event

On Wednesday, March 6, several Duke Heart leaders for our Stepdown Units attended the DUHS RN Specialty Hiring Event at Cameron Stadium. They had the opportunity to meet with over 30 potential candidates and establish shadow/interview experiences. They are hoping this will yield new Heart team members!

 

 

 

 

 

CME Update

Registration is now open for two Duke Heart symposia. Our 9th Annual Duke Sports Cardiology Symposium will take place on April 12 and the Duke Heart Failure Symposium, will take place on May 4. Links also available below under ‘upcoming events’.

 

Support Frazier-Mills, Duke Health’s 2024 AHA Woman of Impact!

Please join us in supporting electrophysiologist Camille Frazier-Mills, MD, one of the Triangle American Heart Association’s Women of Impact in her campaign to raise

Camille Frazier-Mills

funds to support Go Red for Women.

Frazier-Mills is representing Duke Health as a Woman of Impact in the 2024 campaign and we want to help her reach her campaign goal. By donating, each of us can support her campaign and help ensure more women have equitable access to cardiovascular care and better representation in critically needed medical research.

** Check out Camille Frazier-Mills’ campaign page and please donate by April 4. **

Every year across the country, a select group of individuals are nominated to be a part of Woman of Impact because of their passion and drive to make a difference. This 9-week blind competition is relentlessly focused on women’s heart health. The campaign launched on National Wear Red Day (Feb. 2) and closes on April 4. During this time, the nominees work to build campaign plans, recruit Impact teams, and inspire their networks to support the American Heart Association’s lifesaving mission.

At the end of the campaign, this special group of changemakers will be celebrated for the overall impact they have on the AHA’s mission and the Triangle community. The nominee who makes the greatest impact and raises the most funds locally will be named a local 2024 Woman of Impact Winner.

Additionally, the nominee who makes the greatest impact nationwide will be named the American Heart Association 2024 National Woman of Impact Winner.

Let’s help her reach and exceed her goal – let’s help her WIN! Go, Camille!

 

Please Vote in USNWR Best Hospitals for Cardiology & Heart Surgery

USNWR voting for Best Hospitals by specialty is now open in Doximity. If you are board-certified in the U.S. and have claimed your Doximity profile already, please log into your account by March 27 to complete the brief survey: submit your nominations.

New to Doximity? Find and register your profile to vote. Just go to Doximity’s login page, scroll to the bottom and click on “find your profile” – find yours and claim it/register. You can participate in the survey as long as you register on Doximity prior to the survey closing on March 27.

The survey allows you to list up to five hospitals as Best Hospital in the specialty in which you are board-certified. Your ballot counts even if you vote only for one hospital.

As with primaries and national elections, every vote is important!

 

Upcoming Events & Opportunities

  • March 10-16 is National Pulmonary Rehab Week & Patient Safety Awareness Week!
  • March is National Nutrition Month
  • USNWR Best Hospitals Voting is open (through March 27). Please check your Doximity account and vote!

 

Cardiology Grand Rounds

March 12: Arrhythmias in Myocardial Infarction: Beyond the Substrate with Ching Zhu, MD. 5 p.m., DN 2002 or via Zoom.

March 19: Beyond the Bump: Navigating the Interplay of Cardiovascular Health and Obstetrics in the Modern Era with Sarah Snow, MD. 5 p.m., DN 2002 or via Zoom.

March 26: New Direction for CABG: Women and Robots with Brittany Zwischenberger, MD. 5 p.m., DN 2002 or via Zoom.

All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:

NET ID and password required. Enjoy!

 

CD Fellows Core Curriculum Conference

March 13: Journal Club with Joseph Lerman. Noon. DMP 2W96 (in-person only).

March 15: Antiplatelet Therapy with James Tcheng. Noon, Zoom only.

Upcoming CME Symposia

April 12: Duke Sports Cardiology & Sudden Death in Athletes

May 4: Duke Heart Failure Symposium

For any questions you might have about either event, please reach out to Christy Darnell.

Have news to share?

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

Duke Heart in the News:

February 28 — Duke University Medical Center

Cardiovascular Business

Early feasibility study for implantable heart failure monitor moves forward

March 3 — Payal Kohli

Parade

If You Want to Lower Your Heart Attack Risk, Cardiologists Say You Should Do This One Thing Every Day

March 4 — Michael Pencina

Becker’s Health IT

Health system leaders join Microsoft-backed nonprofit

March 4 — Stephen Greene

HCP Live

Cardiology Month in Review: February 2024

March 4 — Michael Pencina

Healthcare Innovation

CHAI Names CEO, Directors, Advisory Boards

March 5 — William Kraus

Awaken

Even Short Bursts Of Exercise Can Reduce Americans’ Risk Of Disease And Death, Study Says

March 5 — Duke University Hospital

NC Medical Society

Duke, UNC Hospitals Ranked in Top 100 in Nation

March 6 — Marat Fudim and Richard Krasuski

Mass Device

Gradient begins pulmonary artery denervation trial in the U.S.

March 6 — Marat Fudim

DAIC

Bodyport Presents Preliminary Analysis of SCALE-HF 1 Study on Remote Heart Failure Monitoring at Technology and Heart Failure Therapeutics (THT) Conference

March 6 — Marat Fudim

EP Lab Digest

Heart Failure Monitoring Technology Doubles Sensitivity for Predicting Events While Minimizing False Alerts Versus Standard of Care

March 6 — Marat Fudim and Richard Krasuski

Endovascular Today

Gradient Begins PreVail-PH2 Early Feasibility Study of Pulmonary Artery Denervation System

March 6 — DCRI & RACE-CARS

The Lexington Dispatch

Inspired by friend’s near-death experience, Davidson County man preaches CPR readiness

March 6 — Duke Health

Drug Discovery & Development

Anosmia to amyloidosis: nference’s AI is decoding healthcare data at scale

Duke Heart Pulse — March 3, 2024

Highlights of the week:

Bashore Selected for TBJ Lifetime Achievement Award

Thomas Bashore

We are excited to share that Thomas Bashore, MD, professor of medicine in cardiology, has been chosen by the Triangle Business Journal (TBJ) as the recipient of their 2024 Health Care Leadership Lifetime Achievement Award.

Bashore was nominated for his decades of service to heart patients at Duke and his outstanding mentorship and skills as an educator. His clinical care specialty has been the care of patients with congenital heart disease. The improvement in both surgical and medical care of infants and children with congenital heart disease in the U.S. has resulted in more children surviving into adulthood and more adults living with adult congenital heart disease. Duke School of Medicine, specifically the division of cardiology, was one of the first programs in the country to recognize the lack of specialists in this area and was one of the first to begin training cardiology fellows in caring for patients with adult congenital heart disease. Bashore was the founder of this training program at Duke along with Duke pediatrician, Tim Garson, MD, in 1993.

Bashore also founded the valvular heart disease program at Duke and he is a co-founder of Duke Heart Center. His career has spanned more than fifty years – the last 40 of which he has spent promoting valvular and adult congenital heart disease clinical care and training. While doing so, he has cared for thousands of patients — helping many of them survive into adulthood and go on to have children of their own.

During his career at Duke, he served as director of the Diagnostic Cardiac Catheterization Laboratories for 10 years, and then as the Director of the Cardiology Fellowship Training Program for 12 years. He has been a member and/or chairman of numerous committees of the American College of Cardiology over the years and is the author of more than 300 manuscripts, over 100 book chapters and reviews, and three books. He has helped train hundreds of cardiologists through his work at Duke, and his mentoring has led many of his trainees into academic teaching careers.

Bashore has been recognized locally and nationally for his clinical care of patients with congenital heart disease and, as a result, he has been the recipient of numerous teaching awards throughout his career. He has been recognized by the Duke University School of Medicine for his skill as an educator with a Master Clinician/Teacher Award (2006); the Leonard Palumbo Jr. Faculty Achievement Award (2014) for clinical care and teaching, as well as a Duke Medical Center Alumni Distinguished Faculty Award (2015). Dr. Bashore has received major national teaching and clinical care awards as well. The American College of Cardiology selected him for its annual Distinguished Teacher Award in 2018, while the American Heart Association awarded him its Laennec Master Clinician Award in 2019.

For the last 40 years, Bashore has been voted into the nation’s Best Doctors and America’s Top Doctors programs where he has consistently been listed among the top 1-5% in the field of cardiology. On a national level, he has continued his commitment to patient care and to educating future clinicians by serving on multiple educational committees, teaching national cardiology board review courses for the Society of Cardiovascular Intervention and the American College of Cardiology (ACC); and he has served as an editor, chairman, or associate editor of many of the ACC self-assessment books and lifelong learning programs, as well as on question-writing committees and assisting with the ACC website educational effort.

The Valvular Disease Program and Adult Congenital Program at Duke are now nationally recognized and Duke continues to serve as a leader in treating complex congenital heart problems — much of this due to Bashore’s commitment and vision.

Bashore and other awardees will be honored by the TBJ at their upcoming awards dinner in April.

Congratulations, Tom – this is very well deserved!

 

Duke Becomes 1st Enroller for PreVail-PH2 Study

Congratulations to Marat Fudim, Richard Krasuski, Rose Burns, and Khalia Stewart and their team on becoming the first enrolling site for an important clinical trial being conducted through the Duke Early Phase Clinical Research Unit (DEPRU).

Duke has become the first enroller for the Pulmonary Artery DenerVation Clinical Study Using the Gradient Denervation System in Heart Failure Patients with Pulmonary Hypertension Group 2 (PreVail-PH2 Study), an early feasibility, device study enrolling heart failure patients with pulmonary hypertension (PH).

Given the association with higher morbidity and mortality as well as the prevalence of the disease, there is a significant unmet need to develop effective therapeutics for this population as well as reason to explore non-pharmacologic options to effectively reduce PH in patients with heart failure with preserved ejection fraction (HFpEF). The Gradient Denervation System, which is being studied, is indicated for pulmonary artery denervation treatment in these patients and is intended to ablate nerves within the pulmonary artery using ultrasonic ablation. The study will enroll approximately 30 patients and is expected to be conducted across eight recruitment sites.

Gearing up for the first enrollment and first procedure day has not been a light lift and has taken significant investigator involvement as well as all-star coordinator efforts, according to Fudim, study PI. Krasuski serves as co-investigator; Burns is the lead CRNC, and Stewart is CRC for PreVail-PH2.

The investigators are grateful to the entire CRU team and appreciate their commitment to not only ensuring Duke is taking part in important research but also helping the team stand out as top performers and site leaders in the trials we choose to undertake. They want to thank the groups that support the team, especially their specific representatives who helped facilitate the team’s success by helping expedite study set-up requirements, including Diane Bresch of DOCR, Ashley Madison of ORC, Stephanie Minter with DOCR start-up, Helen Bran with the Cath lab, and Aubrie Coburn with CDU. The team is particularly proud of becoming the first enroller just three weeks following site activation.

Congratulations to all – great teamwork!

 

Heart Transplant Team Recognized During Duke MBB Game

We are thrilled to share that our amazing advanced heart failure and heart transplant team was recognized on the court during a break in play in the Duke vs. Virginia men’s basketball game last night (March 2).

Members of the team were brought onto the court during the second half and recognized for their recent team milestones, contributions to the field of transplantation, and overall excellence in the care of heart transplant patients.

You can read more about the complex care our cardiothoracic transplant program provides in Duke Cardiothoracic Transplant Program Accepts the Most Complex Cases, a recent article for referring providers.

Congratulations!

 

Krasuski & ACHA In DC

Cardiologist Rich Krasuski had a busy day in Washington on Thursday. Krasuski was at the Capitol with the Adult Congenital Heart Association (ACHA) discussing the work they do and the importance of supporting the Congenital Heart Futures Reauthorization Act, legislation that would extend funding for public health efforts at the Centers for Disease Control and Prevention to improve childhood survival rates, prevent premature death and disability, and increase quality of life for the 2.5 million Americans living with congenital heart disease. This is an important piece of legislation for the future of ACHD.

Krasuski and the team met with Senator Dick Durbin in his office. Left to right: Mark Roeder, CEO of the ACHA; Richard Krasuski, MD; Senator Durbin; Aliza Marlin; Scott Leezer, vice president of Government Relations at CURA Strategies, and Jim Rumple, Chair of the Board of Directors of the ACHA.

Great job, Rich!

 

ICYMI: Swaminathan Recognized for Advocacy

Madhav Swaminathan

Madhav Swaminathan, MD, a professor of anesthesiology at Duke specializing in cardiothoracic anesthesiology and critical care medicine, was recently highlighted for his DEI and advocacy work with Duke’s Neurodiversity Initiative Working Group. If you happened to miss the post by Duke School of Medicine last week, it is certainly worth checking out.

Keep up the great work, Madhav!

 

 

Please Vote in USNWR Best Hospitals for Cardiology & Heart Surgery

USNWR voting for Best Hospitals by specialty is now open in Doximity. If you are board-certified in the U.S. and have claimed your Doximity profile already, please log into your account by March 27 to complete the brief survey: submit your nominations.

New to Doximity? Find and register your profile to vote. Just go to Doximity’s login page, scroll to the bottom and click on “find your profile” – find yours and claim it/register. You can participate in the survey as long as you register on Doximity prior to the survey closing on March 27.

The survey allows you to list up to five hospitals as Best Hospital in the specialty in which you are board-certified. Your ballot counts even if you vote only for one hospital.

As with primaries and national elections, every vote is important!

 

Support Frazier-Mills, Duke Health’s 2024 AHA Woman of Impact!

Please join us in supporting electrophysiologist Camille Frazier-Mills, MD, one of the Triangle American Heart Association’s Women of Impact in her campaign to raise funds to support Go Red for Women.

Camille Frazier-Mills

Frazier-Mills is representing Duke Health as a Woman of Impact in the 2024 campaign and we want to help her reach her campaign goal. By donating, each of us can support her campaign and help ensure more women have equitable access to cardiovascular care and better representation in critically needed medical research.

** Check out Camille Frazier-Mills’ campaign page and please donate by April 4. **

Every year across the country, a select group of individuals are nominated to be a part of Woman of Impact because of their passion and drive to make a difference. This 9-week blind competition is relentlessly focused on women’s heart health. The campaign launched on National Wear Red Day (Feb. 2) and closes on April 4. During this time, the nominees work to build campaign plans, recruit Impact teams, and inspire their networks to support the American Heart Association’s lifesaving mission.

At the end of the campaign, this special group of changemakers will be celebrated for the overall impact they have on the AHA’s mission and the Triangle community. The nominee who makes the greatest impact and raises the most funds locally will be named a local 2024 Woman of Impact Winner.

Additionally, the nominee who makes the greatest impact nationwide will be named the American Heart Association 2024 National Woman of Impact Winner.

Let’s help her reach and exceed her goal – let’s help her WIN! Go, Camille!

 

New CFO announced for DUHS

Lisa M. Goodlett, CPA, MBA, FACHE will join Duke as Senior Vice President, Chief Financial Officer, and Treasurer for Duke University Health System, effective March 4, 2024. Lisa will work closely with leaders across the health system to develop and implement financial, operations, and growth strategies. She joins DUHS from the Medical University of South Carolina where she served as system CFO.

 

Great Catch Brittenham!

Congratulations to Kida Brittenham of Duke Heart’s 7 West team — Kida noticed a sudden change in the amount and character of a patient’s drainage in a negative pressure wound therapy suction canister. She immediately escalated her concern to the provider team and continued to advocate for the patient. The provider discovered an aortic leak, and the patient was taken emergently to the OR and received life-saving care.

Way to go, Kida – thank you for your dedication to safe care for our patients!

 

 

 

 

DUHS Moves to Tier 1 Visitation Status, Tues. March 5

After consulting with Infectious Disease and Infection Prevention experts and closely monitoring respiratory illness in our community, DUHS will move to Tier 1 visitation status on Tuesday, March 5.

Visitation highlights:

  • Hospital visiting hours: 8 a.m. – 9 p.m. daily.
  • Up to four visitors at a time where space permits; switching is allowed.
  • Visitors of all ages are allowed in inpatient, maternity, and ambulatory spaces.
  • Visitors must be 18+ in perioperative/surgical/procedural areas.

Note: Additional visitation and masking precautions may apply to certain patient populations.

Exceptions to visitation restrictions may be granted based on special circumstances.

To keep everyone healthy, please remember to practice safe behaviors, including frequent hand hygiene and the proper use of PPE. Please do not come to work if you are sick. More information is available on Duke Health Now.

 

Adam Silver Elected Chair, Duke University BOT

Duke alumnus and NBA Commissioner Adam Silver will serve as chair of Duke University Board of Trustees for a three-year term starting July 1, succeeding Laurene Sperling. Silver, who currently serves as vice chair, was elected to the post by the Board of Trustees at its recent quarterly meeting.

 

 

 

Reminder: NC Primary/”Super Tuesday” is March 5

The NC Primary is Tuesday, March 5. To find your polling place, you can click here.

Additional information on voting and voter ID requirements can be found on the Duke Votes website.

 

Upcoming Events & Opportunities

  • Friday, March 8 is International Women’s Day
  • March is National Nutrition Month
  • USNWR Best Hospitals Voting is open (through March 27). Please check your Doximity account and vote!

 

Cardiology Grand Rounds

March 5: No CGR today.

March 12: Arrhythmias in Myocardial Infarction: Beyond the Substrate with Ching Zhu, MD. 5 p.m., DN 2002 or via Zoom.

March 19: Beyond the Bump: Navigating the Interplay of Cardiovascular Health and Obstetrics in the Modern Era with Sarah Snow, MD. 5 p.m., DN 2002 or via Zoom.

March 26: Topic TBD with Brittany Zwischenberger, MD. 5 p.m., DN 2002 or via Zoom.

All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:

NET ID and password required. Enjoy!

CD Fellows Core Curriculum Conference

March 6: EP Case Presentation with Sara Coles and Jonathan Hanna. Noon. DMP 2W96 (in-person only).

March 8: Pregnancy & Heart Disease with Cary Ward. Noon, DMP 2W96 (in-person only).

Upcoming CME Symposia

March 8: Cardio-Oncology/Amyloid Symposium

The Southeastern Cardio-Oncology Conference, The Future is Now will take place on March 8 at the JB Duke Hotel in Durham, NC. Event registration is open; the registration deadline is March 5.

Duke cardiologists Michel Khouri and Ravi Karra of Duke’s Precision Cardiomyopathy Program will be presenters during the symposium.

Keynote to be provided by Avirup Guha, director of cardio-oncology and assistant professor of medicine at Augusta University’s Georgia Cancer Center.

The symposium is presented by Duke Cancer Network (DCN) in collaboration with Duke Cancer Institute. For more information, please contact Beth Tanner of DCN.

April 12: Duke Sports Cardiology & Sudden Death in Athletes

May 4: Duke Heart Failure Symposium

Registration is not yet open for the April 12 or May 4 symposia, but if you have questions about either event, please reach out to Christy Darnell.

Have news to share?

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

Duke Heart in the News:

February 24 — Joseph Turek and the Monroe family

Spectrum News Carolina

North Carolina toddler alive today thanks to a first-of-its-kind procedure

*clip begins @ 15:34:11

February 25 — Taylor Stephenson (lung transplant patient)

WNCN Raleigh

Lifesaving surgery at Duke Hospital gives a young woman a new chance at a better life

*clip begins @ 08:16:30

February 25 — John Reynolds and Taylor Stephenson

WRAL Raleigh

A new lease on life after a woman’s 3rd double-lung transplant

*clip begins @ 06:15:40

February 26 — Carmelo Milano and Krish Dewan

tctMD

Infective Endocarditis in Opioid Users: Care Must Go Beyond the Heart

February 27 — Stephen Greene

Managed Healthcare Executive

Exploring Advances and Challenges in Heart Failure with Stephen Greene of Duke Heart Center

February 28 — Kevin Oeffinger (family medicine & community health)

Diagnostic and Interventional Cardiology

Long-term Survivors of Childhood Cancer at Higher Risk of Death Following Heart Issues; Threshold for Treating Risk Factors Should be Lower

February 28 – Duke University Hospital

Becker’s Hospital Review

43 US hospitals among world’s best: Newsweek

February 29 — Manesh Patel

WRAL

Cardiovascular issues play large role in Black maternal mortality

March 1 — Audrey Blewer (family medicine & community health)

Healio/Cardiology Today

Women with public cardiac arrest less likely than men to receive CPR

March issue — Duke Hospitals (all)

Business North Carolina

North Carolina’s best hospitals 2024

Duke Heart Pulse — February 25, 2024

Highlights of the week:

Heart Team Implants 1500th Durable VAD

Congratulations to our Duke Ventricular Assist Device (VAD) Program for reaching a program milestone: a total of 1500 durable VAD implants have been completed at Duke University Hospital (DUH) as of this past week. The first durable VAD placed at DUH occurred in 1994.

“Achieving 1500 VAD implants is a testament to the unwavering dedication, clinical expertise, and commitment of each member of our multidisciplinary team and the community partners who identify patients that may benefit from this therapy, said Carmelo A. Milano, Joseph W. and Dorothy W. Beard Distinguished Professor of Experimental Surgery and division chief of cardiovascular and thoracic surgery at Duke Health in a statement to team members.

“As one of the first VAD centers certified by The Joint Commission, we are proud of the high standards and quality care provided to each VAD patient at Duke,” Milano adds. “Each implant represents a life impacted and a step forward in delivering comprehensive advanced heart failure care to the patients of our region.”

VADs are durable mechanical circulatory support devices used in patients who have reached end-stage heart failure. They are mechanical pumps that help a patient’s failing heart continue to pump blood through their body. Some patients receive a VAD as a “bridge-to-transplant” therapy while waiting for a heart transplant; others receive VADs as “destination therapy” — long-term placement without receiving a heart transplant. Early VADs were devices that were solely meant to keep people alive in a hospital until a donor heart could be found for them. Now, the devices have improved so much that many patients can not only leave the hospital but potentially live on VAD support for the rest of their lives.

“When this technology became available, we were fully in it from the beginning because we saw a much-needed gap in available treatments,” says Laura Blue, DNP, nurse practitioner and Duke’s lead VAD coordinator since 2003. “We had the resources and the desire to help more patients and it has been awesome to see people get chunks of their life back. To see them have more time to meet their dreams and have their lives improved. Giving people the ability to complete things they want to do and have more time with their families and accomplish goals has been the best part of this process.”

Milano attributes our VAD success to the many people who have been part of the VAD team over the years, especially those who led the way at the very beginning, including thoracic surgeons Peter van Trigt, MD (now at  Moses Cone) and Kevin Landolfo, MD (now at Mayo Jacksonville). The entire current team has great synergy and drive and Milano attributes a lot of that to the two surgeons who are currently driving the VAD program – Jacob Schroder, MD, and Jeffrey Keenan, MD, and cardiology partners including Stu Russell, MD, and lead VAD coordinator Laura Blue, who, he says, has probably put more time into the VAD program than anyone.

VAD technology has evolved from large pulsatile devices to smaller rotary flow pumps over the years and Duke has been a leading site for clinical research in the development of many of the devices. Duke was the leading enroller for the HeartMate II LVAD clinical trial, the HVAD HeartWare clinical trial, and the MOMENTUM HeartMate 3 clinical trials, according to Milano.

“These three devices are probably the most common VADs we’ve used in reaching this 1500th milestone,” said Milano. “And we were leaders in the clinical trials that led to the FDA approval of those devices.”

Stu Russell, MD, Duke’s regional director for advanced heart failure agrees. “If you look back over the years at the kinds of pumps that have been studied, that led us to the ones we’re using today, Duke has been one of the highest enrollers in all of the clinical trials. Our patients have helped pave the way for VADs getting better and better over time.”

Russell says physicians are seeing fewer strokes occurring with VADs and less clotting – that the pumps have gotten better, and smaller, the batteries last longer, and the devices are more reliable than ever.

“Heart failure is the number one discharge diagnosis in most hospitals in America,” Russell says. “It’s everywhere and here in the south, with the rates of hypertension and coronary disease, there is even more of it. There are a ton of people developing and a lot of people dying of heart failure every year. As good as we’ve done and as high a number of VADs as we have implanted — it’s just a drop in the bucket compared to how many more people could probably benefit.”

The team sees reaching this milestone as an accomplishment that goes beyond Duke. They stress the partnerships with referring physicians across the region who choose to send their patients for an evaluation at Duke.

Regionally, the southeast has a very high prevalence of heart failure — higher than anywhere else in the United States,” says Stephanie Barnes, MSN, AGNP, CHFN, clinical director for Advanced Heart Failure at Duke. “Based on our transplant and durable VAD volumes combined, while they’re high and we are leading the way in providing advanced heart failure care to patients, we anticipate there are many patients out there who are not receiving these therapies, simply because they’re not making it to the door of advanced heart failure centers, or they’re making it too late.”

Duke’s durable VAD program has developed alongside its heart failure program, which reached a program milestone of 2000 completed heart transplants in December. The team hit a program and U.S. record of 161 heart transplants completed in 2023.

“Advanced heart failure patients are some of the most severely ill patients we see as cardiologists,” says Chetan Patel, MD, Duke Heart’s Vice Chief for Outreach and Network Development. “Not many heart centers can say they have achieved such a milestone and it’s due to the work of an amazing team over the years.”

We are so proud of this team and the thousands of lives they’ve touched. Congratulations!

 

Support Frazier-Mills, Duke Health’s 2024 AHA Woman of Impact!

Camille Frazier-Mills

Please join us in supporting electrophysiologist Camille Frazier-Mills, MD, one of the Triangle American Heart Association’s Women of Impact in her campaign to raise funds to support Go Red for Women.

Frazier-Mills is representing Duke Health as a Woman of Impact in the 2024 campaign and we want to help her reach her campaign goal. By donating, each of us can support her campaign and help ensure more women have equitable access to cardiovascular care and better representation in critically needed medical research.

Check out Camille Frazier-Mills’ campaign page and please donate by April 4.

Every year across the country, a select group of individuals are nominated to be a part of Woman of Impact because of their passion and drive to make a difference. This 9-week blind competition is relentlessly focused on women’s heart health. The campaign launched on National Wear Red Day (Feb. 2) and closes on April 4. During this time, the nominees work to build campaign plans, recruit Impact teams, and inspire their networks to support the American Heart Association’s lifesaving mission.

At the end of the campaign, this special group of changemakers will be celebrated for the overall impact they have on the AHA’s mission and the Triangle community. The nominee who makes the greatest impact and raises the most funds locally will be named a local 2024 Woman of Impact Winner.

Additionally, the nominee who makes the greatest impact nationwide will be named the American Heart Association 2024 National Woman of Impact Winner.

Let’s help her reach and exceed her goal – let’s help her WIN! Go, Camille!

 

Rymer Accepted to ACC Emerging Faculty Leadership Academy

Jennifer Rymer

Congratulations to Jenn Rymer, MD, assistant professor of medicine in cardiology! We learned this week that she has been accepted into the 2024 American College of Cardiology (ACC) Rick Nishimura, MD, MACC and Patrick T. O’Gara, MD, MACC Emerging Faculty Leadership Academy.

Established in 2005, the ACC Emerging Faculty Leadership Academy supports early-career academic cardiologists who strive to become clinician educators. Participants learn evidence-based teaching strategies and core skills along with other members of their cohort at Heart House in Washington, DC.

Duke cardiologists recently selected for this highly competitive opportunity include Nishant Shah (2023), Tony Gutierrez, MD (2022), and Adam DeVore, MD (2019). 

Congratulations, Jenn! We are so excited for you!

 

USNWR Best Hospitals Voting Now Open

USNWR voting for Best Hospitals by specialty is now open in Doximity. If you are board-certified in the U.S. and have claimed your Doximity profile already, please log into your account by March 27 to complete the brief survey: submit your nominations.

New to Doximity? Find and register your profile to vote. Just go to Doximity’s login page, scroll to the bottom and click on “find your profile” – find yours and claim it/register. You can participate in the survey as long as you register on Doximity prior to the survey closing on March 27.

The survey allows you to list up to five hospitals as Best Hospital in the specialty in which you are board-certified. Your ballot counts even if you vote only for one hospital.

As with primaries and national elections, every vote is important!

Seriously, stop reading and go vote for Duke University Hospital — best of the best for cardiology and heart surgery! We’ll be here when you’re done – there’s more news below!

 

Armed and Dangerous Drills, Feb. 26-29

Jonathan Bae, MD, CPPS, Chief Quality Officer for Duke University Hospital, announced last week that Duke University Hospital will conduct Armed and Dangerous Drills this coming week (Feb. 26th – 29th). The drills will be discussion-based with the goal of reinforcing education and encouraging preparedness conversations with your teams.

Trained facilitators will present a scenario and questions for participants to think through as well as verbalize what they would do. Throughout the week there will be sessions conducted in-person on units at various times. Before each session, facilitators will round and gather any staff who are available. If you are available during a session in one of your work areas, you are welcome to participate in that session.

We understand that participation in on-unit sessions can be challenging for physician teams, so Zoom options are also available. If this works better for your schedule, please register for a time below:

All sessions will last approximately 30 minutes. While we aim to provide accessible opportunities, with a drill of this scale, we will not be able to incorporate everyone. If you are unable to participate we do encourage refreshing your knowledge via the virtual Armed and Dangerous Training available online via LMS Course Number 00073596. 

If you have questions about the drills, please email workplaceviolenceprevention@duke.edu.

Please take some time this week to refresh your preparedness and/or participate in any session for which you’re available.

 

Feb. 27: Before They Were Stars Series – Perspectives from Dean Mary Klotman

We know this is a busy week, but… here’s a great event to consider: the Program for Women in Internal Medicine (PWIM) continues the popular Before They Were Stars series, now open to ALL in the Department of Medicine. This series highlights the career paths of prominent women physicians, capturing the successes, challenges and opportunities facing women in medicine.

This month PWIM is joined by Dean Mary Klotman! Dean Klotman will describe her career journey in academic leadership through her roles as Chair of Medicine and now as Dean of the School of Medicine.

All faculty and trainees are welcome and encouraged to attend. There will be food and beverages provided outside of the meeting venue beginning at 6 p.m. Conversation with Dean Klotman will start promptly at 6:30 p.m. on Tuesday, Feb. 27 in Duke Hospital North 2002.

Please join if your schedule permits. We’d love a great showing from Duke Cardiology if you can stay – this event immediately follows CGR in DN 2002!

 

NC Primary is March 5; Early Voting Ends March 2

Early voting for the March 5 Primary Elections is open through 3 p.m. on Saturday, March 2.

Duke University has an early voting location on campus at Karsh Alumni and Visitors Center. During the early voting period, voters can cast their ballot at any early voting location in the county where they are registered. Other early voting locations across NC can be found here. Voters who missed the registration deadline last week can also register and vote on the same day at early voting locations.

On Election Day, Tuesday, March 5, voters must cast a ballot at their assigned polling location.

Additional information on registering to vote, voting, and voter ID requirements can be found on the Duke Votes website.

 

Upcoming Events & Opportunities

  • February is Heart Month and Black History Month.
  • March is National Nutrition Month
  • March 8 is International Women’s Day
  • USNWR Best Hospitals Voting is open (through March 27). Please check your Doximity account and vote!

 

Cardiology Grand Rounds

Feb. 27: CTEPH…The Challenges We Face with William Auger, MD. 5 p.m., DN 2002 or via Zoom.

March 12: Arrhythmias in Myocardial Infarction: Beyond the Substrate with Ching Zhu, MD. 5 p.m., DN 2002 or via Zoom.

March 19: Beyond the Bump: Navigating the Interplay of Cardiovascular Health and Obstetrics in the Modern Era with Sarah Snow, MD. 5 p.m., DN 2002 or via Zoom.

March 26: Topic TBD with Brittany Zwischenberger, MD. 5 p.m., DN 2002 or via Zoom.

All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:

NET ID and password required. Enjoy!

 

CD Fellows Core Curriculum Conference

Feb. 28: HF/Txp Case Presentation with Seamus Hughes. Noon. DMP 2W96 (in-person only).

March 1: EKG Review with Neil Freedman. Noon. Zoom only.

 

Upcoming CME Symposia for Spring, 2024

March 8: Cardio-Oncology/Amyloid Symposium

The Southeastern Cardio-Oncology Conference, The Future is Now will take place on March 8 at the JB Duke Hotel in Durham, NC. Event registration is open; the registration deadline is March 5.

Duke cardiologists Michel Khouri and Ravi Karra of Duke’s Precision Cardiomyopathy Program will be presenters during the symposium.

Keynote to be provided by Avirup Guha, director of cardio-oncology and assistant professor of medicine at Augusta University’s Georgia Cancer Center.

The symposium is presented by Duke Cancer Network (DCN) in collaboration with Duke Cancer Institute. For more information, please contact Beth Tanner of DCN.

 

April 12: Duke Sports Cardiology & Sudden Death in Athletes

May 4: Duke Heart Failure Symposium

Registration is not yet open for the April 12 or May 4 symposia, but if you have questions about either event, please reach out to Christy Darnell.

 

Have news to share?

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

 

Duke Heart in the News:

February 16 — Duke University Hospital/Health System

Becker’s Hospital Review

24 most reputable US academic medical centers

February 18 — Carmelo Milano and Jacob Schroder

Innovando News (Italy)*

Fifty million euros for the first Italian artificial heart

*mention is in photo caption

February 19 — Duke Health

Medical Economics

How to keep your patients happy: 6 steps to reduce long wait times and improve patient satisfaction

February 20 — Duke University (biomechanical engineering)

Healthcare-in-Europe.com

Should these pills go together? ML model predicts drug interactions

February 20 — Stephen Greene

Managed Healthcare Executive

Stephen Greene, MD, Gives Insight on the New Heart Failure Drug Sotagliflozin

February 20 — Christopher Granger

The Laurinburg Exchange

Scotland works to increase cardiac arrest survival rates

February 21 — Stephen Greene

HCP Live

Experts’ Perspectives: Top Issue Facing Cardiology in 2024

February 21 — John Reynolds and Taylor Stephenson (lung tx patient)

WRAL (NBC Raleigh)*

Woman recovering after receiving her third double-lung transplant at Duke Health

*carried also by WRAZ (Fox 50) & WILM (Wilmington, NC Channel 10)

February 21 — John Reynolds and Taylor Stephenson

WNCN (CBS17 Raleigh)

‘I don’t want to die yet’: Woman receives life-saving 3rd double lung transplant at Duke Hospital

February 22 — Jacob Klapper and Taylor Stephenson

New York Post

Cystic fibrosis patient, 26, receives 3rd set of lungs after begging doc to take her case: ‘I was always told that two was it’

February 23 — Taylor Stephenson

People.com

Woman, 26, Recovers from 3rd Double Lung Transplant in 8 Years: ‘I Was Getting Another Chance’

Duke Heart Pulse — February 18, 2024

Highlights of the week:

Loring Receives Career Development Award

Zak Loring

Congratulations to Duke electrophysiologist Zak Loring, MD, who has been awarded a Veterans Health Administration (VHA) VISN 6 Career Development Award (CDA) for his study Improving Disparities in Atrial Fibrillation Care Through Development of Machine Learning Risk Models. Loring’s research will implement an ECG-based machine learning model to identify high-risk Veterans in the rural community with atrial fibrillation.

Through early identification and timely delivery of advanced treatment strategies, such as catheter ablation, Loring aims to prevent the development of heart failure. J. Antonio Gutierrez, MD will serve as Loring’s primary mentor for this award.

VISN 6 is the VA’s Mid-Atlantic Health Care Network, one of 23 Veterans Integrated Service Networks of the Veterans Health Administration. VISN 6 is comprised of eight VA Medical Centers (including Durham VAMC) and 15 community-based outpatient clinics.

VA Section Chief, Raj Swaminathan, MD, noted that this project directly builds on work Loring is completing through a VA ADAPT COIN grant award.

Gutierrez also holds a full CDA award, so this represents two CDAs awarded to our faculty in the last three years!

Congrats, Zak!!

 

Pauly Begins as DUH President

Tomorrow, Feb. 19, we welcome Greg Pauly to his new role as president of Duke University Hospital. Pauly will also serve as group president of Acute Care Services for Duke University Health System and as Duke University School of Medicine’s Vice Dean for Clinical and Academic Integration.  

In these roles, Pauly will provide oversight of the strategic direction, fiscal management, and program development for all acute care services across DUHS, including Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital campuses.

Pauly is joining Duke after serving as executive vice president and chief operating officer for Massachusetts General Hospital.

Please give him a warm welcome when you see him!

 

Jessica May Joins Heart Development Team

Please join us in welcoming Jessica Baga May, a major gifts officer for Duke Health Development and Alumni Affairs (DHDAA), to our Duke Heart team! May is now serving as one of our primary team leads focused on increasing and managing philanthropic support of Duke Heart. May joined Duke Health’s development team in 2021; her transition to Duke Heart officially began on February 1.

May’s efforts while at Duke Health have focused on grateful patient fundraising within the Department of Surgery. She will continue to support several of those surgical areas but will expand her focus to include the Heart team.

 May says she is excited to be part of our team and that she hopes to serve as an asset to building philanthropic support for the work we do. We asked her what she’d most like our faculty to know about grateful patient fundraising.

“One of the most important things for faculty to know specifically about grateful patient philanthropy is that it’s a relationship-building process. Part of a development officer’s role is establishing a rapport and a connection with our faculty partners, and identifying if and how each faculty member wants to be involved in the fundraising process.”

May says that her initial goal is to speak with members of the faculty, get to know them, and learn about the experiences they have had with philanthropy. She’ll answer any questions you have about the fundraising process and will look to understand how you prefer to be engaged over time.

“I am here to enable a process for those who want to be engaged with philanthropy, both on the donor side and the faculty side, in a way that is fully respectful of patient care as the top priority. 

Before joining Duke, May served as Senior Development Officer for Leadership Gifts at Wellesley College in Wellesley, MA. She has also served as a major gifts officer at the Massachusetts Institute of Technology in Boston, and Vassar College in Poughkeepsie, NY. Although her professional experience is largely rooted in higher education, her background includes growing up as a child of a cardiologist. She says her father, a now-retired private practice interventionalist, taught her how to work an EKG machine and let her play with pacemaker models as a child.

We are excited to have Jessica working with us in Duke Heart. You can anticipate hearing from her as she starts reaching out to introduce herself to faculty members.

Welcome, Jessica!

 

Thank you, Residents & Fellows!

Duke is celebrating Graduate Medical Education Week from Feb. 18-26, a time to recognize all our residents and fellows and those who work to lead and support these programs, including program directors, associate program directors, program coordinators, and all vice chairs of education. Enjoy the week!

 

Califf Recognized with Duke Centennial ‘Spotlight’

Duke alum and cardiologist Robert Califf, MD was highlighted this week in a ‘centennial spotlight’ as part of Duke University’s Duke 100 Centennial Celebration. To view the current FDA Commissioner’s spotlight and all those who will be recognized throughout the year, please visit the Duke 100 site.

 

Cardiac Surgical Innovations Highlighted in SOM’s Magnify

This week’s feature story in Magnify, Duke School of Medicine’s online magazine, covers recent innovations in pediatric heart surgery for congenital heart defects including partial heart transplantation, “domino” transplants, and the recent heart-thymus co-transplant. Told through a series of interviews with Drs. Joe Turek, Doug Overbey, Louise Markert, and Allan Kirk, Saving More Babies Through Innovation in Pediatric Heart Surgery, looks at lives saved, the challenges of congenital surgery, and hope for the future.

 

ICYMI: Fuller Delivers Sanford Lectureship

Dr. Stephanie Fuller, the Thomas L. Spray Endowed Chair in Pediatric Heart Surgery at Perelman School of Medicine at the University of Pennsylvania delivered the Sanford Lectureship on Wed., February 14th as part of Duke Surgery Grand Rounds. A recording of her lecture, Congenital Heart Surgery: Outcomes, Innovation and Adults can be viewed in Duke Box.

She gave a terrific presentation – the recording is well worth watching.

 

Early Voting Begins for 2024 Primary Elections

Early voting for the March 5 Primary Elections is now open! The early voting period runs through Saturday, March 2. Duke University has an early voting location on campus at Karsh Alumni and Visitors Center. During the early voting period, voters can cast their ballot at any early voting location in the county where they are registered. Other early voting locations across NC can be found here. Voters who missed the registration deadline last week can also register and vote on the same day at early voting locations. On Election Day, voters must cast a ballot at their assigned polling location.

The primary elections in NC include candidates for President, Governor, all 170 members of the state legislature, 14 congressional seats, one NC Supreme Court seat, various judicial positions, and other Council of State positions including Lieutenant Governor, Attorney General, Commissioner of Agriculture, Superintendent of Public Instruction, Commissioner of Labor, Commissioner of Insurance, Secretary of State, State Treasurer, and State Auditor. Registered Democrats, Republicans, or Libertarians must vote their party’s primary ballot, but Unaffiliated voters can choose which party’s ballot to vote.

NC voters are now required to provide photo ID at the polls. A list of acceptable forms of ID can be found on the State Board of Elections website. Duke University students still have the opportunity to request a student voter ID card approved by the State Board of Elections last year. Additional information on registering to vote, voting, and voter ID requirements can be found on the Duke Votes website.

 

Upcoming Events & Opportunities

  • February is Heart Month and Black History Month.
  • It’s GME Week 18-26

Cardiology Grand Rounds

Feb. 20: Closing Arguments on the Management of Atrial Septal Defects with Richard Krasuski. 5 p.m., DN 2002 or via Zoom.

All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:

NET ID and password required. Enjoy!

CD Fellows Core Curriculum Conference

Feb. 21: DHP Case Presentation with Eric Xie. Noon. DMP 2W96 (in-person only).

Feb. 23: TBD with TBD. Noon. Zoom only.

Virtual: AHA Hands-Only CPR Demonstration

For team members at Duke who are not required to have BLS certification, please consider participating in the upcoming virtual AHA Triangle Hands-Only CPR demonstration, being held at Noon on Feb. 22. To register please click here. You’ll then receive a confirmation with the Zoom link.

Help us reach 100+ participants from Duke Health!

Office of Faculty — Event with Israni of Stanford Medicine, Feb. 26

Academic Medicine, with all its complexities, naturally includes conflict amongst its crucial collaborators – trainees, faculty, staff, communities and more. 21st century leadership skills require all of us to strategically leverage components of this conflict for constructive change, with intentional and thoughtful actions. This talk will weave together themes from restorative justice and design thinking; and how they can be applied to artificial intelligence and JEDI (justice, equity, diversity, and inclusion), offering a case for new ways of leveraging conflict to advance a culture of connectedness and belonging. The featured speaker will be Sonoo Thadaney Israni of Stanford University’s Presence Center.

February 26: Leveraging Conflict for Constructive Change. 4-5:30 p.m., DN 2002. Presented by the Office for Faculty. Refreshments will follow. To learn more and register: https://duke.is/8/8d7f.  

Upcoming CME Symposia for Spring, 2024

March 8: Cardio-Oncology/Amyloid Symposium

The Southeastern Cardio-Oncology Conference, The Future is Now will take place on March 8 at the JB Duke Hotel in Durham, NC. Event registration is open; the registration deadline is March 5.

Duke cardiologists Michel Khouri and Ravi Karra of Duke’s Precision Cardiomyopathy Program will be presenters during the symposium.

Keynote to be provided by Avirup Guha, director of cardio-oncology and assistant professor of medicine at Augusta University’s Georgia Cancer Center.

The symposium is presented by Duke Cancer Network (DCN) in collaboration with Duke Cancer Institute. For more information, please contact Beth Tanner of DCN.

April 12: Duke Sports Cardiology & Sudden Death in Athletes

May 4: Duke Heart Failure Symposium

Registration is not yet open for the April 12 or May 4 symposia, but if you have questions about either event, please reach out to Christy Darnell.

Have news to share?

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

Duke Heart in the News:

February 10 — Duke University

Forbes

Top 20 Universities For NIH Funding; Johns Hopkins Ranks First Again

February 12 — Jen Weber (lung tx patient)

Bonnell Foundation Podcast

All things lung transplant with Jen Weber

February 12 — Elisabetta Politi (Lifestyle & Weight Management Center)

Everyday Health

Using a Salt Substitute Can Slash Risk of Developing High Blood Pressure

February 12 — Marat Fudim

tctMD

More Mortality Reduction Signals With Implantable Hemodynamic Monitors in HFrEF: Meta-analysis

February 13 — Reid Chamberlain

WFMY Greensboro (NC) – CBS News 2

Greensboro 8-year-old becomes first in the world to receive this heart surgery

February 15 — Gerald Bloomfield

NIH News/Fogarty International Center

Finding causes of heart failure in Western Kenya

 

Duke Heart Pulse — February 11, 2024

Highlights of the week:

Happy Lunar New Year!

Yesterday marked the beginning of the Lunar New Year, a 15-day festival marking the beginning of the new year based on the lunar or lunisolar calendar. It is one of the largest holidays in the world and is celebrated across East Asia.

2024 is the Year of the Dragon. To all Duke Heart faculty and staff celebrating the Lunar New Year, we wish you great happiness and prosperity!

New Gift to Support Heart Transplant Patients and Their Families

A $1.5 million legacy gift from an anonymous family will help support Duke Heart transplant patients

The donors know firsthand what it is to have a family member with a failing heart, and what a miracle a heart transplant can be. They also know how arduous the transplant journey is.

“Our experience was really, really good,” a member of the family said. “But one of the things we saw around us was how much the financial stress impacted families. Our belief that ‘to whom much is given, of them much is expected’ meant we wanted to make a meaningful gift, and that it was important to do so in a way that will directly relieve some of the strain on patients and their families.”

For the donors that meant directing their gift to help with the financial challenges families undergoing transplantation face.

“We saw all the challenges that were outside the medical system that insurance doesn’t pay for. And so that really led us to target this gift to help cover those expenses. Families might need transportation, they might need lodging, or something else. And they may not be as fortunate as we are, whether it be to live here or financially be able to take care of those things. We wanted to provide something that would help those families,” another family member added.

Over the last two years, Duke has performed more heart transplants than any other center in the world, helping patients from 10 different states. Duke also accepts high-risk patients who have been turned away from other centers. 

“This gift provides much-needed support to the families being seen at Duke Heart,” said Chet Patel, MD, vice chief for outreach and network development. “Many patients undergoing complex care such as heart transplant sometimes have to make choices between personal recovery and family wellbeing. A lot of these stressors are financial due to costs not covered by health insurance such as living expenses and health-care-related travel. With the help of generous families who have been through these challenges, we can reduce these stressors and allow the patients to focus on healing.”

Duke Heart is one of the world’s premier heart and vascular centers, treating more than 65,000 patients

Manesh Patel

annually. It has the largest heart transplant program in the nation and is recognized both nationally and internationally for its advanced research and treatments. Duke has performed numerous heart transplant ‘firsts’ as well as other breakthrough procedures that have vastly improved outcomes for those with failing hearts.

“Our overriding goal at Duke Heart is to improve and innovate care and deliver those therapies as close to patients in their own communities as possible,” said Manesh Patel, MD, Division Chief of Cardiology and director of Duke Heart. “We are grateful for this family’s gift that will help reduce the barriers to transplant care.”

 

Duke’s Advanced Heart Failure Team Celebrates Recent Milestones

The Duke Heart Advanced Heart Failure Team gathered recently at the Washington Duke Inn to celebrate two significant milestones – the transplantation of 161 hearts in a single year and the transplantation of the 2000th heart at Duke.

The very first heart transplant at Duke was completed in 1985. The volume of heart transplants performed at Duke University Hospital last year was a record not only for Duke but for any U.S.-based program, according to OPTN data.

Congratulations, team – and Happy Heart Failure Awareness Week to all!

 

Kraus to Receive ACSM Citation Award

Duke cardiologist and rehabilitation specialist, William Kraus, MD, has been selected as an American College of Sports Medicine (ACSM) Citation Award winner for 2024. The prestigious Citation Award recognizes distinguished individuals who have made significant contributions to sports medicine and/or to the exercise sciences.

Bill is an outstanding clinician-scientist, mentor, volunteer, and leader in the fields of molecular biology, genetics, integrative human exercise physiology, and metabolism. He joins a highly regarded group of previous winners – many of whom are considered to be the ‘godfathers of exercise physiology’.

Kraus will be honored with the award at the 2024 ACSM Annual Meeting in Boston, May 28-31. He is among six recipients. To see the full list, visit the ACSM award site.

Congratulations, Bill! Well-deserved!

New scientific research will test PREVENT risk calculator among diverse groups

Research teams from Duke University, New York University, and Northwestern University Feinberg School of Medicine will work together to assess the accuracy of the American Heart Association’s (AHA) new PREVENT risk calculator with funding from the AHA’s De-biasing Clinical Care Algorithms project. The de-biasing project is funded by a grant from the Doris Duke Foundation to study the role of race and ethnicity in clinical equations and their impact on equity in disease diagnosis, healthcare delivery, or health outcomes.

Each team received a $150,000 one-year research award to further study how the risk calculator performs among people of various ages, racial and ethnic backgrounds, locations, and socioeconomic levels. The calculator was initially validated using health data from more than 3 million people. The new research intends to test it against even larger datasets.

The AHA PREVENT risk calculator is a new tool for clinicians to help people understand their risk for developing heart disease, stroke, or heart failure. It estimates cardiovascular disease risk based on health factors that assess cardiovascular, kidney, and metabolic health. Unlike the current standard for risk prediction, called the Pooled Cohort Equations (PCEs), a person’s race is not included in PREVENT as a factor in determining cardiovascular risk. Previous equations included race as a surrogate for the health effects of structural and systemic inequities, such as racism, that influence cardiovascular risk. The American Heart Association developed the PREVENT calculator with data on people from diverse races and ethnicities and includes additional health measures as well as a social index to predict risk more accurately.

The research teams will work in collaboration to assess the discrimination and calibration, cost-effectiveness, and accuracy of PREVENT among different sociodemographic groups using health system data from across the U.S. They will also see how it performs compared to the PCEs.

The research projects began January 1, 2024, and include:

  • Evaluation of Cardiovascular Risk Prediction Equations across Diverse Sociodemographic Subgroups – co-led by Michael J. Pencina, PhD, chief data scientist for Duke Health, and Chuan Hong, PhD, an assistant professor of biostatistics and bioinformatics at Duke.
  • Evaluating and Validating Equations Across All Race and Ethnicities – led by Sadiya S. Khan, MD, MSc, a cardiovascular epidemiologist at Northwestern University Feinberg School of Medicine in Chicago.
  • Debiasing Clinical Care Algorithms – CKD-PC Analysis Core – led by Josef Coresh, MD, PhD, founding director of the Optimal Aging Institute and a professor of population health and medicine at the New York University Grossman School of Medicine in New York.

Khan, Coresh, and Pencina were part of the volunteer writing group that developed the PREVENT equations. PREVENT was created based on data from more than 3 million people, and then validated in a different dataset of more than 3 million people to show that it is accurate in people of various ages, ethnicities, and geographic areas. This new collaborative project will further test how risk prediction with PREVENT applies to a diverse sample of adults and examine accuracy across race and ethnicity groups in the U.S.

 

Snider to Receive AmSECT National Award of Excellence

Please join us in congratulating Duke perfusionist Scott Snider! We learned this week that he has been selected as the winner of the 2024 American Society of ExtraCorporeal Technology (AmSECT) Award of Excellence.

This award is presented to a perfusionist who has demonstrated excellent work exemplifying creativity and intellectual originality in extracorporeal technology. The award is presented for excellence in any area such as education, continuing education, research, publication, or leadership, according to AmSECT.

Snider will receive the award during the 62nd AmSECT International Conference which is scheduled for March 20-24 at the Sheraton New Orleans Hotel in New Orleans, LA.

Congratulations, Scott!

 

Duke Kannapolis Community Registry Marks Milestone with Industry License

The Duke Clinical and Translational Science Institute (CTSI) announced last week that Personal Genome Diagnostics is the first company to obtain a license for materials from the MURDOCK Study, a unique community registry and biorepository managed by CTSI and based at Duke’s Kannapolis research site in Kannapolis, NC. The registry and biorepository include samples and associated data from more than 12,000 participants.

Licensing in support of industry research and development, in collaboration with the Duke Office of Translation and Commercialization (OTC), is one of a broad range of uses of the registry available through the Biorepository Transformation Initiative. This initiative makes thousands of biospecimens and associated clinical outcomes data available to researchers both inside and outside of Duke. Duke investigators can easily explore the cohort with just a few clicks using the data exploration tool. The storefronts summarize data and samples at a glance for all interested researchers.

Through the initiative, Duke investigators have recently advanced biomarker research in the areas of heart failure, Alzheimer’s, and diabetes, and the Duke School of Nursing has obtained over 20,000 biological samples and linked data to advance research in health equity and social drivers of health.

Researchers who are interested in accessing samples for academic collaboration or commercial scientific exploration can complete this brief interest form, as a first step in the process.

Congrats, CTSI!

 

Shout-out to Heart Nursing Leaders!

On Tuesday, February 6, several Duke Heart leaders (pictured below) for the Cardiothoracic Step-Down Units attended the Watts College of Nursing Career Fair. They had the opportunity to meet with over 30 potential candidates and establish shadow experiences. They are hoping this will yield new Heart team members!

 

 

Reminder: Tier 2 Status

We are currently in Tier 2 visitation status throughout Duke University Health System. Information is available on Duke Health Now.

 

Upcoming Events & Opportunities 

  • Duke Culture Survey: Jan. 29-Feb.17   
  • February is Heart Month and Black History Month.
  • February 7-14 is Congenital Heart Defect Awareness Week
  • February 11-17 is Heart Failure Awareness Week
  • Wednesday, Feb. 14 is National Donor Day

 

 

 

2024 Lefkowitz Distinguished Lecture

Feb. 13: Immunology of Long COVID with Akiko Iwasaki, PhD of Yale. Noon, Great Hall of Trent Semans Center for Health Education. The event will also be live-streamed.

The Robert J. Lefkowitz, MD Distinguished Lecture aims to celebrate and highlight groundbreaking medical research. This event will be hosted by Dean Mary E. Klotman, Executive Vice President for Health Affairs at Duke University and Dean for Duke University School of Medicine, and Nobel Laureate Robert J. Lefkowitz, MD, James B. Duke Professor of Medicine.

 

Cardiology Grand Rounds

Feb. 13: Breaking Barriers: The future of heart transplantation with Joseph Lerman. 5 p.m., DN 2002 or via Zoom.

All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:

NET ID and password are required. Enjoy!

CD Fellows Core Curriculum Conference

Feb. 14: Fellows Forum with Joseph Lerman. Noon. DMP 2W96 (in-person only).

Feb. 16: Radiation Biology and Protection with Robert Reiman. Noon. Zoom only.

Surgery Grand Rounds

Feb. 14: Congenital Heart Surgery: Outcomes, Innovations and Adults with Stephanie Muller. 8 a.m., DN 2002 or via Zoom.

Virtual: AHA Hands-Only CPR Demonstration

For team members at Duke who are not required to have BLS certification, please consider participating in the upcoming virtual AHA Triangle Hands-Only CPR demonstration, being held at Noon on Feb. 22. To register please click here. You’ll then receive a confirmation with the Zoom link. Help us reach 100+ participants from Duke Health!

Office of Faculty — Event with Israni of Stanford Medicine, Feb. 26

Academic Medicine, with all its complexities, naturally includes conflict among its crucial collaborators – trainees, faculty, staff, communities, and more. 21st century leadership skills require all of us to strategically leverage components of this conflict for constructive change, with intentional and thoughtful actions. This talk will weave together themes from restorative justice and design thinking; and how they can be applied to artificial intelligence and JEDI (justice, equity, diversity, and inclusion), offering a case for new ways of leveraging conflict to advance a culture of connectedness and belonging. The featured speaker will be Sonoo Thadaney Israni of Stanford University’s Presence Center.

February 26: Leveraging Conflict for Constructive Change. 4-5:30 p.m., DN 2002. Presented by the Office for Faculty. Refreshments will follow. To learn more and register: https://duke.is/8/8d7f.  

Upcoming CME Symposia for Spring, 2024

March 8: Cardio-Oncology/Amyloid Symposium

The Southeastern Cardio-Oncology Conference, The Future is Now will take place on March 8 at the JB Duke Hotel in Durham, NC. Event registration is open; the registration deadline is March 5.

Duke cardiologists Michel Khouri and Ravi Karra of Duke’s Precision Cardiomyopathy Program will be presenters during the symposium.

Keynote to be provided by Avirup Guha, director of cardio-oncology and assistant professor of medicine at Augusta University’s Georgia Cancer Center.

The symposium is presented by Duke Cancer Network (DCN) in collaboration with Duke Cancer Institute. For more information, please contact Beth Tanner of DCN.

April 12: Duke Sports Cardiology & Sudden Death in Athletes

May 4: Duke Heart Failure Symposium

Registration is not yet open for the April 12 or May 4 symposia, but if you have questions about either event, please reach out to Christy Darnell.

Have news to share?

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

Duke Heart in the News:

February 2 — G. Chad Hughes

Medical Dialogues

Even Short Bouts of Hypothermic Circulatory Arrest Tied to Cognitive Deficits After Aortic Arch Surgery

February 2 — Payal Kohli

Verify This

No, slapping the inside of a person’s elbow can’t prevent or treat a heart attack

February 5 — Susan Dent

The ASCO Post

Cardio-Oncology Is a Growing Subspecialty, but Where Are the Oncologists?

February 6 — Jacob Schroder

Medscape

Método prometedor para evaluar corazones donados con criterios ampliados

February 6 — Duke School of Medicine

Diagnostic and Interventional Cardiology

Machine Learning Informs a New Tool to Guide Treatment for Acute Decompensated Heart Failure

February 7 — Adrian Hernandez

Yahoo Noticias (via AHA News)

Más allá de la respiración: cómo el COVID-19 afecta al corazón, al cerebro y otros órganos

(Spanish version of: https://duke.is/z/hd2z)

February 7 — Duke Health/Eric Poon (DPC)

Advisory Board

Ambient AI: A new way to save clinician time

Duke Heart Pulse — February 4, 2024

Highlights of the week:  

February kicked off with several events that were aimed at raising awareness around heart disease and specifically cardiovascular disease in women with GoRed events on Friday February 2nd.  We have several examples below of our heart center community including faculty, fellows, staff and patients engaged in Heart Month awareness events.  We also highlight the ongoing work within the Heart Center around research and patient care. In upcoming weeks we will highlight the recent STS meeting and some our CT surgery and cardiology care and advances in valvular heart disease.  Included below are some pictures from the GoRed – Red Dress event at the Lincoln center in NYC this week that a few of our faculty were able to attend and walk the red carpet.

Voora Appointed Exec Director of VA National Pharmacogenomics Program

Congratulations to Deepak Voora, MD, associate professor of medicine in cardiology! Voora has been appointed Executive Director for the Veterans Affairs National Pharmacogenomics Program.

Since 2019, Voora and his team have designed and implemented an end-to-end system for implementing pharmacogenomics (PGx) into routine clinical care across the VA. This includes access to PGx testing, funding, patient- and provider education, changes to the electronic medical record, clinical decision support systems, population health management tools, pharmacist consultation, and implementation workflows targeting specific patient populations most likely to benefit from PGx testing.

The VA’s National Pharmacogenomics Program currently supports PGx testing and services for the nearly 30,000 U.S. Veterans throughout the Veterans Health Administration (VHA) who are prescribed more than 60 common medications that are impacted by PGx each year. The Veterans Health Administration consists of more than 110 Veterans Affairs Health Care systems.

 

Heart Team Launches Use of Renal Denervation Device; 1st in VAHS & NC

Duke cardiologists Tony Gutierrez, MD, the Durham Veterans Affairs Medical Center (VAMC) Cath Lab Director, and Raj Swaminathan, MD, the Durham VAMC Chief of Cardiology, have performed the first renal denervation procedures for the treatment of hypertension in the Veterans Affairs Healthcare System (VAHS). The team used a recently FDA-approved ultrasound renal denervation device, making it the first commercial use of the device in the entire VAHS and any hospital in NC.

     

Hypertension, also known as ‘high blood pressure,’ puts those who have it at risk for heart disease and stroke — the leading causes of death in the U.S. Nearly half of adult Americans have the condition, but only about one in four have it under control, according to the Centers for Disease Control. The latest guidelines from the American College of Cardiology and the American Heart Association define stage 1 hypertension as a blood pressure at or above 130/80 mmHg and stage 2 hypertension as a blood pressure at or above 140/90 mmHg.

Initial treatments for hypertension are usually lifestyle interventions and medications that can help lower blood pressure. Despite those treatments, more than one-half of individuals do not achieve recommended treatment goals, according to a recent position statement from the Society for Cardiovascular Angiography & Interventions (SCAI). The statement’s team of co-authors, led by Swaminathan, cite the limitations of medical therapy as medication cost, adverse side effects, limited access, and poor adherence.

With the FDA’s approval of two renal denervation devices last year, treatment options are expanding for those with uncontrolled or resistant forms of hypertension, particularly among those at greatest cardiovascular risk.

“The prevalence of hypertension in our Veterans is anywhere from 71 to 87 percent,” Gutierrez says. “The technology that we have now is pretty advanced to go ahead and treat the nerves around the arteries.”

The renal denervation devices are used to disrupt the nerve signals going to the kidneys. The procedure treats high blood pressure and conditions related to high blood pressure, according to Swaminathan. Of the two approved devices, one uses ultrasound technology and the other utilizes radiofrequency ablation.

“Blood pressure control has plateaued over the last decade and existing treatment strategies, including lifestyle changes and medications, are often not enough,” Swaminathan adds. “Renal denervation is a new technology to treat high blood pressure that is safe, durable, and is ‘always on’.”  

The patients treated at the Durham VA both had resistant hypertension and were referred to the team by cardiologist Michelle Kelsey, MD, who has built a robust cardiology prevention clinic at the Durham VAMC. The procedures were performed in December.

The renal denervation approach begins with the cardiologist identifying and targeting appropriate segments of the renal arteries with adjacent renal nerves. A catheter is then threaded carefully through blood vessels toward the renal arteries. Once the catheter reaches its target area, energy (using ultrasound or radiofrequency) is delivered and disrupts nerve signals without damaging the arteries or surrounding tissues. The interrupting of nerve signals is what can help reduce high blood pressure, says Swaminathan.

“The overall objective of renal denervation is to provide long-term reduction in blood pressure, especially to Veterans who may not respond well to medication alone,” Gutierrez adds.

Swaminathan says the Position Statement is currently being used by industry and health systems as a guide to launch renal denervation programs around the country.

Congratulations, Raj, Tony, and Michelle!

 

Duke Celebrates National Wear Red Day!

Thanks to everyone who joined us in wearing red on Friday to celebrate National Wear Red Day! It was terrific to see so many of our teams sporting a bit of red. Check out these pics from teammates throughout Duke University Hospital, Duke Raleigh Hospital and Duke Regional Hospital.

 

This was a great way for our teams to kick off Heart Month!

Next up:

Hands-Only CPR demonstration:

For team members at Duke who are not required to have BLS certification, please consider participating in the upcoming virtual AHA Triangle Hands-Only CPR demonstration, being held at Noon on Feb. 22. To register please click here. You’ll then receive a confirmation with the Zoom link. Help us reach 100+ participants from Duke Health!

 

Duke Heart Team Wins Family-Centered Care Award

Congratulations to Callie Tennyson, John Oliver, Dustin Tart, Karen Jooste, Kelly Kester, and their collaborators — Bradi Granger, Catie Dunn, and Kayla Brooks — for receiving the Society of Critical Care Medicine’s (SCCM) “Family-Centered Care Innovation Award” for Duke University Hospital. The award was formally presented during the SCCM’s 53rd Critical Care Congress held last week in Phoenix, AZ.

The Family-Centered Care Innovation Award is presented annually to a program that demonstrates novel, effective methods of providing care to critically ill and injured patients and their families. The team was recognized for their project, Interprofessional Education for Family Care During Resuscitation.

Way to go!

 

Reminder: Tier 2 Status

We are currently in Tier 2 visitation status throughout Duke University Health System. Information is available on Duke Health Now.

Upcoming Events & Opportunities

  • Duke Culture Survey: Jan. 29-Feb.17
  • February is Heart Month and Black History Month.
  • February 7-14 is Congenital Heart Defect Awareness Week
  • February 11-17 is Heart Failure Awareness Week
  • Wednesday, Feb. 14 is National Donor Day

Cardiology Grand Rounds

Feb. 6: Implementation strategies to address the burden of Heart Failure with Harriette Van Spall of McMaster University. 5 p.m., DN 2002 or via Zoom.

Feb. 13: Breaking Barriers: The future of heart transplantation with Joseph Lerman. 5 p.m., DN 2002 or via Zoom.

All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:

NET ID and password are required. Enjoy!

 

CD Fellows Core Curriculum Conference

Feb. 7: HT/Txp Case Presentation with Ivan Nenadic Wood. Noon. DMP 2W96 (in-person only).

Feb. 9: Cardiac PET with Salvadore Borges-Neto. Noon. Zoom only.

 

Office of Faculty — Event with Israni of Stanford Medicine, Feb. 26

Academic Medicine, with all its complexities, naturally includes conflict amongst its crucial collaborators – trainees, faculty, staff, communities and more. 21st century leadership skills require all of us to strategically leverage components of this conflict for constructive change, with intentional and thoughtful actions. This talk will weave together themes from restorative justice and design thinking; and how they can be applied to artificial intelligence and JEDI (justice, equity, diversity, and inclusion), offering a case for new ways of leveraging conflict to advance a culture of connectedness and belonging. The featured speaker will be Sonoo Thadaney Israni of Stanford University’s Presence Center.

February 26: Leveraging Conflict for Constructive Change. 4-5:30 p.m., DN 2002. Presented by the Office for Faculty. Refreshments will follow. To learn more and register: https://duke.is/8/8d7f.  

 

Upcoming CME Symposia for Spring, 2024

Feb 6: Stroke Management of the Future? The Potential Role of Factor XI/XIa Inhibitors in Secondary Stroke Prevention.

This is a DukeHeart/TotalCME event with Manesh Patel, et al. In-person at the Hyatt Regency Phoenix, 2nd floor, Phoenix Ballroom. Virtual: Livestream via MedEd On The Go, 8-9:30 p.m., EST. This evening symposium will be held during the International Stroke Conference 2024 in Phoenix.

Register here

Join experts to explore how factor XI/XIa inhibitors may transform secondary stroke prevention in patients with acute ischemic strokes and transient ischemic attack risk factors. This data-rich symposium reviews currently available therapeutics and how they affect the coagulation cascade, increasing the potential for serious bleeds. Experts outline new and emerging anticoagulation pharmacotherapy that may mitigate bleeding risks. Through interactive presentations, attendees gain a deep understanding of the rapidly evolving stroke prevention landscape, preparing them to implement the latest approaches, improve clinical practice and boost patient outcomes.

Faculty presenters:

  • Valeria Caso, MD, PhD of the University of Perugia
  • Mike Sharma, MD, MSc, FRCPC of McMaster University
  • Manesh R. Patel, MD of Duke Health
  • Ashkan Shoamanesh, MD of McMaster University

Supported by an educational grant from Bayer HealthCare Pharmaceuticals and jointly provided by Duke Heart, MedEd On The Go, and Total CME.

 

March 8: Cardio-Oncology/Amyloid Symposium

The Southeastern Cardio-Oncology Conference, The Future is Now will take place on March 8 at the JB Duke Hotel in Durham, NC. Event registration is open; the registration deadline is March 5.

Duke cardiologists Michel Khouri and Ravi Karra of Duke’s Precision Cardiomyopathy Program will be presenters during the symposium.

Keynote to be provided by Avirup Guha, director of cardio-oncology and assistant professor of medicine at Augusta University’s Georgia Cancer Center.

The symposium is presented by Duke Cancer Network (DCN) in collaboration with Duke Cancer Institute. For more information, please contact Beth Tanner of DCN.

 

April 12: Duke Sports Cardiology & Sudden Death in Athletes

May 4: Duke Heart Failure Symposium

Registration is not yet open for the April 12 or May 4 symposia, but if you have questions about either event, please reach out to Christy Darnell.

 

Have news to share?

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

 

Duke Heart in the News:

January 26 — Karen Alexander

Heart.org

What is a heart attack? Cardiologists explain the condition following death of NBA coach

January 26 — Robert Lefkowitz

Business Minds Coffee Chat (podcast)

Episode 123: From Yellow Beret to Nobel Laureate

January 27 — Nenad Bursac and Nicholas Strash

Tech Explorist (IN)

Healing hearts with skin cancer genes

January 29 — Joseph Turek and the Monroe family

The Science Times

World’s First Partial Heart Transplant Completed in Newborn With Truncus Arteriosus; Donor Valve Tissues Grow Along With the Patient’s Body

January 29 — Robert Lefkowitz

Freedom Pact (podcast)

Episode 317: Dr Robert Lefkowitz – Nobel Prize Winner Shares The Secrets To Unlocking Your Genius

January 29 — G. Chad Hughes

Medpage Today

Cooling Technique Frowned Upon in Aortic Arch Surgery

January 30 — Duke University Hospital

Yahoo News/Insider Monkey

30 Best Cardiology Hospitals In the US

February 2 — Manesh Patel

Triangle Business Journal

Their battle: Slow the growth of heart disease

Duke Heart Pulse — January 28, 2024

Highlights of the week:

Schroder Named Surgical Director for Advanced Heart Failure

We are pleased to share that Jacob N. Schroder, MD, assistant professor of surgery, has been named Surgical Director for Advanced Heart Failure of Duke Health’s Heart and Vascular Service line and the Duke Division of Cardiovascular and Thoracic Surgery. The announcement was made Monday by Duke Surgery and Duke Heart leadership.

Jacob Schroder

Dr. Schroder earned his Medical Degree from Georgetown University School of Medicine and completed both his general and cardiothoracic surgery residencies, as well as thoracic transplant surgery fellowship, at Duke University. He then joined the Duke Department of Surgery faculty in the Division of Cardiothoracic Surgery in 2012.

Since then, Dr. Schroder has helped lead transplant growth and innovation within the Duke Heart program while maintaining a deep passion for the care of advanced heart failure patients. In 2017, he accepted the role of surgical director of cardiac transplantation and has led the program to marked volume growth while maintaining outstanding survival outcomes. In 2023, Duke completed 161 heart transplants, which is the greatest annual number at any institution worldwide. In addition, the program has surpassed 2,000 total heart transplants, which has only been achieved by a handful of other programs in the U.S.

In his new role as Surgical Director for Advanced Heart Failure, he will not only oversee heart transplantation but will also oversee the Extracorporeal Membrane Oxygenation (ECMO) program, the Left Ventricular Assist Device (LVAD) program, and the Total Artificial Heart program at Duke. Additionally, Jacob will oversee conventional cardiac surgery procedures in patients with severely reduced left ventricular function. As part of his new role he will assemble a team of surgeons and multidisciplinary team members to deliver these therapies, oversee research efforts throughout these areas, and continue to drive innovation.

Dr. Schroder has been a leader in perfusion storage and was the first surgeon in North America to perform an adult heart transplant utilizing a donation after cardiac death (DCD) donor. He led the U.S. Organ Care System DCD Heart Trial, which was published last year in the New England Journal of Medicine. Importantly, the strategy of utilizing DCD donors has served to expand the donor pool by as much as 30% at adopting centers. He has also reinvigorated the combined heart–lung transplant program and facilitated increased volume in other combined heart-kidney and heart-liver transplant procedures. Jacob has also served as co-director of the 7West  Cardiothoracic  Intensive Care Unit (CTICU), creating an environment of enhanced patient care with collaborative surgical and intensivist oversight. He has led the application of mechanical circulatory support at Duke and performed the first successful CARMAT total artificial heart implant in North America in 2021.

In summary, he has displayed incredible dedication and passion for heart failure care and has worked tirelessly to expand our footprint in the treatment of these patients.

Congratulations, Jacob!

 

St. Jude Children’s Invests $13M in Duke, Columbia, and Stanford Collaboration

St. Jude Children’s Research Hospital has invested nearly $13 million toward a new collaboration with researchers at Duke, Columbia, and Stanford Universities to expand the understanding of G-protein coupled receptors (GPCR), vital proteins that have been linked to more than 100 human diseases and disorders.

The GPCR Collaborative is led by Scott Blanchard, PhD, and M. Madan Babu, PhD, of St. Jude’s. The two are partnering with Jonathan Javitch, MD, PhD, of Columbia University; Georgios Skiniotis, PhD, and Alice Ting, PhD, of Stanford University, and Robert J. Lefkowitz, MD, of Duke University School of Medicine and Duke Cardiovascular Research Center.

Lefkowitz, a cardiologist and biochemist, was awarded the Nobel Prize in Chemistry in 2012 for his studies of G-protein coupled receptors. He received the award with Brian Kobilka, MD, of Stanford.

The multi-institutional GPCR Collaborative team will integrate and improve advanced methodologies including single-molecule imaging, cryo-electron microscopy, data science, and other techniques to study GPCR biology, structure, and pharmacology. Building on insights from these studies, investigators hope to develop new therapies for many pediatric diseases, including cancer and other life-threatening conditions.

“Each group within the collaborative has a very different focus, yet there’s overlap in the methods we use in our laboratories. We each have a distinct emphasis and expertise that is lacking in the other groups,” says Lefkowitz, Chancellor’s Distinguished Professor of Medicine at Duke and member of Duke Cancer Institute. “What my lab brings to the table is, first of all, our very long history in the field. My involvement with the receptors goes back more than 50 years. So we have the long view — the history – of working with GPCRs, but we also bring a pharmacological, biochemical, and clinical perspective to the endeavor.”

The goal of the collaboration is to use the biophysical expertise of the teams to interrogate the receptors in a very deep way to try to assist in developing new strategies to develop drugs, according to Lefkowitz.

“Many of the other investigators in the collaboration bring a deep biophysical and structural orientation to the table. So the hope and expectation are for real synergy to emerge from bringing these different approaches to bear, especially from individuals who have already demonstrated successful collaborations with one another.”

St. Jude’s Children’s Research Hospital has funded six different Research Collaborative projects since 2017, including the GPCR Collaborative, with an investment of more than $80 million. By 2027, St. Jude plans to support even more collaborations focused on unanswered needs in science and medicine which will increase total investment to $160 million.

Congratulations, Bob!

 

Williams Receives TSF Award at STS 2024

Congratulations to cardiothoracic surgeon Adam Williams who has received the Thoracic Surgery Foundation (TSF) Every Heartbeat Matters Award for medical outreach in Honduras via our Duke Heart for Honduras program. The announcement was made during The Society of Thoracic Surgeons (STS) 60th Annual Meeting being held this weekend (Jan. 27-29) in San Antonio, TX.

The TSF, which is the philanthropic arm of the STS, offers grants of up to $35,000 for qualified surgeons who conduct charity surgical outreach work in underserved regions with underserved populations. The grant is designed to provide support for programs that educate, screen, and/or treat underserved populations to reduce the global burden of heart valve disease and other programs that advance healthcare and address underserved populations. The Every Heartbeat Matters Award is made possible through the support of Edwards Lifesciences Foundation.

Duke Heart for Honduras is an international cardiovascular surgical outreach partnership program launched in 2019 between the Division of Cardiovascular and Thoracic Surgery at Duke and the Instituto Nacional Cardiopulmonar (INCP) in Tegucigalpa, Honduras.

The socioeconomic climate of Honduras has made the provision of healthcare to its 9.5 million inhabitants difficult. There is a high rate of poverty, political instability, frequent natural disasters, and very few physicians available to diagnose and treat heart disease, let alone perform surgical cardiac interventions.

There is essentially only one cardiovascular surgeon in all of Honduras – Dr. Hugo Orellana, of the Instituto Nacional Cardiopulmonar (INCP) – with whom the Duke team collaborates. The INCP is a public hospital built roughly 75 years ago to provide specialized care for patients with tuberculosis, pulmonary, and cardiovascular diseases. The hospital has two operating rooms available. When resources permit, cardiac surgery is performed in those spaces.

“This award is key for us to continue these missions to Honduras, because it will essentially help fund all the flights we need to get the team down there,” said Williams. “That’s the biggest expense we have, so we are very excited and grateful to receive this award.”

Williams says the funding will be used to support the team’s next medical mission to Honduras, which is planned for May 11-18, 2024.

Congratulations, Adam — we are thrilled for you and the Duke Heart for Honduras team! Note: We’ll have more coverage from STS next weekend.

 

ICYMI: Latest Duke Publication on Diversity in Cardiology Fellowships

Congratulations to Sarah Snow, Pamela Douglas, and Brooke Alhanti for their latest publication in JAMA Cardiology. Recruiting a Diverse Cardiology Physician Workforce was published online Jan. 24, 2024.

The team reports their findings on changes in the representation of women and underrepresented racial and ethnic populations in cardiovascular disease and cardiovascular subspecialty fellowships. Using data from the Accreditation Council for Graduate Medical Education the team found percentages of women trainees in cardiovascular disease and interventional cardiology fellowships significantly increased from 2008 to 2022. While percentages of Black and Hispanic trainees in these fellowships have increased in recent years, the change is not yet statistically significant, according to the authors.

Great job on an incredibly important topic, Sarah, Pam, and Brooke!

 

Loring, Piccini Appear in Latest Episode of Heart Rhythm TV

Congrats to Zak Loring and Jon Piccini for appearing in a great episode of Heart Rhythm TV. The episode, The Natural History of AF – An Echocardiographic Study was posted to the Heart Rhythm channel on YouTube yesterday.

The two were interviewed by host Roderick Tung about their latest publication, Natural history of echocardiographic changes in atrial fibrillation: A case-controlled study of longitudinal remodeling, appearing in the January 2024 issue of Heart Rhythm Journal.

Nicely done – great interview, Jon and Zak!

 

Jule Named ANM, 6 East

We are excited to share that Annette Jule, BSN, RN, MPH, MSN, has been named the new 6 East assistant nurse manager (ANM), effective Jan. 2, 2024. Annette was born and raised in New York City and obtained her BSN from Long Island University Brooklyn Campus. She has nursing experience in transplant, med/surg, and critical care. She relocated to Florida and while there was promoted to leadership roles in nursing both at Baptist Hospital of Miami and HCA Kendall. During this time she obtained her MPH at George Washington University and MSN in nursing leadership at Nova Southeastern University.

Please join us in congratulating and welcoming Annette in her new role!

 

Kudos to Keenan & CT Surgery Team!

We received a warm note from DUH chief medical officer David Gallagher letting us know about patient feedback on Jeffrey Keenan and members of the CT Surgery team.

“Jeff, we received this nice feedback (from Press Ganey HCAHPS) about the great care you and your team gave to a patient at Duke Hospital. Thank you for the high quality and compassionate care you provide to patients! Jill, thanks to all the heart surgery staff who helped this patient! Great team!” — David Gallagher, MD, chief medical officer

“I can’t say enough on how grateful I am towards my doctor Jeffrey Keenan and all staff that helped me recover from my heart surgery.” — grateful patient, name withheld for privacy

 

Kudos to Parker & CTICU Team!

Kudos to Phillip Parker, nurse manager of the CTICU, and the whole CTICU team for their amazing partnership and floating ICU nurses to the OTC at Duke Hospital last week.

Their teamwork is helping capacity rise to 150 in the next few weeks. Great job!

 

Latest Duke Heart/Med-IQ CME Course Now Available

Managing Mitral Regurgitation Based on the Mechanism of Disease, a Med-IQ CME course with Andrew Wang is now live. To learn more, please click here.

 

Duke Research and Innovation Week

Starting Monday, Jan. 29, Duke is hosting its annual Research and Innovation Week–this time, with a Centennial twist. Join the Office for Research & Innovation for a week of exciting events, panels, and showcases to celebrate the past, present, and future of research and innovation at Duke.

It will include discussions on:

  • Depolarizing Political Toxicity on Social Media
  • Duke and NCCU’s Ongoing Partnerships and Collaboration
  • Race, Ethnicity and Politics Research
  • Many more great topics!

Consider attending the Research Town Hall on Jan. 31 featuring Brian McAdoo, Ross McKinney, Michael Pencina, Geeta Swamy, and Kanecia Zimmerman speaking on Integrity in Scholarship: The Next 100 Years. Or, on Feb. 1, check out the session on Duke Research in 2124 with panelist Muath Bishawi, or Duke and the FDA with Lesley Curtis, Mark McClellan, and Ehsan Samei.

A great week is planned! Learn more here.

 

National Wear Red Day is Friday

On Friday, Feb. 2, please join us in celebrating National Wear Red Day! This annual event is a visible means of showing your support and enthusiasm for working with cardiovascular patients and heart disease survivors. No need to don a completely crimson outfit! Red accessories such as socks, shoes, ties, or earrings are a great way to show you are participating in Wear Red Day! (Note: If your work area at Duke Health requires a uniform of specific color, you must adhere to that dress code policy.)

Kick-off Heart Month by wearing some red on Friday. Another event to consider is:

  • 22 – AHA Triangle Hands-Only CPR demonstration, Noon, via Zoom. To register please click here.

 

Reminder: Tier 2 Status

We are currently in Tier 2 visitation status throughout Duke University Health System. Information is available on Duke Health Now.

 

Upcoming Events & Opportunities

  • Duke Culture Survey: Jan. 29-Feb.17
  • Duke Centennial Research & Innovation Week: Jan. 29-Feb.2
  • National Wear Red Day: 2
  • February is Heart Month and Black History Month.

 

Transplant Grand Rounds

Jan. 30: Partial Heart Transplantation – Emergence of a New Paradigm with Joseph Turek. Noon. DN2003 or via Zoom.

 

Cardiology Grand Rounds

Jan. 30: Unraveling ketone metabolism in the failing heart with Senthil Selvaraj. 5 p.m., DN 2002 or via Zoom.

Feb. 6: Implementation strategies to address the burden of Heart Failure with Harriette Van Spall of McMaster University. 5 p.m., DN 2002 or via Zoom.

All Duke Cardiology Grand Rounds recordings are housed on Warpwire. To access recordings please visit:

Your NET ID and password are required. Enjoy!

Cardiology Grief Debrief Session

Jan. 29. Noon, In-person only: DMP 2W96

CD Fellows Core Curriculum Conference

Jan. 31: HT/Txp Case Presentation with Eric Xie. Noon. DMP 2W96 (in-person only).

Feb. 2: Introduction to SPECT with TBD. Noon. Zoom only.

Office of Faculty — Event with Israni of Stanford Medicine, Feb. 26

Academic Medicine, with all its complexities, naturally includes conflict amongst its crucial collaborators – trainees, faculty, staff, communities and more. 21st century leadership skills require all of us to strategically leverage components of this conflict for constructive change, with intentional and thoughtful actions. This talk will weave together themes from restorative justice and design thinking; and how they can be applied to artificial intelligence and JEDI (justice, equity, diversity, and inclusion), offering a case for new ways of leveraging conflict to advance a culture of connectedness and belonging. The featured speaker will be Sonoo Thadaney Israni of Stanford University’s Presence Center.

February 26: Leveraging Conflict for Constructive Change. 4-5:30 p.m., DN 2002. Presented by the Office for Faculty. Refreshments will follow. To learn more and register: https://duke.is/8/8d7f.  

 

Upcoming CME Symposia for Spring, 2024

Feb 6: Stroke Management of the Future? The Potential Role of Factor XI/XIa Inhibitors in Secondary Stroke Prevention.

This is a DukeHeart/TotalCME event with Manesh Patel, et al. In-person at the Hyatt Regency Phoenix, 2nd floor, Phoenix Ballroom. Virtual: Livestream via MedEd On The Go, 8-9:30 p.m., EST. This evening symposium will be held during the International Stroke Conference 2024 in Phoenix.

Register here

Join experts to explore how factor XI/XIa inhibitors may transform secondary stroke prevention in patients with acute ischemic strokes and transient ischemic attack risk factors. This data-rich symposium reviews currently available therapeutics and how they affect the coagulation cascade, increasing the potential for serious bleeds. Experts outline new and emerging anticoagulation pharmacotherapy that may mitigate bleeding risks. Through interactive presentations, attendees gain a deep understanding of the rapidly evolving stroke prevention landscape, preparing them to implement the latest approaches, improve clinical practice and boost patient outcomes.

Faculty presenters:

  • Valeria Caso, MD, PhD of the University of Perugia
  • Mike Sharma, MD, MSc, FRCPC of McMaster University
  • Manesh R. Patel, MD of Duke Health
  • Ashkan Shoamanesh, MD of McMaster University

Supported by an educational grant from Bayer HealthCare Pharmaceuticals and jointly provided by Duke Heart, MedEd On The Go, and Total CME.

 

March 8: Cardio-Oncology/Amyloid Symposium

The Southeastern Cardio-Oncology Conference, The Future is Now will take place on March 8 at the JB Duke Hotel in Durham, NC. Event registration is open; the registration deadline is March 5.

Duke cardiologists Michel Khouri and Ravi Karra of Duke’s Precision Cardiomyopathy Program will be presenters during the symposium.

Keynote to be provided by Avirup Guha, director of cardio-oncology and assistant professor of medicine at Augusta University’s Georgia Cancer Center.

The symposium is presented by Duke Cancer Network (DCN) in collaboration with Duke Cancer Institute. For more information, please contact Beth Tanner of DCN.

 

April 12: Duke Sports Cardiology & Sudden Death in Athletes

May 4: Duke Heart Failure Symposium

Registration is not yet open for the April 12 or May 4 symposia, but if you have questions about either event, please reach out to Christy Darnell.

 

Angels Among Us Walk & 5K, April 27

Our friends and colleagues at the Preston R. Tisch Brain Tumor Center (BTC) will hold their 31st annual Angels Among Us Walk on April 27 at the corner of Erwin Road and Flowers Drive on the Duke Medical Center campus. The Angels Among Us 5K and Walk of HOPE will begin with a 5K run followed by great entertainment, children’s activities, delicious food, and fun for the entire family.

A ceremony will begin the walk of hope through the Duke Medical Campus and the Sarah Duke Gardens. Proceeds from the event support the Preston Robert Tisch Brain Tumor Center at Duke. Visit www.angelsamongus.org to learn more.

Please consider supporting our Duke BTC colleagues and their annual event!

 

Have news to share?

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

Duke Heart in the News:

January 12 — Nishant Shah

Healthcentral.com

What’s a “Mini” Heart Attack?

January 19 — Robert Lefkowitz

Memphis Business Journal

St. Jude Children’s Research Hospital invests $13M in Duke, Stanford, Columbia University collaboration

January 19 — Jonathan Piccini

Cardiovascular Business

ICE-guided Watchman procedures linked to safety concerns—is TEE better for LAAO or will things improve?

January 19 — Duke Heart study

Woman’s World

Doctors Reveal the Best Sleeping Position to Outsmart Nighttime Leg Pain

*refers to this Duke study

January 20 — Brittany Zwischenberger

The New York Times

The Heart Surgery That Isn’t as Safe for Older Women

January 23 — Stephen Greene

Medscape

Deaths Linked to Substance Use, CVD on the Rise

January 23 — Kristin Newby

Consumer Reports

El mejor chequeo para tu corazón

January 24 — Sarah Snow

Healio/Cardiology Today

Women in CV fellowships on the rise; not so among other underrepresented groups

January 24 — Duke University Hospital

Becker’s ASC Review

The top 317 cardiology facilities for Medicare members, per Aetna

January 24 — Duke Heart study

Today’s Geriatric Medicine

Statins: Reducing Racial Disparities

*references this Duke study.

January 25 — Nenad Bursac

Genetic Engineering & Biotechnology News

Cancer Mutation That Spurs Cell Division Helps Heart Models Run at Full Gallop

January 25 — Nenad Bursac

WPTF/680 News Radio

Mutation in skin cancer may help recovery from heart attacks

*clip begins @ 12:12:48