Saturday, April 30, 2016

Friday, April 29, 2016

Wednesday, April 27, 2016

Switching Heparins Cuts Low Platelet Risk, Expenses

(MedPage Today) -- Unfractionated heparin "not the bargain it first appears to be"
via Switching Heparins Cuts Low Platelet Risk, Expenses
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Dementia in HIV -- HAND or Alzheimer's? (CME/CE)

(MedPage Today) -- Case report raises questions about diagnosis and treatment
via Dementia in HIV -- HAND or Alzheimer's? (CME/CE)
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Tuesday, April 26, 2016

Vancouver Pathway: Express Lane to Discharge After TAVR?

(MedPage Today) -- Length of stay reduced to 1 to 3 days with "excellent" outcomes, center reports
via Vancouver Pathway: Express Lane to Discharge After TAVR?
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CardioBrief: Stent Pioneer's Company Foundering

(MedPage Today) -- Julio Palmaz hasn't been able to recreate his earlier success
via CardioBrief: Stent Pioneer's Company Foundering
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Make the Diagnosis: Dizziness Dilemma

(MedPage Today) -- Case Findings: The patient is a 42-year-old African American man who presents with a complaint of dizziness lightheadedness which occurred when he was standing up to go to the rest room 3 days ago. He denies any previous syncopal episodes. He has medically managed hypertension, hypercholesterolemia, cardiomyopathy with last ejection fraction of 35% with defibrillator placement 4 months previous. His ICD did not fire during the episode. His last cardiac catheterization prior to ICD implantation revealed normal coronaries. Patient has been compliant with metoprolol 25 mg twice daily, lisinopril 10 mg daily, atorvastatin 40 mg daily. He denies any new medical regimen. His vital signs are BP 100/80 mm Hg and HR 66/min. His physical examination is normal without any clinical evidence of decompensation. ECG is shown below. What is the next best course of action?
via Make the Diagnosis: Dizziness Dilemma
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Monday, April 25, 2016

CMS Proposes TAVR Payment Cuts

(MedPage Today) -- Other CV procedures to gain slightly in fiscal year starting in October
via CMS Proposes TAVR Payment Cuts
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Consider Unique Ethnicity Among Hispanics With Diabetes

(MedPage Today) -- Health beliefs can vary greatly from one Hispanic culture to another, expert says
via Consider Unique Ethnicity Among Hispanics With Diabetes
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With Age Comes Wisdom -- and Lower Risk from High BP? (CME/CE)

(MedPage Today) -- In a hypertensive CKD sample, the elderly had fewer events than younger patients
via With Age Comes Wisdom -- and Lower Risk from High BP? (CME/CE)
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6-Minute Walk Test May Predict Post-MitraClip Death Risk

(MedPage Today) -- Pre-procedural test offers info on severity of underlying conditions
via 6-Minute Walk Test May Predict Post-MitraClip Death Risk
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Make the Diagnosis: Should it stay or should it go?

(MedPage Today) -- Case Findings: An adult presents with an inferior vena caval (IVC) filter that was removed. What is your diagnosis?
via Make the Diagnosis: Should it stay or should it go?
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Saturday, April 23, 2016

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

(MedPage Today) -- This week's topics include reducing suicide, CABG plus medicines for some people, stroke risk following a TIA, and metformin first for type 2 diabetes
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
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D.C. Week: House Members, Physicians Bullish on Payment Reform

(MedPage Today) -- FDA's review of investigational drug for Duchenne muscular dystrophy signals deep skepticism
via D.C. Week: House Members, Physicians Bullish on Payment Reform
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Friday, April 22, 2016

Thursday, April 21, 2016

CardioBrief: Diabetes Drug To Be Studied in Heart Failure

(MedPage Today) -- New attention paid to the intersection of heart failure and diabetes
via CardioBrief: Diabetes Drug To Be Studied in Heart Failure
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New Model Predicts Death or Readmission After HF

(MedPage Today) -- Study added new determinants, including echocardiography and socioeconomic status
via New Model Predicts Death or Readmission After HF
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Wednesday, April 20, 2016

CardioBrief: No Evidence to Support Screening Young Athletes

(MedPage Today) -- More questions raised about key study suggesting ECG screening can save lives
via CardioBrief: No Evidence to Support Screening Young Athletes
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PCI Use Variation 'Will Always Be With Us' or Will It?

(MedPage Today) -- Persistence says other decision-making processes are at work, and that's okay, cardiologist argues
via PCI Use Variation 'Will Always Be With Us' or Will It?
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Stroke Risk After TIA Slashed in Last Decade? (CME/CE)

(MedPage Today) -- International registry shows risk much lower than in studies prior to 2004
via Stroke Risk After TIA Slashed in Last Decade? (CME/CE)
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Stenting Risks in Diabetes Not Related to Insulin (CME/CE)

(MedPage Today) -- Insulin-treated patients also do better with limus-eluting stents, trial says
via Stenting Risks in Diabetes Not Related to Insulin (CME/CE)
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FFR: It's Not Just About Luminal Narrowing

(MedPage Today) -- Vasodilatory abnormalities also important in stenosis, review says
via FFR: It's Not Just About Luminal Narrowing
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Tuesday, April 19, 2016

Doctors Need to See the Forest Not Just the Trees

(MedPage Today) -- Physicians must learn to balance roles as healers, financial stewards, says James C. Salwitz, MD
via Doctors Need to See the Forest, Not Just the Trees
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Make the Diagnosis: Extreme Earache

(MedPage Today) -- Case Findings: A 60-year-old woman presents with a 1-week history of swelling and extreme discoloration on her right ear. What is your diagnosis?
via Make the Diagnosis: Extreme Earache
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Mom's Healthy Post-Baby Diet May Lower HTN Risk (CME/CE)

(MedPage Today) -- Women with history of gestational diabetes benefit from eating better
via Mom's Healthy Post-Baby Diet May Lower HTN Risk (CME/CE)
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Monday, April 18, 2016

Survival Rates Good With VAD for Complicated Acute MI

(MedPage Today) -- Despite being sicker to start, outcomes on par with other VAD patients
via Survival Rates Good With VAD for Complicated Acute MI
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Study: No Need to Correct Exercise Heart Rate in HF

(MedPage Today) -- Adjustment by pacemaker or meds not linked to exercise capacity
via Study: No Need to Correct Exercise Heart Rate in HF
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Cause of Local Variance in PCI Bleeds Remains a Mystery (CME/CE)

(MedPage Today) -- Patient factors, bleeding avoidance strategies account for less than 30% of variation
via Cause of Local Variance in PCI Bleeds Remains a Mystery (CME/CE)
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Saturday, April 16, 2016

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

(MedPage Today) -- This week's topics include teenage BMI and cardiovascular mortality, income and death, five star ratings for hospitals, and daily aspirin use
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
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D.C. Week: CMS Announces New Model for Primary Care

(MedPage Today) -- Advisory committee recommends FDA delay approval for a new EGFR inhibitor
via D.C. Week: CMS Announces New Model for Primary Care
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Friday, April 15, 2016

FDA: No More Niacin Combos

(MedPage Today) -- Agency pulls plug on niacin plus statin and niacin fenofibric acid
via FDA: No More Niacin Combos
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Physician Heal Thy Self; Fresh Air Benies; E-Cigs Again: What We Heard

(MedPage Today) -- From clean air to e-cigarettes to docs and burnout, here are some of the quotable comments MedPage Today heard this week
via Physician Heal Thy Self; Fresh Air Benies; E-Cigs Again: What We Heard
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Docs Still Flinching on Advanced Care Planning

(MedPage Today) -- Survey explores barriers to talking to patients about end-of-life decisions
via Docs Still Flinching on Advanced Care Planning
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Psoriasis Linked With AAA (CME/CE)

(MedPage Today) -- Shared inflammatory mechanisms may explain the association
via Psoriasis Linked With AAA (CME/CE)
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Thursday, April 14, 2016

Podcast: 10th Anniversary for HealthNewsReview.org

(MedPage Today) -- Gary Schwitzer reflects on high points, low points, lessons learned
via Podcast: 10th Anniversary for HealthNewsReview.org
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Heart Transplants: How to Match the Market

(MedPage Today) -- Eileen Hsich, MD, offers a multi-pronged strategy
via Heart Transplants: How to Match the Market
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Make the Diagnosis: Extremity Enigma

(MedPage Today) -- Case Findings: A 56-year-old man with a history of prior cardiac surgery went to urgent care complaining of a fever, chills, and fatigue. He was accompanied by his wife who told the doctor that she thought he appeared increasingly ill over the past few weeks and pointed out the petechiae on his fingers, palms, soles, and toes. What is your diagnosis?
via Make the Diagnosis: Extremity Enigma
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A Transcatheter Approach to Congenital Heart Procedures?

(MedPage Today) -- Real-time MRI aids in less invasive shunt creation, proof-of-concept animal study shows
via A Transcatheter Approach to Congenital Heart Procedures?
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Wednesday, April 13, 2016

Bariatric Surgeon Skill Not Tied to Long-Term Outcomes (CME/CE)

(MedPage Today) -- Weight loss and obesity-related comorbidity outcomes unrelated to surgeon skill
via Bariatric Surgeon Skill Not Tied to Long-Term Outcomes (CME/CE)
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CardioBrief: Old Trial Strikes New Blow to Traditional Diet Advice

(MedPage Today) -- Replacing saturated fat with vegetable oils lowered cholesterol but didn't improve outcomes
via CardioBrief: Old Trial Strikes New Blow to Traditional Diet Advice
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CV Events Strike Early in Lupus (CME/CE)

(MedPage Today) -- Myocardial infarctions can occur even before lupus is diagnosed
via CV Events Strike Early in Lupus (CME/CE)
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Opinion Makers: Lifestyle Medicine Meets Obamacare

(MedPage Today) -- Dean Ornish, MD, on how the strategy plays into newer models of care
via Opinion Makers: Lifestyle Medicine Meets Obamacare
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Tuesday, April 12, 2016

Accountability Key for Better Health for At-Risk Groups

(MedPage Today) -- Report says providers also must understand population health needs
via Accountability Key for Better Health for At-Risk Groups
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Mr. Trump, Here's Some Health Policy Advice -- From a Physician

(MedPage Today) -- Free-market healthcare won't last long in modern society, says Saurabh Jha, MD
via Mr. Trump, Here's Some Health Policy Advice -- From a Physician
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Morning Break: Wealth and Longevity; Daily Aspirin; LSD Beer

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Wealth and Longevity; Daily Aspirin; LSD Beer
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Monday, April 11, 2016

CardioBrief: USPSTF Backs Aspirin for Primary Prevention

(MedPage Today) -- But CVD, colon cancer recommendation still has very thin evidence, experts caution
via CardioBrief: USPSTF Backs Aspirin for Primary Prevention
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CardioBrief: FDA Expands Metformin Label

(MedPage Today) -- The drug can now be used in more diabetes patients with reduced kidney function
via CardioBrief: FDA Expands Metformin Label
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Sunday, April 10, 2016

ACC: Exercise Linked to Better Afib Outcomes (CME/CE)

(MedPage Today) -- Ability of atrial fibrillation patients to get up and move pays dividends
via ACC: Exercise Linked to Better Afib Outcomes (CME/CE)
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Slow Medicine: ELITE Doesn't Change Our Minds on HRT

(MedPage Today) -- Trial relied on a surrogate marker of heart disease for its primary endpoint
via Slow Medicine: ELITE Doesn't Change Our Minds on HRT
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Mortality Risk Increased Post Joint Surgery in RA (CME/CE)

(MedPage Today) -- Joint surgery linked to short-term mortality and longer-term heart attack and mortality
via Mortality Risk Increased Post Joint Surgery in RA (CME/CE)
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Saturday, April 9, 2016

10 Questions: Ilona J. Frieden, MD

(MedPage Today) -- 'The structure of the system itself is the biggest barrier'
via 10 Questions: Ilona J. Frieden, MD
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PodMed: A Medical News Roundup From Johns Hopkins (with audio)

(MedPage Today) -- This week's topics include statins for those at intermediate risk for heart disease, fresh fruit consumption in China, atrial fibrillation after cardiac surgery, and screening for chronic obstructive pulmonary disease (COPD)
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
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Mobile Technology May Screen for Afib (CME/CE)

(MedPage Today) -- Hand-held devices including smartphones can be adapted to detect arrhythmia
via Mobile Technology May Screen for Afib (CME/CE)
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Friday, April 8, 2016

Entresto Saga Continues; Ebola vs Zika; Statins in the Water?

(MedPage Today) -- The first week of April was a busy one for medical news, and here is some of what MedPage Today heard
via Entresto Saga Continues; Ebola vs Zika; Statins in the Water?
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Abdominal Obesity Linked to Atrial Fibrillation (CME/CE)

(MedPage Today) -- Korean study finds that arrhythmia may be associated with a person's girth
via Abdominal Obesity Linked to Atrial Fibrillation (CME/CE)
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New Afib Diagnoses Warrant Quick Action (CME/CE)

(MedPage Today) -- Patient with recent arrhythmias appear to be at higher mortality risk
via New Afib Diagnoses Warrant Quick Action (CME/CE)
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Thursday, April 7, 2016

ACC: Placebo Challenge for Statin Intolerance?

(MedPage Today) -- Cardiologists debate whether strategy might work in the clinic too
via ACC: Placebo Challenge for Statin Intolerance?
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Wednesday, April 6, 2016

PAD Thrombectomy System Checks Out for Safety, Efficacy

(MedPage Today) -- No device-related adverse events in small arterial occlusion trial
via PAD Thrombectomy System Checks Out for Safety, Efficacy
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Medtronic's Leadless Pacemaker Wins FDA Approval

(MedPage Today) -- Micra demonstrated efficacy in 98% of implanted patients
via Medtronic's Leadless Pacemaker Wins FDA Approval
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ACC: Watchman, NOACs Similar in Afib Control (CME/CE)

(MedPage Today) -- Indirect comparison shows little difference for device versus drugs
via ACC: Watchman, NOACs Similar in Afib Control (CME/CE)
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Payment Reform: What's at Stake for Cath Lab?

(MedPage Today) -- Experts weigh in on what alternative payment models could bring
via Payment Reform: What's at Stake for Cath Lab?
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ACC: Stem Cells Improve Outcomes in Ischemic HF

(MedPage Today) -- Phase IIb trial shows benefit double-blind against placebo, but how?
via ACC: Stem Cells Improve Outcomes in Ischemic HF
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CV Risks Up in Cutaneous Lupus (CME/CE)

(MedPage Today) -- Chance of cerebrovascular events three times higher versus controls
via CV Risks Up in Cutaneous Lupus (CME/CE)
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Tuesday, April 5, 2016

ACC: Novel CIN Drug Goes to the 'Graveyard'

(MedPage Today) -- CMX-2043 did not reduce contrast-induced nephropathy in PCI
via ACC: Novel CIN Drug Goes to the 'Graveyard'
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ACC: Monitoring Lung Congestion Tied to Better HF Outcomes

(MedPage Today) -- But validation of mortality and hospitalization findings still needed
via ACC: Monitoring Lung Congestion Tied to Better HF Outcomes
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Monday, April 4, 2016

Embolism Halts Next-Gen Watchman in Europe

(MedPage Today) -- Cause still unknown, not expected to affect device sold in U.S.
via Embolism Halts Next-Gen Watchman in Europe
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Higher Volume TAVR Centers Safer for Patients

(MedPage Today) -- In-hospital mortality tied to institutional volume in national registry data
via Higher Volume TAVR Centers Safer for Patients
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SAPIEN 3 Bests Surgery in 'Intermediate Risk' Patients

(MedPage Today) -- Outcomes better but rates of aortic regurgitation still favor surgery
via SAPIEN 3 Bests Surgery in 'Intermediate Risk' Patients
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ACC: After a Decade, CABG Pulls Ahead of Meds for HF

(MedPage Today) -- Life-saving benefit of CABG now clear in long-term trial follow-up
via ACC: After a Decade, CABG Pulls Ahead of Meds for HF
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ACC: Still No Benefit to CABG, Mitral Valve Fix Combo

(MedPage Today) -- Endpoints at 2 years no better for combination procedure than at 1 year
via ACC: Still No Benefit to CABG, Mitral Valve Fix Combo
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Morning Break: Risky EHRs? Hard Sell for Entresto; More Pricey Drugs

(MedPage Today) -- Health news and commentary from around the Web, gathered by the MedPage Today staff
via Morning Break: Risky EHRs? Hard Sell for Entresto; More Pricey Drugs
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Sunday, April 3, 2016

ACC: Evolocumab May Be Best Option for Statin Intolerance

(MedPage Today) -- Far greater LDL reduction but still some muscle complaints in GAUSS-3 trial
via ACC: Evolocumab May Be Best Option for Statin Intolerance
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CardioBrief: How Does HOPE-3 Change Thinking on Primary Prevention?

(MedPage Today) -- Study lends statins strong support but delivers a mixed message for antihypertensives
via CardioBrief: How Does HOPE-3 Change Thinking on Primary Prevention?
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Saturday, April 2, 2016

PodMed: A Medical News Roundup From Johns Hopkins (with audio)

(MedPage Today) -- This weeks topics include home care and survival, timing of HRT, Lyme disease and long-term antibiotics, and cardiac procedures before surgery
via PodMed: A Medical News Roundup From Johns Hopkins (with audio)
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ACC: BP Tx Alone Not Enough for Primary CV Prevention

(MedPage Today) -- For fairly healthy adults, antihypertensive no help over midterm in HOPE-3 trial
via ACC: BP Tx Alone Not Enough for Primary CV Prevention
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ACC: TAVR Once Again Non-Inferior to Surgery

(MedPage Today) -- No excess stroke or mortality at 2 years in lowest risk trial population yet studied
via ACC: TAVR Once Again Non-Inferior to Surgery
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Friday, April 1, 2016

ICD-10 Mostly an Easy Ride

(MedPage Today) -- Minor issues include a bump in rejections of medical necessity claims
via ICD-10 Mostly an Easy Ride
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