Private practice cardiology - News and views from Dr Seth Bilazarian http://blogs.theheart.org/private-practice Dr Seth Bilazarian provides an opportunity to share broadly different approaches to the common conundrums cardiologists face in caring for patients. Clinical and interventional cardiologist, Seth Bilazarian MD, animates this forum for issues faced in private practice cardiology. en-us theheart.org theheart.org info@theheart.org http://blogs.theheart.org/images/private-practice/rss_banner_url.jpg Clinical and interventional cardiologist, Seth Bilazarian MD, animates this forum for issues faced in private practice cardiology. http://blogs.theheart.org/private-practice Choosing wisely for interventionalists: Seth Bilazarian's top 5 Private practice with Dr Seth Bilazarian info@theheart.org FFR, BMS, complete angiography, complete revascularization, radial approach, best patient care, save healthcare dollars, Seth Bilazarian<img src="http://feeds.feedburner.com/~r/private-practice/~4/y0MMks64mVY" height="1" width="1"/> Calling all interventionalists: What five practices would you highlight to promote best patient care and save healthcare dollars? Dr Bilazarian shares his picks:

1. Use FFR liberally for intermediate lesions but not for severe ones
2. Use bare-metal stents if there's any doubt about the patient's insurance status
3. Do complete angiography before intervention
4. Don't send patients home without complete revascularization
5. Take up the radial approach

What's on your list?

See also:

Choosing wisely: The electrophysiology list of five don'ts

Choosing wisely

 

]]> Thu, 10 May 2012 03:15:00 -0400 http://feedproxy.google.com/~r/private-practice/~3/y0MMks64mVY/choosing-wisely-for-interventionalists-seth-bilazarian-s-top-5-2 http://blogs.theheart.org/private-practice/2012/5/10/choosing-wisely-for-interventionalists-seth-bilazarian-s-top-5-2 http://blogs.theheart.org/private-practice/2012/5/10/choosing-wisely-for-interventionalists-seth-bilazarian-s-top-5-2#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/choosing-wisely-for-interventionalists-seth-bilazarian-s-top-5-2.jpg 1 http://blogs.theheart.org/private-practice/2012/5/10/choosing-wisely-for-interventionalists-seth-bilazarian-s-top-5-2 The Choosing Wisely initiative: The ACC and ASNC list what NOT to do Private practice with Dr Seth Bilazarian info@theheart.org Based on the notion that up to 30% of healthcare spending may be wasteful, the Choosing Wisely initiative lists what procedures to avoid. Are you aware of the American College of Cardiology and the American Society of Nuclear Cardiology lists?<img src="http://feeds.feedburner.com/~r/private-practice/~4/LGC1PdRIu2g" height="1" width="1"/> Based on the notion that up to 30% of healthcare spending may be wasteful, the Choosing Wisely initiative lists what procedures to avoid. Are you aware of the American College of Cardiology and the American Society of Nuclear Cardiology lists?

To download Dr Bilazarian's presentation, click here.

See also:

Cassel CK, Guest JA. Choosing Wisely: Helping physicians and patients make smart decisions about their care. JAMA 2012; published online April 4, 2012. Extract.

Incomplete revascularization makes for worse outcomes out to one year

Choosing wisely: The electrophysiology list of five don'ts

Choosing wisely

]]> Wed, 02 May 2012 10:25:00 -0400 http://feedproxy.google.com/~r/private-practice/~3/LGC1PdRIu2g/the-choosing-wisely-initiative-the-acc-and-asnc-list-what-not-to-do http://blogs.theheart.org/private-practice/2012/5/2/the-choosing-wisely-initiative-the-acc-and-asnc-list-what-not-to-do http://blogs.theheart.org/private-practice/2012/5/2/the-choosing-wisely-initiative-the-acc-and-asnc-list-what-not-to-do#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/the-choosing-wisely-initiative-the-acc-and-asnc-list-what-not-to-do.jpg 0 http://blogs.theheart.org/private-practice/2012/5/2/the-choosing-wisely-initiative-the-acc-and-asnc-list-what-not-to-do Left ventriculography: Setting the record straight Private practice with Dr Seth Bilazarian info@theheart.org The recent paper by Dr Ronald Witteles (Stanford University, CA) contains factual inaccuracies relating to left ventriculographies, and is a disservice to medicine.<img src="http://feeds.feedburner.com/~r/private-practice/~4/gfXy-EvAI0o" height="1" width="1"/> The recent paper by Dr Ronald Witteles (Stanford University, CA) contains factual inaccuracies relating to left ventriculographies, and is a disservice to medicine.

See also:

Many left ventriculographies are unnecessary

Witteles RM, Knowles JW, Perez M, et al. Use and overuse of left ventriculography. Am Heart J 2012; DOI:10.1016/j.ahj.2011.12.018. Available at: http://www.ahjonline.com.

]]> Wed, 11 Apr 2012 03:35:00 -0400 http://feedproxy.google.com/~r/private-practice/~3/gfXy-EvAI0o/left-ventriculography-setting-the-record-straight http://blogs.theheart.org/private-practice/2012/4/11/left-ventriculography-setting-the-record-straight http://blogs.theheart.org/private-practice/2012/4/11/left-ventriculography-setting-the-record-straight#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/left-ventriculography-setting-the-record-straight.jpg 2 http://blogs.theheart.org/private-practice/2012/4/11/left-ventriculography-setting-the-record-straight Facebook, LinkedIn, and YouTube: What place in the cardiology practice? Private practice with Dr Seth Bilazarian info@theheart.org Facebook, LinkedIn, and YouTube are, of course, important components of the wave of social media that is shaping the way societies communicate. Are physicians right to be skeptical about their use in cardiology practice?<img src="http://feeds.feedburner.com/~r/private-practice/~4/Q5AOObxaxmk" height="1" width="1"/> Facebook, LinkedIn, and YouTube are, of course, important components of the wave of social media shaping the way societies communicate. Are physicians right to be skeptical about their use in cardiology practice?

To view my accompanying presentation, click here.

See also:

Email: What role as a tool to communicate with patients?

Health Information Exchange: For my discharged patients, I am #HIE for the #EHR

]]> Wed, 04 Apr 2012 16:00:00 -0400 http://feedproxy.google.com/~r/private-practice/~3/Q5AOObxaxmk/facebook-linkedin-and-youtube-what-place-in-the-cardiology-practice http://blogs.theheart.org/private-practice/2012/4/4/facebook-linkedin-and-youtube-what-place-in-the-cardiology-practice http://blogs.theheart.org/private-practice/2012/4/4/facebook-linkedin-and-youtube-what-place-in-the-cardiology-practice#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/facebook-linkedin-and-youtube-what-place-in-the-cardiology-practice.jpg 0 http://blogs.theheart.org/private-practice/2012/4/4/facebook-linkedin-and-youtube-what-place-in-the-cardiology-practice Renal-nerve denervation to combat resistant hypertension Private practice with Dr Seth Bilazarian info@theheart.org With medical treatment of hypertension yielding such limited results, the promise of a safe procedure with robust results is alluring.<img src="http://feeds.feedburner.com/~r/private-practice/~4/ojF1fByeiS8" height="1" width="1"/> With medical treatment of hypertension yielding such limited results, the promise of a safe procedure with robust results is alluring.

Read more from ACC 2012 in twitter @DrSethdb #ACC12 #RND

See also:

]]> Mon, 26 Mar 2012 17:25:00 -0400 http://feedproxy.google.com/~r/private-practice/~3/ojF1fByeiS8/renal-nerve-denervation-to-combat-resistant-hypertension http://blogs.theheart.org/private-practice/2012/3/26/renal-nerve-denervation-to-combat-resistant-hypertension http://blogs.theheart.org/private-practice/2012/3/26/renal-nerve-denervation-to-combat-resistant-hypertension#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/renal-nerve-denervation-to-combat-resistant-hypertension.jpg 5 acc 2012 acc 2012 http://blogs.theheart.org/private-practice/2012/3/26/renal-nerve-denervation-to-combat-resistant-hypertension Radial access for PCI: Community hospitals bettering academic institutions Private practice with Dr Seth Bilazarian info@theheart.org In the US, interventionalists in community hospitals appear to have adopted the radial approach more rapidly than their colleagues in larger academic institutions. Why?<img src="http://feeds.feedburner.com/~r/private-practice/~4/aV1HOzv5d9M" height="1" width="1"/> In the US, interventionalists in community hospitals appear to have adopted the radial approach more rapidly than their colleagues in larger academic institutions. Why?

]]> Sun, 25 Mar 2012 08:30:00 -0400 http://feedproxy.google.com/~r/private-practice/~3/aV1HOzv5d9M/radial-access-for-pci-community-hospitals-bettering-academic-institutions http://blogs.theheart.org/private-practice/2012/3/25/radial-access-for-pci-community-hospitals-bettering-academic-institutions http://blogs.theheart.org/private-practice/2012/3/25/radial-access-for-pci-community-hospitals-bettering-academic-institutions#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/radial-access-for-pci-community-hospitals-bettering-academic-institutions.jpg 3 acc 2012 acc 2012 http://blogs.theheart.org/private-practice/2012/3/25/radial-access-for-pci-community-hospitals-bettering-academic-institutions TRA 2ºP-TIMI 50 (vorapaxar): Are we any closer to improving on clopidogrel post-ACS? Private practice with Dr Seth Bilazarian info@theheart.org TRA 2ºP-TIMI 50, released here in Chicago, showed that adding a third agent (vorapaxar) to an antiplatelet regimen post-ACS causes a reduction in ischemic events that's counterbalanced by increased bleeding.<img src="http://feeds.feedburner.com/~r/private-practice/~4/mfBik7DBty8" height="1" width="1"/> TRA 2ºP-TIMI 50, released here in Chicago, showed that adding a third agent (vorapaxar) to an antiplatelet regimen post-ACS causes a reduction in ischemic events that's counterbalanced by increased bleeding. The net clinical benefit was less than 1% in absolute risk reduction. What should we learn from this trial?

To view my comparative study of TRITON, PLATO, ATLAS-2, and TRA-2ºP, click here.

Disclosure: I was an investigator for TRA 2ºP-TIMI 50

See also:

TRA 2°P-TIMI 50: Future possible for vorapaxar in patients with prior MI

]]> Sat, 24 Mar 2012 09:00:00 -0400 http://feedproxy.google.com/~r/private-practice/~3/mfBik7DBty8/tra-2ptimi-50-vorapaxar-are-we-any-closer-to-improving-on-clopidogrel-postacs http://blogs.theheart.org/private-practice/2012/3/24/tra-2ptimi-50-vorapaxar-are-we-any-closer-to-improving-on-clopidogrel-postacs http://blogs.theheart.org/private-practice/2012/3/24/tra-2ptimi-50-vorapaxar-are-we-any-closer-to-improving-on-clopidogrel-postacs#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/tra-2ptimi-50-vorapaxar-are-we-any-closer-to-improving-on-clopidogrel-postacs.jpg 0 acc 2012 acc 2012 http://blogs.theheart.org/private-practice/2012/3/24/tra-2ptimi-50-vorapaxar-are-we-any-closer-to-improving-on-clopidogrel-postacs Health Information Exchange: For my discharged patients, I am #HIE for the #EHR Private practice with Dr Seth Bilazarian info@theheart.org We're still years away from a comprehensive, fully functional system of health information exchange. Until all parties invest the time and resources necessary to make it work, health information will continue to exist in isolated pockets.<img src="http://feeds.feedburner.com/~r/private-practice/~4/aPjcccYJVQk" height="1" width="1"/> We're still years away from a comprehensive, fully functional system of health information exchange. Until all parties invest the time and resources necessary to make it work, health information will continue to exist in isolated pockets, like computers disconnected from the internet.

Is your practice committed to the exchange of health information? What has been your experience with electronic health records: blessing or curse? 

See also:

]]> Mon, 12 Mar 2012 09:00:00 -0400 http://feedproxy.google.com/~r/private-practice/~3/aPjcccYJVQk/health-information-exchange-for-my-discharged-patients-i-am-hie-for-the-ehr http://blogs.theheart.org/private-practice/2012/3/7/health-information-exchange-for-my-discharged-patients-i-am-hie-for-the-ehr http://blogs.theheart.org/private-practice/2012/3/7/health-information-exchange-for-my-discharged-patients-i-am-hie-for-the-ehr#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/health-information-exchange-for-my-discharged-patients-i-am-hie-for-the-ehr.jpg 0 http://blogs.theheart.org/private-practice/2012/3/7/health-information-exchange-for-my-discharged-patients-i-am-hie-for-the-ehr "Go to the emergency room" Private practice with Dr Seth Bilazarian info@theheart.org It's the safest piece of advice, but often not in the best interest of the patient. In this age of defensive medicine, when is it not right to tell your patients to go to the emergency room?<img src="http://feeds.feedburner.com/~r/private-practice/~4/qM7GSAhkjck" height="1" width="1"/> It's the safest piece of advice, but often not in the best interest of the patient. In this age of defensive medicine, when is it not right to tell your patients to go to the emergency room?

]]> Fri, 02 Mar 2012 14:15:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/qM7GSAhkjck/go-to-the-emergency-room-2 http://blogs.theheart.org/private-practice/2012/3/2/go-to-the-emergency-room-2 http://blogs.theheart.org/private-practice/2012/3/2/go-to-the-emergency-room-2#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/go-to-the-emergency-room-2.jpg 13 http://blogs.theheart.org/private-practice/2012/3/2/go-to-the-emergency-room-2 Email: What role as a tool to communicate with patients? Private practice with Dr Seth Bilazarian info@theheart.org It's simple, widely used, and essentially free, but complex issues—such as legal liability, restrictions on use imposed by a private practice or hospital, and time constraints—make it impossible to use email to correspond with our patients.<img src="http://feeds.feedburner.com/~r/private-practice/~4/S4TyRoCP904" height="1" width="1"/> It's simple, widely used, and essentially free, but complex issues—such as legal liability, restrictions on use imposed by a private practice or hospital, and time constraints—make it impossible to use email to correspond with our patients. Is this a good thing? In an age of rapid accessibility, how do you feel about using email to correspond with your patients?

To view Dr Bilazarian's presentation, click here.

See:

Talking about a (healthcare) revolution: The digital age ushers in precision medicine

]]> Thu, 23 Feb 2012 16:45:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/S4TyRoCP904/email-what-role-as-a-tool-to-communicate-with-patients http://blogs.theheart.org/private-practice/2012/2/23/email-what-role-as-a-tool-to-communicate-with-patients http://blogs.theheart.org/private-practice/2012/2/23/email-what-role-as-a-tool-to-communicate-with-patients#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/email-what-role-as-a-tool-to-communicate-with-patients.jpg 1 http://blogs.theheart.org/private-practice/2012/2/23/email-what-role-as-a-tool-to-communicate-with-patients Social media: What role for the community-based cardiologist? Private practice with Dr Seth Bilazarian info@theheart.org Physicians are often portrayed as Luddites, but does this truly explain a common reticence to adopt new social media?<img src="http://feeds.feedburner.com/~r/private-practice/~4/Hw2LtrDcAsU" height="1" width="1"/> With clinical practice—and life!—exerting ever-increasing demands on the cardiologist, is there time and is it worth becoming involved in social media? Physicians are often portrayed as Luddites, but does this truly explain a common reticence to adopt new social media?

What are your thoughts on the role of social media in cardiology practice?

To view Dr Bilazarian's presentation on social media and healthcare, click here.

See:

Talking about a (healthcare) revolution: The digital age ushers in precision medicine

]]> Tue, 14 Feb 2012 10:25:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/Hw2LtrDcAsU/social-media-what-role-for-the-communitybased-cardiologist http://blogs.theheart.org/private-practice/2012/2/13/social-media-what-role-for-the-communitybased-cardiologist http://blogs.theheart.org/private-practice/2012/2/13/social-media-what-role-for-the-communitybased-cardiologist#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/social-media-what-role-for-the-communitybased-cardiologist.jpg 3 http://blogs.theheart.org/private-practice/2012/2/13/social-media-what-role-for-the-communitybased-cardiologist Corporate donations, Susan G Komen, and Kentucky Fried Chicken Private practice with Dr Seth Bilazarian info@theheart.org What can we learn from the Susan G Komen/Planned Parenthood grants debacle?<img src="http://feeds.feedburner.com/~r/private-practice/~4/J9ag2lFG0Lw" height="1" width="1"/> What can we learn from the Susan G Komen/Planned Parenthood grants debacle?

See also:

]]> Fri, 03 Feb 2012 12:20:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/J9ag2lFG0Lw/corporate-donations-susan-g-komen-and-kentucky-fried-chicken http://blogs.theheart.org/private-practice/2012/2/3/corporate-donations-susan-g-komen-and-kentucky-fried-chicken http://blogs.theheart.org/private-practice/2012/2/3/corporate-donations-susan-g-komen-and-kentucky-fried-chicken#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/corporate-donations-susan-g-komen-and-kentucky-fried-chicken.jpg 0 http://blogs.theheart.org/private-practice/2012/2/3/corporate-donations-susan-g-komen-and-kentucky-fried-chicken Appropriate-use criteria for coronary revascularization: What's appropriate, unknown, inappropriate? Private practice with Dr Seth Bilazarian info@theheart.org The intentions of the new guidelines are laudable.<img src="http://feeds.feedburner.com/~r/private-practice/~4/wz94_s6keEk" height="1" width="1"/> The intentions of the new guidelines are laudable.

Appropriate: It's appropriate for the professional societies to address this issue.

Unknown: It's unknown whether the guidelines are recommendations or rules.

Inappropriate: It's definitely inappropriate when concepts such as appropriateness, malfeasance, fraud, or even felony are confused in popular discourse.

What do you think?

See:

ACCF /SCAI/STS /AATS /AHA /ASNC /HFSA /SCCT 2012 Appropriate Use Criteria for Coronary Revascularization Focused Update

]]> Mon, 30 Jan 2012 17:00:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/wz94_s6keEk/appropriate-use-criteria-for-coronary-revascularization-appropriate-unknown-inappropriate http://blogs.theheart.org/private-practice/2012/1/30/appropriate-use-criteria-for-coronary-revascularization-appropriate-unknown-inappropriate http://blogs.theheart.org/private-practice/2012/1/30/appropriate-use-criteria-for-coronary-revascularization-appropriate-unknown-inappropriate#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/appropriate-use-criteria-for-coronary-revascularization-appropriate-unknown-inappropriate.jpg 2 http://blogs.theheart.org/private-practice/2012/1/30/appropriate-use-criteria-for-coronary-revascularization-appropriate-unknown-inappropriate Statins in 'healthy' patients: Blumenthal vs Redberg Private practice with Dr Seth Bilazarian info@theheart.org The Wall Street Journal’s debate, which pitted Dr Rita Redberg against Dr Roger Blumenthal on the issue of statins for 'healthy' patients, raises numerous questions including how to define a healthy patient. Does feeling healthy constitute being healthy?<img src="http://feeds.feedburner.com/~r/private-practice/~4/Z3A8AENPOSE" height="1" width="1"/> The Wall Street Journal’s debate, which pitted Dr Rita Redberg against Dr Roger Blumenthal on the issue of statins for "healthy" patients, raises numerous questions including how to define a healthy patient. Does feeling healthy constitute being healthy?

What are your thoughts on this debate?

See:

Should Healthy People Take Cholesterol Drugs to Prevent Heart Disease?

To prescribe or not to prescribe: That is the statin question, experts debate

]]> Tue, 24 Jan 2012 08:40:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/Z3A8AENPOSE/statins-in-healthy-patients-blumenthal-vs-redberg http://blogs.theheart.org/private-practice/2012/1/24/statins-in-healthy-patients-blumenthal-vs-redberg http://blogs.theheart.org/private-practice/2012/1/24/statins-in-healthy-patients-blumenthal-vs-redberg#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/statins-in-healthy-patients-blumenthal-vs-redberg.jpg 12 http://blogs.theheart.org/private-practice/2012/1/24/statins-in-healthy-patients-blumenthal-vs-redberg Struggling with the sustainable-growth-rate "hole" (and potentially massive cuts) Private practice with Dr Seth Bilazarian info@theheart.org The very real threat of Medicare cuts of 27% beginning on January 1 is a ticking time bomb for private practices across the US. Do we envisage fee revisions? Staff cuts? Join the wave of private practitioners seeking relief from ongoing financial ...<img src="http://feeds.feedburner.com/~r/private-practice/~4/0DlkuibH8Io" height="1" width="1"/> The very real threat of Medicare cuts of 27% beginning on January 1 is a ticking time bomb for private practices across the US. Do we envisage fee revisions? Staff cuts? Join the wave of private practitioners seeking relief from ongoing financial uncertainty through hospital employment?

How are you riding this storm?

See:

 

]]> Thu, 22 Dec 2011 09:25:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/0DlkuibH8Io/struggling-with-the-sustainable-growth-rate-hole-and-potentially-massive-cuts http://blogs.theheart.org/private-practice/2011/12/22/struggling-with-the-sustainable-growth-rate-hole-and-potentially-massive-cuts http://blogs.theheart.org/private-practice/2011/12/22/struggling-with-the-sustainable-growth-rate-hole-and-potentially-massive-cuts#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/struggling-with-the-sustainable-growth-rate-hole-and-potentially-massive-cuts.jpg 1 http://blogs.theheart.org/private-practice/2011/12/22/struggling-with-the-sustainable-growth-rate-hole-and-potentially-massive-cuts Calling all "bottom-feeder interventionalists" who provide PCI without SOS Private practice with Dr Seth Bilazarian info@theheart.org The tone of some respondents to the recent PCI survey jointly conducted by theheart.org and US News & World Report strikes a nerve.<img src="http://feeds.feedburner.com/~r/private-practice/~4/_8q-h9KQuxg" height="1" width="1"/> The tone of some respondents to the recent PCI survey jointly conducted by theheart.org and US News & World Report strikes a nerve.

See:

 

]]> Tue, 13 Dec 2011 10:25:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/_8q-h9KQuxg/calling-all-bottomfeeder-interventionalists-who-provide-pci-without-sos http://blogs.theheart.org/private-practice/2011/12/13/calling-all-bottomfeeder-interventionalists-who-provide-pci-without-sos http://blogs.theheart.org/private-practice/2011/12/13/calling-all-bottomfeeder-interventionalists-who-provide-pci-without-sos#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/calling-all-bottomfeeder-interventionalists-who-provide-pci-without-sos.jpg 6 http://blogs.theheart.org/private-practice/2011/12/13/calling-all-bottomfeeder-interventionalists-who-provide-pci-without-sos Making sense of patient compliance Private practice with Dr Seth Bilazarian info@theheart.org The HOOPS and MI FREEE trials presented here at AHA 2011 delve into the enigma of patient compliance and present confounding results.<img src="http://feeds.feedburner.com/~r/private-practice/~4/laor5CUGztM" height="1" width="1"/> The HOOPS and MI FREEE trials presented here at AHA 2011 delve into the enigma of patient compliance and present confounding results.

See:

 

]]> Wed, 16 Nov 2011 20:55:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/laor5CUGztM/making-sense-of-patient-compliance http://blogs.theheart.org/private-practice/2011/11/16/making-sense-of-patient-compliance http://blogs.theheart.org/private-practice/2011/11/16/making-sense-of-patient-compliance#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/making-sense-of-patient-compliance.jpg 2 aha 2011 aha 2011 http://blogs.theheart.org/private-practice/2011/11/16/making-sense-of-patient-compliance When to bridge patients on long-term anticoagulation Private practice with Dr Seth Bilazarian info@theheart.org Dr Sam Goldhaber gave clarity here at AHA 2011 to the complicated issue of when to bridge patients who are on long-term anticoagulation and need to undergo invasive procedures such as cataract surgery, dental extraction, and colonoscopy.<img src="http://feeds.feedburner.com/~r/private-practice/~4/e-VRlSN7V3Q" height="1" width="1"/> Dr Sam Goldhaber gave clarity here at AHA 2011 to the complicated issue of when to bridge patients who are on long-term anticoagulation and need to undergo invasive procedures such as cataract surgery, dental extraction, and colonoscopy.

See:

 

]]> Wed, 16 Nov 2011 10:15:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/e-VRlSN7V3Q/when-to-bridge-patients-on-longterm-anticoagulation http://blogs.theheart.org/private-practice/2011/11/16/when-to-bridge-patients-on-longterm-anticoagulation http://blogs.theheart.org/private-practice/2011/11/16/when-to-bridge-patients-on-longterm-anticoagulation#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/when-to-bridge-patients-on-longterm-anticoagulation.jpg 0 aha 2011 aha 2011 http://blogs.theheart.org/private-practice/2011/11/16/when-to-bridge-patients-on-longterm-anticoagulation Niacin in AIM-HIGH: What implications for the practitioner? Private practice with Dr Seth Bilazarian info@theheart.org The conclusion from the AIM-HIGH trial is relatively straight-forward: niacin for secondary prevention didn't work for any of the patient subgroups in the study. What are the implications of these results for your practice?<img src="http://feeds.feedburner.com/~r/private-practice/~4/YZ7Id-hon-Q" height="1" width="1"/> The conclusion from the AIM-HIGH trial is relatively straight-forward: niacin for secondary prevention didn't work for any of the patient subgroups in the study. What are the implications of these results for your practice?

To read a summary of the trial and my interpretation, download this slideset.

See:

]]> Tue, 15 Nov 2011 11:20:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/YZ7Id-hon-Q/niacin-niaspan-in-aim-high-what-implications-for-the-practitioner http://blogs.theheart.org/private-practice/2011/11/15/niacin-niaspan-in-aim-high-what-implications-for-the-practitioner http://blogs.theheart.org/private-practice/2011/11/15/niacin-niaspan-in-aim-high-what-implications-for-the-practitioner#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/niacin-niaspan-in-aim-high-what-implications-for-the-practitioner.jpg 4 aha 2011 aha 2011 http://blogs.theheart.org/private-practice/2011/11/15/niacin-niaspan-in-aim-high-what-implications-for-the-practitioner Rivaroxaban (Xarelto) in ACS: Calculating net clinical benefit Private practice with Dr Seth Bilazarian info@theheart.org Rivaroxaban (Xarelto) in ACS: Calculating net clinical benefit. ATLAS ACS 2 is important news in Orlando but beyond the headlines, what is the net clinical benefit of Xarelto in ACS?<img src="http://feeds.feedburner.com/~r/private-practice/~4/hRvTPLedtvc" height="1" width="1"/> ATLAS ACS 2 is important news in Orlando but beyond the headlines, what is the net clinical benefit of Xarelto in ACS? 

To read a summary of the trial and my interpretation, download this slideset.

See:

 

]]> Mon, 14 Nov 2011 09:10:00 -0500 http://feedproxy.google.com/~r/private-practice/~3/hRvTPLedtvc/rivaroxabanxarelto-net-clinical-benefit http://blogs.theheart.org/private-practice/2011/11/14/rivaroxabanxarelto-net-clinical-benefit http://blogs.theheart.org/private-practice/2011/11/14/rivaroxabanxarelto-net-clinical-benefit#comments Private practice with Dr Seth Bilazarian http://blogs.theheart.org/images/thumbnails/rivaroxabanxarelto-net-clinical-benefit.jpg 0 aha 2011 aha 2011 http://blogs.theheart.org/private-practice/2011/11/14/rivaroxabanxarelto-net-clinical-benefit