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2009 News

News Stories 2009

Risks of Daily Aspirin May Outweigh its Benefits. Dr. Steven Nissen comments. By Denise Mann, Health.com. CNN news. 11/4. Always speak to your doctor first. Get more information on aspirin and heart disease by Cleveland Clinic.

Despite limitations, techniques for monitoring patients with HF are improving. Dr. James Young of the Cleveland Clinic comments.Cardiology Today*, 11/1.

Marker of diastolic function correlates with pulmonary capillary wedge pressure in setting of atrial fibrillation. An accompanying editorial by Cleveland Clinic cardiologists Zoran B. Popovic and Allan L. Klein is mentioned. Cardiology Today*, 11/1.

Follow Heart and Vascular Institute news stories on Twitter* (simply sign up for an account if you don’t have one and then go to twitter.com/heartRN and click the “follow” button).

Mistake led to first Angiogram. In the basement laboratory of an Ohio hospital, a cardiologist accidentally injects a large amount of dye into the small vessels of a patient’s heart during a routine imaging test. To the doctor’s great surprise — and relief — the dye doesn’t send the heart into a fatal spasm, and this happy accident marks the birth of modern cardiac imaging. Over the next few years, this physician and his colleagues at the Cleveland Clinic developed the technique of cardiac catheterization.Wired.com*, 10/30.

Robin Williams show at MSU mentions Cleveland Clinic On March 13, Robin Williams had heart surgery at the Cleveland Clinic and now returning to stand-up. "Williams is not a political satirist. He's a turbo-driven comic with the heart of a clown, the soul of an actor and the valve of a cow." by Mike Huges, the HUB*, 10/25

CBS'"Three Rivers" has appearance by cardiothoracic surgeon Gonzo Gonzalez-Stawinski. Watch the video clip. 10/27.

Important Heart Failure Drug Often Ignored in spite of AHA Get with the Guidelines  Most hospitalized heart failure patients are sent home without widely recommended inexpensive pills, despite a program to get more doctors to follow treatment guidelines, a study in the Journal of the American Medical Association (JAMA) suggests. Cleveland Clinic researcher Nancy Albert, the study's lead author, comments.  WebMD, Assoc. Press, theheart.org * 10/21.

Cleveland Clinic Sets International Record in Annual Lung Transplant Volume With more than two months still remaining in 2009, the Cleveland Clinic has already transplanted more lungs in one year than any other transplant center in the world. Read More. 10/16.

Cleveland Clinic announces top ten medical innovations for 2010Read the Story, Cleveland Clinic 10/8.  Watch the story on WEWS-TV5 highlighting one of Cleveland Clinic's patient's with an LVAD, a device for patients with heart failure, 10/8

Tennessee forward Emmanuel Negedu has cardiac defibrillator implanted. Tennessee forward Emmanuel Negedu will not play or practice during the 2009-10 season but will remain on scholarship after suffering sudden cardiac arrest last week. The 20-year-old sophomore underwent surgery Tuesday at Cleveland Clinic to have a cardiac defibrillator implanted in his chest to monitor his heart's rhythm and delivery energy when an irregularity occurs. Assoc. Press, ESPN, 10/6.

More news about Three Rivers:

  • On The Doctors, Dr. Gonzalo Gonzalez-Stawinski of Cleveland Clinic talks about the biggest mistakes you make for your heart and his role in the creation of the new CBS show “Three Rivers.” Watch Clip 1 and Watch Clip 2 10/2 .
  • Alex O’Loughlin stars as an organ transplant surgeon Dr. Andy Yablonski in “Three Rivers.” To prepare for the role, O’Loughlin shadowed Dr. Gonzalo “Gonzo” Gonzalez-Stawinski, a cardiothoracic surgeon at Cleveland Clinic. Boston Herald* 10/1.

Foods you should avoid. By eliminating, or at least limiting, certain foods and ingredients, you'll improve your chances of avoiding a host of major health problems. Julia Renee Zumpano, RD, LD, who works in preventive cardiology and rehabilitation at Cleveland Clinic, comments. Everyday Health*, by Diane Stresing, 10/2.

New "principles" on authorship and COI from PhRMA get mixed response. Amid mounting scrutiny and protests over how clinical trials are conducted and reported, the Pharmaceutical Research and Manufacturers of America (PhRMA) has released its new "Principles on Conduct of Clinical Trials and Communication of Clinical Trial Results.” Dr. Steven Nissen of Cleveland Clinic comments. theheart.org* by Shelley Wood, 10/2, free login required.

Research shows fewer heart attacks after smoking ban. A recent study shows that smoking bans have led to reduced heart disease rates. Dr. Jeffrey Chapman of Cleveland Clinic comments.WEWS-TV5, Watch the story WEWS-TV5, 9/30.

New AHA guidelines for daily sugar levels aim to keep you and your heart healthy. New AMA guidelines for daily sugar levels aim to keep you and your heart healthy. Dr. Leslie Cho, an interventional cardiologist with Cleveland Clinic, comments. By Kaye Spector, The Plain Dealer 9/29.

TCT: Studies Lift Everolimus Stent to Head of Class. The major medical meetings in the past year seem to all include a presentation of the Fractional Flow Reserve versus Angiography for Guiding PCI in Patients with Multivessel Coronary Artery Disease (FAME) trial, and the TCT 2009 meeting was no exception. Dr. Stephen Ellis of Cleveland Clinic comments on the study. By Peggy Peck, Executive Editor, MedPage Today *, 9/24.

Full moons, late afternoons, Fridays won't faze your doctor. A Cleveland Clinic study found that timing isn't anything, at least when it comes to elective coronary bypass surgery. Read story at USA Today 9/22 and Cleveland Clinic news.

All in vein. A new generation of treatments for varicose veins can get you back on your feet quickly with little discomfort. Dr. Terry King, a vascular surgeon at Cleveland Clinic in Weston, uses radiofrequency ablation, delivered via a tiny catheter, to produce the heat to close the vein. Miami Herald, 9/22.

Implantable defibrillators may not be as effective in women with heart failure as men.  A study in the Archives of Internal Medicine concluded that implantable cardioverter-defibrillator therapy did not decrease mortality in women with heart failure. Dr. Wilkoff, who was not part of this study, comments in Bloomberg, "That doesn't necessarily mean female patients should not use defibrillators."  Further studies are needed that target women with heart failure. LA Times 9/15.

Exploring the health benefits of Omega 3. Omega 3s have been shown to reduce the risk of coronary heart disease. And now, the compounds are being studied by scientists as potential treatments for a wide range of other serious conditions, ranging from Alzheimer's disease to epilepsy and rheumatoid arthritis. Further research also is being done on omega 3s' role in preventing heart disease. Dr. Stephen Nicholls, a cardiologist at Cleveland Clinic, comments. Wall Street Journal Online * by Jeanne Whalen, 9/14.

“The Doctors” follows people who are waiting for heart transplants, including Tim, a patient at Cleveland Clinic. Watch Video Clip 1* and Video Clip 2 *, The Doctors – http://www.thedoctorstv.com/**, NBC 9/9.

Will treating depression prevent future heart problems? Patients who develop depression after heart attacks fare worse in the long term than those who don't. Dr. Marc Penn comments. Wall Street Journal,* by Shirley S. Wang, 9/8.

Three Rivers, a New Medical Drama on CBS focuses on the complex issues of organ transplant patients in a leading transplant hospital.  Dr. Andy Yablonski, played by Alex O'Loughlin, leads the transplant team, and is patterned after Dr. Gonzalez-Stawinski from Cleveland Clinic.  Read these stories:  Site Visit Interview: Alex O'Loughlin on iesb.net *9/9; Three Rivers creator discusses CBS's new show on newtotv.com * 9/3

Patients with PFO may have increased odds of postoperative strokes.  Richard A. Krasuski, MD and colleagues reported in a study in JAMA that those who have a patent foramen ovale (PFO) incidentally discovered during cardiothoracic surgery and repaired for a different condition may have an increased odds of postoperative stroke, along with no clear benefit on  long-term survival. JAMA abstract 7/15,  Medical News, 9/2* (see also news story below).

Does routine coronary angiography prior to vascular surgery boosts long-term survival?  Systematically performing preoperative coronary angiography to screen for coronary disease in all patients undergoing elective surgery for peripheral arterial disease (PAD) may improve survival and reduce risk of cardiovascular events, at least in those at moderate to high cardiovascular risk, a new study suggests. Dr. Mehdi Shishehbor of Cleveland Clinic comments. By Shelly Wood, theheart.org, 8/31, free login required.*

New experimental blood thinner drug results.  Two experimental pills that weren't on anybody's radar screen six months ago delivered impressive clinical trial results at the annual meeting of the European Society for Cardiology in Barcelona. Dr. Steven Nissen, head of cardiology at Cleveland Clinic, comments. Forbes.com by Matthew Herper, 8/30.*

Athlete's heart won't keep FSU Seminoles' Moses McCray from playing football.   Florida State University sent McCray to Cleveland Clinic to after a health screening showed a thicker than normal heart.  Dr. Milind Desai ran several tests to determine McCray has Athlete's Heart rather than Hypertrophic Cardiomyopathy.  By Brian Landman, St. Petersburg Times*. 8/22/09

Late Night with Conan O’Brian – Robin Williams talks about getting heart surgery at Cleveland Clinic. Watch the Story.* 8/17.

Single Statin Loading Dose Cuts Stenting MI Risk.   An 80 mg loading dose of atorvastatin (Lipitor) within 24 hours of elective percutaneous coronary intervention reduced the risk of perioperative myocardial infarction compared with patients who received stents without a statin onboard, Italian researchers reported. Dr. Steven Nissen, director of cardiovascular medicine at Cleveland Clinic, comments on the results. By Peggy Peck, MedPage Today.*  8/5.

Heart Failure: Women Different From Men. An analysis of previous heart failure studies, published in the August 4, 2009, issue of the Journal of the American College of Cardiology, by Dr. Eileen Hsich, Director of the Women's Heart Failure Clinic showed that women with heart failure are less likely to enroll in clinical trials that evaluate therapies and men and women may respond differently to treatment. Bloomberg 7/27 and Science News 7/31*.

What You Should Know About Generic Drugs. These cheaper substitutes are just as effective as brand-name versions, but some consumers don't realize it. Dr. Harry Lever, a cardiologist at Cleveland Clinic, comments. by Rebecca Ruiz, Forbes.com, 7/27*.

Cleveland Clinic Heart Center Ranked Number 1 in Nation for 15th Year in a Row. For the 15th year in a row, Cleveland Clinic’s cardiac care has ranked as the best in the nation, earning the No. 1 ranking in U.S. News & World Report’s 2009 edition of “America’s Best Hospitals.” Cleveland Clinic placed among the nation’s best hospitals overall, ranking 4th in the country. 7/16. Read More.

Common Heart Bypass Method Poses More Risks in Study (Update1). A widely used method for reducing pain and infections after heart bypass surgery increased the rate of heart attacks and deaths after three years compared with an older, conventional technique, researchers said. Dr. Joseph Sabik, chair of thoracic and cardiovascular surgery at Cleveland Clinic, comments. Bloomberg.com, 7/15.*

Group Offers Advice on Safe Extraction of Lead Wires in Implantable Heart Devices. Dr. Wilkoff, director of Cardiac Pacing and Tachyarrhythmia Devices at Cleveland Clinic, comments. By Mike Mitka. JAMA. 2009;302(3):244-245. 7/15.*

Repair of Asymptomatic PFO during surgery may cause more harm than good. The widespread practice of stitching shut a hole in the heart may do more harm than good, by increasing patients’ chance of having a stroke, new research shows. Study author Richard Krasuski, a cardiologist at Cleveland Clinic, comments.The Wall Street Journal, HealthDay News and MedPage Today (includes audio report). 7/14 and 7/15 in theHeart.org, free login required.*

Foods that Can Lower Cholesterol. This article discusses heart healthy foods that can promote good health and lower cholesterol. Cleveland Clinic is quoted throughout. By Lori Brookhart-Schervish. Reviewed by Connie Crawley, MS, RD, LD, heart-healthy Living: www.hearthealthyonline.com, 2009. *

Benefit derived from atorvastatin pre-procedure reload for patients undergoing percutaneous coronary intervention (PCI). Patients on chronic statin therapy who re-loaded with high-dose atorvastatin (Lipitor) before percutaneous coronary intervention showed improved clinical outcomes in a randomized trial published in Journal of the American College of Cardiology. Drs. Stephen Ellis and Saif Anwaruddin write accompanying editorial in JACC 7/1 and comment in Cardiology Today 7/01.*

Welcome to our front door. When your medical center is generally recognized as the leading cardiology provider in the United States, how do you express that in “bricks and mortar”? That was the question confronting Cleveland Clinic. The result, which opened last fall, is the Sydell and Arnold Miller Family Pavilion. Health Care Design Magazine . by Richard L. Peck, 7/1.*

Cleveland Clinic Children’s Hospital Welcomes New Pediatric Cardiologists. Cleveland Clinic Children’s Hospital is expanding the staff of pediatric cardiologists in the Center for Pediatric and Congenital Heart Disease. Read More. 7/01.

Pop star Michael Jackson’s passing is another reminder about how sudden and unexpected cardiac arrest — the believed cause of Jackson’s death at age 50 — can be. Dr. Bruce Lindsay from Cleveland Clinic comments in The Wall Street Journal and Reuters. Dr. Steven Nissen from Cleveland Clinic comments in L.A. Times. Dr. Stephen Nicholls from Cleveland Clinic comments in Forbes 6/26.*

Dr. Nissen joins a panel discussion regarding Michael Jackson’s death. Watch the Story on CNN Headline News 6/26.*

Michael Jackson's Death: Cardiac arrest explained. 'A third of people who have a heart attack actually never make it to a hospital,' Dr. Steven Nissen, head of cardiovascular medicine at Cleveland Clinic, comments. By Kate Daily, Newsweek.  Also in LA Times. 6/25. *

Vulnerable plaque associated with higher risk of acute coronary syndrome. Vulnerable plaques identified visually by computed-tomography (CT) angiography are more likely to result in a subsequent acute coronary syndrome during follow-up, a new study has shown. Dr. Nissen comments. By Michael O'Riordan, theheart.org. 6/25. Free login required.*

John King: Cleveand Clinic pushes into the future. CNN's John King visits Cleveland Clinic where the costs are low, but the care is top-notch. CEO Dr. Toby Cosgrove, Dr. Steven Nissen and Dr. C. Martin Harris comment. CNN, 6/19. Watch the Story on State of the Union with John King, 6/21.*

Researchers keep trying for a heart disease pill. Dr. Steven Nissen, from Cleveland Clinic, told doctors from 45 countries attending a cardiovascular conference here a couple of weeks ago his mission in life is to put heart surgeons out of business. Plain Dealer, 6/16. *

Surgery and Transplant News: The Ohio State University Hospitals Closes Lung Transplant Program and What Transplant Patients Need To Know About Transplant Centers. By Jennifer Heisler, RN, About.com.  6/09.*

Is Angioplasty worth the risk? Though a common medical procedure, many are performed at hospitals unprepared if something goes wrong. Dr. Steven Nissen from Cleveland Clinic comments.CBS Evening News.6/08. *

Study finds Avandia is safe for the heart, but docs remain wary. Dr. Steven Nissen, chairman of the Department of Cardiovascular Medicine at Cleveland Clinic, comments. By Mary Brophy Marcus, USA Today. 6/08.*

Pioglitazone appears to slow the rate of carotid atherosclerosis progression. Dr. Nissen comments.By Kristina Fiore, MedPage Today. 6/06.*

Study results show that rosiglitazone doubles risk of heart failure and fractures, presented at American Diabetic Association Meeting. Dr. Steven Nissen, chairman of the Department of Cardiovascular Medicine at Cleveland Clinic, comments. Forbes, WebMD, theheart.org, 6/05.*

Steven Nissen: Blockbuster drugs are dead. Embrace ‘innovative’ regulation. The medical profession should get behind “innovative” federal regulations that will help win back a skeptical public, and better navigate tougher and tenuous drug pipelines, Cleveland Clinic’s Dr. Nissen told his peers Thursday at the Clinic’s three-day symposium on cardiovascular disease. By Chris Seper. MedCity News. 6/04.*

Cleveland Clinic hosts giant conference.  One-thousand of the world's leading heart experts are in northeast Ohio this week for a giant conference at Cleveland Clinic.  Ideastream®'s Eric Wellman spoke with Dr. Steven Nissen, Chair of Cardiovascular Medicine at Cleveland Clinic.  WCPN 90.3 6/04.*

Life and Times of Leading Cardiologists. Dr Robert Califf conducts a series of in-depth and personal interviews with his peers in the world of cardiology to find out what makes them tick, how they feel about the future, and what the lessons they have learned during their exceptional careers. In Episode One of the series, join Dr Califf as he talks to Dr Steven Nissen about how he became one of the world's leading cardiologists and a "rebel with a cause," from his secret childhood forays into Disneyland, through his protest years at the University of Michigan, to his current involvement in national healthcare reform.  theheart.org.  6/01.  Free login required.*

Cleveland Clinic has received a $9.1 million grant for vascular research
The Cleveland Clinic Lerner Research Institute has received a $9.1 million grant from the National Institutes of Health to continue vascular disease research. Paul DiCorleto, chairman of the Lerner Research Institute, comments.  Read the story at Crain's Cleveland Business, by Shannon Mortland, 5/28/09.  5/29. *

Heart Rhythm Society: Minimum Standards Set for Lead and Device Extraction. "Safe extraction of pacemaker and implantable defibrillator leads is not a task for tyros – it requires a minimum of 40 extractions under the supervision of a fully-qualified training physician." Dr. Bruce Wilkoff from Cleveland Clinic comments.  Read the story at MedPage Today, by Peggy Peck, 5/18/09.  5/19.*

Heart Rhythm Society:  ICD, CRT-D Work Better Than Expected. 
"Implanted devices that shock the heart into normal rhythm appear to work even better in a real world, primary prevention setting than they did in clinical trials, researchers here reported." Dr. Wilkoff comments.  Read the story at MedPage Today, by Peggy Peck, 5/18/09.  5/19.*

Heart Rhythm Society: Long-Term Follow-up Confirms ICD Survival Benefit
After eight years of follow up, the survival benefit from implantable cardioverter defibrillators (ICDs) was durable and robust, except for patients who developed worsening heart failure, researchers here reported. Dr. Bruce L. Wilkoff, director of cardiac pacing and tachyarrhythmia devices at Cleveland Clinic, comments.  Read the story at MedPage Today, *by Peggy Peck, 5/15/09.  5/18.

No complications with MRI compatible pacemaker and leads. Pacemakers and implantable cardioverter defibrillators have long been incompatible with magnetic resonance imaging (MRI), but an investigational device may change that. Dr. Bruce L. Wilkoff from Cleveland Clinic comments. Read story in theheart.org. Michael O'Riordan. May 14, 2009, 5/15. *

Robin Williams thanks Cleveland Clinic for heart surgery on David Letterman show.  Comedian Robin Williams, recovering from heart surgery at Cleveland Clinic, will resume his stand-up tour in September.  Watch the video at lateshow.cbs.com. Read the story in NYT and Plain Dealer/Cleveland.com, May 14, 2009.

The Heart Rhythm Society has released an updated consensus statement on the extraction of leads used in pacemaker and implantable-defibrillator therapy. Dr. Bruce Wilkoff from Cleveland Clinic comments in theheart.org, Additional article in Reuters. May 13, 2009, 5/14. *

NBC Nightly News – The FDA is regulating how Cheerio’s and other companies market their brands as healthy options that lower cholesterol. Dr. Leslie Cho from Cleveland Clinic comments on the importance of soluble fiber intake. Watch the video on msnbc.com. May 12, 2009, /14.

WCPN 90.3 – Heart Shock.  Dr. Lindsay talks to WCPN about atrial fibrillation - a short circuit that causes the heart’s upper chambers to beat out of sync – or fibrillate. Listen to the MP3 or read the transcript. WCPN, May 6, 2009. 5/7.*

WCPN 90.3 – What are the best treatment option for heart disease, the nation's number one killer?  Dr. Lytle participates in a panel, discussing treatment options for coronary artery disease. Listen to the MP3 or read the transcript. WCPN, May 6, 2009. 5/6.*

WCPN 90.3 – Have you ever wondered what your heart valves do?  Dr. Murat Tuzcu from Cleveland Clinic explains how heart valves function.   Listen to the MP3 or read the transcript. WCPN, May 5, 2009. 5/6.*

Repair works. Dr. Lars Svensson talks to Executive Healthcare about new techniques used to treat aortic valves.  Executive Healthcare Q4, 2008.  Posted with permission 5/6 [PDF].

WCPN 90.3 – Heart disease is the nation's number one killer of men AND women.
Dr. Leslie Cho from Cleveland Clinic talks about what every woman needs to know about her heart.  Listen to the MP3 or read the transcript. WCPN, May 4, 2009. 5/4.*

Notice to Cleveland Clinic Patients about Digoxin Tablets
A recall was issued for digoxin tablets manufactured by Caraco Pharmaceutical Laboratories.  Read more about the recall. 4/7.

Removing Medronic Heart Cables is Hard Choice
Pulling a medical device off the market is one thing. Removing Medtronic heart cables from the bodies of thousands of patients is a lot more complicated and dangerous. Dr. Bruce Wilkoff, a cardiologist at Cleveland Clinic, comments.  New York Times.  by Barry Meier, April 6, 2009. 4/7.*

AARP Magazine publishes best hospital list
Cleveland Clinic Heart and Vascular Institute was listed as number one for heart out of 125 hospitals in a survey that appeared in the May-June issue of AARP The Magazine. In addition, Cleveland Clinic was listed as a top hospital doctors would send their patients to for Mystery Diagnoses. The list is based on a survey by Consumer Checkbook, a nonprofit consumer information organization. See Survey: AARP magazine's top hospitals, Today Show with video by Sandra G. Boodman. March 26, 2009 and The Right Hospital for you, AARP by Sandra Boodman, May & June 2009. 3/30.*

High Blood Fat Levels common in Americans
Study shows triglycerides may contribute to heart risk. Dr. Stephen Nicholls from Cleveland Clinic comments. U.S. News & World Report by Ed Edelson. March 23, 2009. 3/24. *

Actor Robin Williams recovering after successful heart surgery at Cleveland Clinic
Actor had aortic valve replaced, mitral valve repaired and surgery to correct irregular heart beat, according to A. Marc Gillinov, MD, staff cardiothoracic surgeon at Cleveland Clinic. msnbc.com, New York Times, and newsnet5.com, March 23, 2009. 3/24.*

Cleveland Clinic Researchers Find That Low LDL and Normal Blood Pressure Slows Arterial Plaque Growth. Study Promotes Aggressive Treatment of Multiple Risk Factors; Paper Published in the March 31 Issue of the Journal of the American College of Cardiology. Cleveland Clinic, March 23, 2009. 3/24. More on this study and comments by Dr. Steven Nissen can be found in theheart.org. *

Study Questions Screening for Leg Vessel Blockages
Some people considered normal under current screening guidelines for peripheral artery disease (PAD) may be at high risk for loss of mobility, according to a U.S. study. Dr. Heather Gornik comments. U.S. News & World Report. March 16, 2009. 3/18. *

That's Life with Robyn Swoboda - Fox 8 Cleveland: 5 Numbers Women Need to Know.
Dr. Esther Kim, from the Cleveland Clinic Women's Cardiovascular Clinic discusses numbers you should know to have a healthy heart on That's Life with Robyn Swoboda. March 11, 2009. 3/18.*

Groups collaborate with guidance on A1c levels
Established cardiovascular disease should serve as a warning flag that attempts to reduce A1c levels much below 7% could be harmful. Dr. Steven Nissen from Cleveland Clinic comments. amednews.com. by Susan J. Landers, March 9, 2009, 3/9*

Cleveland Magazine Best Docs 2009 - Heart of the Matter
Several Cleveland Clinic doctors are highlighted in the annual “Best Doctors” issue. Dr. Samir Kapadia, director of Cleveland Clinic's Interventional Cardiology Fellowship discusses coronary artery disease, how it treated with a heart healthy lifestyle - as well as medical procedures. ClevelandMagazine.com, March 2009, 3/3.*

Research asks: Do Stents Fall Short?
Dr. Nissen Comments. Read Story, Watch video. CBS News. by Jonathan LaPook, New York 2/18.*

Free online health videos
Cleveland Clinic is offering free online health and wellness videos on YouTube. Cleveland Clinic. 2/18*

Turkish Finance Minister to have heart surgery at Cleveland Clinic.
Turkey's Finance Minister Kemal Unakitan will undergo heart bypass surgery at Cleveland Clinic. Cleveland.com. 2/12.*

Heinen's, Clinic team up to identify healthier foods
A new food labeling program developed by Cleveland Clinic's Wellness Institute and Heinen's Fine Foods aims to make it easier for anyone to eat healthier. Cleveland.com. by Janet H. Cho, Plain Dealer 2/5 .

New high-res heart scanners aren't for everyone, doctors say
Dr. Milind Desai and colleagues showed the value of the test for this patient is to rule out coronary disease. Dr. Nissen comments. by Harlan Spector. Cleveland.com 2/2.*

Nature Magazine publishes the opinions of "six leading voices" to what President Obama can do to "move beyond the Bush legacy." Dr. Nissen comments on the FDA. Nature* 457, 258-261 (15 January 2009). Published online 1/14.

FAME Study: Does Fractional Flow Reserve (FFR) improve outcomes in patients undergoing angioplasty and stent? A recent study in the New England Journal of Medicine shows that FFR measured during angioplasty significantly improves clinical outcomes when compared with traditional angiography-guided treatment. An accompanying editorial by Dr. Stephen Ellis urges additional studies to confirm. NEJM*, theheart.org*, 1/15.

Aortic Stenosis Surgery to Transform by 2015
Dr. Eric Roselli discusses surgical advances to treat aortic valve stenosis. Medical News Today*, 1/12.

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