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Abstract 168: Engaging Patients to Inform Hypertension Management in a Safety-Net Outpatient Setting [Session Title: Poster Session AM]
Hypertension is one of the most common diagnoses carried by adults yet is often difficult to manage. A combination of medical therapy, patient engagement, and self-care is required to achieve blood pressure control. We, therefore, sought to elicit patient views on lifestyle factors that are known to influence optimal management of hypertension.From outpatient clinics, we identified patients with documented hypertension and taking at least one antihypertensive medication. Patients with secondary causes of hypertension or end-organ damage were excluded. Following informed consent, patient views were elicited using the Kear H...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Alikhan, M., Johnston, E., Venkitachalam, L., Pauly, R. Tags: Session Title: Poster Session AM Source Type: research

Abstract 167: Factors Influencing the Decision to Accept or Decline to Participate in Clinical Research: A Qualitative Study [Session Title: Poster Session AM]
Conclusions: The decision to participate (or not) in clinical research appears to be more related to the patient’s general behaviour and attitude when sick, rather than any specific trial-related constraints or advantages. The level of comprehension of pts who have been through the consent process casts a doubt on the "informed" character of the consent. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Ecarnot, F., Chopard, R., Schiele, F., Meneveau, N. Tags: Session Title: Poster Session AM Source Type: research

Abstract 166: End-of-Life Situations in Cardiology: A Qualitative Study of Physicians and Nurses Experience in a Large University Hospital in France [Session Title: Poster Session AM]
Conclusions: Most participants felt that management of end-of-life has greatly improved in terms of pain relief and communication. Poor communication remains prevalent and can be a source of suffering for patients, families and caregivers, especially nurses. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Ecarnot, F., Chopard, R., Seronde, M.-F., Schiele, F., Meneveau, N. Tags: Session Title: Poster Session AM Source Type: research

Abstract 165: Temporal Trends in FFR Utilization in Patients Undergoing Coronary Angiography: A Population Based Study [Session Title: Poster Session AM]
Conclusions: Over time, there was a 5-fold increase in the use of FFR in patients across Ontario, which was predominantly driven by use in patients with SCAD. Case selection for FFR use was relatively unchanged with approximately a quarter of FFR cases being positive over time. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Greener, G. E., Masih, S., Fang, J., Roifman, I., Wijeysundera, H. C. Tags: Session Title: Poster Session AM Source Type: research

Abstract 164: Evaluation of Clinical and Social Factors for Patients Taking Very Low Dose of Beta Blockers for Systolic Heart Failure [Session Title: Poster Session AM]
Conclusions: This study will help enable cardiovascular clinicians to realize that although the use of BBs for SHF has improved dramatically since Get With The Guidelines; there is still marked underdosing of approved BB and inappropriate use of non-approved BB. We are unable to explain this practice based on the clinical and social factors that may have led to underdosing of BB. We found the mean dose of BBs to be 25% or less of TD in 71% (117 of 164) patients on approved BBs and only 18% (19 of 105) of these patients had SR <70bpm. Inappropriate dosing of BBs could potentially be responsible for worsening outcomes and...
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Memon, A., Sharma, P., Gilbert, J., Pettyjohn, E., Whelan, M., Nyamndi, B., Kemper, S., Carter, W. Tags: Session Title: Poster Session AM Source Type: research

Abstract 163: Implementation of a Physician Order Set Improves Adherence to Cardiac Care Unit Policy: A Quality Improvement Initiative [Session Title: Poster Session AM]
Conclusion: Implementation of an order set is an effective way to improve adherence to patient care policy. Further studies to assess impact of physician order sets on morbidity and mortality, especially in patients with a WCD are warranted. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Mooney, J. H., Kairouz, V. F., Yaranov, D., Ibrahim, S., Levine, J., Garcia, E., Acevedo, J., Marcus, M., Franchi, F., Rollini, F., Angiolillo, D. J., Hsu, S., Su, J., Kim, R., Velarde, G. P., Catanzaro, J. N. Tags: Session Title: Poster Session AM Source Type: research

Abstract 162: Does a Telehealth "Virtual Consult" Including Referring Physicians, Specialist Physicians and Patients Increase Shared Decision Making for Patients With Heart Disease? [Session Title: Poster Session AM]
Conclusions: A combined clinical visit with both the referring and specialist physicians, along with their patient in a "virtual consult," led to decreased patient decisional conflict. Higher OPTION-5 scores were suggested, indicating improvement in the presence of SDM; lack of strong agreement between raters limits this finding and larger studies are needed. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Coylewright, M., Sherman, A., Grande, S. W., Xu, K., Kirk, J., Dillon, G., ONeill, E., Elwyn, G. Tags: Session Title: Poster Session AM Source Type: research

Abstract 161: Rapid-Cycle Development of Decision Support Tools for Patients With Symptomatic Aortic Stenosis [Session Title: Poster Session AM]
Conclusion: AS treatment options are technically complex and have patient-centered trade-offs. Developing and adapting patient decision aids for AS can improve the decision making process. This development process offers lessons for improving shared decision making for evolving therapies for other life-threatening disease. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Knoepke, C., Ingle, P., Carroll, A., Allen, L., Jenkins, A., Carroll, J., Gama, K., Doermann Byrd, K., Valle, J., Matlock, D. Tags: Session Title: Poster Session AM Source Type: research

Abstract 160: Impact of ECG to Decision Time and Sex Differences on False Positive STEMI Diagnosis Rate in a Large Rural Healthcare Center [Session Title: Poster Session AM]
Conclusions: We observed a higher false positive STEMI diagnosis rate with females compared to males. Longer E2Decide times were significantly associated with higher false positive STEMI diagnosis rates. In addition to demonstrating the impact of sex differences on false positive STEMI diagnosis rate, this analysis demonstrates the potential value of the metric E2Decide time. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Mullvain, R., Saman, D. M., Benziger, C. Tags: Session Title: Poster Session AM Source Type: research

Abstract 150: Care for Heart Failure Patients at the End of Life: Hospital Readmission and Mortality Amongst Heart Failure Patients Discharged to Hospice [Session Title: Poster Session AM]
Conclusion: Hospice use in patients hospitalized with HF is limited but increasing. Few hospice patients are rehospitalized and almost a quarter die within 3 days of discharge. These findings may inform interventions to improve hospice care for HF patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Warraich, H. J., DeVore, A., Xu, H., Matsouaka, R., Heidenreich, P., Bhatt, D., Hernandez, A., Yancy, C., Fonarow, G., Allen, L. Tags: Session Title: Poster Session AM Source Type: research

Abstract 149: Care for Heart Failure Patients at the End of Life: Hospital Readmission and Mortality Amongst Heart Failure Patients Discharged to Hospice [Session Title: Poster Session AM]
Conclusion: Hospice use in patients hospitalized with HF is limited but increasing. Few hospice patients are rehospitalized and almost a quarter die within 3 days of discharge. These findings may inform interventions to improve hospice care for HF patients. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Warraich, H. J., Devore, A., Xu, H., Matsouaka, R., Heidenreich, P., Bhatt, D., Hernandez, A., Yancy, C., Fonarow, G., Allen, L. Tags: Session Title: Poster Session AM Source Type: research

Abstract 148: Observational Study of Efficacy of Low-Dose Amiodarone [Session Title: Poster Session AM]
Conclusion: This small study showed that very low dose AM is commonly used in the community and appears to be an effective option for AF prophylaxis. It is important, the providers selecting medications to prevent recurrence of AF be aware of this option. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Memon, A., Shah, K., Ali, Z., Pak, C., Hancock, B., Dunn, J., Robinson, K., Yousaf, A., Yousaf, M., Kemper, S., Carter, W. Tags: Session Title: Poster Session AM Source Type: research

Abstract 147: Impact of Risk Factor Modification in Improving Quality of Life and Arrhythmia Symptoms in Patients With Atrial Fibrillation [Session Title: Poster Session AM]
Conclusion: Participation in a risk factor modification program targeting obesity and obstructive sleep apnea can improve quality of life and arrhythmia symptoms in patients with atrial fibrillation. The impact of this strategy on long-term maintenance of sinus rhythm remains to be determined. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Yaeger, A., Cash, N. R., Parham, T., Pathak, R., Frankel, D. S., Schaller, R., Santangeli, P., Callans, D. J., Marchlinski, F. E., Kolansky, D. M., Mora, J., Schwab, R., Pack, A., Dixit, S. Tags: Session Title: Poster Session AM Source Type: research

Abstract 146: Efficacy of a Nurse-Led Risk Factor Modification Program in Achieving Weight Loss in Obese Atrial Fibrillation Patients [Session Title: Poster Session AM]
Conclusions: A pragmatic nurse-led risk factor modification strategy focusing on lifestyle changes reinforced by frequent patient follow-up can be effective in achieving weight loss in obese atrial fibrillation patients. This single point of care approach is a potentially sustainable model for maintaining weight loss in this population. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Yaeger, A., Cash, N. R., Parham, T., Amaro, A., Deo, R., Frankel, D. S., Epstein, A. E., Santangeli, P., Riley, M., Nazarian, S., Lin, D., Garcia, F. C., Schaller, R., Arkles, J., Supple, G., Kumareswaran, R., Callans, D. J., Marchlinski, F. E., Dixit, S. Tags: Session Title: Poster Session AM Source Type: research

Abstract 145: Illinois Acute Stroke Ready Hospital Designation is Associated With Improved Door-to-Needle Best Practices [Session Title: Poster Session AM]
Conclusions: Since Illinois introduced ASRH designation in 2009, a steady improvement in meeting acute stroke benchmarks has been observed for hospitals providing care at the entry point of care. Statewide stroke legislation should be considered as a strategy for supporting system-wide implementation of acute stroke best practices. (Source: Circulation: Cardiovascular Quality and Outcomes)
Source: Circulation: Cardiovascular Quality and Outcomes - April 5, 2018 Category: Cardiology Authors: Richards, C. T., Jones, P., Sednew, R. M., Mirostaw, J., ONeill, K., Prabhakaran, S. Tags: Session Title: Poster Session AM Source Type: research