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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/advagg_css\/css__ce2QY63WIanKyr8eSq7eavr1XQRRmFD6ZSmwpyJi8lM__zXwFqpqmxrZOXXcd_TpBQpjuELbmIP9wBR5UuTDWAO4__YJWWMMdfCJuAFm5cUEp88OsodhO3ZA-2lzRfoBsSlk4.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EHeart failure is an emerging threat in the Caribbean Islands; yet, with no data on heart failure risks and outcomes in the Caribbean population, physicians are not fully prepared to address this problem. To fill this important information gap, the Caribbean Cardiac Society (CCS) has launched the CCS Survey on Heart Failure.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EHeart Failure\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EInflammatory Disease\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-1\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003ECaribbean Cardiac Society Survey on Heart Failure\u003C\/h2\u003E\n         \u003Cp id=\u0022p-2\u0022\u003EHeart failure is an emerging threat in the Caribbean Islands; yet, with no data on heart failure risks and outcomes in the Caribbean population, physicians are not fully prepared to address this problem. To fill this important information gap, the Caribbean Cardiac Society (CCS) has launched the CCS Survey on Heart Failure. Jocelyn Inamo, MD, Hopital Pierre Zobda-Quitman, Fort de France, Martinique, described the aims of this unprecedented project.\u003C\/p\u003E\n         \u003Cp id=\u0022p-3\u0022\u003EThe CCS Survey on Heart Failure is a prospective, multicenter, observational study that is designed to characterize the demographic and clinical characteristics of patients who are undergoing inpatient or outpatient treatment for heart failure in cardiology centers across the Caribbean. Logistical support for the study is being provided by CCS staff. Co-investigators are Robert P. Giugliano, MD, SM, Brigham and Women\u0027s Hospital, Boston, Massachusetts, USA, and Martin Didier, MD, Tapion Hospital, Castries, St. Lucia.\u003C\/p\u003E\n         \u003Cp id=\u0022p-4\u0022\u003EThe study will begin with an initial wave of patient enrollment in Jamaica, St. Lucia, Barbados, Bahamas, Trinidad, Guadeloupe, and Martinique, and will be expanded to include patients from a total of 15 Caribbean islands. For 1 week each month over a 6-month period, cardiology centers will sequentially identify patients with chronic or acute heart failure for participation in the study. Patients will undergo hemodynamic assessment and cardiac imaging, and information will be collected on a range of demographic and clinical parameters, including the use of medications and implantable medical devices (\u003Ca id=\u0022xref-table-wrap-1-1\u0022 class=\u0022xref-table\u0022 href=\u0022#T1\u0022\u003ETable 1\u003C\/a\u003E). Patients will return for outpatient follow-up visits (or phone interviews) at 6 months and 12 months. Investigators are particularly interested in measuring the clinical outcomes of death, hospitalization for worsening heart failure, and quality of life.\u003C\/p\u003E\n         \u003Cdiv id=\u0022T1\u0022 class=\u0022table pos-float\u0022\u003E\u003Cdiv class=\u0022table-inline\u0022\u003E\u003Cdiv class=\u0022callout\u0022\u003E\u003Cspan\u003EView this table:\u003C\/span\u003E\u003Cul class=\u0022callout-links\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022\/\u0022 class=\u0022table-expand-inline\u0022 data-table-url=\u0022\/highwire\/markup\/11502\/expansion?postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media%2Chighwire_embed\u0026amp;table-expand-inline=1\u0022 html=\u00221\u0022 fragment=\u0022#\u0022 external=\u00221\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView inline\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022\/highwire\/markup\/11502\/expansion?width=1000\u0026amp;height=500\u0026amp;iframe=true\u0026amp;postprocessors=highwire_figures%2Chighwire_math%2Chighwire_inline_linked_media\u0022 class=\u0022colorbox colorbox-load table-expand-popup\u0022 rel=\u0022gallery-fragment-tables\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView popup\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/11502\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cdiv class=\u0022table-caption\u0022\u003E\u003Cspan class=\u0022table-label\u0022\u003ETable 1.\u003C\/span\u003E \n               \u003Cp id=\u0022p-5\u0022 class=\u0022first-child\u0022\u003ECCS Survey on Heart Failure: Demographic and Clinical Data Collection.\u003C\/p\u003E\n            \u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\n         \u003Cp id=\u0022p-7\u0022\u003EDr. Inamo explained that the CCS is dedicated to improving the health of the Caribbean people through the advancement of cardiovascular knowledge and practice. Findings of the CCS Survey on Heart Failure will give physicians important insights into the unique needs of Caribbean patients with acute and chronic heart failure.\u003C\/p\u003E\n      \u003C\/div\u003E\u003Cdiv class=\u0022section\u0022 id=\u0022sec-2\u0022\u003E\n         \u003Ch2 class=\u0022\u0022\u003EIschemic Cardiomyopathy in the Bahamas: 14-Year Findings\u003C\/h2\u003E\n         \u003Cp id=\u0022p-8\u0022\u003ESeveral studies suggest that the etiology and presentation of heart failure are unique among black patients. For instance, compared with other patient populations, black patients with heart failure appear to have a lower prevalence of coronary artery disease (CAD) and an earlier age of disease onset [Dries DL et al. \u003Cem\u003EN Engl J Med\u003C\/em\u003E 1999; Dunlap SH et al. \u003Cem\u003EAm Heart J\u003C\/em\u003E 2003]. Such observations may have implications for the prevention and management of heart failure among black patients in the Caribbean Islands, said Conville S. Brown, MD, The Bahamas Heart Centre, Nassau, Bahamas.\u003C\/p\u003E\n         \u003Cp id=\u0022p-9\u0022\u003ETo explore these findings, investigators at the Bahamas Interventional Cardiology Centre (BICC), Nassau, Bahamas, evaluated the demographic, clinical, and angiographic characteristics of Bahamian patients with cardiomyopathy. The retrospective study included 112 patients with symptomatic NYHA Stage II, III, and IV heart failure who were referred for coronary angiography at the BICC from March 1996 to March 2010. Investigators collected demographic and clinical data from detailed chart reviews, including the severity of left ventricular (LV) dysfunction, presence of CAD, and etiology of cardiomyopathy.\u003C\/p\u003E\n         \u003Cp id=\u0022p-10\u0022\u003EThe prevalence of CAD among Bahamian heart failure patients was 20.5%. This is comparable with rates of ischemic cardiomyopathy that are observed in other Afro-Caribbean patients (26%) and lower than rates that are observed in Western countries (36%). Black race was a highly significant predictor of ischemic versus nonischemic cardiomyopathy (OR, 9.2; 95% CI, 2.5 to 35.4; p\u0026lt;0.001). Other predictors of ischemic cardiomyopathy across racial groups included age \u0026gt;50 years (OR, 3.3; 95% CI, 1.1 to 9.7; p=0.02) and dyslipidemia (OR, 3.7; 95% CI, 1.3 to 10.3; p=0.009). When dyslipidemia was adjusted for gender, body mass index, and race (black, white, or mixed race), its association with ischemic cardiomyopathy was weaker (OR, 2.8; 95% CI, 0.9 to 8.8; p=0.08).\u003C\/p\u003E\n         \u003Cp id=\u0022p-11\u0022\u003EIn the overall study population, the mean age of heart failure onset was significantly lower in black patients compared with white patients (52 years vs 65 years; p=0.001). When patients were categorized by heart failure etiology, the age difference remained significant only for those with ischemic cardiomyopathy (55 years vs 69 years; p=0.024)\u2014not for those with nonischemic etiology (52 years vs 58 years; p=0.32).\u003C\/p\u003E\n         \u003Cp id=\u0022p-12\u0022\u003EIn summary, Bahamian patients with cardiomyopathy have a lower prevalence of CAD compared with other patient populations. Race, age, and dyslipidemia are important risk factors for the development ischemic versus nonischemic cardiomyopathy. Risk factors for ischemic cardiomyopathy among Caribbean patients will be explored further in a planned Pan-Caribbean study, a collaboration between the CCS, Brigham and Women\u0027s Hospital, and the Consortium for Southeastern Hypertension Control. Findings from the Bahamas, if confirmed by larger prospective studies, may have implications for the management of heart failure in the Caribbean region. In particular, these findings may justify a noninvasive approach to ruling out significant CAD in all Caribbean patients with heart failure.\u003C\/p\u003E\n      \u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2010 MD Conference Express\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/10\/7\/9.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzmpk5\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_tables.js?nzmpk5\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}