The uptake of family screening in hypertrophic cardiomyopathy and an online video intervention to facilitate family communication.

Background: Individuals with hypertrophic cardiomyopathy (HCM), even when asymptomatic, are at-risk for sudden cardiac death and stroke from arrhythmias, making it imperative to identify individuals affected by this familial disorder. Consensus guidelines recommend that first-degree relatives (FDRs) of a person with HCM undergo serial cardiovascular evaluations.

Methods: We determined the uptake of family screening in patients with HCM and developed an online video intervention to facilitate family communication and screening.

Implementation of a Risk Stratification and Management Pathway for Acute Chest Pain in the Emergency Department.

Objectives: Chest pain is a common complaint in the emergency department, and a small but important minority represents an acute coronary syndrome (ACS). Variation in diagnostic workup, risk stratification, and management may result in underuse, misuse, and/or overuse of resources.

Methods: From July to October 2014, we conducted a prospective cohort study in an academic medical center by implementing a Standardized Clinical Assessment and Management Plan (SCAMP) for chest pain based on the HEART score.