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The most common job roles of those reported to be bullying included cardiology and other consultants, other medical staff and non-medical staff, but only rarely other trainees. Bar plot demonstrating inappropriate behaviour reported by cardiology trainees divided into those who reported bullying blue and those who did not white. Bars represent the percentage of trainees reporting inappropriate behaviour. There was a continuous inverse relationship between FFR CT and the risk of adverse events with each 0.

Meta-analysis of the primary composite endpoint death or any MI and secondary endpoints at 12 month follow-up. Strata with zero events were not included in the analysis.

Is it the ischaemic burden measured by the fractional flow reserve or is it mediated through the association of fractional flow reserve with adverse plaque characteristics?

We now need to identify which are the best to use for diagnosis, risk stratification and treatment decisions to enable the optimal management and outcomes for our patients.

Another interesting paper in this issue of Heart reports hospital re-admission rates after transcatheter aortic valve implantation TAVI based on a database that included almost 45 thousand TAVI procedures. Further understanding of the factors leading to this variance might result in lower re-admission rates.

A review article in this issue summarises the association between preterm birth and the lifetime risk of ischaemic heart disease and heart failure in the context of a higher prevalence of cardiovascular risk factors that include hypertension, metabolic syndrome and diabetes 6 figure 4. Exposures and mechanisms for altered cardiac structure and function in young adults born preterm.

The Education in Heart article in this issue 7 provides the basic principles for implantable left ventricular assist devices including indications, eligibility and current outcomes. Key messages are:. The majority of patients supported on LVAD have significantly improved quality of life and increased functional status following implantation. Infection, bleeding and neurological events remain the predominant adverse events after implant.

Reduction in readmissions and adverse event rates is necessary for LVADs to become cost-effective and a viable longer-term alternative to cardiac transplantation. This study does not involve human participants. Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. Provenance and peer review Commissioned; internally peer reviewed.

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