Trade Associations
Here's a look at documents from national and international trade associations
Trade Associations
Intensive blood pressure control in stroke survivors lowered risk of cardiovascular events (11/7/26)
Intensive blood pressure therapy did not cut cardiovascular events in adults with diabetes (11/7/26)
Phone app alerts did not increase bystander CPR rates in study of 2 major population areas (11/7/26)
Featured Stories
Wild Turkey Potstickers
EDGEFIELD, South Carolina, Nov. 8 -- The National Wild Turkey Federation posted the following news release:
[Category: Animals]
* * *
Wild Turkey Potstickers
*
These potstickers are a perfect way to use leftover smoked, roasted or poached wild turkey breast or thigh meat. The filling stays juicy thanks to cabbage and mushrooms, while the crispy bottom gives way to a tender wrapper.
Jeremiah Doughty*November 8, 20261 min read
Photo Credit: Jeremiah Doughty
INGREDIENTS
Filling
2 cups finely chopped or ground cooked wild turkey
1 cup finely shredded Napa cabbage
1/2 cup finely diced shiitake ... Show Full Article EDGEFIELD, South Carolina, Nov. 8 -- The National Wild Turkey Federation posted the following news release: [Category: Animals] * * * Wild Turkey Potstickers * These potstickers are a perfect way to use leftover smoked, roasted or poached wild turkey breast or thigh meat. The filling stays juicy thanks to cabbage and mushrooms, while the crispy bottom gives way to a tender wrapper. Jeremiah Doughty*November 8, 20261 min read Photo Credit: Jeremiah Doughty INGREDIENTS Filling 2 cups finely chopped or ground cooked wild turkey 1 cup finely shredded Napa cabbage 1/2 cup finely diced shiitakeor cremini mushrooms
3 green onions, thinly sliced
2 cloves garlic, minced fine
1 tablespoon fresh grated ginger
1 tablespoon soy sauce
1 teaspoon sesame oil
1 teaspoon rice vinegar
1 teaspoon sriracha (optional)
1 teaspoon brown sugar or honey
1/2 teaspoon white pepper
1 egg
30 to 35 round potsticker wrappers
For Cooking
2 tablespoons avocado or vegetable oil
1/2 cup water
Ginger Soy Dipping Sauce
1/4 cup soy sauce
2 tablespoons rice vinegar
1 tablespoon chili crisp or chili oil
1 teaspoon sesame oil
1 teaspoon grated fresh ginger
1 teaspoon honey
1 green onion, sliced
Toasted sesame seeds
Photo Credit: Jeremiah Doughty
Instructions
In a bowl, combine the turkey, cabbage, mushrooms, green onions, garlic, ginger, soy sauce, sesame oil, rice vinegar, brown sugar, white pepper and egg. Mix until everything is evenly combined.
Lay a wrapper in your palm and place about 1 tablespoon of filling in the center. Wet the edge with water, fold into a half-moon, and crimp the edges tightly. Repeat until all the filling is used.
In a large skillet, add oil, then place potstickers in the pan, not crowding. Turn on medium heat. Cook 2-3 minutes.
Once oil starts to crackle, pour in the water and immediately cover with a lid. Steam for 5 to 6 minutes until the wrappers are tender and the water has evaporated.
Remove the lid and allow the bottoms to crisp again for another minute before serving.
Mix all the dipping sauce ingredients and serve alongside the hot potstickers.
***
Original text here: https://www.nwtf.org/content-hub/wild-turkey-potstickers
[Category: Animals]
* * *
Wild Turkey Potstickers
*
These potstickers are a perfect way to use leftover smoked, roasted or poached wild turkey breast or thigh meat. The filling stays juicy thanks to cabbage and mushrooms, while the crispy bottom gives way to a tender wrapper.
Jeremiah Doughty*November 8, 20261 min read
Photo Credit: Jeremiah Doughty
INGREDIENTS
Filling
2 cups finely chopped or ground cooked wild turkey
1 cup finely shredded Napa cabbage
1/2 cup finely diced shiitake ... Show Full Article EDGEFIELD, South Carolina, Nov. 8 -- The National Wild Turkey Federation posted the following news release: [Category: Animals] * * * Wild Turkey Potstickers * These potstickers are a perfect way to use leftover smoked, roasted or poached wild turkey breast or thigh meat. The filling stays juicy thanks to cabbage and mushrooms, while the crispy bottom gives way to a tender wrapper. Jeremiah Doughty*November 8, 20261 min read Photo Credit: Jeremiah Doughty INGREDIENTS Filling 2 cups finely chopped or ground cooked wild turkey 1 cup finely shredded Napa cabbage 1/2 cup finely diced shiitakeor cremini mushrooms
3 green onions, thinly sliced
2 cloves garlic, minced fine
1 tablespoon fresh grated ginger
1 tablespoon soy sauce
1 teaspoon sesame oil
1 teaspoon rice vinegar
1 teaspoon sriracha (optional)
1 teaspoon brown sugar or honey
1/2 teaspoon white pepper
1 egg
30 to 35 round potsticker wrappers
For Cooking
2 tablespoons avocado or vegetable oil
1/2 cup water
Ginger Soy Dipping Sauce
1/4 cup soy sauce
2 tablespoons rice vinegar
1 tablespoon chili crisp or chili oil
1 teaspoon sesame oil
1 teaspoon grated fresh ginger
1 teaspoon honey
1 green onion, sliced
Toasted sesame seeds
Photo Credit: Jeremiah Doughty
Instructions
In a bowl, combine the turkey, cabbage, mushrooms, green onions, garlic, ginger, soy sauce, sesame oil, rice vinegar, brown sugar, white pepper and egg. Mix until everything is evenly combined.
Lay a wrapper in your palm and place about 1 tablespoon of filling in the center. Wet the edge with water, fold into a half-moon, and crimp the edges tightly. Repeat until all the filling is used.
In a large skillet, add oil, then place potstickers in the pan, not crowding. Turn on medium heat. Cook 2-3 minutes.
Once oil starts to crackle, pour in the water and immediately cover with a lid. Steam for 5 to 6 minutes until the wrappers are tender and the water has evaporated.
Remove the lid and allow the bottoms to crisp again for another minute before serving.
Mix all the dipping sauce ingredients and serve alongside the hot potstickers.
***
Original text here: https://www.nwtf.org/content-hub/wild-turkey-potstickers
Steel Manufacturers Association: Critical Industries Emphasize Urgency of Bipartisan American Affordability and Jobs Act
WASHINGTON, Nov. 8 (TNSida) -- The Steel Manufacturers Association issued the following news:
* * *
Critical Industries Emphasize Urgency of Bipartisan American Affordability and Jobs Act
November 6, 2026
WASHINGTON, D.C. - Today, the Steel Manufacturers Association joined other industry groups in urging Congressional leadership to swiftly pass the Bipartisan American Affordability and Jobs Act.
America's critical industries are essential to our national security, but we cannot defend our nation without the ability to build. Permitting reform is vital to our industrial base. This legislation ... Show Full Article WASHINGTON, Nov. 8 (TNSida) -- The Steel Manufacturers Association issued the following news: * * * Critical Industries Emphasize Urgency of Bipartisan American Affordability and Jobs Act November 6, 2026 WASHINGTON, D.C. - Today, the Steel Manufacturers Association joined other industry groups in urging Congressional leadership to swiftly pass the Bipartisan American Affordability and Jobs Act. America's critical industries are essential to our national security, but we cannot defend our nation without the ability to build. Permitting reform is vital to our industrial base. This legislationwould strengthen our nation for generations to come.
"Congress now has a rare bipartisan opportunity to deliver meaningful, durable reform. This legislation could be among the most consequential economic and national security measures Congress passes this decade. We urge you to seize this moment, move the Bipartisan American Affordability and Jobs Act swiftly, and send a final bill to the President's desk."
* * *
INFODOC: https://steelnet.org/wp-content/uploads/2026/11/permitting-letter.pdf
* * *
Original text here: https://steelnet.org/critical-industries-emphasize-urgency-of-bipartisan-american-affordability-and-jobs-act/
[Category: Steel]
* * *
Critical Industries Emphasize Urgency of Bipartisan American Affordability and Jobs Act
November 6, 2026
WASHINGTON, D.C. - Today, the Steel Manufacturers Association joined other industry groups in urging Congressional leadership to swiftly pass the Bipartisan American Affordability and Jobs Act.
America's critical industries are essential to our national security, but we cannot defend our nation without the ability to build. Permitting reform is vital to our industrial base. This legislation ... Show Full Article WASHINGTON, Nov. 8 (TNSida) -- The Steel Manufacturers Association issued the following news: * * * Critical Industries Emphasize Urgency of Bipartisan American Affordability and Jobs Act November 6, 2026 WASHINGTON, D.C. - Today, the Steel Manufacturers Association joined other industry groups in urging Congressional leadership to swiftly pass the Bipartisan American Affordability and Jobs Act. America's critical industries are essential to our national security, but we cannot defend our nation without the ability to build. Permitting reform is vital to our industrial base. This legislationwould strengthen our nation for generations to come.
"Congress now has a rare bipartisan opportunity to deliver meaningful, durable reform. This legislation could be among the most consequential economic and national security measures Congress passes this decade. We urge you to seize this moment, move the Bipartisan American Affordability and Jobs Act swiftly, and send a final bill to the President's desk."
* * *
INFODOC: https://steelnet.org/wp-content/uploads/2026/11/permitting-letter.pdf
* * *
Original text here: https://steelnet.org/critical-industries-emphasize-urgency-of-bipartisan-american-affordability-and-jobs-act/
[Category: Steel]
Novel pacemaker technique reduced cardiac events in people with a heart rhythm disorder
DALLAS, Texas, Nov. 8 [Category: Health Care] -- The American Heart Association posted the following news release:
* * *
Novel pacemaker technique reduced cardiac events in people with a heart rhythm disorder
*
Research Highlights:
* Left bundle branch pacing, a pacemaker technique that follows the heart's natural electrical pathway, led to better outcomes for people with an implanted pacemaker compared to those with pacemakers with right ventricular pacing, the standard treatment for people with atrioventricular block, a condition also known as heart block, which is a type of heart rhythm ... Show Full Article DALLAS, Texas, Nov. 8 [Category: Health Care] -- The American Heart Association posted the following news release: * * * Novel pacemaker technique reduced cardiac events in people with a heart rhythm disorder * Research Highlights: * Left bundle branch pacing, a pacemaker technique that follows the heart's natural electrical pathway, led to better outcomes for people with an implanted pacemaker compared to those with pacemakers with right ventricular pacing, the standard treatment for people with atrioventricular block, a condition also known as heart block, which is a type of heart rhythmdisorder.
* The international, multicenter, clinical OptimPacing trial with nearly 700 adults found that people with pacemakers using left bundle branch pacing had fewer deaths, hospitalizations for heart failure and incidences of pacing-induced cardiomyopathy (weakened heart muscle) compared to people with pacemakers using right ventricular pacing.
* During a planned interim analysis, left bundle branch pacing met the study's pre-established criteria for superiority over right ventricular pacing, leading an independent monitoring committee and the study's steering committee to recommend ending the trial early.
* Note: This trial is simultaneously published today as a full manuscript in the peer-reviewed scientific journal NEJM.
Embargoed until 3:30 p.m. CT/4:30 p.m. ET, Sunday, November 8, 2026
This news release contains updated information provided by the researchers and not listed in the abstract.
CHICAGO, Nov. 8, 2026 -- People with heart block, a type of heart rhythm disorder, had lower incidences of death, hospitalization for heart failure and pacing-induced cardiomyopathy when the pacemaker technique implemented was left bundle branch pacing rather than right ventricular pacing, according to independent, preliminary, late-breaking science presented today at the American Heart Association's Scientific Sessions 2026. The meeting on Nov. 6-9 in Chicago is a premier global exchange of the latest scientific advancements, research and evidence-based clinical practice updates in cardiovascular science.
Atrioventricular block, also known as heart block, is a condition in which electrical signals between the heart's upper chambers (atria) and lower chambers (ventricles) are delayed or interrupted. This can cause symptoms including a very slow heart rate (known as bradycardia), fatigue, dizziness, fainting, chest pain and, in severe cases, cardiac arrest.
The standard treatment for heart block is a pacemaker that sends electrical signals to the heart's right ventricle. The pacemaker technique that is the current standard of care for heart block is called right ventricular pacing, and it has been routinely used for decades to prevent bradycardia and cardiac arrest in people with atrioventricular block. Although it can keep the heart from beating too slowly, pacing only the right side can make the heart's lower chambers beat out of sync. Over time, this imbalance may enlarge or weaken the heart muscle (pacing-induced cardiomyopathy) and contribute to heart failure in some people.
A newer pacing technique called left bundle branch pacing sends the pacemaker signal into part of the heart's own electrical pathway. It mimics the heart's natural electrical activation sequence, which helps the lower chambers squeeze in a more coordinated pattern.
"Not all pacing options are the same, and people who need a pacemaker to keep their heart beating properly should talk with their healthcare team about which pacing approach is appropriate for their condition," said study author Jiangang Zou, M.D., Ph.D., a professor of cardiology at First Affiliated Hospital, Nanjing Medical University in Nanjing, China. "Our findings show that left bundle branch pacing helped the heart beat in a more natural way and was linked to fewer serious heart-related events than the standard pacing approach of right ventricular pacing."
The international, multicenter OptimPacing trial tracked nearly 700 men and women with atrioventricular block being treated with a pacemaker over a five-year period.
What are the study's key findings?
* Left bundle branch pacing was associated with a 59% lower risk of death, heart failure hospitalization or cardiomyopathy compared with outcomes in the right ventricular pacing group.
* At four years, an estimated 8.5% of participants in the left bundle branch pacing group had died, were hospitalized for heart failure or developed pacing-induced cardiomyopathy, compared with 19.2% in the right ventricular pacing group.
* No participants in the left bundle branch pacing group developed pacing-induced cardiomyopathy, compared with 11.7% in the right ventricular pacing group.
* Heart failure hospitalization occurred in 1.5% of the left bundle branch pacing group vs. 2.9% of the right ventricular pacing group.
* An independent data monitoring committee reviewed the results of the planned interim analysis after a median 3-year follow up, which found that the primary outcome of mortality, heart failure hospitalization and pacing-induced cardiomyopathy occurred in 8.5% of patients receiving left bundle branch pacing compared with 19.2% receiving right ventricular pacing. The committee recommended ending the trial early because left bundle branch pacing met the study's pre-established threshold for superiority.
"We expected that the group with left bundle branch pacing would do better than the group with right ventricular pacing. However, the difference between the two groups was greater than we expected. This study shows that left bundle branch pacing should be the first choice for patients with heart block who need a pacemaker," Zou said.
What are the study's details, background, design and limitations?
* The trial was conducted at 17 centers in mainland China, Hong Kong, the United Kingdom, Poland and the United States from June 2021 to January 2025.
* The trial included 685 adults with an average age of 68.4 years, and 57.5% were men. Participants had second-degree or complete atrioventricular block, or ongoing atrial fibrillation with an average heart rate below 50 beats per minute and related symptoms. Most of the participants had normal left ventricular ejection fraction (LVEF), a measure of the heart's pumping strength, at the start of the study.
* Half of the participants were randomly assigned to get pacemakers with left bundle branch pacing, and the other half received pacemakers with right ventricular pacing.
* Information was collected before the participants were assigned to left bundle branch pacing or right ventricular pacing, immediately after pacemaker implantation, at 6 and 12 months post-implantation, and then annually thereafter.
* Researchers tracked participants' deaths, heart failure hospitalizations, pacing-induced cardiomyopathy, other safety events, heart ultrasound results and pacemaker data.
* All major health events were independently reviewed and confirmed by a committee that did not know which treatment the patients received.
* The study had several limitations. The trial's early termination could potentially lead to an overestimation of the benefits of left bundle branch pacing and reduce the precision of estimates. Most participants started with normal heart pumping strength (normal ejection fraction), so the findings may not apply to people with already reduced heart function. All left bundle branch pacing procedures used the same type of lead, so it is not known whether the results apply to other pacing tools.
"Future research is needed to refine which pacing technique is most appropriate for which patients, compare different pacing approaches that follow the heart's natural electrical system, and examine long-term safety and cost-effectiveness to help inform updates to clinical guidelines," Zou said.
Co-authors and disclosures are listed in the abstract. The Project on New Technology of Jiangsu Province, Clinical Competence Improvement Project of Jiangsu Province Hospital, National Natural Science Foundation of China and 135 Project for Disciplines of Excellence-Clinical Research Incubation Project of West China Hospital funded the study.
Statements and conclusions of studies that are presented at the American Heart Association's scientific meetings are solely those of the study authors and do not necessarily reflect the Association's policy or position. The Association makes no representation or guarantee as to their accuracy or reliability. Abstracts presented at the Association's scientific meetings are not peer-reviewed, rather, they are curated by independent review panels and are considered based on the potential to add to the diversity of scientific issues and views discussed at the meeting. The findings are considered preliminary until published as a full manuscript in a peer-reviewed scientific journal.
The Association receives more than 85% of its revenue from sources other than corporations. These sources include contributions from individuals, foundations and estates, as well as investment earnings and revenue from the sale of our educational materials. Corporations (including pharmaceutical, device manufacturers and other companies) also make donations to the Association. The Association has strict policies to prevent any donations from influencing its science content and policy positions. Overall financial information is available here.
Additional Resources:
* Multimedia is available on the right column of the release link
* View the abstract in the American Heart Association Scientific Sessions 2026 Online Program Planner
* American Heart Association news release: Reconditioned pacemakers worked as well as new ones (Nov. 2024)
* American Heart Association news release: Lifestyle & risk factor changes improved AFib symptoms, not burden, over standard care (Nov. 2024)
* American Heart Association Scientific Statement: Periprocedural Management and Multidisciplinary Care Pathways for Patients With Cardiac Implantable Electronic Devices (July 2024)
* American Heart Association/American College of Cardiology Guideline news release: Early Rhythm Control, Lifestyle Modification and More Tailored Stroke Risk Assessment Are Top Goals in Managing Atrial Fibrillation (Nov. 2023)
* About Scientific Sessions 2026
* For more news at the American Heart Association's Scientific Sessions 2026, follow us on X @HeartNews, #ScientificSessions26
***
Original text here: https://newsroom.heart.org/news/novel-pacemaker-technique-reduced-cardiac-events-in-people-with-a-heart-rhythm-disorder
* * *
Novel pacemaker technique reduced cardiac events in people with a heart rhythm disorder
*
Research Highlights:
* Left bundle branch pacing, a pacemaker technique that follows the heart's natural electrical pathway, led to better outcomes for people with an implanted pacemaker compared to those with pacemakers with right ventricular pacing, the standard treatment for people with atrioventricular block, a condition also known as heart block, which is a type of heart rhythm ... Show Full Article DALLAS, Texas, Nov. 8 [Category: Health Care] -- The American Heart Association posted the following news release: * * * Novel pacemaker technique reduced cardiac events in people with a heart rhythm disorder * Research Highlights: * Left bundle branch pacing, a pacemaker technique that follows the heart's natural electrical pathway, led to better outcomes for people with an implanted pacemaker compared to those with pacemakers with right ventricular pacing, the standard treatment for people with atrioventricular block, a condition also known as heart block, which is a type of heart rhythmdisorder.
* The international, multicenter, clinical OptimPacing trial with nearly 700 adults found that people with pacemakers using left bundle branch pacing had fewer deaths, hospitalizations for heart failure and incidences of pacing-induced cardiomyopathy (weakened heart muscle) compared to people with pacemakers using right ventricular pacing.
* During a planned interim analysis, left bundle branch pacing met the study's pre-established criteria for superiority over right ventricular pacing, leading an independent monitoring committee and the study's steering committee to recommend ending the trial early.
* Note: This trial is simultaneously published today as a full manuscript in the peer-reviewed scientific journal NEJM.
Embargoed until 3:30 p.m. CT/4:30 p.m. ET, Sunday, November 8, 2026
This news release contains updated information provided by the researchers and not listed in the abstract.
CHICAGO, Nov. 8, 2026 -- People with heart block, a type of heart rhythm disorder, had lower incidences of death, hospitalization for heart failure and pacing-induced cardiomyopathy when the pacemaker technique implemented was left bundle branch pacing rather than right ventricular pacing, according to independent, preliminary, late-breaking science presented today at the American Heart Association's Scientific Sessions 2026. The meeting on Nov. 6-9 in Chicago is a premier global exchange of the latest scientific advancements, research and evidence-based clinical practice updates in cardiovascular science.
Atrioventricular block, also known as heart block, is a condition in which electrical signals between the heart's upper chambers (atria) and lower chambers (ventricles) are delayed or interrupted. This can cause symptoms including a very slow heart rate (known as bradycardia), fatigue, dizziness, fainting, chest pain and, in severe cases, cardiac arrest.
The standard treatment for heart block is a pacemaker that sends electrical signals to the heart's right ventricle. The pacemaker technique that is the current standard of care for heart block is called right ventricular pacing, and it has been routinely used for decades to prevent bradycardia and cardiac arrest in people with atrioventricular block. Although it can keep the heart from beating too slowly, pacing only the right side can make the heart's lower chambers beat out of sync. Over time, this imbalance may enlarge or weaken the heart muscle (pacing-induced cardiomyopathy) and contribute to heart failure in some people.
A newer pacing technique called left bundle branch pacing sends the pacemaker signal into part of the heart's own electrical pathway. It mimics the heart's natural electrical activation sequence, which helps the lower chambers squeeze in a more coordinated pattern.
"Not all pacing options are the same, and people who need a pacemaker to keep their heart beating properly should talk with their healthcare team about which pacing approach is appropriate for their condition," said study author Jiangang Zou, M.D., Ph.D., a professor of cardiology at First Affiliated Hospital, Nanjing Medical University in Nanjing, China. "Our findings show that left bundle branch pacing helped the heart beat in a more natural way and was linked to fewer serious heart-related events than the standard pacing approach of right ventricular pacing."
The international, multicenter OptimPacing trial tracked nearly 700 men and women with atrioventricular block being treated with a pacemaker over a five-year period.
What are the study's key findings?
* Left bundle branch pacing was associated with a 59% lower risk of death, heart failure hospitalization or cardiomyopathy compared with outcomes in the right ventricular pacing group.
* At four years, an estimated 8.5% of participants in the left bundle branch pacing group had died, were hospitalized for heart failure or developed pacing-induced cardiomyopathy, compared with 19.2% in the right ventricular pacing group.
* No participants in the left bundle branch pacing group developed pacing-induced cardiomyopathy, compared with 11.7% in the right ventricular pacing group.
* Heart failure hospitalization occurred in 1.5% of the left bundle branch pacing group vs. 2.9% of the right ventricular pacing group.
* An independent data monitoring committee reviewed the results of the planned interim analysis after a median 3-year follow up, which found that the primary outcome of mortality, heart failure hospitalization and pacing-induced cardiomyopathy occurred in 8.5% of patients receiving left bundle branch pacing compared with 19.2% receiving right ventricular pacing. The committee recommended ending the trial early because left bundle branch pacing met the study's pre-established threshold for superiority.
"We expected that the group with left bundle branch pacing would do better than the group with right ventricular pacing. However, the difference between the two groups was greater than we expected. This study shows that left bundle branch pacing should be the first choice for patients with heart block who need a pacemaker," Zou said.
What are the study's details, background, design and limitations?
* The trial was conducted at 17 centers in mainland China, Hong Kong, the United Kingdom, Poland and the United States from June 2021 to January 2025.
* The trial included 685 adults with an average age of 68.4 years, and 57.5% were men. Participants had second-degree or complete atrioventricular block, or ongoing atrial fibrillation with an average heart rate below 50 beats per minute and related symptoms. Most of the participants had normal left ventricular ejection fraction (LVEF), a measure of the heart's pumping strength, at the start of the study.
* Half of the participants were randomly assigned to get pacemakers with left bundle branch pacing, and the other half received pacemakers with right ventricular pacing.
* Information was collected before the participants were assigned to left bundle branch pacing or right ventricular pacing, immediately after pacemaker implantation, at 6 and 12 months post-implantation, and then annually thereafter.
* Researchers tracked participants' deaths, heart failure hospitalizations, pacing-induced cardiomyopathy, other safety events, heart ultrasound results and pacemaker data.
* All major health events were independently reviewed and confirmed by a committee that did not know which treatment the patients received.
* The study had several limitations. The trial's early termination could potentially lead to an overestimation of the benefits of left bundle branch pacing and reduce the precision of estimates. Most participants started with normal heart pumping strength (normal ejection fraction), so the findings may not apply to people with already reduced heart function. All left bundle branch pacing procedures used the same type of lead, so it is not known whether the results apply to other pacing tools.
"Future research is needed to refine which pacing technique is most appropriate for which patients, compare different pacing approaches that follow the heart's natural electrical system, and examine long-term safety and cost-effectiveness to help inform updates to clinical guidelines," Zou said.
Co-authors and disclosures are listed in the abstract. The Project on New Technology of Jiangsu Province, Clinical Competence Improvement Project of Jiangsu Province Hospital, National Natural Science Foundation of China and 135 Project for Disciplines of Excellence-Clinical Research Incubation Project of West China Hospital funded the study.
Statements and conclusions of studies that are presented at the American Heart Association's scientific meetings are solely those of the study authors and do not necessarily reflect the Association's policy or position. The Association makes no representation or guarantee as to their accuracy or reliability. Abstracts presented at the Association's scientific meetings are not peer-reviewed, rather, they are curated by independent review panels and are considered based on the potential to add to the diversity of scientific issues and views discussed at the meeting. The findings are considered preliminary until published as a full manuscript in a peer-reviewed scientific journal.
The Association receives more than 85% of its revenue from sources other than corporations. These sources include contributions from individuals, foundations and estates, as well as investment earnings and revenue from the sale of our educational materials. Corporations (including pharmaceutical, device manufacturers and other companies) also make donations to the Association. The Association has strict policies to prevent any donations from influencing its science content and policy positions. Overall financial information is available here.
Additional Resources:
* Multimedia is available on the right column of the release link
* View the abstract in the American Heart Association Scientific Sessions 2026 Online Program Planner
* American Heart Association news release: Reconditioned pacemakers worked as well as new ones (Nov. 2024)
* American Heart Association news release: Lifestyle & risk factor changes improved AFib symptoms, not burden, over standard care (Nov. 2024)
* American Heart Association Scientific Statement: Periprocedural Management and Multidisciplinary Care Pathways for Patients With Cardiac Implantable Electronic Devices (July 2024)
* American Heart Association/American College of Cardiology Guideline news release: Early Rhythm Control, Lifestyle Modification and More Tailored Stroke Risk Assessment Are Top Goals in Managing Atrial Fibrillation (Nov. 2023)
* About Scientific Sessions 2026
* For more news at the American Heart Association's Scientific Sessions 2026, follow us on X @HeartNews, #ScientificSessions26
***
Original text here: https://newsroom.heart.org/news/novel-pacemaker-technique-reduced-cardiac-events-in-people-with-a-heart-rhythm-disorder
New national initiative will advance science, deepen understanding of heart-brain connection
DALLAS, Texas, Nov. 8 [Category: Health Care] -- The American Heart Association posted the following news release:
* * *
New national initiative will advance science, deepen understanding of heart-brain connection
*
DALLAS, Nov. 8, 2026 -- With growing scientific evidence underscoring the close connection between heart and brain health, the American Heart Association Center for the Brain(tm) is being established to advance science, deepen understanding and help people live longer, healthier lives.
The American Heart Association, a relentless force changing the future of health for everyone ... Show Full Article DALLAS, Texas, Nov. 8 [Category: Health Care] -- The American Heart Association posted the following news release: * * * New national initiative will advance science, deepen understanding of heart-brain connection * DALLAS, Nov. 8, 2026 -- With growing scientific evidence underscoring the close connection between heart and brain health, the American Heart Association Center for the Brain(tm) is being established to advance science, deepen understanding and help people live longer, healthier lives. The American Heart Association, a relentless force changing the future of health for everyoneeverywhere, is expanding its focus on brain health as an important part of overall wellness and longevity. This includes a growing emphasis on opportunities for prevention at every age and stage of life.
Brain health shapes how people think, move and function throughout their lives. Many of the factors that affect the heart also affect the brain, including high blood pressure, high cholesterol, diabetes, obesity and smoking. Managing these risk factors and following healthy lifestyle behaviors, including those outlined in the American Heart Association Life's Essential 8(tm), can support brain health and healthier aging.
"Heart health and brain health cannot be viewed in isolation. They are deeply connected throughout our lives," said Nancy Brown, chief executive officer of the American Heart Association. "Building on the extraordinary body of knowledge and innovative science generated through the American Stroke Association since 1998, the Center for the Brain will bring together researchers, healthcare professionals, policymakers, advocates and communities to deepen our understanding of the heart-brain connection and turn that knowledge into action, helping people maximize their brain health throughout their lives."
The announcement comes as the evidence-based understanding of brain health continues to evolve. To date, the Heart Association has awarded nearly $800 million to support scientific research related to the brain and stroke.
"We are at an inflection point in brain science," said Mitch Elkind, M.D., M.S., FAHA, chief science officer for brain health and stroke of the American Heart Association. "Advances in research are creating new opportunities to protect brain health and prevent disease earlier. Through the Center, we can harness the American Heart Association's experience in science, guidelines and systems of care to create a more integrated approach to all aspects of brain health across the lifespan."
Since the American Heart Association's founding in 1924, death rates from cardiovascular disease have been reduced by half and deaths from stroke decreased by one-third.
"This progress shows what's possible, and we're excited about what comes next," Brown said. "We are committed to creating a future where more people can enjoy healthier hearts and healthier brains as we continue to advance health and hope for everyone, everywhere."
Find resources to help protect brain health throughout life at Heart.org.
***
Original text here: https://newsroom.heart.org/news/new-national-initiative-will-advance-science-deepen-understanding-of-heart-brain-connection
* * *
New national initiative will advance science, deepen understanding of heart-brain connection
*
DALLAS, Nov. 8, 2026 -- With growing scientific evidence underscoring the close connection between heart and brain health, the American Heart Association Center for the Brain(tm) is being established to advance science, deepen understanding and help people live longer, healthier lives.
The American Heart Association, a relentless force changing the future of health for everyone ... Show Full Article DALLAS, Texas, Nov. 8 [Category: Health Care] -- The American Heart Association posted the following news release: * * * New national initiative will advance science, deepen understanding of heart-brain connection * DALLAS, Nov. 8, 2026 -- With growing scientific evidence underscoring the close connection between heart and brain health, the American Heart Association Center for the Brain(tm) is being established to advance science, deepen understanding and help people live longer, healthier lives. The American Heart Association, a relentless force changing the future of health for everyoneeverywhere, is expanding its focus on brain health as an important part of overall wellness and longevity. This includes a growing emphasis on opportunities for prevention at every age and stage of life.
Brain health shapes how people think, move and function throughout their lives. Many of the factors that affect the heart also affect the brain, including high blood pressure, high cholesterol, diabetes, obesity and smoking. Managing these risk factors and following healthy lifestyle behaviors, including those outlined in the American Heart Association Life's Essential 8(tm), can support brain health and healthier aging.
"Heart health and brain health cannot be viewed in isolation. They are deeply connected throughout our lives," said Nancy Brown, chief executive officer of the American Heart Association. "Building on the extraordinary body of knowledge and innovative science generated through the American Stroke Association since 1998, the Center for the Brain will bring together researchers, healthcare professionals, policymakers, advocates and communities to deepen our understanding of the heart-brain connection and turn that knowledge into action, helping people maximize their brain health throughout their lives."
The announcement comes as the evidence-based understanding of brain health continues to evolve. To date, the Heart Association has awarded nearly $800 million to support scientific research related to the brain and stroke.
"We are at an inflection point in brain science," said Mitch Elkind, M.D., M.S., FAHA, chief science officer for brain health and stroke of the American Heart Association. "Advances in research are creating new opportunities to protect brain health and prevent disease earlier. Through the Center, we can harness the American Heart Association's experience in science, guidelines and systems of care to create a more integrated approach to all aspects of brain health across the lifespan."
Since the American Heart Association's founding in 1924, death rates from cardiovascular disease have been reduced by half and deaths from stroke decreased by one-third.
"This progress shows what's possible, and we're excited about what comes next," Brown said. "We are committed to creating a future where more people can enjoy healthier hearts and healthier brains as we continue to advance health and hope for everyone, everywhere."
Find resources to help protect brain health throughout life at Heart.org.
***
Original text here: https://newsroom.heart.org/news/new-national-initiative-will-advance-science-deepen-understanding-of-heart-brain-connection
National Association of REALTORS(r) Announces Approval of Four MLS Policy Recommendations at NAR NXT(tm) 2026
WASHINGTON, Nov. 8 [Category: Real Estate] -- The National Association of Realtors issued the following news release:
* * *
National Association of REALTORS(r) Announces Approval of Four MLS Policy Recommendations at NAR NXT(tm) 2026
*
Chicago, November 8, 2026 -- The National Association of REALTORS(r)' (NAR's) Multiple Listing Issues and Policies Committee today proposed four MLS policy recommendations which were considered and adopted at NAR NXT(tm) 2026. These changes reflect NAR's broader commitment under the 2026-2028 Strategic Plan to modernize MLS policies and better serve members, ... Show Full Article WASHINGTON, Nov. 8 [Category: Real Estate] -- The National Association of Realtors issued the following news release: * * * National Association of REALTORS(r) Announces Approval of Four MLS Policy Recommendations at NAR NXT(tm) 2026 * Chicago, November 8, 2026 -- The National Association of REALTORS(r)' (NAR's) Multiple Listing Issues and Policies Committee today proposed four MLS policy recommendations which were considered and adopted at NAR NXT(tm) 2026. These changes reflect NAR's broader commitment under the 2026-2028 Strategic Plan to modernize MLS policies and better serve members,consumers, brokers, and the industry.
The four policies focus on strengthening copyright protections for MLS listing content, providing MLSs with greater flexibility to establish local data feed requirements, clarifying permitted uses of MLS data, and updating qualifications for service on NAR's MLS Committee.
The approved recommendations include:
Revision to MLS Policy Statement 7.85 and introduces a new optional MLS policy - Copyright Protection of MLS Data:
* Introduces a new optional policy allowing MLSs the discretion to require up to a 50% copyright interest in certain listing content to strengthen copyright enforcement, subject to quarterly copyright registration requirements. MLSs must provide Participants with the right to opt-out of assigning a copyright interest to the MLS. Brokers retain the right to independently use and license their own listing content.
Establishes an optional MLS Policy about MLS Data Feed Services:
* Provides MLSs with greater flexibility to establish local eligibility and licensing requirements for data feeds, provided they are reasonable, objective, and applied equally to all participants. Participants retain access to MLS listing information and data feeds of their own listings.
Establishes a new MLS Policy Statement:
* Reinforces the fact that the use of MLS data must comply with applicable MLS participation or data licensing agreements and be connected to providing real estate brokerage services, preparing appraisals, or other valuations of real property, helping address concerns around unauthorized use of MLS content.
MLS Committee Qualifications:
* Updates the qualification criteria for service on NAR's MLS Committee to better reflect today's MLS environment and ensure the committee continues to benefit from relevant industry expertise and perspectives.
"These updates reflect our commitment to ensuring MLS policies remain relevant, effective, and responsive to the needs of today's real estate industry," said Nykia Wright, CEO of NAR. "In line with our 2026-2028 Strategic Plan and significant member feedback, we will continue working collaboratively with MLSs, brokers, members, and other industry partners to support a clear understanding and implementation of these changes."
The National Association of REALTORS(r) is involved in all aspects of residential and commercial real estate. The term REALTOR(r) is a registered collective membership mark that identifies a real estate professional who is a member of the National Association of REALTORS(r) and subscribes to its strict Code of Ethics. For free consumer guides about navigating the homebuying and selling transaction processes--from written buyer agreements to negotiating compensation--visit facts.realtor.
***
Original text here: https://www.nar.realtor/newsroom/national-association-of-realtors-announces-approval-of-four-mls-policy-recommendations-at-nar-nxt
* * *
National Association of REALTORS(r) Announces Approval of Four MLS Policy Recommendations at NAR NXT(tm) 2026
*
Chicago, November 8, 2026 -- The National Association of REALTORS(r)' (NAR's) Multiple Listing Issues and Policies Committee today proposed four MLS policy recommendations which were considered and adopted at NAR NXT(tm) 2026. These changes reflect NAR's broader commitment under the 2026-2028 Strategic Plan to modernize MLS policies and better serve members, ... Show Full Article WASHINGTON, Nov. 8 [Category: Real Estate] -- The National Association of Realtors issued the following news release: * * * National Association of REALTORS(r) Announces Approval of Four MLS Policy Recommendations at NAR NXT(tm) 2026 * Chicago, November 8, 2026 -- The National Association of REALTORS(r)' (NAR's) Multiple Listing Issues and Policies Committee today proposed four MLS policy recommendations which were considered and adopted at NAR NXT(tm) 2026. These changes reflect NAR's broader commitment under the 2026-2028 Strategic Plan to modernize MLS policies and better serve members,consumers, brokers, and the industry.
The four policies focus on strengthening copyright protections for MLS listing content, providing MLSs with greater flexibility to establish local data feed requirements, clarifying permitted uses of MLS data, and updating qualifications for service on NAR's MLS Committee.
The approved recommendations include:
Revision to MLS Policy Statement 7.85 and introduces a new optional MLS policy - Copyright Protection of MLS Data:
* Introduces a new optional policy allowing MLSs the discretion to require up to a 50% copyright interest in certain listing content to strengthen copyright enforcement, subject to quarterly copyright registration requirements. MLSs must provide Participants with the right to opt-out of assigning a copyright interest to the MLS. Brokers retain the right to independently use and license their own listing content.
Establishes an optional MLS Policy about MLS Data Feed Services:
* Provides MLSs with greater flexibility to establish local eligibility and licensing requirements for data feeds, provided they are reasonable, objective, and applied equally to all participants. Participants retain access to MLS listing information and data feeds of their own listings.
Establishes a new MLS Policy Statement:
* Reinforces the fact that the use of MLS data must comply with applicable MLS participation or data licensing agreements and be connected to providing real estate brokerage services, preparing appraisals, or other valuations of real property, helping address concerns around unauthorized use of MLS content.
MLS Committee Qualifications:
* Updates the qualification criteria for service on NAR's MLS Committee to better reflect today's MLS environment and ensure the committee continues to benefit from relevant industry expertise and perspectives.
"These updates reflect our commitment to ensuring MLS policies remain relevant, effective, and responsive to the needs of today's real estate industry," said Nykia Wright, CEO of NAR. "In line with our 2026-2028 Strategic Plan and significant member feedback, we will continue working collaboratively with MLSs, brokers, members, and other industry partners to support a clear understanding and implementation of these changes."
The National Association of REALTORS(r) is involved in all aspects of residential and commercial real estate. The term REALTOR(r) is a registered collective membership mark that identifies a real estate professional who is a member of the National Association of REALTORS(r) and subscribes to its strict Code of Ethics. For free consumer guides about navigating the homebuying and selling transaction processes--from written buyer agreements to negotiating compensation--visit facts.realtor.
***
Original text here: https://www.nar.realtor/newsroom/national-association-of-realtors-announces-approval-of-four-mls-policy-recommendations-at-nar-nxt
Do Hens Have Regional Accents?
EDGEFIELD, South Carolina, Nov. 8 -- The National Wild Turkey Federation posted the following news release:
[Category: Animals]
* * *
Do Hens Have Regional Accents?
*
Hunters who head west often notice that Rio Grande and Merriam's hens sound somewhat different than their Eastern cousins. Likewise, folks who hunt east of the Mississippi for the first time might be taken aback by the sound of an Eastern or Osceola.
The contrast prompts a couple of questions: Do turkeys in various regions have different voices or accents? And if so, how should that affect your calling?
Spoiler: Yes, the voices ... Show Full Article EDGEFIELD, South Carolina, Nov. 8 -- The National Wild Turkey Federation posted the following news release: [Category: Animals] * * * Do Hens Have Regional Accents? * Hunters who head west often notice that Rio Grande and Merriam's hens sound somewhat different than their Eastern cousins. Likewise, folks who hunt east of the Mississippi for the first time might be taken aback by the sound of an Eastern or Osceola. The contrast prompts a couple of questions: Do turkeys in various regions have different voices or accents? And if so, how should that affect your calling? Spoiler: Yes, the voicesof turkeys vary regionally. But according to turkey calling guru Denny Gulvas, that doesn't make much of a difference for hunters.
"Definitely, they have different sounds somewhat," said Gulvas, the 1983 NWTF Grand Nationals Senior champion and a 2020 inductee into the GNCC Hall of Fame, who has recorded and studied turkey behavior and vocabulary for 47 years. "In fact, turkeys in certain areas might even sound a little different than birds in another flock 30 miles away. It makes sense. In a specific area, some of those hens are somewhat related. I talk like my brother. My sons talk like me. It's the same thing with turkeys. If they're somewhat related, you might get more higherpitched hens in one spot or throatier hens and more flat yelps at another. But they're all turkeys. And none of it really matters in hunting, because a turkey is a turkey."
That might seem somewhat counterintuitive. After all, hunters are often encouraged to mimic real hens when calling to a gobbler. However, Gulvas said the key lies deeper than merely adopting a particular regional trait in your calling.
"What I have found is that turkeys in an area know each other by their voices and by sight, too," he said. "Gobblers know each other. Hens know each other. Gobblers know the hens. Listening to them, they're able to pick out certain hens in an area right away. It's little things in their voices, just like with a person. I'm able to recognize them, so I know that turkeys can, too."
So naturally, mimicking specific hens might be advantageous. But it goes further. Gulvas said you must first listen to a hen's calling and try to mimic her inflection and emotion along with her vocal traits.
"Even in the woods, I have to turn on the sounds of a real hen and listen at least 30 seconds until I'm in the groove, so to speak," he said. "If I call before I start listening to real hens, it's OK. But when I listen to one for 30 seconds to a minute, it's amazing how they will guide you."
Gulvas pointed to videos that show hunters calling back and forth with real hens. Their calling typically changes immediately after they begin imitating the live bird.
"The calling completely becomes more realistic because you're following her," he said. "When you first start, it's foreign. But when you're following them, you get far more real."
Listening to and following real turkeys also helps hunters avoid the trap of mimicking another human caller, Gulvas said.
"Hens often come in with a single yelp or a couple of them," he said. "You can actually hear the questioning in that yelp -- the inflection in their voice. People do that, and turkeys talk the same way. They change their pitches. There's no way you could learn that from another guy. That's the beauty of listening to real turkeys."
Ultimately, Gulvas said, hunters don't need to be perfect when calling. In fact, humans will likely never completely master the voices of wild turkeys or their regional "accents." However, every bit of realism you can inject into your yelping will help afield.
"When you learn that and can take it into the woods with you on every occasion, it's razor's-edge stuff," he said. "When you get it, it's amazing."
***
Original text here: https://www.nwtf.org/content-hub/do-hens-have-regional-accents
[Category: Animals]
* * *
Do Hens Have Regional Accents?
*
Hunters who head west often notice that Rio Grande and Merriam's hens sound somewhat different than their Eastern cousins. Likewise, folks who hunt east of the Mississippi for the first time might be taken aback by the sound of an Eastern or Osceola.
The contrast prompts a couple of questions: Do turkeys in various regions have different voices or accents? And if so, how should that affect your calling?
Spoiler: Yes, the voices ... Show Full Article EDGEFIELD, South Carolina, Nov. 8 -- The National Wild Turkey Federation posted the following news release: [Category: Animals] * * * Do Hens Have Regional Accents? * Hunters who head west often notice that Rio Grande and Merriam's hens sound somewhat different than their Eastern cousins. Likewise, folks who hunt east of the Mississippi for the first time might be taken aback by the sound of an Eastern or Osceola. The contrast prompts a couple of questions: Do turkeys in various regions have different voices or accents? And if so, how should that affect your calling? Spoiler: Yes, the voicesof turkeys vary regionally. But according to turkey calling guru Denny Gulvas, that doesn't make much of a difference for hunters.
"Definitely, they have different sounds somewhat," said Gulvas, the 1983 NWTF Grand Nationals Senior champion and a 2020 inductee into the GNCC Hall of Fame, who has recorded and studied turkey behavior and vocabulary for 47 years. "In fact, turkeys in certain areas might even sound a little different than birds in another flock 30 miles away. It makes sense. In a specific area, some of those hens are somewhat related. I talk like my brother. My sons talk like me. It's the same thing with turkeys. If they're somewhat related, you might get more higherpitched hens in one spot or throatier hens and more flat yelps at another. But they're all turkeys. And none of it really matters in hunting, because a turkey is a turkey."
That might seem somewhat counterintuitive. After all, hunters are often encouraged to mimic real hens when calling to a gobbler. However, Gulvas said the key lies deeper than merely adopting a particular regional trait in your calling.
"What I have found is that turkeys in an area know each other by their voices and by sight, too," he said. "Gobblers know each other. Hens know each other. Gobblers know the hens. Listening to them, they're able to pick out certain hens in an area right away. It's little things in their voices, just like with a person. I'm able to recognize them, so I know that turkeys can, too."
So naturally, mimicking specific hens might be advantageous. But it goes further. Gulvas said you must first listen to a hen's calling and try to mimic her inflection and emotion along with her vocal traits.
"Even in the woods, I have to turn on the sounds of a real hen and listen at least 30 seconds until I'm in the groove, so to speak," he said. "If I call before I start listening to real hens, it's OK. But when I listen to one for 30 seconds to a minute, it's amazing how they will guide you."
Gulvas pointed to videos that show hunters calling back and forth with real hens. Their calling typically changes immediately after they begin imitating the live bird.
"The calling completely becomes more realistic because you're following her," he said. "When you first start, it's foreign. But when you're following them, you get far more real."
Listening to and following real turkeys also helps hunters avoid the trap of mimicking another human caller, Gulvas said.
"Hens often come in with a single yelp or a couple of them," he said. "You can actually hear the questioning in that yelp -- the inflection in their voice. People do that, and turkeys talk the same way. They change their pitches. There's no way you could learn that from another guy. That's the beauty of listening to real turkeys."
Ultimately, Gulvas said, hunters don't need to be perfect when calling. In fact, humans will likely never completely master the voices of wild turkeys or their regional "accents." However, every bit of realism you can inject into your yelping will help afield.
"When you learn that and can take it into the woods with you on every occasion, it's razor's-edge stuff," he said. "When you get it, it's amazing."
***
Original text here: https://www.nwtf.org/content-hub/do-hens-have-regional-accents
Community CPR and EMS intervention program did not increase survival after cardiac arrest
DALLAS, Texas, Nov. 8 [Category: Health Care] -- The American Heart Association posted the following news release:
* * *
Community CPR and EMS intervention program did not increase survival after cardiac arrest
*
Research Highlights:
* A five-year, randomized controlled trial of 60 counties in North Carolina (representing a population of over 8.5 million people) found that a comprehensive emergency medical services (EMS) and community-based cardiac arrest educational intervention did not significantly improve survival to hospital discharge with good brain function for adults who experienced ... Show Full Article DALLAS, Texas, Nov. 8 [Category: Health Care] -- The American Heart Association posted the following news release: * * * Community CPR and EMS intervention program did not increase survival after cardiac arrest * Research Highlights: * A five-year, randomized controlled trial of 60 counties in North Carolina (representing a population of over 8.5 million people) found that a comprehensive emergency medical services (EMS) and community-based cardiac arrest educational intervention did not significantly improve survival to hospital discharge with good brain function for adults who experiencedcardiac arrest outside of a hospital.
* The trial of the RACE-CARS intervention program did not improve overall rates of bystander CPR or defibrillation for people who experienced out-of-hospital cardiac arrest.
* Notably, an exploratory analysis found that during the final year of the study, people who experienced out-of-hospital cardiac arrest in communities with the education program had 33% higher odds of receiving bystander CPR than those in communities that were not part of the intervention program, showing that longer-term community CPR education initiatives appear to improve bystander response and warrant further study.
* Note: This trial is simultaneously published today as a full manuscript in the peer-reviewed scientific journal NEJM.
Embargoed until 4:15 p.m. CT/5:15 p.m. ET, Sunday, November 8, 2026
This news release contains updated information provided by the researchers and not listed in the abstract.
CHICAGO, Nov. 8, 2026 -- A comprehensive EMS and community-based educational intervention in North Carolina focused on recognizing out-of-hospital cardiac arrest and actions needed quickly to increase bystander CPR and use of an automated external defibrillator (AED) did not significantly improve patient survival with favorable brain function, according to new, independent, preliminary, late-breaking science presented today at the American Heart Association's Scientific Sessions 2026. The meeting, on Nov. 6-9 in Chicago, is a premier global exchange of the latest scientific advancements, research and evidence-based clinical practice updates in cardiovascular science.
"Your chance of survival while waiting for emergency medical services during a cardiac arrest decreases by 10% every minute without CPR," said study author Carolina Malta Hansen, M.D., Ph.D., a cardiologist and clinical research associate professor at Herlev and Gentofte Hospital and Copenhagen EMS in Denmark. "The RACE-CARS trial was an ambitious effort to improve cardiac arrest outcomes across entire communities, including rural areas where emergency care often relies on volunteer-first responders."
The five-year trial included 60 counties in North Carolina that were randomly assigned to receive the cardiac arrest educational intervention or continue their existing cardiac arrest response practices. Researchers implemented a series of efforts aimed to improve early care and outcomes for people who experienced out-of-hospital cardiac arrest. The intervention program included community-wide CPR education and training, and an EMS component that included training 9-1-1 dispatchers to quickly recognize cardiac arrest and guide callers through CPR, as well as enhanced first-responder efforts, including increased use of defibrillation before EMS arrival. The training was free and incorporated into schools, workplaces, county government and other community organizations.
What are the study's key findings?
* Cardiac arrests: Over the five-year study period, 11,615 people experienced out-of-hospital cardiac arrest in communities that received the educational intervention, and 10,844 people had cardiac arrest outside of a hospital in communities that did not receive the intervention.
* Survival: About 9% of patients who experienced out-of-hospital cardiac arrest in communities that were part of the intervention program survived to leave the hospital with favorable brain function, compared with 9.4% in communities that were not part of the intervention program.
* Bystander CPR: Bystanders performed CPR in 44.8% of cardiac arrests in communities that received the educational intervention, compared with 42.3% in communities that did not. Notably: during the last year of the study, people who experienced out-of-hospital cardiac arrest in communities that were part of the program had 33% higher odds of receiving CPR from a bystander than those in communities that were not.
* Early defibrillation: Defibrillation occurred before emergency medical services (EMS) arrived in 13.5% of cardiac arrests in communities that received the educational intervention, compared with 15.3% of the communities in the study that did not. Of the 31 counties that received a total of 405 trial-provided defibrillators, 26 counties (87%) deployed the devices; 19 (63%) placed defibrillators in publicly accessible locations; and 18 (60%) deployed defibrillators with first responders, including fire departments and law-enforcement agencies.
* Community participation: Community partners conducted 5,724 CPR training events, reaching 201,586 people, or 4.8% of residents in communities that were included in the educational intervention. Participation in the CPR training programs varied considerably, with four counties reaching more than 10% of residents and eight reaching fewer than 3%. Most counties also established systematic training of employees at workplaces such as county government, schools and large businesses.
Christopher Granger, M.D., FAHA, the trial principal investigator and a cardiologist and professor at Duke University in North Carolina, said, "The increase in bystander CPR toward the end of the study shows there was some effect and suggests that a sustained community outreach may be needed to show an improvement in survival. We have established an efficient, high-quality clinical trial network to continue this work."
"Changing how an entire community responds to cardiac arrest takes time, and our findings show just how challenging that can be. In the meantime, the message to the public remains simple: learn CPR, recognize the signs of cardiac arrest, call 9-1-1 immediately and follow the dispatcher's instructions. Everyone has the potential to save a life," said Hansen.
According to the American Heart Association's 2026 Heart Disease and Stroke Statistics, approximately 350,000 people in the U.S. experience cardiac arrest outside a hospital each year, and only about 1 in 10 survive. Immediate CPR can double or triple a person's chance of survival. The Association's comprehensive 2025 Guideline for CPR and emergency cardiovascular care emphasizes the importance of quickly recognizing cardiac arrest, calling 9-1-1, starting CPR and using an AED, a portable device that can help to restore a normal heart rhythm by delivering an electric shock through the chest, when available. However, only about 40% of people who experience out-of-hospital cardiac arrest receive bystander CPR, and only 10% have an AED applied by a bystander before emergency medical services (EMS) arrives, according to the Heart Association's AED Fact Sheet.
What are the study's details, background, design and limitations?
* The study was conducted from July 1, 2021, through June 30, 2026, in 60 counties throughout North Carolina, including urban and rural communities. The counties represented approximately 8.5 million residents, or nearly 80% of the state's population.
* Researchers randomly assigned 31 of the counties to receive a comprehensive, community-based cardiac arrest response education program. The other 29 counties continued their own efforts and response to cardiac arrest without the education program from the RACE-CARS team.
* The study included 22,459 adults ages 18 and older who experienced cardiac arrest outside of a hospital in all 60 counties over the five-year study period. The median age of cardiac arrest patients was 64 years; 37% were women, 33% were Black adults, and 29% lived in rural areas. Researchers excluded cardiac arrests witnessed by EMS personnel or occurring in hospitals, nursing homes or other healthcare facilities.
* Researchers used the Cardiac Arrest Registry to Enhance Survival (CARES), a national database that includes data from 9-1-1, EMS and hospitals, to collect data and to evaluate whether patients survived to leave the hospital with favorable brain function, whether bystanders performed CPR and whether defibrillation occurred before EMS arrived. Local leaders, such as county commissioners and church leaders, were recruited to promote community efforts. Surveys were completed every six months to report on community CPR training, AED deployment and other aspects of how the education program was implemented.
* Study limitations included differences in how extensively counties implemented the intervention program and reliance on self-reported information to assess 9-1-1 training, CPR training and first responder engagement. Staffing shortages and turnover at 9-1-1 centers created challenges for training and data collection. The COVID-19 pandemic and Hurricane Helene, which severely affected western North Carolina, also created operational challenges for the program.
A key strength of the study was its size, inclusiveness of the entire eligible population and the inclusion of both urban and rural communities, allowing researchers to evaluate the program across a broad range of typical emergency response settings. Hansen also emphasized the value of collaboration among local governments, community organizations, 9-1-1 centers and first responders. She stressed that CPR education should be widely accessible through schools, workplaces and other community settings, and that strong first-responder programs are especially important in rural areas where EMS response times may be longer. Researchers suggested that reaching more people with CPR education and sustaining these efforts over time may be necessary to achieve changes in community response that could improve survival.
Through its Nation of Lifesavers initiative, the American Heart Association aims to double survival rates from sudden cardiac arrest by 2030 by expanding CPR education and training and helping more people recognize and respond to cardiac emergencies. The Nation of Lifesavers movement has already increased U.S. bystander CPR confidence from 33% to 39% since it launched in 2023, representing 17.7 million more people ready to act in a cardiac emergency.
Co-authors and disclosures are listed in the abstract. The study was funded by the National Institutes of Health and National Heart, Lung, and Blood Institute, a division of the National Institutes of Health.
Statements and conclusions of studies that are presented at the American Heart Association's scientific meetings are solely those of the study authors and do not necessarily reflect the Association's policy or position. The Association makes no representation or guarantee as to their accuracy or reliability. Abstracts presented at the Association's scientific meetings are not peer-reviewed, rather, they are curated by independent review panels and are considered based on the potential to add to the diversity of scientific issues and views discussed at the meeting. The findings are considered preliminary until published as a full manuscript in a peer-reviewed scientific journal.
The Association receives more than 85% of its revenue from sources other than corporations. These sources include contributions from individuals, foundations and estates, as well as investment earnings and revenue from the sale of our educational materials. Corporations (including pharmaceutical, device manufacturers and other companies) also make donations to the Association. The Association has strict policies to prevent any donations from influencing its science content and policy positions. Overall financial information is available here.
Additional Resources:
* Multimedia is available on the right column of the release link
* View the abstract in the American Heart Association Scientific Sessions 2026 Online Program Planner
* American Heart Association news release: Quick CPR from lay rescuers can nearly double survival for children after cardiac arrest (Nov. 2025)
* American Heart Association news release: Bystander CPR up to 10 minutes after cardiac arrest may protect brain function (Nov. 2024)
* American Heart Association health information: Cardiac Arrest
* American Heart Association health information: Hands-Only CPR Resources
* American Heart Association health information: AED Implementation
* American Heart Association health initiative: Nation of Lifesavers
* About Scientific Sessions 2026
* For more news at the American Heart Association's Scientific Sessions 2026, follow us on X @HeartNews, #ScientificSessions26
***
Original text here: https://newsroom.heart.org/news/community-cpr-and-ems-intervention-program-did-not-increase-survival-after-cardiac-arrest
* * *
Community CPR and EMS intervention program did not increase survival after cardiac arrest
*
Research Highlights:
* A five-year, randomized controlled trial of 60 counties in North Carolina (representing a population of over 8.5 million people) found that a comprehensive emergency medical services (EMS) and community-based cardiac arrest educational intervention did not significantly improve survival to hospital discharge with good brain function for adults who experienced ... Show Full Article DALLAS, Texas, Nov. 8 [Category: Health Care] -- The American Heart Association posted the following news release: * * * Community CPR and EMS intervention program did not increase survival after cardiac arrest * Research Highlights: * A five-year, randomized controlled trial of 60 counties in North Carolina (representing a population of over 8.5 million people) found that a comprehensive emergency medical services (EMS) and community-based cardiac arrest educational intervention did not significantly improve survival to hospital discharge with good brain function for adults who experiencedcardiac arrest outside of a hospital.
* The trial of the RACE-CARS intervention program did not improve overall rates of bystander CPR or defibrillation for people who experienced out-of-hospital cardiac arrest.
* Notably, an exploratory analysis found that during the final year of the study, people who experienced out-of-hospital cardiac arrest in communities with the education program had 33% higher odds of receiving bystander CPR than those in communities that were not part of the intervention program, showing that longer-term community CPR education initiatives appear to improve bystander response and warrant further study.
* Note: This trial is simultaneously published today as a full manuscript in the peer-reviewed scientific journal NEJM.
Embargoed until 4:15 p.m. CT/5:15 p.m. ET, Sunday, November 8, 2026
This news release contains updated information provided by the researchers and not listed in the abstract.
CHICAGO, Nov. 8, 2026 -- A comprehensive EMS and community-based educational intervention in North Carolina focused on recognizing out-of-hospital cardiac arrest and actions needed quickly to increase bystander CPR and use of an automated external defibrillator (AED) did not significantly improve patient survival with favorable brain function, according to new, independent, preliminary, late-breaking science presented today at the American Heart Association's Scientific Sessions 2026. The meeting, on Nov. 6-9 in Chicago, is a premier global exchange of the latest scientific advancements, research and evidence-based clinical practice updates in cardiovascular science.
"Your chance of survival while waiting for emergency medical services during a cardiac arrest decreases by 10% every minute without CPR," said study author Carolina Malta Hansen, M.D., Ph.D., a cardiologist and clinical research associate professor at Herlev and Gentofte Hospital and Copenhagen EMS in Denmark. "The RACE-CARS trial was an ambitious effort to improve cardiac arrest outcomes across entire communities, including rural areas where emergency care often relies on volunteer-first responders."
The five-year trial included 60 counties in North Carolina that were randomly assigned to receive the cardiac arrest educational intervention or continue their existing cardiac arrest response practices. Researchers implemented a series of efforts aimed to improve early care and outcomes for people who experienced out-of-hospital cardiac arrest. The intervention program included community-wide CPR education and training, and an EMS component that included training 9-1-1 dispatchers to quickly recognize cardiac arrest and guide callers through CPR, as well as enhanced first-responder efforts, including increased use of defibrillation before EMS arrival. The training was free and incorporated into schools, workplaces, county government and other community organizations.
What are the study's key findings?
* Cardiac arrests: Over the five-year study period, 11,615 people experienced out-of-hospital cardiac arrest in communities that received the educational intervention, and 10,844 people had cardiac arrest outside of a hospital in communities that did not receive the intervention.
* Survival: About 9% of patients who experienced out-of-hospital cardiac arrest in communities that were part of the intervention program survived to leave the hospital with favorable brain function, compared with 9.4% in communities that were not part of the intervention program.
* Bystander CPR: Bystanders performed CPR in 44.8% of cardiac arrests in communities that received the educational intervention, compared with 42.3% in communities that did not. Notably: during the last year of the study, people who experienced out-of-hospital cardiac arrest in communities that were part of the program had 33% higher odds of receiving CPR from a bystander than those in communities that were not.
* Early defibrillation: Defibrillation occurred before emergency medical services (EMS) arrived in 13.5% of cardiac arrests in communities that received the educational intervention, compared with 15.3% of the communities in the study that did not. Of the 31 counties that received a total of 405 trial-provided defibrillators, 26 counties (87%) deployed the devices; 19 (63%) placed defibrillators in publicly accessible locations; and 18 (60%) deployed defibrillators with first responders, including fire departments and law-enforcement agencies.
* Community participation: Community partners conducted 5,724 CPR training events, reaching 201,586 people, or 4.8% of residents in communities that were included in the educational intervention. Participation in the CPR training programs varied considerably, with four counties reaching more than 10% of residents and eight reaching fewer than 3%. Most counties also established systematic training of employees at workplaces such as county government, schools and large businesses.
Christopher Granger, M.D., FAHA, the trial principal investigator and a cardiologist and professor at Duke University in North Carolina, said, "The increase in bystander CPR toward the end of the study shows there was some effect and suggests that a sustained community outreach may be needed to show an improvement in survival. We have established an efficient, high-quality clinical trial network to continue this work."
"Changing how an entire community responds to cardiac arrest takes time, and our findings show just how challenging that can be. In the meantime, the message to the public remains simple: learn CPR, recognize the signs of cardiac arrest, call 9-1-1 immediately and follow the dispatcher's instructions. Everyone has the potential to save a life," said Hansen.
According to the American Heart Association's 2026 Heart Disease and Stroke Statistics, approximately 350,000 people in the U.S. experience cardiac arrest outside a hospital each year, and only about 1 in 10 survive. Immediate CPR can double or triple a person's chance of survival. The Association's comprehensive 2025 Guideline for CPR and emergency cardiovascular care emphasizes the importance of quickly recognizing cardiac arrest, calling 9-1-1, starting CPR and using an AED, a portable device that can help to restore a normal heart rhythm by delivering an electric shock through the chest, when available. However, only about 40% of people who experience out-of-hospital cardiac arrest receive bystander CPR, and only 10% have an AED applied by a bystander before emergency medical services (EMS) arrives, according to the Heart Association's AED Fact Sheet.
What are the study's details, background, design and limitations?
* The study was conducted from July 1, 2021, through June 30, 2026, in 60 counties throughout North Carolina, including urban and rural communities. The counties represented approximately 8.5 million residents, or nearly 80% of the state's population.
* Researchers randomly assigned 31 of the counties to receive a comprehensive, community-based cardiac arrest response education program. The other 29 counties continued their own efforts and response to cardiac arrest without the education program from the RACE-CARS team.
* The study included 22,459 adults ages 18 and older who experienced cardiac arrest outside of a hospital in all 60 counties over the five-year study period. The median age of cardiac arrest patients was 64 years; 37% were women, 33% were Black adults, and 29% lived in rural areas. Researchers excluded cardiac arrests witnessed by EMS personnel or occurring in hospitals, nursing homes or other healthcare facilities.
* Researchers used the Cardiac Arrest Registry to Enhance Survival (CARES), a national database that includes data from 9-1-1, EMS and hospitals, to collect data and to evaluate whether patients survived to leave the hospital with favorable brain function, whether bystanders performed CPR and whether defibrillation occurred before EMS arrived. Local leaders, such as county commissioners and church leaders, were recruited to promote community efforts. Surveys were completed every six months to report on community CPR training, AED deployment and other aspects of how the education program was implemented.
* Study limitations included differences in how extensively counties implemented the intervention program and reliance on self-reported information to assess 9-1-1 training, CPR training and first responder engagement. Staffing shortages and turnover at 9-1-1 centers created challenges for training and data collection. The COVID-19 pandemic and Hurricane Helene, which severely affected western North Carolina, also created operational challenges for the program.
A key strength of the study was its size, inclusiveness of the entire eligible population and the inclusion of both urban and rural communities, allowing researchers to evaluate the program across a broad range of typical emergency response settings. Hansen also emphasized the value of collaboration among local governments, community organizations, 9-1-1 centers and first responders. She stressed that CPR education should be widely accessible through schools, workplaces and other community settings, and that strong first-responder programs are especially important in rural areas where EMS response times may be longer. Researchers suggested that reaching more people with CPR education and sustaining these efforts over time may be necessary to achieve changes in community response that could improve survival.
Through its Nation of Lifesavers initiative, the American Heart Association aims to double survival rates from sudden cardiac arrest by 2030 by expanding CPR education and training and helping more people recognize and respond to cardiac emergencies. The Nation of Lifesavers movement has already increased U.S. bystander CPR confidence from 33% to 39% since it launched in 2023, representing 17.7 million more people ready to act in a cardiac emergency.
Co-authors and disclosures are listed in the abstract. The study was funded by the National Institutes of Health and National Heart, Lung, and Blood Institute, a division of the National Institutes of Health.
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Additional Resources:
* Multimedia is available on the right column of the release link
* View the abstract in the American Heart Association Scientific Sessions 2026 Online Program Planner
* American Heart Association news release: Quick CPR from lay rescuers can nearly double survival for children after cardiac arrest (Nov. 2025)
* American Heart Association news release: Bystander CPR up to 10 minutes after cardiac arrest may protect brain function (Nov. 2024)
* American Heart Association health information: Cardiac Arrest
* American Heart Association health information: Hands-Only CPR Resources
* American Heart Association health information: AED Implementation
* American Heart Association health initiative: Nation of Lifesavers
* About Scientific Sessions 2026
* For more news at the American Heart Association's Scientific Sessions 2026, follow us on X @HeartNews, #ScientificSessions26
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Original text here: https://newsroom.heart.org/news/community-cpr-and-ems-intervention-program-did-not-increase-survival-after-cardiac-arrest