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181. Routine Assessment and Promotion of Physical Activity in Healthcare Settings: A Scientific Statement From the American Heart Association (Full text)

, MPHOn behalf of the American Heart Association Physical Activity Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Epidemiology and Prevention; Council on Clinical Cardiology; Council on Genomic and Precision Medicine; Council on Cardiovascular Surgery and Anesthesia; and Stroke Council Felipe Lobelo , Deborah Rohm Young , Robert Sallis , Michael D. Garber , Sandra A. Billinger , John Duperly , Adrian Hutber , Russell R. Pate , Randal J. Thomas , Michael E. Widlansky (...) , Michael V. McConnell , and Elizabeth A. Joy and On behalf of the American Heart Association Physical Activity Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Epidemiology and Prevention; Council on Clinical Cardiology; Council on Genomic and Precision Medicine; Council on Cardiovascular Surgery and Anesthesia; and Stroke Council Originally published 4 Apr 2018 Circulation. 2018;137:e495–e522 You are viewing the most recent version of this article. Previous versions

2018 American Heart Association

182. Cardiopulmonary Resuscitation in Infants and Children With Cardiac Disease (Full text)

Chitra Ravishankar, MD Ricardo A. Samson, MD Ravi R. Thiagarajan, MBBS, MPH Rune Toms, MD James Tweddell, MD, FAHA Peter C. Laussen, MBBS, Co-Chair On behalf of the American Heart Association Congenital Cardiac Defects Committee of the Council on Cardiovascular Disease in the Young; Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Cardio- vascular Surgery and Anesthe- sia; and Emergency Cardiovas- cular Care Committee Cardiopulmonary Resuscitation in Infants (...) arrest. 13 Cardiac arrest requiring resuscitation occurs in ˜7 per 1000 hospitalizations of children with cardiovascular disease, a rate >10-fold higher than that observed in children hospitalized without cardiovascular disease. 13 The frequency of cardiac arrest is also reported to be higher in dedicated cardiac intensive care units (ICUs) (4% to 6% of admissions) than in medical-surgical pe- diatric ICUs (2% to 4% of admissions). 3,4,14–16 Since 2005, there have been substantial efforts to improve

2018 American Heart Association

183. Society of Interventional Radiology Reporting Standards for Thoracic Central Vein Obstruction

for determining the presence of TCVO. Rather, it identi?es the From theDepartment ofRadiology(B.L.D.), Palo Alto Medical Foundation, 3548 South Court, Palo Alto, CA 94306; Division of Cardiovascular Medicine (J.C.G.), UniversityofKentucky,Lexington,Kentucky;DepartmentofRadiology(K.M.B.), Advanced Interventional Institute, Pittsburgh, Pennsylvania; Department of Radiology (B.N.), Stratton Medical Center, Albany, New York; Division of Vascular and Endovascular Surgery (J.H.L.), Duke University, Durham, North (...) thrombolysis for the treatment of deep vein thrombosis: initial clinical experience. J Vasc Interv Radiol 2008; 19:521–528. 63. Brunner L. The Lippincott Manual of Nursing Practice, 3rd edition. Phila- delphia: JB Lippincott, 1982. 64. Trayes KP, Studdiford JS, Pickle S, Tully AS. Edema: diagnosis and management. Am Fam Phys 2013; 88:102–110. 65. O’Sullivan SB, Schmitz TJ, editors. Physical rehabilitation: assessment and treatment, 5th ed. Philadelphia: F.A. Davis, 2007. 66. Guelph General Hospital

2018 Society of Interventional Radiology

184. Multisociety Consensus Quality Improvement Revised Consensus Statement for Endovascular Therapy of Acute Ischemic Stroke

Multisociety Consensus Quality Improvement Revised Consensus Statement for Endovascular Therapy of Acute Ischemic Stroke STANDARDS OF PRACTICE Multisociety Consensus Quality Improvement Revised Consensus Statement for Endovascular Therapy of Acute Ischemic Stroke From the American Association of Neurological Surgeons (AANS), American Society of Neuroradiology (ASNR), Cardiovascular and Interventional Radiology Society of Europe (CIRSE), Canadian Interventional Radiology Association (CIRA (...) ), Congress of Neurological Surgeons (CNS), European Society of Minimally Invasive Neurological Therapy (ESMINT), European Society of Neuroradiology (ESNR), European Stroke Organization (ESO), Society for Cardiovascular Angiography and Interventions (SCAI), Society of Interventional Radiology (SIR), Society of NeuroInterventional Surgery (SNIS), and World Stroke Organization (WSO) David Sacks, MD, Blaise Baxter, MD, Bruce C.V. Campbell, MBBS, PhD, Jeffrey S. Carpenter, MD, Christophe Cognard, MD, PhD

2018 Society of Interventional Radiology

185. Low Back Pain, Adult Acute and Subacute

trial of 600 patients with recurrent low back pain, exercise frequency is more important than exercise type, duration or intensity in low back pain prevention (Steffens, 2016; Aleksiev, 2014). Non-pharmacologic Treatments Directed physical activity Physical activity/exercise may be done by the patient as part of self-care or as part of an active rehabilitation program with a therapist. A study by Fritz (2012) found that early-intervention patients were less likely to have imaging, additional (...) shown to have small beneficial effect on pain and function. Harm Harms of NSAIDs include but are not limited to gastritis, gastrointestinal bleeding, and possible cardiovascular complications. Benefits/Harms Assessment After discussing possible side effects with patients, it is reasonable to offer NSAIDs for short-term pain relief. Relevant Resources: Chou, 2016 (Comparative Effectiveness Review) A 2016 AHRQ systematic review found that NSAIDs may have small beneficial effect on pain intensity

2018 Institute for Clinical Systems Improvement

186. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

protocols for different pain procedures. One hundred twenty-four active participants attended the open forum. Responses were collected using an audience response system. Eighty-four percent of respondents were anesthesiologists, and the remainders were physical medicine and rehabilitation physicians, neurologists, orthopedic surgeons, and neurological surgeons. The vast majority of respondents (98%) followed ASRA regional anesthesia guidelines for anticoagulants but not for antiplatelet agents. Two (...) aggregation have been demonstrated. | Cardiac and Cerebrovascular Risks Associated With the Discontinuation of ASA In the United States, a significant number of individuals (>50 million) take ASA for prevention of cardiovascular events. When individuals are taking ASA, it is important to understand whether utilization is for primary or secondary prophylaxis. Primary prophylaxis is used to prevent the first occurrence of a cardiovascular event and is defined by ASA's employment in the absence

2018 American Society of Regional Anesthesia and Pain Medicine

187. Guideline for the management of knee and hip osteoarthritis

Director, Medibank Private Ltd Associate Professor Marie Pirotta, general practitioner; Department of General Practice, University of Melbourne, Victoria Dr Michael Ponsford, rehabilitation medicine specialist, Epworth Hospital, Victoria Associate Professor Morton Rawlin, general practitioner, Macedon Medical Centre, Victoria Dr Xia Wang, epidemiologist, University of Sydney, New South Wales Dr Samuel Whittle, Senior consultant rheumatologist, Queen Elizabeth Hospital, Woodville South, South Australia (...) and/or hip OA It might be reasonable to trial oral NSAIDs at the lowest effective dose for a short period, then discontinue use if not effective. Clinicians also need to inform people, monitor and capture adverse events, especially gastrointestinal, renal and cardiovascular, which may be associated with use of NSAIDs Conditional for recommendation Moderate Duloxetine – Knee and/or hip It may be appropriate to offer duloxetine for some people with knee and/or hip OA Duloxetine currently does not have

2018 Clinical Practice Guidelines Portal

189. Neuro-urology

, 2008. 336: 924. 8. Guyatt, G.H., et al. What is “quality of evidence” and why is it important to clinicians? BMJ, 2008. 336: 995. 9. Phillips B, et al. Oxford Centre for Evidence-based Medicine Levels of Evidence. Updated by Jeremy Howick March 2009. 1998. 10. Guyatt, G.H., et al. Going from evidence to recommendations. BMJ, 2008. 336: 1049. 11. Townsend, N., et al. Cardiovascular disease in Europe - epidemiological update 2015. Eur Heart J, 2015. 12. Tibaek, S., et al. Prevalence of lower urinary (...) , C.H., et al. Neurogenic lower urinary tract dysfunction--do we need same session repeat urodynamic investigations? J Urol, 2012. 187: 1318. 106. Walter, M., et al. Autonomic dysreflexia and repeatability of cardiovascular changes during same session repeat urodynamic investigation in women with spinal cord injury. World J Urol, 2015. 107. Walter, M., et al. Prediction of autonomic dysreflexia during urodynamics: A prospective cohort study. BMC Med, 2018. 16: 53. 108. Gammie, A., et al

2018 European Association of Urology

190. Male Sexual Dysfunction

of general male health status? The case for the International Index of Erectile Function-Erectile Function domain. J Sex Med, 2012. 9: 2708. 31. Dong, J.Y., et al. Erectile dysfunction and risk of cardiovascular disease: meta-analysis of prospective cohort studies. J Am Coll Cardiol, 2011. 58: 1378. 32. Gandaglia, G., et al. A systematic review of the association between erectile dysfunction and cardiovascular disease. Eur Urol, 2014. 65: 968. 33. Gupta, B.P., et al. The effect of lifestyle modification (...) and cardiovascular risk factor reduction on erectile dysfunction: a systematic review and meta-analysis. Arch Intern Med, 2011. 171: 1797. 34. Braun, M., et al. Epidemiology of erectile dysfunction: results of the ‘Cologne Male Survey’. Int J Impot Res, 2000. 12: 305. 35. Johannes, C.B., et al. Incidence of erectile dysfunction in men 40 to 69 years old: longitudinal results from the Massachusetts male aging study. J Urol, 2000. 163: 460. 36. Schouten, B.W., et al. Incidence rates of erectile dysfunction

2018 European Association of Urology

192. Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU

, Delirium , Immobility ( mobilization /rehabilitation), and Sleep (disruption). Each section created Population, Intervention, Comparison, and Outcome, and nonactionable, descriptive questions based on perceived clinical relevance. The guideline group then voted their ranking, and patients prioritized their importance. For each Population, Intervention, Comparison, and Outcome question, sections searched the best available evidence, determined its quality, and formulated recommendations as “strong (...) ,” “conditional,” or “good” practice statements based on Grading of Recommendations Assessment, Development and Evaluation principles. In addition, evidence gaps and clinical caveats were explicitly identified. Results: The Pain , Agitation/ Sedation , Delirium , Immobility ( mobilization /rehabilitation), and Sleep (disruption) panel issued 37 recommendations (three strong and 34 conditional), two good practice statements, and 32 ungraded, nonactionable statements. Three questions from the patient-centered

2018 Society of Critical Care Medicine

193. Guidelines on the Management of Acute Respiratory Distress Syndrome (ARDS)

). There are two main broad categories of condition that resemble ARDS but have a distinct pathophysiology. Firstly, cardiovascular conditions of rapid onset including: left heart failure, right-to-left vascular shunts usually with some lung pathology, and major pulmonary embolism. Secondly, lung conditions which develop more slowly than ARDS, for example: interstitial lung diseases (especially acute interstitial pneumonia), broncho-alveolar cell carcinoma, lymphangitis and the pulmonary vasculitides. 9 (...) of prone positioning found that over 12 hours of prone positioning was associated with significantly reduced mortality (>12hr, RR 0.75, 95%CI 0.65-0.87; 12 hours per day Patients with moderate/severe ARDS (P:F ratio 3 or pH 12 hr/day) Neuro-muscular blockade (first 48 hour) Higher PEEP 4 Refer to local ECMO centre 5 Other measures 6 Non ARDS-specific support Rehabilitation: early mobilisation, NICE CG83 7 Nutrition: enteral where possible, trophic feeding acceptable initially, consider naso-jejunal

2018 Faculty of Intensive Care Medicine

194. The Role of Weight Management in the Treatment of Adult Obstructive Sleep Apnea Guideline

with OSA with a BMI greaterthanorequalto27kg/m 2 ,whose weight has not improved despite participating in a comprehensive weight- loss lifestyle program, and who have AMERICAN THORACIC SOCIETY DOCUMENTS American Thoracic Society Documents e71 no contraindications including no active cardiovascular disease, we suggest an evaluation for antiobesity pharmacotherapy (conditional recommendation, very low certainty in the estimated effects). 3. For patients with OSA with a BMI greaterthanorequalto35kg/m 2 (...) and preferences (see DISCUSSION section below). Introduction The relationship between weight gain and the development and worsening of OSA is well established (1–4). Furthermore, obesity and OSA are complexly intertwined because obesity is an aggravating factor for many of the known metabolic and cardiovascular comorbidities of OSA (5, 6). Published guidelines for the management of OSA acknowledgeobesityasanexacerbatingfactor for OSA and mention weight loss as an adjunctive therapeutic tool (7–10). However

2018 American Thoracic Society

195. Stable Coronary Artery Disease (2nd Edition)

the point whereby an individual begins to seek medical attention. However, the combination of earlier screening by an increasingly greater number of the general population at risk of coronary artery disease has seen more patients being diagnosed with the subclinical SCAD. The high prevalence of risk factors of cardiovascular disease in Malaysia, including diabetes, hypertension, dyslipidaemia and smoking, and the emergence of better diagnostic equipment have both contributed to this effect. In both (...) diagnostic modalities ? Optimal medical therapy vs PCI vs CABG in Stable CAD O: Outcome: ? Accuracy of the test in making a diagnosis of CAD - i.e. its validity, reliability ? Reduction in Cardiovascular (CV) Disease- CV Events, vascular mortality ? Reduction in All cause mortality Type of Question- Involves: ? Diagnosis - Diagnosis of CAD ? Therapy - optimal medical therapy, PCI, CABG ? Harm - Increase in CV Event Rate, mortality ? Prognosis - Reduction in CV events and mortality ? Prevention of CV

2018 Ministry of Health, Malaysia

196. Management of Acute Myocardial Infarction in patients presenting with ST-segment elevation

. The two chairmen contributed equally to the document: Borja Ibanez, Director Clinical Research, Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Melchor Fernández Almagro 3, 28029 Madrid, Spain; Department of Cardiology, IIS-Fundación Jiménez Díaz University Hospital, Madrid, Spain; and CIBERCV, Spain. Tel: +34 91 453.12.00 (ext: 4302), Fax: +34 91 453.12.45, E-mail: bibanez@cnic.es or bibanez@fjd.es. Stefan James, Professor of Cardiology, Department of Medical Sciences (...) , Scientific Director UCR, Uppsala University and Sr. Interventional Cardiologist, Department of Cardiology Uppsala University Hospital UCR Uppsala Clinical Research Center Dag Hammarskjölds väg 14B SE-752 37 Uppsala, Sweden. Tel: +46 705 944 404, Email: Search for other works by this author on: Stefan James (Chairperson) (Sweden) * Corresponding authors. The two chairmen contributed equally to the document: Borja Ibanez, Director Clinical Research, Centro Nacional de Investigaciones Cardiovasculares

2017 European Society of Cardiology

197. Management of Valvular Heart Disease

navigation 21 September 2017 Article Contents Article Navigation 2017 ESC/EACTS Guidelines for the management of valvular heart disease Helmut Baumgartner Corresponding authors: Helmut Baumgartner, Division of Adult Congenital and Valvular Heart Disease, Department of Cardiovascular Medicine, University Hospital Muenster, Albert Schweitzer Campus 1, Building A1, 48149 Muenster, Germany. Tel: +49 251 834 6110, Fax: +49 251 834 6109, E-mail: . Volkmar Falk, Department of Cardiothoracic and Vascular Surgery (...) , German Heart Center, Augustenburger Platz 1, D-133353 Berlin, Germany and Department of Cardiovascular Surgery, Charite Berlin, Charite platz 1, D-10117 Berlin, Germany. Tel: +49 30 4593 2000, Fax: +49 30 4593 2100, E-mail: . Search for other works by this author on: Volkmar Falk Corresponding authors: Helmut Baumgartner, Division of Adult Congenital and Valvular Heart Disease, Department of Cardiovascular Medicine, University Hospital Muenster, Albert Schweitzer Campus 1, Building A1, 48149 Muenster

2017 European Society of Cardiology

198. Diagnosis and Treatment of Peripheral Arterial Diseases

revascularization CLTI Chronic limb-threatening ischaemia CMI Chronic mesenteric ischaemia CONFIRM Coronary CT Angiography Evaluation for Clinical Outcomes: an International Multicenter CORAL Cardiovascular Outcomes in Renal Atherosclerotic Lesions CPG Committee for Practice Guidelines CPB Cardiopulmonary bypass CREST Carotid Revascularization Endarterectomy versus Stenting Trial CTA Computed tomography angiography CV Cardiovascular DAPT Dual antiplatelet therapy DES Drug eluting stent DSA Digital subtraction (...) extremity artery disease LV Left ventricular MACE Major adverse cardiovascular event MI Myocardial infarction MRA Magnetic resonance angiography MR CLEAN MultiCenter Randomized Clinical Trial of Ischemic Stroke in the Netherlands MRI Magnetic resonance imaging MSAD Multisite artery disease MWD Maximal walking distance NASCET North American Symptomatic Carotid Endarterectomy Trial NNH Number needed to harm NNT Number needed to treat NOAC Non-vitamin K oral anticoagulant OAC Oral anticoagulation ONTARGET

2017 European Society of Cardiology

199. 2018 guidelines for the early management of patients with acute ischemic stroke

of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association” 2015 2015 Endovascular “Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association” 2015 2015 IV Alteplase “Guidelines for Adult Stroke Rehabilitation and Recovery (...) : A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association” 2016 2016 Rehab Guidelines ACC indicates American College of Cardiology; AHA, American Heart Association; AIS, acute ischemic stroke; CPR, cardiopulmonary resuscitation; ECC, emergency cardiovascular care; HRS, Heart Rhythm Society; IV, intravenous; and N/A, not applicable. Table 3. Abbreviations in This Guideline ACC American College of Cardiology AHA American Heart Association AIS Acute ischemic

2018 American Academy of Neurology

200. Alcoholic Liver Disease

- sideration 18. Patients too sick to complete rehabilitation therapy may be considered for transplantation via exception pathway dependent on individual center policy and the patient’s pro? le. These patients can complete rehabilitation therapy after transplantation 19. Transplant recipients should be screened at each visit for use of alcohol and other substances especially tobacco and cannabis. Among recidivists, alcohol use should be quanti? ed to identify harmful use 20. Immunosuppression should

2018 American College of Gastroenterology

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