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122. General Guidance on Deferring Non-Urgent CV Testing and Procedures During the COVID-19 Pandemic

rehabilitation (outpatient) This article is authored by Tyler J. Gluckman, MD, FACC . Share via: Clinical Topics: Keywords: Cardiology Magazine, ACC Publications, Coronavirus, Coronavirus Infections, COVID-19, Angiography, Aortic Aneurysm, Abdominal, Aortic Aneurysm, Thoracic, Arteries, Atrial Appendage, Atrial Fibrillation, Atrial Flutter, Atrioventricular Block, Calcium, Cardiac Rehabilitation, Cardiac Resynchronization Therapy, Cardiac Surgical Procedures, Cardiovascular System, Carotid Artery Diseases (...) " for conversations on this topic. This list is likely to change over time, depending on hospital capacity and staff availability, particularly in the setting of a COVID-19 surge. Whenever possible, preference should be given to testing that can be done by alternative means or remotely (e.g., interrogation of cardiovascular implantable electronic devices). Decisions about what tests/procedures to perform (or not perform) should be based on individualized risk assessment, informed by the patient's clinical status

2020 American College of Cardiology

123. Guidelines for the Acute Treatment of Cerebral Edema in Neurocritical Care Patients

, but outcomes are often influ - enced by multiple factors that may be beyond the aware- ness or control of the treating team (e.g., comorbidities, associated injuries, rehabilitation availability, etc.). Cor- ticosteroids appear to be helpful in reducing cerebral edema in patients with bacterial meningitis, but not ICH. Differences in therapeutic response and safety may exist between HTS and mannitol. The use of these agents in these critical clinical situations merits close monitoring for adverse effects

2020 Neurocritical Care Society

124. Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Low Back Pain

Society of Spine Radiology (ASSR) Medical & Psychological Treatment Section Section Chair: Christopher M. Bono, MD Authors: Paul Dougherty, DC Gazanfar Rahmathulla, MD, MBBS Christopher K. Taleghani, MD Terry Trammell, MD Randall P. Brewer, MD; Stakeholder Representative, American Academy of Pain Medicine (AAPM) Ravi Prasad, PhD; Stakeholder Representative, American Academy of Pain Medicine (AAPM) Contributor: John P. Birkedal, MD Physical Medicine & Rehabilitation Section Section Chair: Charles (...) Society (SIS) Contributors: Michael P. Dohm, MD Thomas J. Gilbert, MD Joseph Gjolaj, MD Matthew Smuck, MD, Stakeholder Representative, American Academy of Physical Medicine and Rehabilitation (AAPM&R)Diagnosis & Treatment of Low Back Pain | Preface Recommendations were developed based on a specific definition, inclusion/exclusion criteria, and the resulting literature which excluded conditions such as presence of a neurological deficit or leg pain experienced below the knee, among others. Given

2020 American Academy of Pain Medicine

125. Clinical Performance Measures for Neurocritical Care

significant care in other locations such as the pre-hospital or post-acute care rehabilitation set- ting. However, these care periods were not included because of the focus of this initial PM Set. Likewise, children (age less than 18 years) were excluded as were patients who developed neurocritical conditions sub- sequent to an admission for another primary disease condition (e.g., in-hospital stroke following admission for myocardial infarction, or status epilepticus occur- ring after admission (...) the minimum strength of rec- ommendation or were not feasible, actionable, or valid after further consideration. For example, we extracted multiple strong recommendations for early rehabilitation after stroke. Given the recent support for early mobili- zation in the ICU, a PM supporting early rehabilitation and mobilization in the ICU was strongly considered. After discussion, the group felt that a PM could not move forward given the mixed outcomes in studies evaluating early mobilization after stroke

2020 Neurocritical Care Society

126. Lifestyle and Risk Factor Modification for Reduction of Atrial Fibrillation: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

that this document be cited as follows: Chung MK, Eckhardt LL, Chen LY, Ahmed HM, Gopinathannair R, Joglar JA, Noseworthy PA, Pack QR, Sanders P, Trulock KM; on behalf of the American Heart Association Electrocardiography and Arrhythmias Committee and Exercise, Cardiac Rehabilitation, and Secondary Prevention Committee of the Council on Clinical Cardiology; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular and Stroke Nursing; and Council on Lifestyle and Cardiometabolic

2020 American Heart Association

128. Telecommunicator Cardiopulmonary Resuscitation: A Policy Statement From the American Heart Association Full Text available with Trip Pro

in the heart. Each year, an estimated 350 000 people have cardiac arrest in the United States in out-of-hospital environments. Successful resuscitation of cardiac arrest victims requires the time-sensitive, expert care described by each of the links in the chain of survival: early access to emergency medical services (EMS), early lay rescuer cardiopulmonary resuscitation (CPR), early defibrillation, early advanced care, and postresuscitation care to facilitate rehabilitation and recovery. The first 2 links (...) choices that direct as opposed to request action or coach compression rate (100–120 compressions per minute) and depth (2–2.4 in or 5–6 cm) may also influence the quality of lay rescuer CPR and ultimately the likelihood of survival. T-CPR Program Improvement Given the evidence supporting T-CPR to increase lay rescuer CPR and improve OHCA outcome, T-CPR has been endorsed by the 2010 and 2018 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science

2020 American Heart Association

129. Chronic Cough Due to Stable Chronic Bronchitis: CHEST Expert Panel Report

suspicion of CB? 2 Can treatment of stable CB improve or eliminate chronic cough? Study designs 1. Systematic review (with or without meta-analysis) 2. RCT 3. Retrospective or prospective cohort study Population 1. Ambulatory or outpatient 2. $ 18 years of age 3. CB a Interventions Nonpharmacological interventions to treat CB Smoking cessation Long-term oxygen Exercise training Pulmonary rehabilitation programs - CPAP - BiPAP Q38 - Airway clearance techniques (exsuf?ation, forced expiratory technique (...) ) PICO Question Study Characteristic Inclusion Criteria 3 Cantherapythattargetschroniccoughdue toCBpreventorreducetheoccurrenceof acute CB exacerbations? Study designs 1. Systematic review (with or without meta-analysis) 2. RCT 3. Retrospective or prospective cohort study Population 1. Ambulatory or outpatient 2. $ 18 years of age 3. CB a Interventions Nonpharmacological interventions to treat chronic cough Smoking cessation Long-term oxygen Exercise training Pulmonary rehabilitation programs - CPAP

2020 American College of Chest Physicians

130. Clinical Management of Stable Coronary Artery Disease in Patients With Type 2 Diabetes Mellitus: A Scientific Statement From the American Heart Association

, a number of factors have shifted that have forced the cardiology community to reconsider the role of T2DM in CAD. First, in addition to being associated with increased cardiovascular risk, T2DM has the potential to affect a number of treatment choices for CAD. In this document, we discuss the role that T2DM has in the selection of testing for CAD, in medical management (both secondary prevention strategies and treatment of stable angina), and in the selection of revascularization strategy. Second (...) , although glycemic control has been recommended as a part of comprehensive risk factor management in patients with CAD, there is mounting evidence that the mechanism by which glucose is managed can have a substantial impact on cardiovascular outcomes. In this document, we discuss the role of glycemic management (both in intensity of control and choice of medications) in cardiovascular outcomes. It is becoming clear that the cardiologist needs both to consider T2DM in cardiovascular treatment decisions

2020 American Heart Association

131. Family Caregiving for Individuals With Heart Failure: A Scientific Statement From the American Heart Association

gaps and future directions for providers, investigators, health systems, and policymakers. Heart failure (HF) affects >6 million adults in the United States and 26 million globally, with prevalence increasing as populations age and social and lifestyle determinants of poor cardiovascular health rise. Although advancements in treatments and devices for HF have greatly improved survival and enhanced quality of life for patients, these advances have led to complex medical regimens that can pose (...) support program (REACH-HF) • Delivered at home with face-to-face and telephone contacts over 12 wk (typically 4–6 contacts) • Significant increase in caregiver confidence at 12 mo in the intervention group • No significant difference in anxiety, depression, or quality of life COPE indicates Creativity, Optimism, Planning, and Expert Information; Ctrl, control; HF, heart failure; HRQOL, health-related quality of life; Int, intervention; and REACH-HF, Rehabilitation Enablement in Chronic Heart Failure

2020 American Heart Association

132. Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association

, and knowledge deficits. Strategies to improve cardiopulmonary rehabilitation enrollment include providing incentives or securing philanthropic funding for cardiopulmonary rehabilitation for patients with cardiovascular disease, including HF. , Palliative care programs are designed to provide relief from the symptoms and stress of a serious illness. Initial conversations should begin in the hospital and continue throughout the HF journey. A qualified healthcare provider such as a nurse practitioner or social (...) searched alone and in combination with additional terms such as socioeconomic position (SEP ), race , ethnicity , food insecurity , environment , access to health care , health literacy , and social support . A hospital librarian was available and provided consultation using the Medical Subject Headings terms. Each author searched independently, and then 2 authors (C.W.W. and L.P.R.) reviewed all articles for inclusion. Inclusion criteria were studies of SDOH in patients with HF or cardiovascular

2020 American Heart Association

133. BTS Guideline for Long Term Macrolide Use

online only. To view please visit the journal online (http:// dx. doi . org/ 10. 1136/ thor axjnl- 2019- 213929). 1 North Bristol Lung Centre, Southmead Hospital, Bristol, UK 2 Respiratory, Wye Valley NHS Trust, Hereford, UK 3 Centre for Medical Education, Queens University Belfast, Regional Respiratory Centre, Belfast City Hospital, Belfast, UK 4 Medical Microbiology, Leeds Teaching Hospitals NHS Trust, Leeds, UK 5 Cardiovascular and Respiratory Studies, Hull York Medical School/University of Hull (...) Guidelines before considering long- term macrolide therapy (eg, airway clearance techniques and attendance at pulmonary rehabilitation courses). ? Macrolides should only be started following discussion and shared decision- making between the patient and a respira- tory specialist. ? For safety purposes, an ECG should be performed prior to initiation of macrolide therapy to assess QT c interval. If QT c is >450 ms for men and >470 ms for women, this is consid- ered a contraindication to initiating

2020 British Thoracic Society

134. ACS Guidelines for Triage and Management of Elective Cancer Surgery Cases During the Acute and Recovery Phases of Coronavirus Disease 2019 (COVID-19) Pandemic

surgery for cancer or noncancer • Cases that are considered higher risk for exposure to COVID-19 during early recovery period: o Patients with invasive breast cancer (versus noninvasive disease) o Patients who have finished recent cytotoxic chemotherapy or immunotherapy o Patients older than age 65 o Patients with comorbidities known to increase risk of COVID-19 severity, such as diabetes, lung disease, cardiovascular disease, obstructive sleep apnea, immunocompromised o Exposure to a known COVID-19

2020 American College of Surgeons

135. HRS White Paper on Atrial Fibrillation Centers of Excellence: Rationale, Considerations, and Goals

designing integrated AF care programs. Piccini et al Atrial fibrillation centers of excellence Page 10 of 72 Figure 1 The complexity of the atrial fibrillation (AF) patient experience. ER = emergency room; REHAB = rehabilitation. Piccini et al Atrial fibrillation centers of excellence Page 11 of 72 Coordination of team members and establishing goals of care are necessary in order to maximize outcomes and avoid inefficiency and miscommunication. Team members should have defined roles and responsibilities (...) ; ACM = all-cause mortality; AFC = AF clinic; AFL = atrial flutter; AHA 2018 = 2018 American Heart Association Scientific Sessions; AT = atrial tachycardia; BP = blood pressure; CDDS = clinical decision support system; CI = confidence interval; CR = cardiac rehabilitation; CV = cardiovascular; ED = emergency department; FU = follow-up; HCP = health care providers; hosp. = hospitalization; HR = hazard ratio; IMPACT-AF = Integrated Management Program Advancing Community Treatment of Atrial

2020 Heart Rhythm Society

136. EAN guideline on palliative care of people with severe, progressive multiple sclerosis

to walk 20 m without resting (Expanded Disability Status Scale score > 6.0) or higher disability is referred to. When evidence was lacking for this population, recommendations were formulated using indirect evidence or good practice statements were devised. Results: Ten clinical questions were formulated. They encompassed general and specialist palliative care, advance care planning, discussing with HPs the patient’s wish to hasten death, symptom management, multidisciplinary rehabilitation (...) that are impor- tant for patients and useful for caregivers and health- care professionals (HPs). To ensure this, the clinical questions were formulated via direct engagement of MS patients and caregivers [13]. The primary intended audience is clinicians working in MS care, PC, emer- gency medicine, nursing, rehabilitation and related disciplines. In addition, policy-makers, charities and other stakeholders may ?nd this guideline useful for informing and planning policies. A pertinent document

2020 European Academy of Neurology

138. The use of prophylactic factor replacement for children and adults with Haemophilia A and B Full Text available with Trip Pro

and prehabilitation. However, as children can develop arthropathy with no history of clinically overt joint bleeding , , regular assessment of joint function is essential and can be done using targeted questioning (see above), physical examination and imaging. Physical examination Systematic musculoskeletal examination can reveal changes in gait, joints and muscles/ligaments/tendons due to arthropathy or maladaptive changes due to previous bleeds. This can inform rehabilitative regimens to improve joint function

2020 British Committee for Standards in Haematology

140. Canadian stroke best practice recommendations: secondary prevention of stroke, sixth edition practice guidelines

term are at increased risk for cardiovascular events over the long term. 3 Therefore, the opportunity to reduce the risk of recurrent strokes through aggres- sive vascular risk factor reduction e?orts represent a signi?cant opportunity to lower the total stroke burden. The Canadian Stroke Best Practice Recommendations have been developed to provide up-to-dateevidence-basedguidelinesfortheprevention and management of stroke, to promote optimal recov- ery and reintegration for people who have (...) sleepiness and improved health- related quality of life, the risks of recurrent stroke or major cardiovascular events were not reduced signi?- cantly.Accordingly,wehaveremovedourpreviousrec- ommendationsforuniversalscreeningandtreatmentin stroke patients. Screening and treatment for sleep apnea should be performed as part of routine primary care based on the presence or absence of symptoms, as is currently done for patients without stroke. Guideline development methodology The Canadian Stroke Best

2018 CPG Infobase

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