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161. Global Vascular Guidelines for patients with chronic limb-threatening ischemia Full Text available with Trip Pro

Federation of Vascular Societies (Drs Alberto Muñoz, Vidyasagaran Thiruvengadam, Martin Björck, Peter Subramaniam, P Rajaruthnam, Varinder Bedi, Thanyani Mulaudzi, Kimihiro Komori, T. Vidyasagaran, Nobuyoshi Azuma, John Henry Nicholas Wolfe, John Wolfe, Arkadiusz Jawien, Pramook Mutirangura, Bernie Bourke, Arkadiusz Jawien, Alvaro Balcazar, Juan Esteban Paolini, Douglas Cavaye, Nelson de Luccia, Marcelo Diamant). Endorsed by the American Podiatric Medical Association, British Cardiovascular Society (...) , cardiovascular disease; HDL, high-density lipoprotein. ---- | ---- Fig 2.3 Association of risk factors with the level of atherosclerotic target lesions. The red overlay on the anatomic cartoon illustrates the association of risk factor with patterns of atherosclerotic disease. x 217 Reinecke, H., Unrath, M., Freisinger, E., Bunzemeier, H., Meyborg, M., Lüders, F. et al. Peripheral arterial disease and critical limb ischaemia: still poor outcomes and lack of guideline adherence. Eur Heart J . 2015 ; 36 : 932

2019 Society for Vascular Surgery

163. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

recommendations are proffered with the awareness that, regardless of the intended level of sedation or route of drug administration, the sedation of a pediatric patient represents a continuum and may result in respiratory depression, laryngospasm, impaired airway patency, apnea, loss of the patient’s protective airway reflexes, and cardiovascular instability. Procedural sedation of pediatric patients has serious associated risks. These adverse responses during and after sedation for a diagnostic (...) by an appropriately licensed practitioner and reviewed by the sedation team at the time of treatment for possible interval changes. The purpose of this evaluation is not only to document baseline status but also to determine whether the patient has specific risk factors that may warrant additional consultation before sedation. This evaluation also facilitates the identification of patients who will require more advanced airway or cardiovascular management skills or alterations in the doses or types of medications

2019 American Academy of Pediatrics

164. Pediatric ICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance

the past 10 years, with explosive growth in specialized PICUs in pediatric cardiovascular medicine, transplantation, neurology, trauma, and oncology, as well as improvements of care in general PICUs. This has led to the evolution in both human and material resources and training in more highly specialized areas, such as cardiovascular medicine, neurosurgical ICU, and trauma care. This article will review the current evidence and explore expert opinions regarding the state of PICUs throughout (...) will be cared for in an environment that is focused on the care of the child and family through a multidisciplinary approach addressing a wide range of complex, progressive, and physiologic unstable medical, surgical, and traumatic disorders that may occur. Newborns are not included in the practice statement and guidance unless they require complex cardiovascular surgical interventions because there are American Academy of Pediatrics (AAP) guidelines for levels of neonatal care. | METHODOLOGY Task Force

2019 Society of Critical Care Medicine

165. Primary Prevention of ASCVD and T2DM in Patients at Metabolic Risk Full Text available with Trip Pro

Microsite Search Term Close search filter search input Article Navigation Close mobile search navigation Article Navigation September 2019 Article Contents Article Navigation Primary Prevention of ASCVD and T2DM in Patients at Metabolic Risk: An Endocrine Society Clinical Practice Guideline James L Rosenzweig Hebrew Rehabilitation Hospital, Boston, Massachusetts Correspondence: James L. Rosenzweig, MD, Hebrew Rehabilitation Hospital, 1200 Centre Street, Boston, Massachusetts 02131. E-mail: . Search (...) Press Navbar Search Filter Mobile Microsite Search Term Close search filter search input Abstract Objective To develop clinical practice guidelines for the primary prevention of atherosclerotic cardiovascular disease (ASCVD) and type 2 diabetes mellitus (T2DM) in individuals at metabolic risk for developing these conditions. Conclusions Health care providers should incorporate regular screening and identification of individuals at metabolic risk (at higher risk for ASCVD and T2DM) with measurement

2019 The Endocrine Society

166. Nutrition Support of Children With Chronic Liver Disease: A Joint Position Paper of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition

% of children are obese at the time of LTx (104). This issue places LTx recipients at risk of obesity-related comorbidities such as diabetes mellitus, cardiovascular disease, hyperlipidemia, and hypertension. In addition, 26% of pediatric LTx recipients are overweight or obese at a median time of 6 years post-LTx and many have coexistent cardiometabolic risk factors, including hypertension (44%), hypertriglyceridemia (39%), insulin resistance (27%), low high density lipoprotein (20%), and central obesity (...) (calories from fat vs protein vs carbohydrates) c. Optimal use of MCT oil d. Optimal timing and approach to aggressive nutritional rehabilitation with nasogastric/nasojejunal tubes and PN. 3. Determine the nutritional risk of livertransplant recipients and the optimal approach to monitoring and intervening. TABLE 4. Summary of recommendations made in this position paper Chronic cholestatic liver disease 1. Beyond weight and height measurements, clinicians should monitor MUAC and TSF serially in patients

2019 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

167. Management of Stroke in Neonates and Children Full Text available with Trip Pro

scientific statement on pediatric stroke was published 10 years ago. Although stroke has long been recognized as an adult health problem causing substantial morbidity and mortality, it is also an important cause of acquired brain injury in young patients, occurring most commonly in the neonate and throughout childhood. This scientific statement represents a synthesis of data and a consensus of the leading experts in childhood cardiovascular disease and stroke. Methods— Members of the writing group were (...) health problem causing substantial morbidity and mortality, it is also an important cause of acquired brain injury in young patients, occurring most commonly in the neonate and throughout childhood. This scientific statement represents a synthesis of data and a consensus of the leading experts in childhood cardiovascular disease and stroke. Overview of Childhood and Perinatal Stroke Introduction and Definition The standard adult definition of stroke—an acute onset neurological sign or symptom

2019 American Heart Association

168. Heart Disease and Stroke Statistics Full Text available with Trip Pro

, Andrew Stokes , David L. Tirschwell , Connie W. Tsao , Mintu P. Turakhia , Lisa B. VanWagner , John T. Wilkins , Sally S. Wong , Salim S. Virani , Originally published 31 Jan 2019 Circulation. 2019;139:e56–e66 Each chapter listed in the Table of Contents (see next page) is a hyperlink to that chapter. The reader clicks the chapter name to access that chapter. Table of Contents Summary e57 1. About These Statistics e67 2. Cardiovascular Health e70 Health Behaviors 3. Smoking/Tobacco Use e87 4 (...) . Physical Inactivity e99 5. Nutrition e119 6. Overweight and Obesity e138 Health Factors and Other Risk Factors 7. High Blood Cholesterol and Other Lipids e161 8. High Blood Pressure e174 9. Diabetes Mellitus e193 10. Metabolic Syndrome e212 11. Kidney Disease e233 12. Sleep e249 Cardiovascular Conditions/Diseases 13. Total Cardiovascular Diseases e257 14. Stroke (Cerebrovascular Disease) e281 15. Congenital Cardiovascular Defects and Kawasaki Disease e327 16. Disorders of Heart Rhythm e346 17. Sudden

2019 American Heart Association

169. AIM Clinical Appropriateness Guidelines for Arterial Ultrasound.

and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation. 2006;113(11):e463-e654. 5. Moyer VA; U.S. Preventive (...) the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society

2019 AIM Specialty Health

171. BTS Guideline for Bronchiectasis in adults

? 31 P ulmonary Rehabilitation 32 Inspiratory Muscle Training 32 Field Walking Tests 33 What is the role of surgery in managing bronchiectasis? 33 Lung transplantation for bronchiectasis 34 What is the role of influenza and pneumococcal vaccination in management of bronchiectasis 35 Treatment of respiratory failure 36 Bronchiectasis and other treatments Section 10 36 Do pathogens have an impact on prognosis in bronchiectasis? Section 11 37 What is the evidence for the role of viruses/ fungal

2019 British Thoracic Society

172. Professional Practice Guidelines for the Psychological Practice with Boys and Men

problems (e.g., cardiovascular problems), public health concerns (e.g., violence, substance abuse, incarceration, and early mortality), and a wide variety of other quality-of-life issues (e.g., relational problems, family well-being; for comprehensive reviews, see Levant & Richmond, 2007; Moore & Stuart, 2005; O’Neil, 2015). Additionally, many men do not seek help when they need it, and many report distinc- tive barriers to receiving gender-sensitive psychological treatment (Mahalik, Good, Tager (...) with their cultur- al heritages (Liu & Concepcion, 2010) and have been associated with poor psycholog- ical and physical health outcomes (Alvarez, Liang, & Neville, 2016). For instance, adult African American men in the United States are at greater risk for higher blood pressure, prostate cancer, cardiovascular disease, and stroke (Hammond, 2012; Hammond et al., 2016). Indeed, the relationship between racial discrimination and depressive symp- toms was found to be best explained by White, Eurocentric masculine

2019 American Psychological Association

173. Optimal Exercise Programs for Patients With Peripheral Artery Disease: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

rehabilitation. Key words included the following: (physical* adj [active or activity or activities]); (stair* or step or steps); ([muscle or muscles or muscular] adj strengthen*); (swim* or swam or jog* or run or running or ran or walk or walking or walked); treadmill*; ([circuit* or resistance or strength* or physical or weight] adj [train or training]); exercise*; (arm* or leg*) adj2 (cycle or cycling or bicycl* or ergomet*); and rehabilitat*. Physical functioning subject headings included exp physical (...) claudication, to improve community-based functional status and health-related quality of life (HRQOL), and to prevent mobility loss. In all patients with PAD, regardless of functional limitation, the other key goal is to treat cardiovascular risk factors and to prescribe antiplatelet and statin medications to reduce the risk of fatal and nonfatal ischemic cardiovascular and limb events. Assessment of functional impairment and HRQOL in patients with claudication should be incorporated into the evaluation

2019 American Gastroenterological Association Institute

174. 2018 Update on Diagnosis, Treatment, Chemoprophylaxis, and Institutional Outbreak Management of Seasonal Influenza Full Text available with Trip Pro

, with or without fever, should also be considered along with the patient’s underlying health and immune function (eg, fever without source in infants; new-onset neurologic signs and symptoms [seizures, altered mental status], more commonly in infants and young children, but possible in adults; new-onset cardiovascular events [heart failure, myocardial infarction or ischemia, cerebrovascular accident] in adults; and exacerbation of chronic medical conditions, with or without fever [particularly cardiac

2019 Infectious Diseases Society of America

175. Abdominal Aortic Aneurysm Follow-up (Without Repair)

(Without Repair) Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation. Circulation 2006;113:e463-654. 17. Kitagawa A, Mastracci TM, von Allmen R, Powell JT. The role of diameter versus volume as the best prognostic measurement of abdominal aortic (...) Practice Guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): a collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to ACR Appropriateness Criteria ® 6 AAA Follow-up

2019 American College of Radiology

176. Statin Safety and Associated Adverse Events: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

stroke and thus total stroke, as well as other cardiovascular events. There is no convincing evidence for a causal relationship between statins and cancer, cataracts, cognitive dysfunction, peripheral neuropathy, erectile dysfunction, or tendonitis. In US clinical practices, roughly 10% of patients stop taking a statin because of subjective complaints, most commonly muscle symptoms without raised creatine kinase. In contrast, in randomized clinical trials, the difference in the incidence of muscle (...) symptoms without significantly raised creatinine kinase in statin-treated compared with placebo-treated participants is <1%, and it is even smaller (0.1%) for patients who discontinued treatment because of such muscle symptoms. This suggests that muscle symptoms are usually not caused by pharmacological effects of the statin. Restarting statin therapy in these patients can be challenging, but it is important, especially in patients at high risk of cardiovascular events, for whom prevention

2019 American Gastroenterological Association Institute

177. Tobacco Cessation Treatment

Resources to Help Smokers Quit . - 6.3. Treatment Options: Pharmacological Interventions... - Table 3. FDA-Approved Smoking Cessation Medications .. . - Table 4. Recommended Pharmacotherapy for Smoking Cessation in Patients With Cardiovascular Disease . - 6.4. Treatment Options: Nonpharmacological Behavioral Interventions - Table5.ExamplesofBehavioralInterventionsfor Nicotine Dependence .. . - Table 6. Delivery Format of Stop-Smoking Interventions With Evidence of Effectiveness.. . - 6.5. Treatment (...) on a treatment plan together with patients. There may be multiple pathways that can be taken for treatment decisions, and the goal is to help clinicians and patients make a more informed decision together. JamesL.Januzzi,Jr.,MD,FACC Chair,ACCTaskForceonExpertConsensusDecisionPathways 1. ABSTRACT Tobacco use, especially cigarette smoking, is a major risk factor for cardiovascular morbidity and mortality and is the leading preventable cause of death worldwide. Comprehensive tobacco cessation treatment

2019 American College of Cardiology

178. Chest Pain – Possible Acute Coronary Syndrome

the patient’s postdischarge care altogether. It is not uncommon for a patient to have acute chest pain occurring from other cardiovascular causes or noncardiac etiologies. Patients may have predisposing cardiac risk factors and pain characteristics that place them in the triage category of intermediate probability for coronary artery disease (CAD). Further cardiac risk stratification of this subgroup of patients is recommended before discharge, and noninvasive imaging is often necessary to exclude ischemia (...) enlargement of the cardiac silhouette in patients with acute myocardial infarction and no prior history of ischemic damage or associated mitral valve disease. However, CXR is insufficient to confirm or exclude the presence of significant CAD. Other cardiovascular entities, such as aortic aneurysms, aortic dissections, and pulmonary embolism may be suggested from the CXR but with far lower sensitivity than other imaging modalities such as MDCT [16-18]. Noncardiac findings associated with chest pain

2019 American College of Radiology

179. Type 2 Diabetes Mellitus and Heart Failure Full Text available with Trip Pro

is critical to improving outcomes in this high-risk population. Although there are separate, dedicated guidelines for the management of DM and HF as isolated conditions, there is insufficient guidance on caring for patients with both DM and HF. Such guidance is necessitated by the shared pathophysiology of the 2 conditions, the potentially intersecting and discordant treatment approaches, and their synergistic effects on patient health. Furthermore, recent data from DM cardiovascular outcomes trials have (...) in the risk of incident HF in men and a 4-fold increase in women, even after adjustment for other cardiovascular risk factors. In patients with known coronary artery disease (CAD) in the Heart and Soul Study, DM was also associated with a higher adjusted risk of incident HF (hazard ratio [HR], 3.34 [95% CI, 1.65–6.76]). The risk of HF associated with DM might be even higher in younger adults and women. DM is also an important predictor of the development of symptomatic HF in patients with asymptomatic

2019 American Heart Association

180. Implementation of Supervised Exercise Therapy for Patients With Symptomatic Peripheral Artery Disease: A Science Advisory From the American Heart Association Full Text available with Trip Pro

Squires RW, Kaminsky LA, Porcari JP, Ruff JE, Savage PD, Williams MA . Progression of exercise training in early outpatient cardiac rehabilitation: an official statement from the American Association of Cardiovascular And Pulmonary Rehabilitation. J Cardiopulm Rehabil Prev . 2018 ; 38:139–146. doi: 10.1097/HCR.0000000000000337 Borg G . Borg’s Perceived Exertion and Pain Scales . Champaign, IL : Human Kinetics ; 1998 . Hiatt WRMD, Nawaz DMD, Regensteiner JGP, Hossack KFMB . The evaluation of exercise (...) classic claudication symptoms. Patients who have undergone previous revascularization are eligible for referral to SET provided that they continue to have symptoms. This visit must include information on cardiovascular disease and PAD risk factor reduction, consisting of education, counseling, behavioral interventions, and outcome assessments (see the Patient Education and Outcome Measurement: Timing and Data Elements sections). Primary referral sources may include, but are not limited to, vascular

2019 American Heart Association

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