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882. 2016 ACC/AHA Clinical Performance and Quality Measures for Adults With Atrial Fibrillation or Atrial Flutter Full Text available with Trip Pro

-occurrence of atrial fibrillation or flutter by controlling blood pressure in patients with hypertension. Exploring the feasibility of integration of pharmacokinetic guides for dose adjustments for new oral anticoagulants (eg renal conditions, or other conditions). Staff American College of Cardiology Kim A. Williams, Sr, MD, FACC, FAHA, President Shalom Jacobovitz, Chief Executive Officer William J. Oetgen, MD, MBA, FACC, Executive Vice President, Science, Education, Quality, and Publications Lara (...) Slattery, MHS, Senior Director, ACC Scientific Reporting Jensen S. Chiu, MHA, Team Lead, Quality Measurement Penelope Solis, JD, Associate, Quality Measurement Amelia Scholtz, PhD, Publications Manager, Science, Education, Quality, and Publications American College of Cardiology/American Heart Association Sana Gokak, MPH, Associate, Quality Measurement American Heart Association Mark A. Creager, MD, FAHA, FACC, President Nancy Brown, Chief Executive Officer Rose Marie Robertson, MD, FAHA, Chief Science

2016 American Heart Association

884. Impact of Hypertension on Cognitive Function: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

of experts examines the impact of hypertension on cognition to assess the state of the knowledge, to identify gaps, and to provide future directions. Methods— Authors with relevant expertise were selected to contribute to this statement in accordance with the American Heart Association conflict-of-interest management policy. Panel members were assigned topics relevant to their areas of expertise, reviewed the literature, and summarized the available data. Results— Hypertension disrupts the structure (...) mortality over the past several decades has been attributed to the treatment of hypertension. , Surprisingly, however, the impact of hypertension and its treatment on cognitive impairment has been more difficult to assess, and several key questions remain to be answered. Considering the growing public health import of dementia, a critical appraisal of current knowledge of the cognitive function associated with hypertension is warranted. Although the role of vascular risk factors in cognitive impairment

2016 American Heart Association

885. Palliative Care and Cardiovascular Disease and Stroke: A Policy Statement From the American Heart Association/American Stroke Association

, to identify better care and payment models, and to establish quality standards and outcome measurement. Recommendations address healthcare system policies for the provision of comprehensive palliative care services during hospitalization, including goals of care, treatment decision making, needs of family caregivers, and needs associated with transition to other care settings. Finally, these recommendations respond to the need for health professional education and training in palliative care as part (...) ones. Parents of children with moderate to severe disability after stroke report increased depression, anxiety, and marital and family discord. Common fears of caregivers result from uncertainty in prognosis, fear of another stroke, and feelings of abandonment. Caregiver support and education are needed but often are not enough, particularly for those with complicated grief reactions. Although data are sparse, stroke can also cause spiritual pain. As a result, providers should identify and manage

2016 American Heart Association

886. Enhancing Literacy in Cardiovascular Genetics: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

. Knowledge of these areas will enable the practitioner to identify patients with cardiovascular diseases that may have a genetic basis through history, physical findings, dysmorphology assessment, and known genetic associations; determine when, why, and how genetic testing can be requested for those who require genetic testing; understand when, why, and how cascade screening of family members should be conducted; learn when and why a referral to a geneticist/genetic counselor/genetically trained nurse (...) that educational tools and resources be made available to enable the clinician to know when to refer a patient for a genetic evaluation and to acquire sufficient knowledge to understand the findings from these evaluations to help their patients. Core competencies in genetics for health professionals were published in 2007 by the National Coalition for Health Professional Education in Genetics to guide effective integration of genetics and genomics advances into practice and education throughout the professions

2016 American Heart Association

887. Recommendations for the Implementation of Telehealth in Cardiovascular and Stroke Care: A Policy Statement From the American Heart Association Full Text available with Trip Pro

information from patient to doctor or vice versa, transfer from a remote area to a centralized site of expertise within the same country or between countries, and transfer to a distributed network of experts. However, health information can also flow between providers or patients in the form of tele-education, which may be a direct aim of the encounter (as in telementoring) or an indirect byproduct of physician-to-physician consultation (learning at the bedside or “Webside”). Goals of the Policy Statement (...) and information technologies to share information and to provide clinical care, education, public health, and administrative services at a distance. Telehealth is a broad term that encompasses many digital health technologies, including telemedicine, eHealth, connected health, and mHealth. Telehealth is a new method of enabling care delivery that has the potential to help transform the healthcare system, to reduce costs, and to increase quality, patient-centeredness, and patient satisfaction. In particular

2016 American Heart Association

888. Poststroke Depression: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

cohorts in the reviews reflecting the different inclusion and exclusion criteria set by the review authors. The data indicated that physical disability, stroke severity, depression before stroke, and cognitive impairment consistently had a positive association with the development of PSD. Other factors that have been identified as predictors include a lack of family and social support after stroke and anxiety after stroke. Older age, female sex, diabetes mellitus, stroke subtype, education level (...) Stroke Council’s Scientific Statements Oversight Committee and the American Heart Association’s Manuscript Oversight Committee. Members were assigned topics relevant to their areas of expertise and reviewed appropriate literature, references to published clinical and epidemiology studies, clinical and public health guidelines, authoritative statements, and expert opinion. This multispecialty statement provides a comprehensive review of the current evidence and gaps in current knowledge

2016 American Heart Association

889. Preventing and Experiencing Ischemic Heart Disease as a Woman: State of the Science Full Text available with Trip Pro

denotes a learned pattern of behavior in which beliefs, values, norms, and practices are shared from 1 generation to the next and influence thoughts and actions of a particular group. Women are influenced by their ethnicity and cultural background and thus are not considered to be a homogeneous group. A woman’s ethnic or culture background creates complex norms and expectations that affect all aspects of life, including marital status, childbearing, caregiving roles, food preparation, educational (...) are less common in women BP indicates blood pressure. Reprinted with permission from Finks S. Cardiovascular Disease in Women. In Richardson M, Chant C, Cheng JWM, et al, eds. Pharmacotherapy Self-Assessment Program, ed 7 (PSAP-VII). Book 1 ( Cardiology ). Lenexa, KS: American College of Clinical Pharmacy, 2010;182. Copyright © 2010, American College of Clinical Pharmacy. During the past 2 decades, we have learned that sex differences exist in the pathophysiology of coronary heart disease, symptom

2016 American Heart Association

890. New Quality Measure Core Sets Provide Continuity for Measuring Quality Improvement Full Text available with Trip Pro

of preventable strokes, placing a substantial burden of disability for patients and their families. This potential increase in preventable strokes across the population is the chief concern of the ACC and the AHA. Even with the current target of 140/90 mm Hg, many patients treated for high BP are not adequately treated to goal; raising the BP target will suggest to these patients and their health care providers that their previously inadequate treatment has suddenly become adequate. The release of the NHLBI (...) and to adopt changes in the core measures as appropriate. Until the new guideline is published, we urge, as we did in an advisory along with the Centers for Disease Control and Prevention in 2014, all health care providers and patients to strive to reach a BP target of <140/90 mm Hg. To do otherwise puts patients’ lives and well-being at risk. We also urge all patients to talk to their doctors about their own risk for cardiovascular disease and stroke and to learn what steps they can take to reduce

2016 American Heart Association

891. AAN Guideline on Botulinum Neurotoxin

). GLOSSARY AAN = American Academy of Neurology ; aboBoNT-A = abobotulinumtoxinA ; AE = adverse event ; BDI = Blepharospasm Disability Index ; BoNT = botulinum neurotoxin ; CD = cervical dystonia ; CI = confidence interval ; CM = chronic migraine ; DAS = Disability Assessment Scale ; EM = episodic migraine ; incoBoNT-A = incobotulinumtoxinA ; onaBoNT-A = onabotulinumtoxinA ; QOL = quality of life ; RD = risk difference ; rimaBoNT-B = rimabotulinumtoxinB ; RMT = randomized, masked trials ; TWSTRS = Toronto (...) : Table 2 Evidence-based conclusions and recommendations for the efficacy of various botulinum neurotoxin formulations by indication ANALYSIS OF EVIDENCE Blepharospasm. Blepharospasm is a dystonia that can cause disabling eyelid closure. The 2008 guideline concluded that BoNT as a class is probably safe and effective on the basis of 2 Class II studies comparing onaBoNT-A with placebo, 1 Class II study comparing onaBoNT-A with aboBoNT-A, and 1 Class I study comparing onaBoNT-A with incoBoNT-A. Since

2016 American Association of Neuromuscular & Electrodiagnostic Medicine

892. Knee Surgery

). Osteoarthritis is a normal degenerative process and a progressive condition that results from loss or deterioration of articular cartilage. It is the most common arthritic disease, it is the most common cause of long-term disability in persons older than 65, and it is expected to become the world’s 4 th leading cause of disability by 2020 [8, 9] . Those with diagnosed OA have nearly double the risk of increased sick leave, with around 2% of all sick days being attributable to knee OA, and are 40-50% more (...) likely to receive a disability pension [10] . While osteoarthritis is considered a normal degenerative process, if certain movements such as squatting, kneeling, and heavy lifting are a regular part of one’s job and are thus performed repeatedly or intensively over an extended period of time, they may contribute to the development and severity of osteoarthritis, and in these situations, may be considered work-related. Obesity is a leading independent non-work related risk factor for developing

2016 Washington State Department of Labor and Industries

893. Lower Extremity Peripheral Artery Disease: Guideline on the Management of Patients With

lowering/hypertension, bypass graft/bypass grafting/ surgical bypass, cilostazol, claudication/intermittent claudication, critical limb ischemia/severe limb ischemia, diabetes, diagnostic testing, endovascular therapy, exercise rehabilitation/exercise therapy/exercise training/ supervised exercise, lower extremity/foot wound/ulcer, peripheral artery disease/peripheral arterial disease/pe- ripheral vascular disease/lower extremity arterial disease, smoking/smoking cessation, statin, stenting (...) , the writing committee in conjunction with the Task Force and ERC Chair identi?ed the following systematic review questions: 1) Is antiplatelet therapy bene?cial for prevention of cardiovascular events in the patient with symptomatic or asymptomatic lower ex- tremity PAD? 2) What is the effect of revascularization, comparedwithoptimal medicaltherapy andexercise training, on functional outcome and quality of life (QoL) among patients with claudication? Each question has been the subject of recently

2016 American College of Cardiology

894. The Heart of 25 by 25: Achieving the Goal of Reducing Global and Regional Premature Deaths From Cardiovascular Diseases and Stroke Full Text available with Trip Pro

and disability by age, sex, and over time for all countries. The methods and results of this exercise have been reported in detail. Data were drawn from the GBD 2013 study. All estimates were produced separately for each age/sex/country/disease-specific strata and then collapsed to create regional estimates. A list of GBD 2015 geographies detailing the countries that make up regions and superregions is available elsewhere. To create a scenario in which risk factors continue the trend observed since 1990 (...) Features Resources & Education For Authors & Reviewers National Center 7272 Greenville Ave. Dallas, TX 75231 Customer Service 1-800-AHA-USA-1 1-800-242-8721 ABOUT US OUR SITES TAKE ACTION ONLINE COMMUNITIES Follow

2016 American Heart Association

895. Use of Mobile Devices, Social Media, and Crowdsourcing as Digital Strategies to Improve Emergency Cardiovascular Care Full Text available with Trip Pro

-in-time education of the public to potentially improve early recognition of symptoms and early response for emergency cardiovascular conditions. Crowdsourcing can enhance development and maintenance of research databases with information about emergency cardiovascular conditions related to guidelines, emergency resources, training, and emergency response. Data quality, access, and optimal use of this approach are critical areas for evaluation. Mobile Devices Mobile devices include smartphones, tablet (...) , motion-sensing capabilities, and proportionally large screens optimized for the presentation of video and Internet content, their potential as a digital strategy to connect people with resources and knowledge to improve care of emergency cardiovascular conditions is significant. Mobile device apps can provide support such as educational information about signs and symptoms at the time of an emergency event and facilitate bidirectional information exchange between a dispatcher and a bystander

2016 American Heart Association

896. Evidence-Based Policy Making: Assessment of the American Heart Association?s Strategic Policy Portfolio Full Text available with Trip Pro

BMI assessment during clinical visits, appropriate behavioral counseling to improve diet and physical activity behaviors, provider training and continuing education on best practice in delivering behavioral interventions, surveillance of BMI in schools and at the state level, and support for measurement and recording of BMI as a Healthcare Effectiveness Data and Information Set measure. Clinicians identify overweight and obese children according to their BMI. Advocacy for this clinical approach (...) –19 y) Ideal: ≥60 min of moderate to vigorous physical activity a day Intermediate: 1–59 min of moderate to vigorous physical activity a day Poor: no physical activity Adults Ideal: at least 150 min of moderate or 75 min of vigorous physical activity each week Intermediate: 1–149 min/wk moderate or 1–74 min/wk vigorous activity Poor: no physical activity Improve the accountability and increase the amount and quality of physical education offered in schools (federal/state/local) AHA (Mozaffarian et

2016 American Heart Association

897. Sedentary Behavior and Cardiovascular Morbidity and Mortality: A Science Advisory From the American Heart Association Full Text available with Trip Pro

around the waist are not able to accurately detect lower-body movements in activities such as cycling, water-based activities, or upper-body movements associated with activities like resistance training. Thus, these activities might be misclassified as sedentary. Although wearing a device on a wrist or ankle can minimize these limitations, the validity of the data when used in this position is still being established. , Furthermore, accelerometers can be inaccurate in distinguishing sitting from (...) instruments that assess sedentary behavior across the various behavior domains and protocols, data processing methods, and summaries of sedentary time using devices. Common sets of measurements will allow for meaningful systematic reviews and meta-analysis results. With common measurement instruments, researchers can more accurately ascertain which population subgroups are at increased risk for being sedentary and in which contexts. We will also learn more about where sedentary behaviors are most likely

2016 American Heart Association

898. Critical Issues in the Evaluation of Adult Patients With Suspected Transient Ischemic Attack in the Emergency Department Full Text available with Trip Pro

a final diagnosis of a nonischemic cause for their symptoms such as seizures, migraines, or neuropathy. x 15 Castle, J., Mlynash, M., Lee, K. et al. Agreement regarding diagnosis of transient ischemic attack fairly low among stroke-trained neurologists. Stroke . 2010 ; 41 : 1367–1370 | | | , x 16 Prabhakaran, S., Silver, A.J., Warrior, L. et al. Misdiagnosis of transient ischemic attacks in the emergency room. Cerebrovasc Dis . 2008 ; 26 : 630–635 | | | To help identify TIA, risk-stratification tools (...) ): feasibility and effects. Lancet Neurol . 2007 ; 6 : 953–960 | | | | | , x 22 Luengo-Fernandez, R., Gray, A.M., and Rothwell, P.M. Effect of urgent treatment for transient ischaemic attack and minor stroke on disability and hospital costs (EXPRESS study): a prospective population-based sequential comparison. Lancet Neurol . 2009 ; 8 : 235–243 | | | | | The second clinical question tackles the issue of emergent imaging in the ED. Although imaging has been recommended for TIA, x 1 Kernan, W.N., Ovbiagele, B

2016 American College of Emergency Physicians

899. Knowledge Gaps in Cardiovascular Care of the Older Adult Population Full Text available with Trip Pro

recommendations are sparse, largely empiric, and focus on a few general principles: control of hypertension, judicious use of diuretic agents for pulmonary congestion and peripheral edema, control of AF, and treatment of myocardial ischemia in selected patients. Recommendations to Close Knowledge Gaps Pooled data from high-quality clinical trials and large prospective registries should be scrutinized to inform clinicians about the impact of specific drug and device therapies, as well as exercise training (...) Knowledge Gaps in Cardiovascular Care of the Older Adult Population Knowledge Gaps in Cardiovascular Care of the Older Adult Population | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use

2016 American Heart Association

900. Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients Full Text available with Trip Pro

the intensivist to perform a comprehensive evaluation of cardiac anatomy and function including hemodynamic assessment using TTE or TEE, 2D, and Doppler echocardiography . Competence in advanced BCU requires a high level of skill in all aspects of image acquisition and interpretation. When compared with basic BCU, advanced-level competence requires far more extensive training and experience. We, however, believe that TEE is beyond the basic skill level of an average North American intensivist and recommend (...) and is the President of the Abdominal Compartment Society). Dr. Slonim disclosed a relationship with healthcare services providers (healthcare consultant on healthcare reform for pharma) and participation in other healthcare professional organizations (AAPL Board of Directors). Dr. Price disclosed other healthcare professional organization activities (European Society of Cardiology [committee member for Press, Education, CPC, MQC professional standards, chair of Acute Cardiac Care Association

2016 Society of Critical Care Medicine


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