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261. A Call to Action: Women and Peripheral Artery Disease (Full text)

Lower extremity atherosclerotic peripheral artery disease (PAD) has a very high prevalence in most nations and in the United States. Lower extremity PAD is now known to be associated with equal morbidity and mortality and comparable (or higher) health economic costs as coronary heart disease (CHD) and ischemic stroke. , Yet where surveyed, the public and clinicians (as well as health payers and government agencies) do not yet fully recognize the risks associated with PAD. For decades, clinicians did (...) A. Nussmeier , and Diane Treat-Jacobson and on behalf of the American Heart Association Council on Peripheral Vascular Disease and Council on Cardiovascular Nursing and Council on Cardiovascular Radiology and Intervention and Council on Cardiovascular Surgery and Anesthesia and Council on Clinical Cardiology and Council on Epidemiology and Prevention Originally published 15 Feb 2012 Circulation. 2012;125:1449–1472 You are viewing the most recent version of this article. Previous versions: Introduction

2012 American Heart Association PubMed abstract

262. Guidelines for the use of an insulin infusion for the management of hyperglycemia in critically ill patients

mortality. [Quality of evidence: very low] Numerous reports have associated hyperglycemia with a poor patient outcome (1–3, 8–11). Retrospective analysis of 259,040 admissions demonstrated a significant association between hyperglycemia and higher adjusted mortality in unstable angina, acute myocardial infarction, congestive heart failure, arrhythmia, ischemic and hemorrhagic stroke, gastrointestinal bleeding, acute renal failure, pneumonia, pulmonary embolism, and sepsis ( ). The mortality risk (...) , insulin infusion, insulin protocols, insulin resistance, insulin therapy, intensive care, intensive insulin therapy, mortality, myocardial infarction, neurocognitive function, neuroprotection, outcomes, pediatric, pediatric intensive care, point-of-care, point-of-care testing, sepsis, sternal wound infection, stress hyperglycemia , stress, stress hormones, stroke, subarachnoid hemorrhage, surgery, tight glycemic control protocols, and traumatic brain injury (TBI). Published clinical trials were used

2012 Society of Critical Care Medicine

263. ACCF/AHA/AMA-PCPI 2011 Performance Measures for Adults With Heart Failure (Full text)

disease receive optimal care ( ). Table 1. ACCF/AHA Performance Measure Sets Topic Original Publication Date Partnering Organizations Status Heart failure 2005 ACC/AHA—inpatient measures Updated 2011 ACC/AHA/AMA-PCPI—outpatient measures Chronic stable coronary artery disease 2005 ACC/AHA/AMA-PCPI Updated 2011 Hypertension 2005 ACC/AHA/AMA-PCPI Updated 2011 ST-elevation and non–ST-elevation myocardial infarction 2006 ACC/AHA Updated 2008 Cardiac rehabilitation 2007 AACVPR/ACC/AHA Updated 2010 (referral (...) measures only) Atrial fibrillation 2008 ACC/AHA/AMA-PCPI Primary prevention of cardiovascular disease 2009 AHA/ACCF Peripheral artery disease 2010 ACCF/AHA/ACR/SCAI/SIR/SVM/SVN/SVS Percutaneous coronary intervention 2012 ACCF/AHA/SCAI/AMA-PCPI/NCQA Cardiac imaging 2012 ACCF/AHA/ACR/AMA-PCPI/NCQA AACVPR indicates American Association of Cardiovascular and Pulmonary Rehabilitation; ACC, American College of Cardiology; ACCF, American College of Cardiology Foundation; ACR, American College of Radiology

2012 American Heart Association PubMed abstract

264. Clinical Recommendations for Cardiopulmonary Exercise Testing Data Assessment in Specific Patient Populations (Full text)

exertional dyspnea is related to a pulmonary mechanism, particularly exercise-induced bronchospasm When relevant, should be assessed prior to and following CPX for comparative purposes <15% reduction from pre to post CPX for both variables O 2 pulse trajectory (mL O 2 · beat −1 ) O 2 pulse defined as the ratio between V o 2 (mL O 2 · min −1 ) and HR (bpm) Non-invasively reflects stroke volume response to exercise Has diagnostic utility in patients with suspected myocardial ischemia (ie, exercise-induced (...) Leipzig, Leipzig, Germany3Department of Cardiology, Antwerp University Hospital, Edegem, Belgium4Department of Prevention and Sports Medicine, Technische Universität München, Munich, Germany; Munich Heart Association, Munich, Germany5Exercise Pathophysiology Laboratory, Cardiac Rehabilitation Division, S. Maugeri Foundation IRCCS, Scientific Institute of Veruno, Veruno (NO), Italy6Research Centre for Cardiovascular and Respiratory Rehabilitation, Department of Rehabilitation Sciences, KU Leuven

2012 American Heart Association PubMed abstract

265. 2013 ISHLT Guidelines for Mechanical Circulatory Support

examination as a screen for occult vascular disease. Level of evidence: C. 3. CT scan or magnetic resonance imaging is warranted in patients with previous stroke to establish a pre-operative baseline study. Level of evidence: C. Class III: 1. MCS is not recommended in patients with neuromuscular disease that severely compromises their ability to use and care for external system components or to ambulate and exercise. Level of evidence: C. Recommendations for coagulation and hematologic disorders: 40–44 (...) Obstruction (rare) Outflow Obstruction (very rare) Hypovolemia or Obstruction Figure 1 Treatment algorithm for low pump output. AV, arteriovenous; CI, cardiac index; CVP, central venous pressure; Hgb, hemoglobin; LA, left atrium; LV, left ventricle; MAP, mean arterial pressure; PAOP, pulmonary artery occlusion pressure; PAP, pulmonary artery pressure; PRBC, packed red blood cells; PVR, peripheral vascular resistance; RA, right atrium; RV, right ventricular; RVAD, right ventricular assist device. Feldman

2013 International Society for Heart and Lung Transplantation

266. Dysphagia

to evaluate a patient’s oropharyngeal swallow and to examine the effectiveness of rehabilitation strategies [9,10]. The modified barium swallow focuses on the oral cavity, pharynx, and cervical esophagus to assess abnormalities of both the oral phase of swallowing (ie, difficulty propelling the bolus) and the pharyngeal phase (ie, laryngeal penetration, tracheal aspiration, cricopharyngeal dysfunction). Dynamic evaluation of swallowing function can assess bolus manipulation, tongue motion, hyoid (...) the patient. Typical functional and neurologic causes of oropharyngeal dysphagia include recent stroke, worsening dementia, myasthenia gravis, or amyotrophic lateral sclerosis. Many patients with oropharyngeal dysphagia can subjectively localize a sensation of blockage or discomfort in the throat. Patients with oropharyngeal dysphagia typically complain of food sticking in the throat or of a globus sensation with a lump in the throat. Other symptoms of oropharyngeal dysfunction include coughing or choking

2013 American College of Radiology

267. Guidelines for Responsible Opioid Prescribing in Chronic Non-Cancer Pain

of morphine equivalent dosage by 35%, compared prior to 2007. Further, there was also a 50% decrease from 2009 to 2010 in the number of deaths. Opioid prescribing may be different for different specialities and settings based on the speciality and training. Consequently, additional modalities may be utilized instead of high dose opioid therapy, leading to low or moderate dose opioid therapy and avoid- ing multiple complications (182). These include various techniques of rehabilitation with therapeutic

2012 American Society of Interventional Pain Physicians

268. 2012 ACCF/AHA/ACR/SCAI/SIR/STS/SVM/SVN/SVS Key Data Elements and Definitions for Peripheral Atherosclerotic Vascular DiseaseA Report of the American College of Cardiology Foundation/American Heart Association Task Force on Clinical Data Standards (Writing (Full text)

stenosis or occlusion of the cervical portion of the carotid arteries ( ). Other causes of carotid artery disease include fibromuscular dysplasia, arteritis, radiation-induced arteriopathy, dissection, and restenosis following carotid artery revascularization procedures. Extracranial vertebral and intracranial cerebral artery diseases are outside the scope of this document. The data elements defined in include symptoms and clinical findings related to ischemic strokes and transient ischemic attacks (...) . ( 2011 ) Executive summary: standards of medical care in diabetes—2011 . National Heart, Lung and Blood Institute–National Cholesterol Education Program . . Accessed August 11, 2011 . Centers for Medicare & Medicaid Services ( 2010 ) Health Information Technology for Economic and Clinical Health Act–Electronic Health Record Incentive Program; Final Rule . Accessed August 11, 2011 , . Easton J.D. , Saver J.L. , Albers G.W. , et al. ( 2009 ) Definition and evaluation of transient ischemic attack

2012 Society of Interventional Radiology PubMed abstract

269. Statement Regarding the Pre and Post Market Assessment of Durable, Implantable Ventricular Assist Devices in the United States (Full text)

, Massachusetts (LS); Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan (KDA); Department of Cardiovascular Sciences, University of South Florida, Tampa, Florida (LM); Department of Cardiothoracic Surgery, University of Alabama, Birmingham, Birmingham, Alabama (DN); Division of Cardiology, Northwestern University, Chicago, Illinois (CY); Division of Cardiology, Duke University, Durham, North Carolina (JR); Heart and Vascular Institute, University of Pittsburgh Medical Center (...) of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan (KDA); Department of Cardiovascular Sciences, University of South Florida, Tampa, Florida (LM); Department of Cardiothoracic Surgery, University of Alabama, Birmingham, Birmingham, Alabama (DN); Division of Cardiology, Northwestern University, Chicago, Illinois (CY); Division of Cardiology, Duke University, Durham, North Carolina (JR); Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (JT

2012 American Heart Association PubMed abstract

270. Diagnosis and Management of Stable Chronic Obstructive Pulmonary Disease: A Clinical Practice Guideline from the ACP, ACCP, ATS, and the ERS

nonanticholinergic respiratory medications com- pared with placebo plus any other nonanticholinergic re- spiratory medications) found a reduced risk for myocardial infarction with long-acting inhaler tiotropium compared with placebo (RR, 0.73 [CI, 0.53 to 1.00]) and no differ- ence in risk for stroke (23). Evidence to Use Combination Therapy in Patients With FEV 1 Between 50% and 80% Predicted One study of patients with FEV 1 between 50% and 80% predicted who were treated with the combination of a long-acting (...) of various inhaled therapies (an- ticholinergics, long-acting -agonists, and corticosteroids), pulmonary rehabilitation programs, and supplemental oxygen therapy. Methods: This guideline is based on a targeted literature update from March 2007 to December 2009 to evaluate the evidence and update the 2007 ACP clinical practice guideline on diagnosis and management of stable COPD. Recommendation 1: ACP, ACCP, ATS, and ERS recommend that spirometry should be obtained to diagnose airflow obstruction in pa

2011 American Thoracic Society

271. Complex Regional Pain Syndrome (CRPS-2011)

Complex Regional Pain Syndrome (CRPS-2011) Effective October 1, 2011 Hyperlink and Formatting update September 2016 Work-Related Complex Regional Pain Syndrome (CRPS): Diagnosis and Treatment 2011 TABLE OF CONTENTS I. Introduction II. Establishing Work-Relatedness III. Prevention A. Know the Risk Factors B. Identify Cases Early and Take Action C. Encourage Active Participation in Rehabilitation IV. Making the Diagnosis A. Symptoms and Signs B. Three-Phase Bone Scintigraphy C. Diagnostic (...) October 1, 2011 Hyperlink and Formatting update September 2016 Page 2 Work-Related Complex Regional Pain Syndrome (CRPS): Diagnosis and Treatment I. INTRODUCTION This guideline is to be used by physicians, claim managers, occupational nurses, all other providers and utilization review staff. The emphasis is on accurate diagnosis and treatment that is curative or rehabilitative (see WAC 296-20-01002 for definitions). This guideline was developed in 2010 – 2011 by the Industrial Insurance Medical

2011 Washington State Department of Labor and Industries

272. Cardiovascular Disease Prevention in Women: Evidence-Based Guidelines For

counterparts (286.1/100,000 ver- sus 205.7/100,000). This disparity parallels the substantially lower rate of awareness of heart disease and stroke that has been documented among black versus white women (2,6–8). Of concern is that in a recent AHA national survey, only 53% of women said the ?rst thing they would do if they thought they were having a heart attack was to call 9-1-1. This distressing lack of appreciation by many women for the need for emergency care for acute cardiovascular events (...) associated with a 4- to 5-fold increased risk of ischemic stroke and is responsible for 15% to 20% of all ischemic strokes. It has been shown that undertreatment with anticoagulants doubles the risk of recurrent stroke; therefore, the expert panel voted to include recommendations for the prevention of stroke among women with atrial ?brillation (6,9,10). Adverse trends in CVD risk factors among women are an ongoing concern. After 65 years of age, a higher percentage of women than men have hypertension

2011 American College of Cardiology

273. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease (Full text)

, asymptomatic patients, cardiac magnetic resonance (CMR), cardiac rehabilitation, chest pain, chronic angina, chronic coronary occlusions, chronic ischemic heart disease (IHD), chronic total occlusion, connective tissue disease, coronary artery bypass graft (CABG) versus medical therapy, coronary artery disease (CAD) and exercise, coronary calcium scanning, cardiac/coronary computed tomography angiography (CCTA), CMR angiography, CMR imaging, coronary stenosis, death, depression, detection of CAD (...) , myocardial infarction (MI), noninvasive testing and mortality, nuclear myocardial perfusion, nutrition, obesity, outcomes, patient follow-up, patient education, prognosis, proximal left anterior descending (LAD) disease, physical activity, reoperation, risk stratification, smoking, stable ischemic heart disease (SIHD), stable angina and reoperation, stable angina and revascularization, stress echocardiography, radionuclide stress testing, stenting versus CABG, unprotected left main, weight reduction

2011 American Heart Association PubMed abstract

274. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention: Executive Summary (Full text)

Occlusions 2589 4.7.2. Saphenous Vein Grafts 2589 4.7.3. Bifurcation Lesions 2589 4.7.4. Aorto-Ostial Stenoses 2589 4.7.5. Calcified Lesions 2591 4.8. PCI in Specific Patient Populations 2591 4.8.1. Chronic Kidney Disease 2591 4.9. Periprocedural Myocardial Infarction Assessment 2591 4.10. Vascular Closure Devices 2591 5. Postprocedural Considerations: Recommendations 2591 5.1. Postprocedural Antiplatelet Therapy 2591 5.1.1. Proton Pump Inhibitors and Antiplatelet Therapy 2591 5.1.2. Clopidogrel Genetic (...) . PCI in Hospitals Without On-Site Surgical Backup 2583 4. Procedural Considerations: Recommendations 2583 4.1. Vascular Access 2583 4.2. PCI in Specific Clinical Situations 2583 4.2.1. Unstable Angina/Non–ST-Elevation Myocardial Infarction 2583 4.2.2. ST-Elevation Myocardial Infarction 2584 4.2.3. Cardiogenic Shock 2585 4.2.4. Revascularization Before Noncardiac Surgery 2585 4.3. Coronary Stents 2586 4.4. Adjunctive Diagnostic Devices 2586 4.4.1. Fractional Flow Reserve 2586 4.4.2. Intravascular

2011 American Heart Association PubMed abstract

275. 2011 ACCF/AHA Guideline for the Diagnosis and Treatment of Hypertrophic Cardiomyopathy (Full text)

during atrial systole is associated with these alterations. With exercise or any other type of catecholamine stimulation, the decrease in diastolic filling period as well as myocardial ischemia will further lead to severe abnormalities of diastolic filling of the heart, with chest pain and/or an increase in pulmonary venous pressure causing dyspnea. 4.3. Myocardial Ischemia Severe myocardial ischemia and even infarction may occur in HCM. , The myocardial ischemia is frequently unrelated (...) . . . . . . . . . . . . . . . . . .e789 2.2.4. Hypertrophic Cardiomyopathy Centers . .e789 Clinical Course and Natural History, Including Absence of Complications . . . . . . . . . . . . . . . . . . . . .e790 Pathophysiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . .e790 4.1. LVOT Obstruction. . . . . . . . . . . . . . . . . . . . . . . .e790 4.2. Diastolic Dysfunction . . . . . . . . . . . . . . . . . . . . .e791 4.3. Myocardial Ischemia . . . . . . . . . . . . . . . . . . . . . .e791 4.4. Autonomic Dysfunction

2011 American Heart Association PubMed abstract

276. Coronary Artery Bypass Graft Surgery: Guideline For

and is per- formed in about 80% of subjects undergoing the procedure in the United States. Despite the excellent results that have been achieved, the use of CPB and the associated manipu- lation of the ascending aorta are linked with certain peri- operative complications, including myonecrosis during aor- tic occlusion, cerebrovascular accidents, generalized neurocognitive dysfunction, renal dysfunction, and SIRS. In an effort to avoid these complications, off-pump CABG was developed (58,66). Off-pump (...) 5.2.1. Adverse Cerebral Outcomes e159 5.2.1.1. STROKE e159 5.2.1.1.1. USE OF EPIAORTIC ULTRASOUND IMAGING TO REDUCE STROKE RATES: RECOMMENDATION e159 5.2.1.1.2. THE ROLE OF PREOPERATIVE CAROTID ARTERY NONINVASIVE SCREENING IN CABG PATIENTS: RECOMMENDATIONS..e160 5.2.1.2. DELIRIUM e161 5.2.1.3. POSTOPERATIVE COGNITIVE IMPAIRMENT e161 e124 Hillis et al. JACC Vol. 58, No. 24, 2011 2011 ACCF/AHA CABG Guideline December 6, 2011:e123–2105.2.2. Mediastinitis/Perioperative Infection: Recommendations e161

2011 American College of Cardiology

277. 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention (Full text)

Considerations . . . . . . . . . . . . . . . . . . .e595 5.1. Vascular Access: Recommendation . . . . . . . .e595 5.2. PCI in Specific Clinical Situations . . . . . . . . .e596 5.2.1. UA/NSTEMI: Recommendations . . . . .e596 5.2.2. ST-Elevation Myocardial Infarction . . .e597 5.2.2.1. Coronary Angiography Strategies in STEMI: Recommendations . . . . . . . . .e597 5.2.2.2. Primary PCI of the Infarct Artery: Recommendations . . .e598 5.2.2.3. Delayed or Elective PCI inPatients With STEMI: Recommendations (...) angioplasty , randomized controlled trial (RCT) , percutaneous coronary intervention (PCI) and angina , angina reduction , antiplatelet therapy , bare-metal stents (BMS) , cardiac rehabilitation , chronic stable angina , complication , coronary bifurcation lesion , coronary calcified lesion , coronary chronic total occlusion (CTO) , coronary ostial lesions , coronary stent (BMS and drug-eluting stents [DES]; and BMS versus DES) , diabetes , distal embolization , distal protection , elderly , ethics , late

2011 American Heart Association PubMed abstract

278. Acute Low Back Pain

overall risk of heart attack or stroke. * Approximate Retail Cost - May vary from store to store. For brand drugs, Average Wholesale Price minus 10%. AWP from Amerisource Bergen Wholesale Catalog 03/09. The cost of generic products is calculated as MAC plus $3.00 based on the Michigan Department of Community Health M.A.C. Manager, 3/09. ** Hepatotoxicity has been observed with use, primarily during the first month. Prescribing physicians should be aware and should check transaminases within four weeks (...) ) selective inhibitor (similar action, cost may differ). However, if: - NSAID not tolerated: COX-2. - Very high GI risk (e.g., prior GI bleed): if possible avoid NSAIDs/COX-2. If cannot avoid, then COX-2 plus PPI. ? If also elevated cardiovascular risk 2, 3 (assume on low-dose aspirin or other antiplatelet medication): If possible avoid NSAIDs/COX-2 due to greater likelihood of heart attack or stroke following NSAID use. . If cannot avoid, then assess patient to prioritize GI and cardiovascular risks

2011 University of Michigan Health System

279. Diagnosis and Management of Cerebral Venous Thrombosis (Full text)

. This may result in an overestimation of risk associated with the various conditions owing to referral and ascertainment biases. In the Registro Nacional Mexicano de Enfermedad Vascular Cerebral (RENAMEVASC), a multihospital prospective Mexican stroke registry, 3% of all stroke cases were CVT. A clinic-based registry in Iran reported an annual CVT incidence of 12.3 per million. In a series of intracerebral hemorrhage (ICH) cases in young people, CVT explained 5% of all cases. Figure 1. Age and sex (...) Diagnosis and Management of Cerebral Venous Thrombosis Diagnosis and Management of Cerebral Venous Thrombosis | Stroke Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 February 2019 February 2019 January 2019 Free Access article Share on Jump to Free Access article Diagnosis and Management of Cerebral Venous Thrombosis A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association , MD, MSc, FAHA

2011 Congress of Neurological Surgeons PubMed abstract

280. Quality Improvement Guidelines for Angiography, Angioplasty, and Stent Placement for the Diagnosis and Treatment of Renal Artery Stenosis in Adults

to renalarteryperforation,cholesterolembo- lization, acute renal failure, and arterial access puncture above the inguinal liga- ment. A surgical salvage operation was necessary in 1%–2.5% (46,54). Symptom- atic embolization occurred in 1%–8% of thepatients(46,82).Occlusionofthemain renal artery was reported in 0.8%–2.5% and occlusion of a renal artery branch causing a segmental infarction in 1.1%– 1.7% (46,54). Cholesterol embolization resulting in decreasedrenalfunctionorvisceralorpe- ripheral symptoms is expected (...) , Marinelli DL, Martin LG, Spies JB. Reporting standards for clinical evaluation of new peripheral arterial re- vascularization devices. Technology As- Specific Major Complications from Percutaneous Renal Revascularization Complication Reported Rate (%) Threshold (%) Mortality at 30 d 1 1 Secondary nephrectomy 11 Surgical salvage operation 1 2 Symptomatic embolization 3 3 Main renal artery occlusion 2 2 Branch renal artery occlusion 2 2 Access site hematoma requiring surgery or transfusion or prolonging

2010 Society of Interventional Radiology

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