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141. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage

and control of secondary brain injury and intracranial pressure, the role of surgery, outcome prediction, rehabilitation, secondary prevention, and future considerations. Results of new phase 3 trials were incorporated. Conclusions—Intracerebral hemorrhage remains a serious condition for which early aggressive care is warranted. These guidelines provide a framework for goal-directed treatment of the patient with intracerebral hemorrhage. (Stroke. 2015;46:2032-2060. DOI: 10.1161/STR.0000000000000069.) Key (...) Guidelines for the Management of Spontaneous Intracerebral Hemorrhage 2032 Purpose—The aim of this guideline is to present current and comprehensive recommendations for the diagnosis and treatment of spontaneous intracerebral hemorrhage. Methods—A formal literature search of PubMed was performed through the end of August 2013. The writing committee met by teleconference to discuss narrative text and recommendations. Recommendations follow the American Heart Association/American Stroke

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2015 American Heart Association

143. Heart Failure Management in Skilled Nursing Facilities

(the American Heart Association [AHA] and the Heart Failure Society of America) identified specific members of the writing group, and others were selected on the basis of known expertise. A literature search was performed using the key words skilled nursing facility , long-term care facility , nursing home , palliative medicine , rehabilitation , exercise , discharge , post-hospital , and post-acute meshed with the key word heart failure in PubMed and Ovid. Peer review was performed by experts from (...) into 3 groups based on different clinical scenarios and goals. One, the “rehabilitation group,” includes patients recently discharged from the hospital (with any diagnosis) with the goal to recover independent function and return to their prior residence after several weeks of skilled care. The second group, the “uncertain prognosis group” of patients, are often discharged from the hospital with complications, frailty, or multiple comorbidities, with hope of improvement, but recovery is less certain

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2015 American Heart Association

144. 2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention and the 2013 ACCF/AHA Guideline for t

cardiovascular medicine, interventional cardiology, electrophysiology, heart failure, cardiac surgery, emergency medicine, internal medicine, cardiac rehabilitation nursing, and pharmacy. The GWC included representatives from the ACC, AHA, American College of Physicians, American College of Emergency Physicians, and Society for Cardiovascular Angiography and Interventions (SCAI). 1.3. Review and Approval This document was reviewed predominantly by the prior reviewers from the respective 2011 and 2013 (...) PTCA Units With or Without Emergency Thrombolysis) trial, 214 patients with STEMI were randomized to staged (3 to 40 days after the index procedure) revascularization of all ≥70% diameter stenosis noninfarct lesions or culprit-only PCI. Preliminary results at 38 months’ mean follow-up showed no between-group differences in the composite primary endpoint of all-cause death, nonfatal MI, and stroke. Table 1. Applying Class of Recommendation and Level of Evidence to Clinical Strategies, Interventions

2015 American Heart Association

145. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 15: Legal Aspects of Medical Eligibility and Disqualification Recommendations

and Disqualification Recommendations A Scientific Statement From the American Heart Association and American College of Cardiology , JD, Chair , MD, FAHA, MACC , and MD, FACC JDon behalf of the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and the American College of Cardiology Matthew J. Mitten (...) , Douglas P. Zipes , Barry J. Maron , and William J. Bryant and on behalf of the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and the American College of Cardiology Originally published 2 Nov 2015 Circulation. 2015;132:e346–e349 You are viewing the most recent version of this article

2015 American Heart Association

146. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication

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 for Vascular Nursing; TransAtlantic Inter-Society (...) , 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 Develop Guidelines for the Management of Patients With Peripheral Arterial Disease): endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation

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2015 Society for Vascular Surgery

147. Task Force 6: Pediatric Cardiology Fellowship Training in Adult Congenital Heart Disease

the outcomes of CHD. The care of adults with CHD requires familiarity with common adult medical conditions, both cardiac and non- cardiac, and awareness of available guidelines to treat them. Important conditions include coronary artery disease, acute myocardial infarction, heart failure, hypertension, hyperlip- idemia, atrial fibrillation, stroke, diabetes mellitus, metabolic syndrome, sleep apnea, obstructive lung disease, obesity, life- style issues, including tobacco, alcohol, and drug use; exer- cise (...) , management options, and outcomes may be quite different. There are sub- groups of ACHD in whom the risk for arrhythmias increases with age such as Mustard/Senning repairs of transposition of the great arteries (TGA) and atriopulmonary Fontan pal- liations. These patients are prone to both tachyarrhythmias and bradyarrhythmias; therefore, a thorough understanding of these operations is essential. Anticoagulation for stroke prevention may differ in ACHD patients because of advancing age and comorbidities

2015 American Heart Association

148. 2015 ACC/AHA Focused Update of Secondary Prevention Lipid Performance Measures

angina, coronary (including PCI) or other arterial revascularization, stroke, transient ischemic attack, or PAD. Although this patient population seems heterogeneous, it encompasses a variety of patients who all share presumed atherosclerosis as a common pathophysiology. Atherosclerosis is a chronic diffuse disease involving a myriad of arterial beds with intermittent acute clinical manifestations, predominantly occurring as a result of superimposed thrombosis, plaque progression, spasm, embolism (...) in coronary death or nonfatal MI, coronary revascularization, and ischemic stroke. The investigators also found no significant effects observed on deaths due to cancer or other nonvascular causes or on cancer incidence, even at low LDL-C concentrations. The aforementioned report was a meta-analysis of RCTs. Concerns about the quality and quantity of safety reporting in RCTs have been raised previously, and many researchers find the reporting of risks in RCTs to be largely inadequate. Data from RCTs should

2015 American Heart Association

149. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 2: Preparticipation Screening for Cardiovascular Disease in Competitive Athletes

Disease in Competitive Athletes A Scientific Statement From the American Heart Association and American College of Cardiology , MD, FACC, Chair , MD, FAHA, FACC , MD, FAHA , MD, FACC , and MD, FAHA, FACC MD, FACCon behalf of the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology (...) , and the American College of Cardiology Barry J. Maron , Benjamin D. Levine , Reginald L. Washington , Aaron L. Baggish , Richard J. Kovacs , and Martin S. Maron and on behalf of the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and the American College of Cardiology Originally published 2 Nov

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2015 American Heart Association

150. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Preamble, Principles, and General Considerations

, FACC, Co-Chair , and MD, FAHA, MACC, Co-Chair MD, FAHA, FACC, Co-Chairon behalf of the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and the American College of Cardiology Barry J. Maron , Douglas P. Zipes , and Richard J. Kovacs and on behalf of the American Heart Association (...) Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and the American College of Cardiology Originally published 2 Nov 2015 Circulation. 2015;132:e256–e261 You are viewing the most recent version of this article. Previous versions: Introduction This document addresses medical issues related to trained athletes with cardiovascular

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2015 American Heart Association

151. Sex Differences in the Cardiovascular Consequences of Diabetes Mellitus

with DM compared with men Heart failure Risk of incident heart failure is greater in women than men Stroke Male stroke patients have a higher prevalence of DM than female stroke patients DM is a stronger risk factor for stroke in women compared with men PAD DM is a more significant risk factor for the development of claudication in women compared with men Women with PAD and DM respond less well to exercise training compared with women without DM and men with and without DM Decreased long-term survival (...) factors Men <50 y of age Women <60 y of age Lifestyle treatment Cardiovascular events and mortality: Da Qing Diabetes Prevention Study of Chinese adults with prediabetes demonstrated a sex difference in cardiovascular mortality of the lifestyle intervention that favored women (although smoking prevalence was higher in men than women) No sex differences in cardiovascular outcomes in individuals with DM in the Japanese Diabetes Complications Study (stroke) or the Look AHEAD Study (cardiovascular

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2015 American Heart Association

152. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 10: The Cardiac Channelopathies

, FAHA, MACC , and MD, FAHA, FACC MD, FACCon behalf of the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and the American College of Cardiology Michael J. Ackerman , Douglas P. Zipes , Richard J. Kovacs , and Barry J. Maron and on behalf of the American Heart Association (...) Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and the American College of Cardiology Originally published 2 Nov 2015 Circulation. 2015;132:e326–e329 You are viewing the most recent version of this article. Previous versions: Introduction The cardiac channelopathies are a collection of primary, genetically mediated heart

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2015 American Heart Association

153. Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 9: Arrhythmias and Conduction Defects

, FAHA, MACC, Chair , MD, FACC , MD, PhD, FACC , MD, FAHA, FACC , and MD, FACC MD, FACCon behalf of the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and the American College of Cardiology Douglas P. Zipes , Mark S. Link , Michael J. Ackerman , Richard J. Kovacs , Robert J. Myerburg (...) , and N.A. Mark EstesIII and on behalf of the American Heart Association Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular and Stroke Nursing, Council on Functional Genomics and Translational Biology, and the American College of Cardiology Originally published 2 Nov 2015 Circulation. 2015;132:e315–e325 You are viewing the most recent version of this article. Previous versions: Introduction

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2015 American Heart Association

154. Contributory Risk and Management of Comorbidities of Hypertension, Obesity, Diabetes Mellitus, Hyperlipidemia, and Metabolic Syndrome in Chronic Heart Failure: A Scientific Statement From the American Heart Association

140/90 mm Hg. The prevalence of hypertension is steadily increasing, even with the expanded use of antihypertensive medications. 16 It is widely recognized that hypertension is associated with increased cardiovascular and all-cause mortality independently of other risk factors. 14,17 Specific HF mortality attributable to hypertension is probably underreported because of the competing adjudication for stroke or myocardial infarction (MI) at the end of the spectrum of hypertensive cardiovascular (...) Surgery and Anesthesia; Council on Cardiovascular and Stroke Nursing; Council on Hypertension; and Council on Quality and Outcomes Research Contributory risk and Management of Comorbidities of Hypertension, obesity, Diabetes Mellitus, Hyperlipidemia, and Metabolic Syndrome in Chronic Heart Failure A Scientific Statement From the American Heart Association © 2016 American Heart Association, Inc. Key Words: AHA Scientific Statements ? cardiovascular diseases ? comorbidity ? diabetes mellitus ? heart

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2016 American Heart Association

155. Current Diagnostic and Treatment Strategies for Specific Dilated Cardiomyopathies: A Scientific Statement From the American Heart Association

and Transplantation of the Council on Clinical Cardiology; Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; and Council on Quality of Care and Outcomes Research Current Diagnostic and Treatment Strategies for Specific Dilated Cardiomyopathies A Scientific Statement from the American heart Association © 2016 American Heart Association, Inc. Key Words: AHA Scientific Statements ? cardiomyopathy ? dilated cardiomyopathy ? heart (...) demonstrated in patients with sinus rhythm when the atria develop mechanical “stand- still” as a result of amyloid infiltration of the atrial walls. High left atrial pressures in the setting of HF also likely contribute to atrial dysfunction. The benefit of anticoagu- lation should be weighed against the potential increased risk of bleeding in patients with amyloid angiopathy. Anticoagulation is indicated in patients with atrial fibril- lation and in those with a history of embolic stroke or transient

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2016 American Heart Association

156. Sedentary Behavior and Cardiovascular Morbidity and Mortality: A Science Advisory From the American Heart Association

and Prevention; Council on Functional Genomics and Translational Biology; and Stroke Council Deborah Rohm Young , Marie-France Hivert , Sofiya Alhassan , Sarah M. Camhi , Jane F. Ferguson , Peter T. Katzmarzyk , Cora E. Lewis , Neville Owen , Cynthia K. Perry , Juned Siddique , and Celina M. Yong and On behalf of the Physical Activity Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Clinical Cardiology; Council on Epidemiology and Prevention; Council on Functional Genomics (...) and Translational Biology; and Stroke Council Originally published 15 Aug 2016 Circulation. 2016;134:e262–e279 You are viewing the most recent version of this article. Previous versions: Abstract Epidemiological evidence is accumulating that indicates greater time spent in sedentary behavior is associated with all-cause and cardiovascular morbidity and mortality in adults such that some countries have disseminated broad guidelines that recommend minimizing sedentary behaviors. Research examining the possible

2016 American Heart Association

158. Transplantation and Mechanical Circulatory Support in Congenital Heart Disease

at the time of transplantation, because VAD support to improve end-organ perfusion and allow for overall rehabilitation is rarely used. ACHD patients wait longer on the list despite a higher percentage of time spent as status 1/1A/1B than their non-CHD counterparts. The reasons for this are not entirely clear but may be related to a perceived need to find an ideal donor, the desire to reduce ischemic time by limiting distance of donor organ transport, the requirement for extra tissue at procurement

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2016 American Heart Association

159. Evidence-Based Policy Making: Assessment of the American Heart Association?s Strategic Policy Portfolio

in acute care processes and medical and procedural secondary prevention therapies. These comprise short- and long-term care (including rehabilitation) for cardiovascular and stroke events—before hospital admission, in the hospital, and after discharge—and interventions to control the same health behaviors and factors noted above. Key data for monitoring the leading indicators of the mortality reduction goal, especially incidence, survival, and recurrence rates of cardiovascular and stroke events (...) and regular CR (federal) AHA guidelines: Class I, LOE A Assure adequate coverage/reimbursement for comprehensive stroke rehabilitation (federal) AHA guidelines: Class I, LOE A Broadly implement automatic and coordinated referral strategies (federal/state) AHA guidelines: Class III ACC indicates American College of Cardiology; AED, automated external defibrillator; AHA, American Heart Association; CHD, coronary heart disease; CPR, cardiopulmonary resuscitation; CR, cardiac rehabilitation; CVD

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2016 American Heart Association

160. Knowledge Gaps in Cardiovascular Care of the Older Adult Population

. Alexander , Daniel E. Forman , Dalane W. Kitzman , Mathew S. Maurer , James B. McClurken , Barbara M. Resnick , Win K. Shen , David L. Tirschwell , and and on behalf of the American Heart Association Older Populations Committee of the Council on Clinical Cardiology, Council on Cardiovascular and Stroke Nursing, Council on Cardiovascular Surgery and Anesthesia, and Stroke Council; American College of Cardiology; and American Geriatrics Society Originally published 11 Apr 2016 Circulation. 2016;133:2103 (...) adults, identify critical gaps in knowledge that preclude informed evidence-based decision making, and recommend future research to close existing knowledge gaps. To achieve these objectives, we conducted a detailed review of current American College of Cardiology/American Heart Association and American Stroke Association guidelines to identify content and recommendations that explicitly targeted older patients. We found that there is a pervasive lack of evidence to guide clinical decision making

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2016 American Heart Association

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