Showing posts with label cardiovascular. Show all posts
Showing posts with label cardiovascular. Show all posts

Friday, April 1, 2011

Study Finds Conflicts of Interest Among Medical Panelists - NYTimes.com

Doctors with private financial conflicts of interest dominated some of the panels that wrote guidelines on cardiovascular health in recent years, according to a medical journal study released on Monday.

Penn Medicine

Dr. James N. Kirkpatrick, the study's senior author.

University of Miami Health System

Dr. Ralph L. Sacco, president of the American Heart Association.

The guideline panels are the select groups of experts who are assigned to evaluate science independently and issue their advice to other doctors on what to do in clinical practice. The guidelines influence medical care, product choice, insurance coverage, government policy and malpractice cases.

The study, published in the Archives of Internal Medicine, found that conflicts of interest were reported by 56 percent of 498 people who helped write 17 guidelines for the American Heart Association and American College of Cardiology, from 2003 through 2008.

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Wednesday, February 23, 2011

Practice Guidelines: Managing Chronic Heart Failure - Mosby' s Nursing Suite

With the U.S. population aging, chronic heart failure is on the rise. Now healthcare professionals must diagnose and manage this complex, life-threatening syndrome more effectively than ever. To help, the American College of Cardiology and American Heart Association provide complete practice guidelines for the four stages of heart failure.

The American Heart Association has identified these four stages of heart failure (HF), which complement the NYHA classifications:
  • Stage A: At high risk for HF but no structural heart disease or HF symptoms
  • Stage B: Structural heart disease but no HF signs or symptoms
  • Stage C: Structural heart disease and prior or current HF symptoms
  • Stage D: Refractory HF that requires specialized interventions

According to the guidelines, possibly the most effective and least followed general measures are close attention and follow-up. These require regular assessment, patient teaching, monitoring of adherence to the plan of care, and evaluation of the patient’s response. To help you and your colleagues align your practice with current guidelines, the following list summarizes teaching for patients with Stage C heart failure. 

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Saturday, February 19, 2011

Cardiovascular Disease [NCCAM Health Information], National Institutes of Health

Cardiovascular Disease

Cardiovascular disease (also called heart disease) comes in many forms and is the number one cause of death in the United States. The most common cause of heart disease is coronary artery disease (the narrowing or blockage of the coronary arteries, the blood vessels that supply blood to the heart).

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For Health Professionals

Clinical Practice Guidelines

Scientific Literature

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Friday, February 4, 2011

Patients With Blocked Carotid Arteries May Not Need Stroke Screening | National Nursing News

Patients with blocked neck arteries need screening for stroke risk only if they have other risk factors, according to new guidelines from the American Heart Association/American Stroke Association, American College of Cardiology and other groups.

A committee of stroke prevention specialists issued the guidelines after agreeing there is not sufficient evidence of benefit from widespread screening. The members hope the guidelines provide new information to help clinicians determine treatment approaches for their patients.

Screening is useful “if your doctor hears abnormal blood flow when listening to your [carotid] arteries, or if you have two or more risk factors for stroke (such as high cholesterol or a family history),” said Jonathan L. Halperin, MD, co-chairman of the writing committee and professor of medicine at the Mount Sinai School of Medicine in New York, in a news release.

Risk factors for stroke include age, family history of stroke, high blood pressure, high blood cholesterol, diabetes, obesity, atrial fibrillation, physical inactivity, sickle cell disease and other heart or blood vessel diseases.

The committee also issued recommendations regarding carotid endarterectomy and carotid stenting, two procedures for treating arteries. Both procedures are reasonable and safe, according to the committee, when arteries are more than 50% blocked.

“The guidelines support carotid surgery as a tried-and-true treatment for most patients,” said Thomas G. Brott, MD, committee co-chairman and professor of neurology and director of research at the Mayo Clinic campus in Jacksonville, Fla.

“However, for patients who have a strong preference for less invasive treatments, carotid stenting offers a safe alternative. Because of the anatomy of their arteries or other individual considerations, some patients may be more appropriate for surgery and others for stenting.”

To read the rest of the article, click on the news.nurse.com link.

This will be good news for people for who Carotid Endarterectomy has been suggested.

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Wednesday, February 2, 2011

CDC Features - February is American Heart Month

About every 25 seconds, an American will have a coronary event.

Heart disease is the leading cause of death in the United States and is a major cause of disability. The most common heart disease in the United States is coronary heart disease, which often appears as a heart attack. In 2010, an estimated 785,000 Americans had a new coronary attack, and about 470,000 had a recurrent attack. About every 25 seconds, an American will have a coronary event, and about one every minute will die from one.1

The chance of developing coronary heart disease can be reduced by taking steps to prevent and control factors that put people at greater risk. Additionally, knowing the signs and symptoms of heart attack are crucial to the most positive outcomes after having a heart attack. People who have survived a heart attack can also work to reduce their risk of another heart attack or a stroke in the future. For more information on heart disease and stroke, visit CDC's Division for Heart Disease and Stroke Prevention.

Diseases and Conditions That Put Your Heart at Risk

Other conditions that affect your heart or increase your risk of death or disability include arrhythmia, heart failure, and peripheral artery disease (PAD). High cholesterol, high blood pressure, obesity, diabetes, tobacco use, unhealthy diet, physical inactivity, and secondhand smoke are also risk factors associated with heart disease. For a full list of diseases and conditions along with risk factors and other health information associated with heart disease, visit the American Heart AssociationExternal Web Site Icon.

Know Your Signs and Symptoms

Some heart attacks are sudden and intense; however, most heart attacks start slowly, with mild pain or discomfort. Often people affected aren't sure what's wrong and wait too long before getting help. Here are signs

Read the full article at cdc.gov

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Tuesday, February 1, 2011

CDC: U.S. Healthcare System Can Do Better in Treating CVD | All Sites Nursing News

The Centers for Disease Control and Prevention cites issues with the U.S. healthcare system as part of the reason for the extent of cardiovascular disease in the country.

In a report released Tuesday, the CDC said two-thirds of adults with high cholesterol and half with hypertension do not receive effective treatment.

"Although we're making some progress, the United States is failing to prevent the leading cause of death — cardiovascular disease — despite the existence of low-cost, highly effective treatments," said CDC Director Thomas Frieden, MD, MPH.

"We need to do a better job improving care and supporting patients to prevent avoidable illness, disability and death."

For many people, according to the CDC, merely having healthcare coverage is not sufficient.

Click on the news.nurse.com link for the complete article.

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Monday, November 15, 2010

Australian and New Zealand College of Perfusionists

The Australasian Board Of Cardiovascular Perfusion was established pursuant to the Rules of the Australasian Society of Cardio-Vascular Perfusionists Incorporated, now ANZCP. The Board therefore forms part of the incorporated association and has no separate legal existence outside the College. The Board is required to establish and support the credentialing process

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Cardiovascular Perfusion:College of Health Professions:SUNY Upstate Medical University

Cardiovascular Perfusion—Bachelor of Science

Cardiovascular Perfusionist at work.

Perfusionists are operating room specialists who conduct cardiopulmonary bypass. That is, they pump and oxygenate the blood of patients whose hearts or lungs are stopped, usually during open heary surgery.

The cardiovascular perfusion program accepts six students each year. Graduates are eligible to take the American Board of Cardiovascular Perfusion's National Certification Examination.

A Cardiovascular Perfusionist's work is a matter of life or death. People who succeed in this field thrive on excitement and stressful situations. More >

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