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AHA Science News

2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation

  • Updates to the 2011 Focused updates to the 2006 Guidelines and the 2011 focused update including dabigitran.
  • Intended to assist the clinician in the care of patients with atrial fibrillation.


    Read the full article in Circulation
    [published online ahead of print March 28, 2014]. Circulation. DOI: 10.1161/CIR.0000000000000041.
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Posted by Stacy AHA Science on Mar 28, 2014 3:14 PM CDT
AHA Science News

ACC/AHA/SCAI 2014 Health Policy Statement on Structured Reporting for the Cardiac Catheterization Laboratory

  • Structured reporting has a critical importance in invasive procedures.
  • General principles of structured reporting include the use of data, the bi-directional flow of information, and a flexible format.
  • A final report prototype is included for use in catheterization and interventional settings.


    Read the full article in Circulation
    [published online ahead of print March 28, 2014]. Circulation. DOI: 10.1161/CIR.0000000000000043.

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Posted by Stacy AHA Science on Mar 28, 2014 2:30 PM CDT
AHA Science News

Palliative and End-of-Life Care in Stroke

  • Palliative care for stroke patients means patient- and family-centric care optimizing quality of life to anticipate, prevent, and treat suffering.
  • Palliative care needs are critical to patients and families with serious or life-threatening strokes.


    Read the full article in Stroke
    [published online ahead of print March 27, 2014]. Stroke. doi: 10.1161/STR.0000000000000015.
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Posted by Stacy AHA Science on Mar 27, 2014 3:00 PM CDT
AHA Science News

ACC/AHA Statement on Cost/Value Methodology in Clinical Practice Guidelines and Performance Measures

  • Given accelerating health care costs and the desire to achieve the best value, the time has come to include cost-effectiveness/value assessments and recommendations in practice guidelines and performance measures.
  • Nomenclatures of “value” and “resource utilization” are emphasized over “cost” as part of a plan to evaluate the evidence base and provide an overall value classification together with a supporting level of evidence.
  • Defining how medical decisions should be made between value and guideline recommendations is controversial, but it is hoped that highlighting these instances explicitly and transparently will further inform appropriate discussion and policy making.


    Read the full article in Circulation
    [published online ahead of print March 27, 2014]. Circulation. DOI: 10.1161/CIR.0000000000000042.

more...
Posted by Stacy AHA Science on Mar 27, 2014 2:30 PM CDT
AHA Science News

SCAI/ACC/AHA Expert Consensus Document: 2014 Update on Percutaneous Coronary Intervention Without On-Site Surgical Backup

  • Determines current prevalence trends 
  • Summarizes new performance literature
  • Provides a summary of relevant information based on a review of existing scientific documents
  • Addresses best practice methods and facility requirements for doing PCI without on-site surgical back-up
  • Evaluates the role in the United States healthcare setting of PCI without on-site surgical back-up


    Read the full article in Circulation
    [published online ahead of print March 17, 2014]. Circulation. doi: 10.1161/CIR.0000000000000037.

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Posted by Stacy AHA Science on Mar 17, 2014 1:00 PM CDT
AHA Science News

Update: Ambulatory Blood Pressure Monitoring in Children and Adolescents


  • The prevalence of high blood pressure in childhood is rising, with higher rates of hypertension observed in non-Hispanic black and Mexican-American youths.
  • Since the 2008 release of the first AHA consensus recommendations for ambulatory blood pressure monitoring (ABPM) in children and adolescents, the use of ABPM in this age group has increased.
  • Recent data and an updated classification scheme build on the 2008 AHA pediatric ABPM statement.


    Read the full article in Hypertension
    [published online ahead of print March 3, 2014]. Hypertension. doi: 10.1161/HYP.0000000000000007.
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Posted by Stacy AHA Science on Mar 4, 2014 4:14 PM CST
AHA Science News

2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease

  • Valvular Heart Disease guidelines feature a new 4-stage classification.
  • A risk assessment scheme is included for intervention or surgery.
  • Transcatheter aortic valve replacement is addressed for the first time.


    Read the full article in Circulation
    [published online ahead of print March 3, 2014]. Circulation. 10.1161/CIR.0000000000000029.
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Posted by Stacy AHA Science on Mar 3, 2014 4:02 PM CST
AHA Science News

  • Although the association between depression and increased morbidity and mortality has been well documented in a variety of cardiac populations, depression has not yet achieved formal recognition as a risk factor for poor prognosis in patients with acute coronary syndrome.
  • A systematic literature review on depression and adverse medical outcomes after acute coronary syndrome was conducted that included all-cause mortality, cardiac mortality, and composite outcomes for mortality and nonfatal events.
  • Based on available evidence, recommendation is made to elevate depression to the status of a risk factor for patients with acute coronary syndrome.


    Read the full article in Circulation
    Circulation. 2014: published online February, 24, 2014, Circulation. doi: 10.1161/CIR.0000000000000019.
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Posted by Stacy AHA Science on Feb 24, 2014 3:00 PM CST

Fibromuscular Dysplasia: State of the Science and Critical Unanswered Questions

  • The American Heart Association introduces a new classification system for fibromuscular dysplasia (FMD).
  • Many commonly held misconceptions concerning FMD are clarified.
  • Eleven FMD research priorities are identified to serve as an impetus for additional research in this field.


    Read the full article in Circulation
    (published online ahead of print Tuesday, February 18, 2014). Circulation. doi: 10.1161/01.cir.0000442577.96802.8c

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Posted by Stacy AHA Science on Feb 20, 2014 1:21 PM CST

Methodological Issues in Cohort Studies That Relate Sodium Intake to Cardiovascular Disease Outcomes


  • Outcomes of cohort studies relating sodium (Na) intake to blood pressure–related cardiovascular disease (CVD) are inconsistent.
  • This report assesses the quality of cohort studies examining the relationship between Na intake and subsequent CVD.
  • Descriptions of the potential contribution of methodological issues to the heterogeneity of results are detailed.


    Read the full article in Circulation
    [published online ahead of print February 10, 2014]. Circulation. doi: 10.1161/CIR.0000000000000015.
more...
Posted by Stacy AHA Science on Feb 10, 2014 3:21 PM CST
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