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See the latest Science News from the American Heart Association at my.americanheart.org/sciencenews.
 

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Clinical Practice Guidelines for Prevention 
 AHA and ACC are pleased to announce a series of new cardiovascular prevention guidelines for the assessment of cardiovascular risk, lifestyle modifications that reduce risk, management of elevated blood cholesterol, and management of increased body weight in adults. These guidelines are based on rigorous, comprehensive, systematic evidence reviews originally sponsored by the NHLBI.  The ACC and AHA collaborated with professional organizations to finalize these AHA/ACC cardiovascular prevention guidelines, and stakeholder organizations were invited to review and endorse the final documents.
 
Circulation Research Journal Cover
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Posted by Stacy AHA Science on Nov 12, 2013 3:00 PM CST

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Synthesizing Lessons Learned from Get With The Guidelines (GWTG): The Value of Disease Based Registries in Improving Quality and Outcomes

Circ Journal Cover for Science News

  • From the four GWTG disease-specific registries, over 200 articles have been published in peer-reviewed journals, which are distilled in this paper into a concise review of particular use to policy makersthroughout the country and world.
  • The evidence shows that the performance improvement system can be implemented nationally and is associated with a substantial improvement in quality of care over a broad range of cardiovascular conditions in multiple settings.
  • GWTG data has the power to generate new knowledge; identify areas for future quality improvement efforts and measures; drive measure prioritization and construct; improve the development of measures, guidelines, and implementation strategies  to reduce racial and gender disparities; and determine the safety and effectiveness of therapies applied in routine practice.


    Read the full article in Circulation
    Circulation. 2013: published online before print October 28, 2013, 10.1161/01.cir.0000435779.48007.5c.

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Posted by Stacy AHA Science on Oct 29, 2013 9:00 AM CDT

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Secondary Prevention of Atherosclerotic Cardiovascular Disease in Older Adults

Circ Journal Cover for Science News

  • Discusses management of risk factors and other secondary prevention strategies in older adults with ASCVD.
  • Provides clarification on the benefits and risks of secondary prevention interventions in older adults to stimulate an increased application of proven secondary prevention therapies to the expanding population of older patients with CHD and the broader spectrum of atherosclerotic vascular diseases.
  • Focuses specifically on the utility of secondary prevention in the context of age-related physiological changes and comorbidities that often complicate the care of patients of advanced age.


    Read the full article in Circulation
    Circulation. 2013: published online before print October 28 2013, 10.1161/01.cir.0000436752.99896.22 
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Posted by Stacy AHA Science on Oct 28, 2013 3:00 PM CDT

Guide to the Assessment of Physical Activity: Clinical and Research Applications


Circ Journal Cover for Science News

  • Physical activity should be evaluated as regularly as blood pressure and other CVD risk factors.
  • Providers should be familiar with key concepts of physical activity assessment and able to counsel patients on ways to include more physical activity in their daily lives.
  • A decision matrix is introduced for providers to select the best assessment method.

  • Read the full article in Circulation
    Circulation. Circulation. 2013: published online before print October 14, 2013, 10.1161/01.cir.0000435708.67487.da.
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Posted by Stacy AHA Science on Oct 14, 2013 3:00 PM CDT

Better Population Health Through Behavior Change in Adults: A Call to Action


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  • There are barriers to successfully helping patients achieve healthy lifestyle changes; a 2-tiered, stepped-care model may be an effective approach to improving cardiovascular (CV) health.
  • In the first tier, providers offer low-intensity 5 A’s counseling to patients with low to moderate CV risk.
  • In the second tier, multidisciplinary provider teams collaborate to provide intensive behavioral intervention to patients with moderate to high CV risk.

    Read the full article in Circulation
    Circulation. 2013: published online before print October 7, 2013, 10.1161/01.cir.0000435173.25936.e1.
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Posted by Stacy AHA Science on Oct 13, 2013 2:19 PM CDT

Long-term Cardiovascular Toxicity in Children, Adolescents, and Young Adults Who Receive Cancer Therapy: Pathophysiology, Course, Monitoring, Management, Prevention, and Research Directions


Circ Journal Cover for Science News

  • Cardiopulmonary diseases – are 3rd leading cause of death in survivors of childhood cancer
  • 24% of childhood cancer survivors – are greater than 30 years from initial diagnosis
  • Stroke among survivors - almost 10 times higher compared to  siblings


    Read the full article in Circulation
    Circulation. 2013: published online before print September 23, 2013, 10.1161/CIR.0b013e3182a88099 
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Posted by Stacy AHA Science on Sep 30, 2013 3:00 PM CDT

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Severe Obesity in Children and Adolescents: Identification, Associated Health Risks, and Treatment Approaches


Circ Journal Cover for Science News

  • Current treatments for severe pediatric obesity are relatively ineffective and lack widespread availability.
  • Recognition of severe obesity by pediatricians is important because treatment of this disease is challenging. 
  • Novel treatment approaches for severely obese youth will require investment in research and commitment of resources in clinical care.


    Read the full article in Circulation
    Circulation. 2013: published online before print September 9, 2013, 10.1161/CIR.0b013e3182a5cfb3
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Posted by Stacy AHA Science on Sep 9, 2013 3:00 PM CDT

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Interactions within Stroke Systems of Care: A Policy Statement from the American Heart Association/American Stroke Association


Stroke Journal Cover for Science News

  • Efficient and organized stroke systems of care can decrease stroke-related morbidity and mortality.
  • Effective communication and partnering within stroke systems of care can lead to better outcomes for stroke patients.


    Read the full article in Stroke
    Stroke. 2013: published online before print August 29, 2013, 10.1161/STR.0b013e3182a6d2b2

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Posted by Stacy AHA Science on Aug 29, 2013 3:00 PM CDT
Clinical Practice Guidelines for Prevention—Next Steps
 
 
On June 19, 2013 Circulation published an editorial describing the National Heart, Lung, and Blood Institute’s (NHLBI’s) change in approach to the development of clinical practice guidelines in cardiovascular prevention. In this follow-up editorial, Circulation publishes the plans for finalizing the 5 cardiovascular prevention guidelines (CPGs) formerly in development with the NHLBI:
 
Circulation Research Journal Cover
  • The NHLBI will continue as an active partner in the evidence review required for the development of the CPGs for Hyperlipidemia, Hypertension, Cardiovascular Risk Assessment, Cardiovascular Lifestyle Interventions, and Obesity.
  • The NHLBI has asked the American Heart Association (AHA) and the American College of Cardiology (ACC) to assume joint management responsibility for the CPG development process for these documents going forward.
  • The AHA and the ACC are pleased to assume leadership for the CPG development process and look forward to continuing this in collaboration with other stakeholder organizations.
  • The AHA and the ACC support the change in direction that the NHLBI is taking and believe this will be an effective new model for developing rigorous, evidence-based guidelines that will improve the cardiovascular health of patients.


    Next Steps in Developing Clinical Practice Guidelines for Prevention
    Circulation. published online Aug 8, 2013.
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Posted by Stacy AHA Science on Aug 8, 2013 9:05 AM CDT

Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork


Circ Journal Cover for Science News

  • Recommendations for implementing professionalism and quality policies
  • Opportunities to translate current communication and teamwork knowledge into clinical practice
  • Recommendations for future action and research opportunities in the physical and safety culture of the OR


    Read the full article in Circulation
    Circulation. 2013: published online before print August 5, 2013, 10.1161/CIR.0b013e3182a38efa

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Posted by Stacy AHA Science on Aug 5, 2013 3:00 PM CDT
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