Showing posts with label clinical guideline. Show all posts
Showing posts with label clinical guideline. Show all posts

Tuesday, 23 February 2010

CARDIOVASCULAR HIGHLIGHTS

Spotlight on Vascular:
http://www.library.nhs.uk/vascular/
For the full list of additions to this collection, download the full Vascular e-bulletin here.
News in spotlight
New NICE care guideline published: Venous thromboembolism – reducing the risk
NICE is to develop a clinical guideline on Peripheral Arterial Disease. Access stakeholder guidelines from www.library.nhs.uk/vascular/ .
Hot off the press: 04/02/10 - Risk of Deep Vein Thrombosis Following a Single Negative Whole-Leg Compression Ultrasound
Hot off the press: 10/12/09 - Dabigatran versus Warfarin in the Treatment of Acute Venous Thromboembolism
Hot off the press: 27/11/09 - Aspirin for primary prevention of cardiovascular events in people with diabetes
Articles in spotlight
Endovascular aortic aneurysm repair (EVAR) has significantly lower perioperative mortality in comparison to open repair: a systematic review (DARE)
http://www.library.nhs.uk/VASCULAR/ViewResource.aspx?resID=331814
Physical activity in patients with deep venous thrombosis: a systematic review DARE
http://www.library.nhs.uk/VASCULAR/ViewResource.aspx?resID=331795
Prevention of venous thromboembolism in neurosurgery: a metaanalysis DARE
http://www.library.nhs.uk/VASCULAR/ViewResource.aspx?resID=334120
Events in spotlight
2nd International Conference on Early Disease Detection and Prevention (EDDP) 2010
25 Feb 2010 09:00 - 28 Feb 2010 17:00
SVT Advanced Study Day: Innovations and Applications of Portable Vascular Ultrasound 2010
26 Feb 2010 09:00 – 17:00
Vascular Disease Awareness Week 2010
08 Mar 2010 00:00 - 12 Mar 2010 23:45
The Vascular Society Spring Meeting 2010
11 Mar 2010 10:00 - 17:30
Live from the website: view events, breaking news, latest content
Recent additions
Events
News

Spotlight on Cardiovascular:
http://www.library.nhs.uk/cardiovascular/
For the full list of additions to this collection, download the full Cardiovascular e-bulletin here.
News in spotlight
02/01/10 - Catheter ablation of stable ventricular tachycardia before defibrillator implantation in patients with coronary heart disease (VTACH): a multicentre randomised controlled trial
http://www.library.nhs.uk/cardiovascular/viewResource.aspx?resid=334301
Hot off the press: 21/01/10 - Projected Effect of Dietary Salt Reductions on Future Cardiovascular Disease
Hot off the press: 27/01/10 - Comparison of Antiarrhythmic Drug Therapy and Radiofrequency Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation (RCT)
Hot off the press: 28/01/10 - Non-invasive cardiac stress testing before elective major non-cardiac surgery: population based cohort study
Hot off the press: 15/01/10 - Radiation exposure and circulatory disease risk: Hiroshima and Nagasaki atomic bomb survivor data, 1950-2003
Hot off the press: 15/01/10 - Use of angiotensin receptor blockers and risk of dementia in a predominantly male population
Articles in spotlight
Home-based versus centre-based cardiac rehabilitation Cochrane
http://www.library.nhs.uk/cardiovascular/viewResource.aspx?resid=334131
Aprotinin and the risk of death and renal dysfunction in patients undergoing cardiac surgery: a meta-analysis of epidemiologic studies DARE
http://www.library.nhs.uk/cardiovascular/viewResource.aspx?resid=334152
Events in spotlight
A Practical Approach to Physical Activity and Exercise in the Management of Cardiovascular Disease 2010
19 Feb 2010 09:00 - 20 Feb 2010 17:00
2nd International Conference on Early Disease Detection and Prevention (EDDP) 2010
25 Feb 2010 09:00 - 28 Feb 2010 17:00
SVT Advanced Study Day: Innovations and Applications of Portable Vascular Ultrasound
26 Feb 2010 09:00 - 17:15
Cardiology Review Course 2010
08 Mar 2010 09:00 - 12 Mar 2010 17:00
Live from the website: view events, breaking news, latest content
Recent additions
Events
News

Spotlight on Stroke:
http://www.library.nhs.uk/stroke/
For the full list of additions to this collection, download the full Stroke e-bulletin here.
News in spotlight
National Audit Office report Progress in improving stroke care published 3rd February:
http://www.library.nhs.uk/stroke/viewResource.aspx?resid=343170
The NICE stroke rehabilitation guideline is expected in March 2012:
04/01/10 - Stroke rehabilitation guideline announcement
Articles in spotlight
AHA scientific statement: Recommendations for imaging of acute ischemic stroke
http://www.library.nhs.uk/stroke/viewResource.aspx?resid=343354
Movement-dependent stroke recovery: a systematic review and meta-analysis of TMS and fMRI evidence
http://www.library.nhs.uk/stroke/viewResource.aspx?resid=331748 DARE
Multidisciplinary care planning in the primary care management of completed stroke: a systematic review
http://www.library.nhs.uk/stroke/viewResource.aspx?resid=331776 DARE
Caring for people after they have had a stroke
http://www.library.nhs.uk/stroke/viewResource.aspx?resid=123327 Care Quality Commission
Events in spotlight
2nd International Conference on Early Disease Detection and Prevention (EDDP) 2010
25 Feb 2010 09:00 - 28 Feb 2010 17:00
The 3rd International Conference on Hypertension, Lipids, Diabetes & Stroke Prevention 2010
04 Mar 2010 09:00 – 17:30
Live from the website: view events, breaking news, latest content
Recent additions
Events
News

We welcome feedback on our collections.
Please contact us at http://www.library.nhs.uk/Cardiovascular/ContactUs.aspx

Thursday, 21 January 2010

CARDIO ARTICLES

Arch Intern Med 11 Jan 2010 Vol 170
27 Are you bored with guidelines? Fed up with arguments about cardiovascular risk assessment? Then brighten your day with this paper about 27 cardiovascular risk assessment guidelines. They are all different - grossly or subtly - proving that whenever you get a roomful of doctors discussing the same evidence, they will never arrive at the same answer. http://archinte.ama-assn.org/cgi/content/abstract/170/1/27

JAMA 6 Jan 2010 Vol 303
54 Many readers may not be cardiologists or hospital doctors, and I guess quite a few of you didn't know what NSTEMI stands for until about 8 years ago. Troponins only came in around then too, and they are vital to distinguish whether unstable angina is or is not associated with myocardial damage. Immediate angiography is also a relative novelty in the UK. Yet now every second hospital discharge summary now seems to read c/o chest pain NSTEMI troponin 2.1 PCI stents to LAD, Cx, please continue clopidogrel for 12 months. Here is a case study of a 43 year old American man which takes you through the modern management of NSTEMI in full wearisome detail.
http://jama.ama-assn.org/cgi/content/short/303/1/54?home

Lancet 9 Jan 2010 Vol 375
132 C-reactive protein was first described over 70 years ago, and we use it as a "something's wrong" test all the time, instead of or alongside ESR. It isn't actually all that much use, and patients often end up being told "Your blood test tells me you are ill, which I already knew, but it doesn't tell me what's wrong, so I want to repeat it." How many non-sequiturs can you squeeze into a sentence? And yet we all do it, taking obscure comfort later in the fact that 26 has fallen to 13. It's the same if you try to use it as a marker for cardiovascular risk. This immensely painstaking individual participant meta-analysis shows that even minor elevations of CRP are associated with increased risk for coronary heart disease; also for stroke; also for vascular death; also for non-vascular death; also for several cancers; also for lung disease. Elevated CRP is vaguely bad news: a Completely Random Predictor.
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61717-7/abstract

Wednesday, 6 January 2010

E-VTE : E-LEARNING RESOURCE

New eLearning resource for VTE
Friday, October 2nd, 2009

The Chief Medical Officer’s Venous Thromboembolism (VTE) Implementation Working Group and eLearning for Healthcare have published a web-based education resource (e-VTE) designed to help raise awareness and improve understanding of VTE.
ActionHealthcare professional, both in primary and secondary care should be aware of the importance of preventing VTE. e-VTE provides pragmatic information on assessing the risk of VTE for an individual and advising appropriate preventative measures. It complements the NPCi educational materials, which provide a detailed summary of the evidence base for the prevention and treatment of VTE.

What is the background to this?
VTE is a significant patient safety issue because it is estimated to cause 25,000 potentially avoidable deaths each year in hospitals in England. The VTE eLearning resource was designed to support the national VTE prevention strategy and aims to improve understanding of VTE within the clinical community in both the hospital setting and in primary care. The interactive learning materials include a pre-learning questionnaire and a post-learning assessment together with four sessions of eLearning. These cover the demographics, epidemiology and risk profile of VTE, and include an overview of methods of thromboprophylaxis (mechanical and pharmacological) and risk assessment and implementation of thromboprophylaxis in hospitals and in primary care.
This resource is likely to be useful in conjunction with the NPC’s suite of educational materials on VTE, available on NPCi. This includes a <60 minute eLearning event, which considers the prevention and treatment of VTE and looks in more detail at the evidence base for pharmacological interventions. A case study, a quiz, and key slides are also available.

NICE is producing a clinical guideline on reducing the risk of VTE, which is due for publication in January 2010.