diagnosis of heart failure evidence based perspective

... increased risk of Kaposi’s sarcoma and a non-significant but higher risk of recurrent TB CORTICOSTEROIDS IN OTHER FORMS OF EXTRAPULMONARY TB Credible evidence from clinical trials for the use of corticosteroids ... mortality of about 15%, and only about two-third of patients (66%) survive without disability at two years.14,15 Four RCTs have evaluated the role of corticosteroids in TB pericarditis; one of them ... found that corticosteroids confer a survival benefit irrespective of the severity of TBM On the other hand, evidence to use of corticosteroids in human immunodeficiency virus (HIV) co-infected...

Ngày tải lên: 06/03/2014, 04:20

... more evidence profiles summarising the information about the relevant outcomes Evidence profiles present a concise summary of estimated effects and an assessment of the quality of supporting evidence ... the risk of bias, directness of the evidence, consistency and precision of the results, and the likelihood of the Page of publication bias Based on the different initial probabilities of CMA and ... http://www.implementationscience.com/content/6/1/62 Page of Table Example of evidence profile generated based on systematic review conducted for these guidelines Question 1, Profile 1: Should skin prick tests be used for the diagnosis of IgE-mediated...

Ngày tải lên: 10/08/2014, 10:23

... affect implementation of EBPs [13-17], much of the existing evidence is from outside the US [18-20] or outside of healthcare settings [21,22] With regard to implementation of evidence and guidelines ... adoption of evidence- based practice: The Evidence- Based Practice Attitude Scale (EBPAS) Adm Policy Ment Health 2004, 6:61-74 10 Laing A, Hogg G: Political exhortation, patient expectation and professional ... implementation of evidence- based practices Adm Policy Ment Health 2006, 33:636-645 12 Innvaer S, Vist G, Trommald M, Oxman A: Health policy-makers’ perceptions of their use of evidence: a systematic...

Ngày tải lên: 10/08/2014, 11:20

... mild heart failure and include patients treated with diuretics who not have heart failure Incidence of heart failure The Framingham data show an age adjusted annual incidence of heart failure of ... longitudinal source of data on the epidemiology of heart failure Contemporary studies of the epidemiology of heart failure in United Kingdom Study Diagnostic criteria Hillingdon heart failure study ... studies of the epidemiology of heart failure and left ventricular dysfunction have been conducted, including a study of the incidence of heart failure in one west London district (Hillingdon heart failure...

Ngày tải lên: 10/08/2014, 15:20

... with heart failure Lancet 1997;349:747-52 x Remme WJ The treatment of heart failure The Task Force of the Working Group on Heart Failure of the European Society of Cardiology Eur Heart J 1997;18:736-53 ... course of alcoholic cardiomyopathy Ann Intern Med 1974;80:293-7 x The Task Force of the Working Group on Heart Failure of the European Society of Cardiology Guidelines on the treatment of heart failure ... the natural course of chronic heart failure The Munich mild heart failure study showed that ACE inhibitors combined with standard treatment slowed the progression of heart failure in patients...

Ngày tải lên: 10/08/2014, 15:20

... that only 29% of 122 patients referred to a “rapid access” clinic with a new diagnosis of heart failure fully met the definition of heart failure approved by the European Society of Cardiology—that ... mortality Nurse management of heart failure has implications for the provision of care in patients with chronic heart failure, sharing the increasing burden of heart failure Specialist nurses ... survey of heart failure in general practice The west Birmingham heart failure project Eur J Gen Pract 1997;3:85-9 x Remes J, Miettinen H, Reunanen A, Pyorala K Validity of clinical diagnosis of heart...

Ngày tải lên: 10/08/2014, 15:20

... confident of the diagnosis of dementia Attitude items related to expected consequences (for both patient and professional) of performing the behaviour Three items measured the emotional impact on professionals ... a tailored theory based intervention to improve professional practice in the disclosure of a diagnosis of dementia BMC Implementation Science 2006, 1:7 Ajzen I: The theory of planned behaviour ... context of recognised aspects of quality of care, disclosure therefore needs to be patientcentred and timely [2] From an ethical perspective, people with dementia have a right to know their diagnosis...

Ngày tải lên: 11/08/2014, 05:22

... are listed at the end of this volume Surgical Options for the Treatment of Heart Failure edited by ROY G MASTERS, MD FRCSC Division of Cardiac Surgery; University of Ottawa Heart Institute, Ottawa, ... overall knowledge of the management of the heart failure patient and provides a useful and worthwhile read for every cardiac surgeon of the day Wilbert J Keon University of Ottawa Heart Institute ... supenorit>' of outcome of patients with evidence of viability convincingly and elegantly Nonetheless, our own group does not insist on angina or objective evidence of ischemia, for a number of reasons...

Ngày tải lên: 11/08/2014, 15:20

... mechanisms in failing hearts Heart Failure Reviews 1997;2:55-65 Moser DK Palhophysiolog>' of heart failure update: the role of neurohumoral activation in the progression of heart failure Am As.soc ... fraction and the prognosis of heart failure Sarcolemma (SL) in failing hearts The status of the Ca"^ channels may depend on the type ol' heart failure Reports of increased density of Ca'* channels from ... Epidemiological aspects of heart failure Cardiol Clin 1989;7:1-9 Guidelines for the evaluation and management of heart failure Report of the American College of Cardiology/American Heart Association...

Ngày tải lên: 11/08/2014, 15:20

... of congestive heart failure has improved dramatically as well, especially in the recognition of the importance of treatment with aftcrload reduction This treatment was not available to many of ... the natural history of their regurgitant lesions than previously, largely as a result of identification of appropriate noninvasive indicators of impending decompensation of the left ventricle, ... complete excision of the subvalvular apparatus.''" " * •fhe issues of depression of ejection fraction from elimination of the low-pressure decompression into the left atrium and of interference...

Ngày tải lên: 11/08/2014, 15:20

... symptoms of heart failure ^' ^ Medical therapy has had a dramatic impact on the symptoms of heart failure, with less but still significant impact on survival, challenging previous assumptions of when ... entire circumference of tlie base of the aiiemysin at tlie junction of scar and noirnal myocardiuriL The degi^ee of tigblening of this suture will detenmne the final size of the remaining opening ... chance of improvement than cardiomyopathy of other etiologies.' Symptoms often improve remarkably after assisted diuresis post-partum of the excess volume of water accumulated during pregnancy Heart...

Ngày tải lên: 11/08/2014, 15:20

... other end of the spectrum of heart failure, there is now increasing evidence that early intervention can reduce the development of heart failure ^*'" Even after the symptoms of heart failure have ... transplantation for treatment of advanced heart failure: effective use of vasodilators and diuretics J Heart Lung Transplant 1991:10:468 21 Stevenson LW, Perloff JK The limited reliability of physical signs ... Guidelines for Heart Failure not at this time recommend routine anticoagulation for heart failure patients without other risk factors." The decision reflects the estimated balance of risks of embolic...

Ngày tải lên: 11/08/2014, 15:20

... worst outcome are less than year of age Patients to years of age have intermediate survival rates Registry -oflnt 'I Soc for Heart

Ngày tải lên: 11/08/2014, 15:20

... patients selected for support in the setting of acute heart failure Patients in chronic severe congestive heart failure however have some degree of end-organ dysfiinction resulting from chronic ... population of patients that require a.ssistance and help Congestive heart failure refers to a clinical syndrome of depressed cardiac output that is unable to meet the metabolic needs of the body ... in medical and surgical therapies for congestive heart failure, mortality and morbidity remain high.' The cost of caring for congestive heart failure patienLs and their repeated readmissions...

Ngày tải lên: 11/08/2014, 15:20

... surgical approaches to heart failure, the safe and effective pertbnnance of DCMP requires a dedicated team of medical professionals accustomed to the delicate needs of heart failure patients This ... Recently, through emerging evidence on passive ventricular constraint in cardiomyoplasty, and with a better understanding of ttie pathophysiology of heart failure, the concepts of the ' girdling' and ... stimulation of the cardiomyoplasty wrap, has led to the exploration of other mechanisms to explain the eflects of cardiomyoplasty in heart failure Using a pressure-volume loop to study the effects of...

Ngày tải lên: 11/08/2014, 15:20

... the U.S.A., heart failure is the primary diagnosis of over 900,000 hospitalizations per year with an annual new diagnosis of over 400,000 individuals.*'' The estimated cost of heart failure in ... variety of disease processes including both chroruc ischemia and the cardiomyopathies) ultimately resulting in death Cost of Heart Failure In terms of human suffering and death, the cost of heart failure ... Wood D/\ et al The epidemiology of heart failure Eur Heart J 1997:18:20825 Dickstein ML, Spotnitz HM, Rose EA, Burkhoff D Heart reduction surgery: An analysis of the impact on cardiac function...

Ngày tải lên: 11/08/2014, 15:20

... Epidemiology aspects of heart failure Cardiol Clin 1989;7:1-9 Massie BM, Packer M Congestive heart failure: Current controversies and fiiture prospects .

Ngày tải lên: 11/08/2014, 15:20

... confident of the diagnosis of dementia Attitude items related to expected consequences (for both patient and professional) of performing the behaviour Three items measured the emotional impact on professionals ... a tailored theory based intervention to improve professional practice in the disclosure of a diagnosis of dementia BMC Implementation Science 2006, 1:7 Ajzen I: The theory of planned behaviour ... context of recognised aspects of quality of care, disclosure therefore needs to be patientcentred and timely [2] From an ethical perspective, people with dementia have a right to know their diagnosis...

Ngày tải lên: 11/08/2014, 16:20

... (Fig 2) Intravenous injection of ultrasound contrast agent confirmed an area of non-compacted myocardium subtending a thinner walled area of compaction and a diagnosis of IVNC was made (Fig 3) Discussion ... differ significantly The purpose of this case report is to highlight the diagnosis of IVNC and briefly review our current understanding of the condition The presence of marked left ventricular trabeculation ... reference standard for the diagnosis of IVNC [5] Jenni and colleagues identified four criteria for the diagnosis of IVNC by echocardiography [5] A thick, inner layer of non-compacted myocardium...

Ngày tải lên: 11/08/2014, 21:22

... et al Tang WH, Tsai EJ, Wilkoff BL 2013 ACCF/AHA Guideline for the Management of Heart Failure A Report of the American College of Cardiology Foundation/American Heart Association Task Force ... In heart failure the effects of ANP are attenuated compared to healthy individuals even in the setting of increased circulating levels Theories the attenuated effect of ANP in chronic heart failure ... subgroup of patients who were already on heart failure drug regimens containing ACE-I’s and beta blockers and were started on valsartan [46] The Candesartan in Heart failure Assessment of Reduction...

Ngày tải lên: 10/08/2016, 11:13