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Cardiology, apps

Eduard Shantsila, Gregory Yh Lip
BACKGROUND: Morbidity in patients with chronic heart failure is high, and this predisposes them to thrombotic complications, including stroke and thromboembolism, which in turn contribute to high mortality. Oral anticoagulants (e.g. warfarin) and antiplatelet agents (e.g. aspirin) are the principle oral antithrombotic agents. Many heart failure patients with sinus rhythm take aspirin because coronary artery disease is the leading cause of heart failure. Oral anticoagulants have become a standard in the management of heart failure with atrial fibrillation...
September 15, 2016: Cochrane Database of Systematic Reviews
Roderick Willem Treskes, Enno Tjeerd van der Velde, Rogier Barendse, Nico Bruining
INTRODUCTION: Recent developments in implantable cardioverter-defibrillators (ICDs) and smartphone technology have increased the possibilities for remote monitoring. It is the purpose of this review to give an overview of these new possibilities. AREAS COVERED: Remote monitoring in ICD allows for early detection of lead fractures and remote follow-up of patients. Possible limitations are the lack of standardization and the possible unsafety of the data stored on the ICD...
September 2016: Expert Review of Medical Devices
Ruth M Masterson Creber, Mathew S Maurer, Meghan Reading, Grenny Hiraldo, Kathleen T Hickey, Sarah Iribarren
BACKGROUND: Heart failure is the most common cause of hospital readmissions among Medicare beneficiaries and these hospitalizations are often driven by exacerbations in common heart failure symptoms. Patient collaboration with health care providers and decision making is a core component of increasing symptom monitoring and decreasing hospital use. Mobile phone apps offer a potentially cost-effective solution for symptom monitoring and self-care management at the point of need. OBJECTIVE: The purpose of this review of commercially available apps was to identify and assess the functionalities of patient-facing mobile health apps targeted toward supporting heart failure symptom monitoring and self-care management...
2016: JMIR MHealth and UHealth
(no author information available yet)
New recommendations from the American College of Cardiology and the American College of Radiology offer guidance to emergency providers on which imaging tests to use in 20 different clinical scenarios involving chest pain. For each clinical scenario, an expert panel rated the appropriateness of a range of imaging modalities as rarely appropriate (R), may be appropriate (M), or appropriate (A). The guidelines are constructed to flow from the clinician's judgment as to the probable cause of the chest pain. The recommendations for each clinical scenario are condensed into tables that can be fashioned into notecards or a smartphone app for quick reference...
April 2016: ED Management: the Monthly Update on Emergency Department Management
Salim S Virani, Thomas M Maddox, Paul S Chan, Fengming Tang, Julia M Akeroyd, Samantha A Risch, William J Oetgen, Anita Deswal, Biykem Bozkurt, Christie M Ballantyne, Laura A Petersen
BACKGROUND: The current number of physicians will not be sufficient to accommodate 30 to 40 million Americans expected to secure health coverage with Affordable Care Act implementation. One proposed solution is to use advanced practice providers (APPs) (nurse practitioners and physician assistants). OBJECTIVES: This study sought to determine whether there were clinically meaningful differences in the quality of care delivered by APPs versus physicians in a national sample of cardiology practices...
October 20, 2015: Journal of the American College of Cardiology
Aseem Malhotra, Andrew Apps, Vikas Saini, Muir Gray
No abstract text is available yet for this article.
August 2015: Postgraduate Medical Journal
Andrew Apps, Soroosh Firoozan, Tito Kabir
No abstract text is available yet for this article.
July 27, 2015: BMJ: British Medical Journal
Anna-Leena Vuorinen, Juha Leppänen, Hannu Kaijanranta, Minna Kulju, Tiina Heliö, Mark van Gils, Jaakko Lähteenmäki
BACKGROUND: Heart failure (HF) patients suffer from frequent and repeated hospitalizations, causing a substantial economic burden on society. Hospitalizations can be reduced considerably by better compliance with self-care. Home telemonitoring has the potential to boost patients' compliance with self-care, although the results are still contradictory. OBJECTIVE: A randomized controlled trial was conducted in order to study whether the multidisciplinary care of heart failure patients promoted with telemonitoring leads to decreased HF-related hospitalization...
December 11, 2014: Journal of Medical Internet Research
Nico Bruining, Enrico Caiani, Catherine Chronaki, Przemyslaw Guzik, Enno van der Velde
Smartphones, mobile applications ('apps'), social media, analytics, and the cloud are profoundly changing the practice of medicine and the way health decisions are made. With the constant progress of technology, the measurement of vital signals becomes easier, cheaper, and practically a standard approach in clinical practice. The interest in measuring vital signals goes beyond medical professionals to the general public, patients, informal caregivers, and healthy individuals, who frequently lack any formal medical training...
November 2014: European Journal of Preventive Cardiology
Ashish Mahajan, Susan Bal, Harvey Hahn
BACKGROUND: Inappropriate cardiac imaging has been a significant cost concern and cause of radiation burden to patients. OBJECTIVE: To assess if a smartphone application (app) based on 2009 Appropriate Use Criteria (AUC) for Cardiac Radionuclide Imaging published by American College of Cardiology would be feasible at the point of order. METHODS: We evaluated stress myocardial perfusion imaging (MPI) (N = 403) (mean age = 62.23 years; 47.89% males) over a 4 month period using a smartphone app to determine whether the study ordered was Appropriate, Inappropriate, or Uncertain per 2009 AUC...
February 2015: Journal of Nuclear Cardiology: Official Publication of the American Society of Nuclear Cardiology
Charles Philip Miller, Soroosh Firoozan, Eric K Woo, Andrew Apps
Chronic cough has a wide differential, of which thoracic aortic aneurysm is a rare but potentially devastating cause. We present a patient with previous aortic valve replacement for a bicuspid valve who had been suffering from a chronic cough for 8 months and who developed subsequent voice hoarseness. This had been initially managed in the community with trials of steroid inhalers, steroid nasal sprays and proton pump inhibitors to no avail. He was referred to cardiology and chest clinics. An urgent CT aortogram was requested given his widened mediastinum on chest radiograph, cardiac history of bicuspid valve and symptoms...
2014: BMJ Case Reports
Borja Martínez-Pérez, Isabel de la Torre-Díez, Miguel López-Coronado, Jesús Herreros-González
BACKGROUND: Cardiovascular diseases are the deadliest diseases worldwide, with 17.3 million deaths in 2008 alone. Among them, heart-related deaths are of the utmost relevance; a fact easily proven by the 7.25 million deaths caused by ischemic heart disease alone in that year. The latest advances in smartphones and mHealth have been used in the creation of thousands of medical apps related to cardiology, which can help to reduce these mortality rates. OBJECTIVE: The aim of this paper is to study the literature on mobile systems and applications currently available, as well as the existing apps related to cardiology from the leading app stores and to then classify the results to see what is available and what is missing, focusing particularly on commercial apps...
2013: JMIR MHealth and UHealth
Min Jung Cho, Jae Lan Sim, Seon Young Hwang
OBJECTIVES: This study was conducted to develop a smartphone application (app) as an educational learning instrument for coronary artery disease (CAD) patients and to assess the users' level of satisfaction. METHODS: This methodological research involves elicited learning content for CAD patients to develop a learning instrument using the smartphone app. The app was developed according to the steps of Assessment, Design, Development, Implementation, and Evaluation, which is a systematic instructional design model...
April 2014: Healthcare Informatics Research
S Bonacina, S Marceglia, F Pinciroli
OBJECTIVES: The huge amount of released medical apps prevents medical app users from believing that medical scientific societies and other accreditation bodies as well, have the resources and the power for assigning to any medical app a quality score. By the time being, any medical app user has to take the risks related to the frequently insufficient accreditation of that app. Providing clear user-oriented schemas, to be adopted both when putting a medical App on the market and when an App comes to be evaluated by a cohort or single users, becomes crucial...
2014: Methods of Information in Medicine
Nicole H McClellan, Debbie C Byrd, Rex O Brown
OBJECTIVE: To use the capacity ratio to determine solvency in 10 advanced pharmacy practice experiences (APPEs) offered by a college of pharmacy. METHODS: Availability in each APPE was determined based on preceptor responses, and student need was tabulated from 3 preference forms. Capacity ratios were calculated by dividing preceptor availability by the sum of student requests plus 20% of student requests; ratios ≥ 1 indicated solvency. For the 3 required APPEs, minimum capacity ratios were calculated by dividing availability by the sum of student number plus 20% of the student number...
March 12, 2013: American Journal of Pharmaceutical Education
Sean M Barclay, Meghan N Jeffres, Ragini Bhakta
OBJECTIVE: To implement and assess the effectiveness of card games to teach pharmacotherapeutic topics to pharmacy students and to determine the relationship between students' assessment scores and their learning styles. DESIGN: Two card games, Cardiology Go Fish and Infectious Diseases Gin Rummy, were created and taught to pharmacy students enrolled in an advanced pharmacy practice experience (APPE). Students were required to play each game for 1 hour, 3 times over a 6-week period...
March 10, 2011: American Journal of Pharmaceutical Education
Nicole M Bhave, Ibrahim N Mansour, Federico Veronesi, Rabia R Razi, Roberto M Lang, R Parker Ward
BACKGROUND: Clinical application of the American College of Cardiology Foundation Appropriate Use Criteria (AUC) represents a potentially feasible alternative to third-party pre-certification for imaging procedures and will soon be required as part of the accreditation process for imaging laboratories. Electronic tools that rapidly apply the AUC are needed in clinical practice. We developed and tested a web-based application of the AUC to track appropriateness of transthoracic echocardiography (TTE)...
March 2011: Journal of the American Society of Echocardiography
Kathleen A Packard, Thomas L Lenz, Christopher J Destache
OBJECTIVES: To determine the effectiveness of the heart failure screening form in teaching heart failure treatment guidelines and prompting students to evaluate patients' medications to initiate patient education and provider intervention. DESIGN: Between 2002 and 2009, 123 students used the heart failure screeing form during an elective cardiology advanced pharmacy practice experience (APPE). A subset of 41 students were also assessed for change in heart failure knowledge and confidence pre- and post-APPE...
August 10, 2010: American Journal of Pharmaceutical Education
Michael A Crouch
OBJECTIVE: To assess the effectiveness of online instruction in a cardiology pharmacotherapy elective. DESIGN: Eight drug-focused lectures and 6 introductory presentations were added to a cardiology pharmacotherapy course. Students completed an online quiz after each online drug-focused lecture and scores were compared to quizzes taken at the beginning and end of the course, as well as on a cardiology advanced pharmacy practice experience (APPE). For online introductory presentations, students completed a quiz at the beginning of the next face-to-face session...
May 27, 2009: American Journal of Pharmaceutical Education
B Mladosievicová, A Foltinová, M Bernadic, H Petrásová, I Hulín
BACKGROUND: Anthracycline cytostatics, widely used in oncologic practice, may induce discrete myocardial damage occasionally culminating in life-threatening cardiologic complications. The most serious clinical manifestations of anthracycline cardiotoxicity are dilated cardiomyopathy, heart failure and fatal arrhythmias. OBJECTIVES, STARTING POINT AND MAIN PURPOSE: High-resolution electrocardiography (HRECG) is one of the latest cardiologic methods, which can be promising for early identification of patients at risk of anthracycline cardiotoxicity...
May 1996: Bratislavské Lekárske Listy
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