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Geriatric cardiology

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https://www.readbyqxmd.com/read/27760535/the-haiti-medical-education-project-development-and-analysis-of-a-competency-based-continuing-medical-education-course-in-haiti-through-distance-learning
#1
Robert Battat, Marc Jhonson, Lorne Wiseblatt, Cruff Renard, Laura Habib, Manouchka Normil, Brian Remillard, Timothy F Brewer, Galit Sacajiu
BACKGROUND: Recent calls for reform in healthcare training emphasize using competency-based curricula and information technology-empowered learning. Continuing Medical Education programs are essential in maintaining physician accreditation. Haitian physicians have expressed a lack access to these activities. The Haiti Medical Education Project works in alliance with Haitian medical leadership, faculty and students to support the Country's medical education system. We present the creation, delivery and evaluation of a competency-based continuing medical education curriculum for physicians in rural Haiti...
October 19, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27673575/knowledge-gaps-in-cardiovascular-care-of-older-adults-a-scientific-statement-from-the-american-heart-association-american-college-of-cardiology-and-american-geriatrics-society-executive-summary
#2
Michael W Rich, Deborah A Chyun, Adam H Skolnick, Karen P Alexander, Daniel E Forman, Dalane W Kitzman, Mathew S Maurer, James B McClurken, Barbara M Resnick, Win K Shen, David L Tirschwell
The incidence and prevalence of most cardiovascular disorders increase with age, and cardiovascular disease (CVD) is the leading cause of death and major disability in adults aged 75 and older. Despite the effect of CVD on quality of life, morbidity, and mortality in older adults, individuals aged 75 and older have been markedly underrepresented in most major cardiovascular trials, and virtually all trials have excluded older adults with complex comorbidities, significant physical or cognitive disabilities, frailty, or residence in nursing homes and assisted living facilities...
November 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27641094/management-of-acute-coronary-syndromes-in-geriatric-patients
#3
Isabel Montilla Padilla, Roberto Martín-Asenjo, Héctor Bueno
The mean age of patients presenting with acute coronary syndrome (ACS) has been increasing steadily in the last decades, so managing very old patients has become common practice. The oldest patients are under-represented in clinical trials, so specific evidence is scarce. Still, antithrombotic therapy and invasive strategy are the pillars of appropriate treatment even in the oldest patients. However, the elderly population is a heterogeneous group showing important divergences between chronological and biological age, which needs specific evaluation...
August 25, 2016: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/27639971/management-of-suspected-acute-heart-failure-dyspnea-in-the-emergency-department-results-from-the-french-prospective-multicenter-defssica-survey
#4
Tahar Chouihed, Stéphane Manzo-Silberman, Nicolas Peschanski, Sandrine Charpentier, Meyer Elbaz, Dominique Savary, Eric Bonnefoy-Cudraz, Said Laribi, Patrick Henry, Nicolas Girerd, Faiez Zannad, Carlos El Khoury
BACKGROUND: An appropriate diagnostic process is crucial for managing patients with acute heart failure (AHF) in emergency department (ED). Our study aims to describe the characteristics and therapeutic management of patients admitted to the ED for dyspnea suspected to have AHF, their in-hospital pathway of care and their in-hospital outcome. METHODS: Consecutive patients admitted in 26 French ED for dyspnea suspected to be the consequence of AHF, prior to in hospital diagnostic test, were prospectively included at the time of their admission in the DeFSSICA Survey...
September 17, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27638323/geriatric-cardiology-mini-focus-issue-call-for-papers
#5
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27476988/geriatric-cardiology-an-emerging-discipline
#6
REVIEW
John A Dodson, Daniel D Matlock, Daniel E Forman
Given changing demographics, patients with cardiovascular (CV) disease in developed countries are now older and more complex than even a decade ago. This trend is expected to continue into the foreseeable future; accordingly, cardiologists are encountering patients with a greater number of comorbid illnesses as well as "geriatric conditions," such as cognitive impairment and frailty, which complicate management and influence outcomes. Simultaneously, technological advances have widened the therapeutic options available for patients, including those with the most advanced CV disease...
September 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/27476983/assessment-and-utility-of-frailty-measures-in-critical-illness-cardiology-and-cardiac-surgery
#7
REVIEW
Naheed Rajabali, Darryl Rolfson, Sean M Bagshaw
Frailty is a clearly emerging theme in acute care medicine, with obvious prognostic and health resource implications. "Frailty" is a term used to describe a multidimensional syndrome of loss of homeostatic reserves that gives rise to a vulnerability to adverse outcomes after relatively minor stressor events. This is conceptually simple, yet there has been little consensus on the operational definition. The gold standard method to diagnose frailty remains a comprehensive geriatric assessment; however, a variety of validated physical performance measures, judgement-based tools, and multidimensional scales are being applied in critical care, cardiology, and cardiac surgery settings, including open cardiac surgery and transcatheter aortic value replacement...
September 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/27427467/-multidimensional-geriatric-assessment-before-transcatheter-aortic-valve-implantation-in-frail-elderly-patients-with-one-year-follow-up-cardio-geriatrician-collaboration-benefits
#8
E Damier, E Chidlovskii, B Bertrand, V M Dang, G Vanzetto, P Couturier
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is a treatment for high-risk patients with symptomatic severe aortic stenosis. The aim of the study is to assess results of comprehensive geriatric assessment before TAVI and geriatrician advices about TAVI procedure feasibility. We report one-year outcomes after TAVI procedure. METHODS: All patients who underwent comprehensive geriatric assessment in geriatric day hospital before TAVI were prospectively included in Grenoble...
September 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/27403135/geriatric-cardiology-and-the-great-wall-international-congress-of-cardiology-2015
#9
Nanette K Wenger, Chang-Sheng Ma
No abstract text is available yet for this article.
May 2016: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/27297089/who-is-providing-the-predominant-care-for-older-adults-with-dementia
#10
Mia Yang, Chiang-Hua Chang, Donald Carmichael, Esther S Oh, Julie P W Bynum
OBJECTIVES: To identify which clinical specialties are most central for care of people with dementia in the community and long-term care (LTC) settings. DESIGN: Cross-sectional analysis. PARTICIPANTS: Fee-for-service Medicare beneficiaries aged ≥65 years with dementia. MEASUREMENTS: Specialty, categorized into primary care (internal or family medicine, geriatrics, or nurse practitioners [NPs]) versus other specialties, of the predominant provider of care (PPC) for each patient, defined by providing the most ambulatory visits...
September 1, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27214624/palliative-care-for-patients-with-end-stage-cardiovascular-disease-and-devices-a-report-from-the-palliative-care-working-group-of-the-geriatrics-section-of-the-american-college-of-cardiology
#11
James N Kirkpatrick, Paul J Hauptman, Keith M Swetz, Elizabeth D Blume, Kimberlee Gauvreau, Mathew Maurer, Sarah J Goodlin
No abstract text is available yet for this article.
July 1, 2016: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27188227/reasons-doctors-provide-futile-treatment-at-the-end-of-life-a-qualitative-study
#12
Lindy Willmott, Benjamin White, Cindy Gallois, Malcolm Parker, Nicholas Graves, Sarah Winch, Leonie Kaye Callaway, Nicole Shepherd, Eliana Close
OBJECTIVE: Futile treatment, which by definition cannot benefit a patient, is undesirable. This research investigated why doctors believe that treatment that they consider to be futile is sometimes provided at the end of a patient's life. DESIGN: Semistructured in-depth interviews. SETTING: Three large tertiary public hospitals in Brisbane, Australia. PARTICIPANTS: 96 doctors from emergency, intensive care, palliative care, oncology, renal medicine, internal medicine, respiratory medicine, surgery, cardiology, geriatric medicine and medical administration departments...
August 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27102136/-chronic-ischaemic-heart-disease-in-the-elderly
#13
Manuel Martínez-Sellés, Ricardo Gómez Huelgas, Emad Abu-Assi, Alberto Calderón, María Teresa Vidán
It is the aim of this manuscript to take into account the peculiarities and specific characteristics of elderly patients with chronic ischaemic heart disease from a multidisciplinary perspective, with the participation of the Spanish Society of Cardiology (sections of Geriatric Cardiology and Ischaemic Heart Disease/Acute Cardiovascular Care), the Spanish Society of Internal Medicine, the Spanish Society of Primary Care Physicians and the Spanish Society of Geriatrics and Gerontology. This consensus document shows that in order to adequately address these elderly patients a comprehensive assessment is needed, which includes comorbidity, frailty, functional status, polypharmacy and drug interactions...
May 2016: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/27079335/knowledge-gaps-in-cardiovascular-care-of-the-older-adult-population-a-scientific-statement-from-the-american-heart-association-american-college-of-cardiology-and-american-geriatrics-society
#14
Michael W Rich, Deborah A Chyun, Adam H Skolnick, Karen P Alexander, Daniel E Forman, Dalane W Kitzman, Mathew S Maurer, James B McClurken, Barbara M Resnick, Win K Shen, David L Tirschwell
The incidence and prevalence of most cardiovascular disorders increase with age, and cardiovascular disease is the leading cause of death and major disability in adults ≥75 years of age; however, despite the large impact of cardiovascular disease on quality of life, morbidity, and mortality in older adults, patients aged ≥75 years have been markedly underrepresented in most major cardiovascular trials, and virtually all trials have excluded older patients with complex comorbidities, significant physical or cognitive disabilities, frailty, or residence in a nursing home or assisted living facility...
May 24, 2016: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27068512/-chronic-ischaemic-heart-disease-in-the-elderly
#15
M Martínez-Sellés, R Gómez Huelgas, E Abu-Assi, A Calderón, M T Vidán
It is the aim of this manuscript to take into account the peculiarities and specific characteristics of elderly patients with chronic ischaemic heart disease from a multidisciplinary perspective, with the participation of the Spanish Society of Cardiology (sections of Geriatric Cardiology and Ischaemic Heart Disease/Acute Cardiovascular Care), the Spanish Society of Internal Medicine, the Spanish Society of Primary Care Physicians and the Spanish Society of Geriatrics and Gerontology. This consensus document shows that in order to adequately address these elderly patients a comprehensive assessment is needed, which includes comorbidity, frailty, functional status, polypharmacy and drug interactions...
April 8, 2016: Semergen
https://www.readbyqxmd.com/read/27067230/knowledge-gaps-in-cardiovascular-care-of-the-older-adult-population-a-scientific-statement-from-the-american-heart-association-american-college-of-cardiology-and-american-geriatrics-society
#16
Michael W Rich, Deborah A Chyun, Adam H Skolnick, Karen P Alexander, Daniel E Forman, Dalane W Kitzman, Mathew S Maurer, James B McClurken, Barbara M Resnick, Win K Shen, David L Tirschwell
The incidence and prevalence of most cardiovascular disorders increase with age, and cardiovascular disease is the leading cause of death and major disability in adults ≥75 years of age; however, despite the large impact of cardiovascular disease on quality of life, morbidity, and mortality in older adults, patients aged ≥75 years have been markedly underrepresented in most major cardiovascular trials, and virtually all trials have excluded older patients with complex comorbidities, significant physical or cognitive disabilities, frailty, or residence in a nursing home or assisted living facility...
May 24, 2016: Circulation
https://www.readbyqxmd.com/read/27039240/-geriatric-cardiology-fundamental-for-the-cardiologist-vital-for-the-geriatrician
#17
Francesc Formiga, Albert Ariza-Solé
No abstract text is available yet for this article.
July 2016: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/26996646/teaching-internal-medicine-in-the-community
#18
Sophia Eilat-Tsanani, M Weingarten, M Ben-Ami, Mordechai Dayan, H Tabenkin
BACKGROUND: Teaching Internal Medicine is mainly hospital-based. Chronic diseases are treated mostly in community-based ambulatory care. This study describes our experience during the first year of teaching Internal Medicine in the community, with a focus on chronic disease management. METHODS: This was an observational study describing the content of clinical exposure and the feedback from students after a two-week clerkship in community health centers. RESULTS: Over a period of three months, 54 students spent two weeks in health centers singly or in pairs...
September 2015: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/26965220/-chronic-ischaemic-heart-disease-in-the-elderly
#19
Manuel Martínez-Sellés, Ricardo Gómez Huelgas, Emad Abu-Assi, Alberto Calderón, María Teresa Vidán
It is the aim of this manuscript to take into account the peculiarities and specific characteristics of elderly patients with chronic ischaemic heart disease from a multidisciplinary perspective, with the participation of the Spanish Society of Cardiology (sections of Geriatric Cardiology and Ischaemic Heart Disease/Acute Cardiovascular Care), the Spanish Society of Internal Medicine, the Spanish Society of Primary Care Physicians and the Spanish Society of Geriatrics and Gerontology. This consensus document shows that in order to adequately address these elderly patients a comprehensive assessment is needed, which includes comorbidity, frailty, functional status, polypharmacy and drug interactions...
April 15, 2016: Medicina Clínica
https://www.readbyqxmd.com/read/26945587/unravelling-the-potential-mechanisms-behind-hospitalization-associated-disability-in-older-patients-the-hospital-associated-disability-and-impact-on-daily-life-hospital-adl-cohort-study-protocol
#20
Lucienne A Reichardt, Jesse J Aarden, Rosanne van Seben, Marike van der Schaaf, Raoul H H Engelbert, Jos A Bosch, Bianca M Buurman
BACKGROUND: Over 30 % of older patients experience hospitalization-associated disability (HAD) (i.e., loss of independence in Activities of Daily Living (ADLs)) after an acute hospitalization. Despite its high prevalence, the mechanisms that underlie HAD remain elusive. This paper describes the protocol for the Hospital-Associated Disability and impact on daily Life (Hospital-ADL) study, which aims to unravel the potential mechanisms behind HAD from admission to three months post-discharge...
2016: BMC Geriatrics
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