Sunday, February 28, 2016

Guidelines Feb 2016


Feb 26, 2016

"2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations 

Part 3: Adult Basic Life Support and Automated External Defibrillation"

http://circ.ahajournals.org/content/132/16_suppl_1/S51.full

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Feb 19, 2016

"2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations 
Part 2: Evidence Evaluation and Management of Conflicts of Interest"

http://circ.ahajournals.org/content/132/16_suppl_1/S40.full

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Feb 12, 2016

"2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations 
Part 1: Executive Summary"

http://circ.ahajournals.org/content/132/16_suppl_1/S2.full

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Feb 5, 2016
2015 AHA / ACC:
"Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: 

Task Force 5: 
Valvular Heart Disease: A Scientific Statement From the American Heart Association and American College of Cardiology"
http://circ.ahajournals.org/content/132/22/e292.full.pdf+html

Research Review - Feb 2016

JAMA

"Weight Loss and Health Status 3 Years after Bariatric Surgery in Adolescents"

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NEJM

NEJM - "National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training"   
http://www.nejm.org/doi/full/10.1056/NEJMoa1515724?query=featured_home


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BMJ / Lancet

Lancet - "Sustained efficacy of pulmonary artery pressure to guide adjustment of chronic heart failure therapy: complete follow-up results from the CHAMPION randomised trial"   


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CIRC

CIRC - "Atrial Fibrillation Begets Heart Failure and Vice Versa"   
http://circ.ahajournals.org/content/133/5/484.abstract

Guidelines - Jan 2016


Jan 29, 2016

"AHA/ACC Scientific Statement 
Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: 
Task Force 4: Congenital Heart Disease"

http://circ.ahajournals.org/content/132/22/e281.full

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Jan 22, 2016

"AHA/ACC Scientific Statement 

Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: 
Task Force 3: Hypertrophic Cardiomyopathy, Arrhythmogenic Right Ventricular Cardiomyopathy and Other Cardiomyopathies, and Myocarditis"

http://circ.ahajournals.org/content/132/22/e273.full

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Jan 15, 2016


"AHA/ACC Scientific Statement Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities:
 Task Force 2: Preparticipation Screening for Cardiovascular Disease in Competitive Athletes"


http://circ.ahajournals.org/content/132/22/e267.full

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Jan 8, 2016

"AHA/ACC Scientific Statement
Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities:
Task Force 1: Classification of Sports: Dynamic, Static, and Impact"

http://circ.ahajournals.org/content/132/22/e262

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Jan 1, 2016

"AHA Scientific Statement 
The Agenda for Familial Hypercholesterolemia"  

http://circ.ahajournals.org/content/132/22/2167

Research Review - Jan 2016

JAMA

"Autologous Hematopoetic Stem Cell Transplantation for Refractory Crohn Disease"
"Conclusions and Relevance  Among adult patients with refractory Crohn disease not amenable to surgery who had impaired quality of life, HSCT, compared with conventional therapy, did not result in a statistically significant improvement in sustained disease remission at 1 year and was associated with significant toxicity. These findings do not support the widespread use of HSCT for patients with refractory Crohn disease."
http://jama.jamanetwork.com/article.aspx?articleid=2475462

 
"Frozen vs Fresh Fecal Microbiota Transplantation and Clinical Resolution of Diarrhea in Patients With Recurrent Clostridium difficile Infection" "Conclusions and Relevance Among adults with recurrent or refractory CDI, the use of frozen compared with fresh FMT did not result in worse proportion of clinical resolution of diarrhea. Given the potential advantages of providing frozen FMT, its use is a reasonable option in this setting." 

http://jama.jamanetwork.com/article.aspx?articleid=2481003   


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NEJM

"Sofosbuvir and Velpatasvir for HCV Genotype 1, 2, 4, 5, and 6 Infection"
"CONCLUSIONS

Once-daily sofosbuvir–velpatasvir for 12 weeks provided high rates of sustained virologic response among both previously treated and untreated patients infected with HCV genotype 1, 2, 4, 5, or 6, including those with compensated cirrhosis. (Funded by Gilead Sciences; ClinicalTrials.gov number, NCT02201940.)"   http://www.nejm.org/doi/full/10.1056/NEJMoa1512610?query=featured_home

REVIEW:
"Relationship between Nonmedical Prescription-Opioid Use and Heroin Use"

 "The nonmedical use of prescription opioids is a major public health issue in the United States, both because of the overall high prevalence and because of marked increases in associated morbidity and mortality.1 In 2014, a total of 10.3 million persons reported using prescription opioids nonmedically (i.e., using medications that were not prescribed for them or were taken only for the experience or feeling that they caused).2 Emergency department visits involving misuse or abuse of prescription opioids increased 153% between 2004 and 2011, and admissions to substance-abuse treatment programs linked to prescription opioids more than quadrupled between 2002 and 2012.3,4Most troubling, between 2000 and 2014 the rates of death from prescription-opioid overdose nearly quadrupled (from 1.5 to 5.9 deaths per 100,000 persons) (Figure 1)." 
http://www.nejm.org/doi/full/10.1056/NEJMra1508490?query=featured_home

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BMJ / Lancet
 BMJ: "Nosocomial transmission of avian influenza A (H7N9) virus in China: epidemiological investigation"
 "What this study adds
Nosocomial H7N9 transmission might be possible between two unrelated individuals. Surveillance on patients with influenza-like illness in hospitals as well as chickens in live poultry markets should be enhanced to monitor transmissibility and pathogenicity of the virus."
http://www.bmj.com/content/351/bmj.h5765

Lancet: "Continued versus discontinued cannabis use in patients with psychosis: a systematic review and meta-analysis" 
"Interpretation Continued cannabis use after onset of psychosis predicts adverse outcome, including higher relapse rates, longer hospital admissions, and more severe positive symptoms than for individuals who discontinue cannabis use and those who are non-users. These findings point to reductions in cannabis use as a crucial interventional target to improve outcome in patients with psychosis."  http://lancet.com/journals/lanpsy/article/PIIS2215-0366(15)00363-6/abstract

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CIRC 

"Hypertrophic Cardiomyopathy in Children, Adolescents, and Young Adults Associated With Low Cardiovascular Mortality With Contemporary Management Strategies"
 "Conclusions—In a large hospital-based cohort of young HCM patients, representing an age group considered at greatest risk, low mortality rates can be achieved with the application of contemporary cardiovascular treatment strategies, largely because of reliable identification of high-risk patients who benefited from implantable cardioverter-defibrillators for sudden death prevention, thereby creating the opportunity for extended longevity and good quality of life."  
http://circ.ahajournals.org/content/133/1/62.abstract 

"Physical Activity and Risk of Coronary Heart Disease and Stroke in Older Adults The Cardiovascular Health Study"
"Conclusions—These data provide empirical evidence supporting PA recommendations, in particular, walking, to reduce the incidence of CVD among older adults." http://circ.ahajournals.org/content/133/2/147.abstract 


Friday, February 26, 2016

Weekly Guideline

"2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Part 3: Adult Basic Life Support and Automated External Defibrillation"

http://circ.ahajournals.org/content/132/16_suppl_1/S51.full

Thursday, February 25, 2016

CIRC - "Herpesvirus Infections and Childhood Arterial Ischemic Stroke Results of the VIPS Study"

"Herpesvirus Infections and Childhood Arterial Ischemic Stroke Results of the VIPS Study"

"Conclusions—Herpesviruses may act as a trigger for childhood AIS, even if the infection is subclinical. Antivirals like acyclovir might have a role in the prevention of recurrent stroke if further studies confirm a causal relationship."

http://circ.ahajournals.org/content/133/8/732.full

Wednesday, February 24, 2016

BMJ - "Oral fluoroquinolone use and serious arrhythmia: bi-national cohort study"

BMJ - "Oral fluoroquinolone use and serious arrhythmia: bi-national cohort study"

"Conclusions
Contrary to previous reports, oral fluoroquinolone treatment was not associated with an increased risk of serious arrhythmia in the general adult populations of Denmark and Sweden. Given the statistical power of the study, even small increases in relative and absolute risk could be ruled out. Since ciprofloxacin was the most commonly used fluoroquinolone in our study, we cannot exclude that intraclass differences influence the risk of serious arrhythmia associated with other less frequently used fluoroquinolones."


http://www.bmj.com/content/352/bmj.i843