Commonly Used Abbreviations and Symbols in Nuclear Medicine
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Clinical Excellence in Cardiology
Clinical Excellence in Cardiology Roy C. Ziegelstein, MD* A recent study identified 7 domains of clinical excellence on the basis of interviews with “clinically excellent” physicians at academic institutions in the United States: (1) commu- nication and interpersonal skills, (2) professionalism and humanism, (3) diagnostic acu- men, (4) skillful negotiation of the health care system, (5) knowledge, (6) taking a scholarly approach to clinical practice, and (7) having passion for clinical medicine. What constitutes clinical excellence in cardiology has not previously been defined. The author discusses clinical excellence in cardiology using the framework of these 7 domains and also considers the additional domain of clinical experience. Specific aspects of the domains of clinical excellence that are of greatest relevance to cardiology are highlighted. In conclusion, this discussion characterizes what constitutes clinical excellence in cardiology and should stimulate additional discussion of the topic and an examination of how the domains of clinical excellence in cardiology are related to specific patient outcomes. © 2011 Elsevier Inc. All rights reserved. (Am J Cardiol 2011;108:607–611) On the basis of interviews with 24 academic physicians and clinical excellence has not been clearly demonstrated. deemed “clinically excellent,” Christmas et al1 identified 7 For example, the compliance of hospitals with performance domains of clinical excellence relevant to all disciplines in measures is not associated with improved heart failure out- medicine: (1) communication and interpersonal skills, (2) comes.10,11 The speed with which an interventional cardi- professionalism and humanism, (3) diagnostic acumen, (4) ologist achieves reperfusion of the culprit vessel, the so- skillful negotiation of the health care system, (5) knowl- called door-to-balloon time, is an important performance edge, (6) taking a scholarly approach to clinical practice, measure in the treatment of patients with acute ST-segment and (7) having passion for clinical medicine. -
Anemia in Heart Failure - from Guidelines to Controversies and Challenges
52 Education Anemia in heart failure - from guidelines to controversies and challenges Oana Sîrbu1,*, Mariana Floria1,*, Petru Dascalita*, Alexandra Stoica1,*, Paula Adascalitei, Victorita Sorodoc1,*, Laurentiu Sorodoc1,* *Grigore T. Popa University of Medicine and Pharmacy; Iasi-Romania 1Sf. Spiridon Emergency Hospital; Iasi-Romania ABSTRACT Anemia associated with heart failure is a frequent condition, which may lead to heart function deterioration by the activation of neuro-hormonal mechanisms. Therefore, a vicious circle is present in the relationship of heart failure and anemia. The consequence is reflected upon the pa- tients’ survival, quality of life, and hospital readmissions. Anemia and iron deficiency should be correctly diagnosed and treated in patients with heart failure. The etiology is multifactorial but certainly not fully understood. There is data suggesting that the following factors can cause ane- mia alone or in combination: iron deficiency, inflammation, erythropoietin levels, prescribed medication, hemodilution, and medullar dysfunc- tion. There is data suggesting the association among iron deficiency, inflammation, erythropoietin levels, prescribed medication, hemodilution, and medullar dysfunction. The main pathophysiologic mechanisms, with the strongest evidence-based medicine data, are iron deficiency and inflammation. In clinical practice, the etiology of anemia needs thorough evaluation for determining the best possible therapeutic course. In this context, we must correctly treat the patients’ diseases; according with the current guidelines we have now only one intravenous iron drug. This paper is focused on data about anemia in heart failure, from prevalence to optimal treatment, controversies, and challenges. (Anatol J Cardiol 2018; 20: 52-9) Keywords: anemia, heart failure, intravenous iron, ferric carboxymaltose, quality of life Introduction g/dL in men) (2). -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
Training in Nuclear Cardiology
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY VOL.65,NO.17,2015 ª 2015 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION ISSN 0735-1097/$36.00 PUBLISHED BY ELSEVIER INC. http://dx.doi.org/10.1016/j.jacc.2015.03.019 TRAINING STATEMENT COCATS 4 Task Force 6: Training in Nuclear Cardiology Endorsed by the American Society of Nuclear Cardiology Vasken Dilsizian, MD, FACC, Chair Todd D. Miller, MD, FACC James A. Arrighi, MD, FACC* Allen J. Solomon, MD, FACC Rose S. Cohen, MD, FACC James E. Udelson, MD, FACC, FASNC 1. INTRODUCTION ACC and ASNC, and addressed their comments. The document was revised and posted for public comment 1.1. Document Development Process from December 20, 2014, to January 6, 2015. Authors 1.1.1. Writing Committee Organization addressed additional comments from the public to complete the document. The final document was The Writing Committee was selected to represent the approved by the Task Force, COCATS Steering Com- American College of Cardiology (ACC) and the Amer- mittee, and ACC Competency Management Commit- ican Society of Nuclear Cardiology (ASNC) and tee; ratified by the ACC Board of Trustees in March, included a cardiovascular training program director; a 2015; and endorsed by the ASNC. This document is nuclear cardiology training program director; early- considered current until the ACC Competency Man- career experts; highly experienced specialists in agement Committee revises or withdraws it. both academic and community-based practice set- tings; and physicians experienced in defining and applying training standards according to the 6 general 1.2. Background and Scope competency domains promulgated by the Accredita- Nuclear cardiology provides important diagnostic and tion Council for Graduate Medical Education (ACGME) prognostic information that is an essential part of the and American Board of Medical Specialties (ABMS), knowledge base required of the well-trained cardiol- and endorsed by the American Board of Internal ogist for optimal management of the cardiovascular Medicine (ABIM). -
ICD-10 and Cardiology Steven M
ICD-10-CM and Cardiology Steven M. Verno, CMBSI, CEMCS, CMSCS, CPM-MCS Page 1 of 24 ICD-10 and Cardiology Steven M. Verno, CMBSI, CEMCS, CMSCS, CPM-MCS Note: ICD-9-CM and ICD-10 are owned and copyrighted by the World Health Organization. The codes in this guide were obtained from the US Department of Health and Human Services, NCHS website. This guide does not contain ANY legal advice. This guide shows what specific codes will change to when ICD-9-CM becomes ICD-10-CM. This guide does NOT discuss ICD-10-PCS. This guide does NOT replace ICD-10-CM coding manuals. This guide simply shows a practice what ICD-10-CM will look like within their specialty. The intent is to show that ICD-10 is not scary and it is not complicated. This guide is NOT the final answer to coding issues experienced in a medical practice. This guide does NOT replace proper coding training required by a medical coder and a medical practice. Images or graphics were obtained from free public domain internet websites and may hold copyright privileges by the owner. This guide was prepared for Free. If you paid for this, demand the return of your money! If the name of the original author, Steve Verno, has been replaced, it is possible that you have a thief on your hands. Page 2 of 24 For the past thirty-one (31) years, we have learned and used ICD-9-CM when diagnosis coding for our providers. ICD stands for International Classification of Diseases. -
Arterial Switch Operation Surgery Surgical Solutions to Complex Problems
Pediatric Cardiovascular Arterial Switch Operation Surgery Surgical Solutions to Complex Problems Tom R. Karl, MS, MD The arterial switch operation is appropriate treatment for most forms of transposition of Andrew Cochrane, FRACS the great arteries. In this review we analyze indications, techniques, and outcome for Christian P.R. Brizard, MD various subsets of patients with transposition of the great arteries, including those with an intact septum beyond 21 days of age, intramural coronary arteries, aortic arch ob- struction, the Taussig-Bing anomaly, discordant (corrected) transposition, transposition of the great arteries with left ventricular outflow tract obstruction, and univentricular hearts with transposition of the great arteries and subaortic stenosis. (Tex Heart Inst J 1997;24:322-33) T ransposition of the great arteries (TGA) is a prototypical lesion for pediat- ric cardiac surgeons, a lethal malformation that can often be converted (with a single operation) to a nearly normal heart. The arterial switch operation (ASO) has evolved to become the treatment of choice for most forms of TGA, and success with this operation has become a standard by which pediatric cardiac surgical units are judged. This is appropriate, because without expertise in neonatal anesthetic management, perfusion, intensive care, cardiology, and surgery, consistently good results are impossible to achieve. Surgical Anatomy of TGA In the broad sense, the term "TGA" describes any heart with a discordant ven- triculoatrial (VA) connection (aorta from right ventricle, pulmonary artery from left ventricle). The anatomic diagnosis is further defined by the intracardiac fea- tures. Most frequently, TGA is used to describe the solitus/concordant/discordant heart. -
Essentials of Cardiology Timothy C
Th e Heart SECTION IV Essentials of Cardiology Timothy C. Slesnick, Ralph Gertler, and CHAPTER 14 Wanda C. Miller-Hance Congenital Heart Disease Evaluation of the Patient with a Cardiac Murmur Incidence Basic Interpretation of the Pediatric Segmental Approach to Diagnosis Electrocardiogram Physiologic Classifi cation of Defects Essentials of Cardiac Rhythm Interpretation and Acute Arrhythmia Management in Children Acquired Heart Disease Basic Rhythms Cardiomyopathies Conduction Disorders Myocarditis Cardiac Arrhythmias Rheumatic Fever and Rheumatic Heart Disease Pacemaker Therapy in the Pediatric Age Group Infective Endocarditis Pacemaker Nomenclature Kawasaki Disease Permanent Cardiac Pacing Cardiac Tumors Diagnostic Modalities in Pediatric Cardiology Heart Failure in Children Chest Radiography Defi nition and Pathophysiology Barium Swallow Etiology and Clinical Features Echocardiography Treatment Strategies Magnetic Resonance Imaging Syndromes, Associations, and Systemic Disorders: Cardiovascular Disease and Anesthetic Implications Computed Tomography Chromosomal Syndromes Cardiac Catheterization and Angiography Gene Deletion Syndromes Considerations in the Perioperative Care of Children with Cardiovascular Disease Single-Gene Defects General Issues Associations Clinical Condition and Status of Prior Repair Other Disorders Summary Selected Vascular Anomalies and Their Implications for Anesthetic Care Aberrant Subclavian Arteries Persistent Left Superior Vena Cava to Coronary Sinus Communication Congenital Heart Disease adulthood has become the expectation for most congenital car- diovascular malformations.3 At present it is estimated that there Incidence are more than a million adults with CHD in the United States, Estimates of the incidence of congenital heart disease (CHD) surpassing the number of children similarly aff ected for the fi rst range from 0.3% to 1.2% in live neonates.1 Th is represents the time in history. -
Anomalies of the Aorta and Pulmonary Arteries Complicating Ventricular Septal Defect
Br Heart J: first published as 10.1136/hrt.24.3.279 on 1 May 1962. Downloaded from ANOMALIES OF THE AORTA AND PULMONARY ARTERIES COMPLICATING VENTRICULAR SEPTAL DEFECT BY J. MORGAN, R. PITMAN, J. F. GOODWIN, R. E. STEINER, AND A. HOLLMAN From the Departments of Medicine and Radiodiagnosis, Postgraduate Medical School and Hammersmith Hospital Received August 15, 1961 Ventricular septal defect is not always a simple lesion, but may be associated with other congenital cardiac disorders. The object of this paper is to present anomalies of the great vessels that have been found on angiocardiography or at operation in a series of patients with a ventricular septal defect investigated and treated at Hammersmith Hospital. During the last three years selective angiocardiography has been performed on 165 patients diagnosed as having ventricular septal defect. In 24 of them associated anomalies of the aorta and pulmonary arteries have been found. These patients will be presented in three groups according to the type of anomalies found; Group 1, corrected transposition of the great vessels, Group 2, double outlet right ventricle, Group 3, anomalies of the pulmonary arteries. 1. CORRECTED OF THE GREAT VESSELS GROUP TRANSPOSITION http://heart.bmj.com/ In this anomaly there is anatomical transposition. Viewed from above the aorta is anterior and to the left and the pulmonary trunk posterior and to the right. This is corrected functionally by bulboventricular inversion. Corrected transposition is usually associated with other defects, but the circulation is normal, for venous blood enters the pulmonary circulation and arterial blood the systemic circulation. The systemic ventricle from which the aorta arises has the anatomical features of a right ventricle, and the venous ventricle, from which the pulmonary artery arises, has the anatomical characteristics of a left ventricle. -
Bed-Based Ballistocardiography: Dataset and Ability to Track Cardiovascular Parameters
sensors Article Bed-Based Ballistocardiography: Dataset and Ability to Track Cardiovascular Parameters Charles Carlson 1,* , Vanessa-Rose Turpin 2, Ahmad Suliman 1 , Carl Ade 2, Steve Warren 1 and David E. Thompson 1 1 Mike Wiegers Department of Electrical and Computer Engineering, Kansas State University, Manhattan, KS 66506, USA; [email protected] (A.S.); [email protected] (S.W.); [email protected] (D.E.T.) 2 Department of Kinesiology, Kansas State University, Manhattan, KS 66506, USA; [email protected] (V.-R.T.); [email protected] (C.A.) * Correspondence: [email protected] Abstract: Background: The goal of this work was to create a sharable dataset of heart-driven signals, including ballistocardiograms (BCGs) and time-aligned electrocardiograms (ECGs), photoplethysmo- grams (PPGs), and blood pressure waveforms. Methods: A custom, bed-based ballistocardiographic system is described in detail. Affiliated cardiopulmonary signals are acquired using a GE Datex CardioCap 5 patient monitor (which collects ECG and PPG data) and a Finapres Medical Systems Finometer PRO (which provides continuous reconstructed brachial artery pressure waveforms and derived cardiovascular parameters). Results: Data were collected from 40 participants, 4 of whom had been or were currently diagnosed with a heart condition at the time they enrolled in the study. An investigation revealed that features extracted from a BCG could be used to track changes in systolic blood pressure (Pearson correlation coefficient of 0.54 +/− 0.15), dP/dtmax (Pearson correlation coefficient of 0.51 +/− 0.18), and stroke volume (Pearson correlation coefficient of 0.54 +/− 0.17). Conclusion: A collection of synchronized, heart-driven signals, including BCGs, ECGs, PPGs, and blood pressure waveforms, was acquired and made publicly available. -
Perioperative Stress Testing: the New High Risk Paradigm
medigraphic Artemisaen línea E A NO D NEST A ES Mexicana de IC IO EX L M O G O I ÍA G A E L . C C O . C Revista A N A T Í E Anestesiología S G S O O L C IO I S ED TE A ES D M AN EXICANA DE PROFESORES EXTRANJEROS Vol. 32. Supl. 1, Abril-Junio 2009 pp S198-S206 Perioperative stress testing: The new high risk paradigm Marc A. Rozner, PhD, MD* * Professor of Anesthesiology and Perioperative Medicine. Professor of Cardiology The University of Texas MD Anderson Cancer Center. Houston, TX [email protected] INTRODUCTION Each scenarios (i.e.; should have been tested but was not; did not need the test but was tested anyway, got tested For sometime, anesthesiologists have been asked to assist and intervention) is accompanied by financial and medi- in the assignment of risk for an operative procedure, espe- cal complication issues that are beyond the scope of this cially the patient with cardiac disease. For most of these talk. It is important to keep in mind that every medical test patients, the preoperative assessment involves a decision and procedure has a potential downside – a significant about getting a stress test and dealing with the results. But aspect to the patient with a positive stress test who has a there is little data to support this practice, and recent events stroke during the follow-up, clean cardiac catheterization. suggesting that mechanical coronary artery intervention In their Guideline Update for exercise testing, the ACC / actually increases perioperative risk of MI and death have AHA quote a rate for myocardial infarction and / or death muddied the perioperative water. -
Cocats 4 (Pdf)
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY VOL. 65, NO. 17, 2015 ª 2015 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION ISSN 0735-1097/$36.00 PUBLISHED BY ELSEVIER INC. http://dx.doi.org/10.1016/j.jacc.2015.03.017 TRAINING STATEMENT ACC 2015 Core Cardiovascular Training Statement (COCATS 4) (Revision of COCATS 3) A Report of the ACC Competency Management Committee Task Force Introduction/Steering Committee Task Force 3: Training in Electrocardiography, Members Jonathan L. Halperin, MD, FACC Ambulatory Electrocardiography, and Exercise Testing (and Society Eric S. Williams, MD, MACC Gary J. Balady, MD, FACC, Chair Representation) Valentin Fuster, MD, PHD, MACC Vincent J. Bufalino, MD, FACC Martha Gulati, MD, MS, FACC Task Force 1: Training in Ambulatory, Jeffrey T. Kuvin, MD, FACC Consultative, and Longitudinal Cardiovascular Care Lisa A. Mendes, MD, FACC Valentin Fuster, MD, PHD, MACC, Co-Chair Joseph L. Schuller, MD Jonathan L. Halperin, MD, FACC, Co-Chair Eric S. Williams, MD, MACC, Co-Chair Task Force 4: Training in Multimodality Imaging Nancy R. Cho, MD, FACC Jagat Narula, MD, PHD, MACC, Chair William F. Iobst, MD* Y.S. Chandrashekhar, MD, FACC Debabrata Mukherjee, MD, FACC Vasken Dilsizian, MD, FACC Prashant Vaishnava, MD Mario J. Garcia, MD, FACC Christopher M. Kramer, MD, FACC Task Force 2: Training in Preventive Shaista Malik, MD, PHD, FACC Cardiovascular Medicine Thomas Ryan, MD, FACC Sidney C. Smith, JR, MD, FACC, Chair Soma Sen, MBBS, FACC Vera Bittner, MD, FACC Joseph C. Wu, MD, PHD, FACC J. Michael Gaziano, MD, FACC John C. Giacomini, MD, FACC Quinn R. Pack, MD Donna M. -
Surgical Treatment of Giant Saphenous Vein Graft Aneurysm: a Case Report
Successful Surgical Treatment of Giant Saphenous Vein Graft Aneurysm: A Case Report SalahEldien Altarabsheh MD*, Salil Deo MD**, Lyle Joyce MD** ABSTRACT A 72 year-old-male patient who had coronary artery bypass grafting twice in the past, presented with shortness of breath. Coronary angiography showed a giant saphenous vein graft aneurysm, surgical excision of the aneurysm with bypass of the right coronary artery using new vein conduit was performed. The pathophysiology, clinical presentation, diagnostic modalities and therapeutic options will be discussed in light of this case. Key words: Saphenous Vein Graft, Giant Aneurysm, Coronary Artery Bypass Grafting, Coronary Artery Disease JRMS June 2012; 19(2): 76-78 Introduction located in the middle part of the vein graft and dye Coronary Artery Bypass Grafting (CABG) is a swirled in the aneurysmal sac without any flow into widely used surgical therapy for coronary artery the distal coronary circulation (Fig. 1A). The other disease. Great saphenous vein is the traditional grafts were patent with no obvious major pathology conduit used in this procedure. Saphenous Vein Graft identified. A contrast enhanced Computed Aneurysms (SVGA) is rare and usually found Tomogram (CT) scan of the chest measured the incidentally. SGVA should be considered as a aneurysm to be 6.4 x 4.3 cm in cross-section. There possibility in any patient presenting with a was significant mass effect on the right atrium (RA) mediastinal mass after CABG, as early diagnosis and and superior vena cava (SVC) as depicted in (Fig. intervention may avert fatal complications. We report 1B). Additionally, a preoperative Transthoracic a case of a giant SVGA which was successfully Echocardiogram (TTE) showed preserved left treated by surgical excision and coronary ventricular function with severe calcific aortic valve revascularization.