Common Medical Terms for Cardiology
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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. -
Evaluation of Artery Visualizations for Heart Disease Diagnosis
Evaluation of Artery Visualizations for Heart Disease Diagnosis Michelle A. Borkin, Student Member, IEEE, Krzysztof Z. Gajos, Amanda Peters, Dimitrios Mitsouras, Simone Melchionna, Frank J. Rybicki, Charles L. Feldman, and Hanspeter Pfister, Senior Member, IEEE Fig. 1. Left: Traditional 2D projection (A) of a single artery, and 3D representation (C) of a right coronary artery tree with a rainbow color map. Right: 2D tree diagram representation (B) and equivalent 3D representation (D) of a left coronary artery tree with a diverging color map. Abstract—Heart disease is the number one killer in the United States, and finding indicators of the disease at an early stage is critical for treatment and prevention. In this paper we evaluate visualization techniques that enable the diagnosis of coronary artery disease. A key physical quantity of medical interest is endothelial shear stress (ESS). Low ESS has been associated with sites of lesion formation and rapid progression of disease in the coronary arteries. Having effective visualizations of a patient’s ESS data is vital for the quick and thorough non-invasive evaluation by a cardiologist. We present a task taxonomy for hemodynamics based on a formative user study with domain experts. Based on the results of this study we developed HemoVis, an interactive visualization application for heart disease diagnosis that uses a novel 2D tree diagram representation of coronary artery trees. We present the results of a formal quantitative user study with domain experts that evaluates the effect of 2D versus 3D artery representations and of color maps on identifying regions of low ESS. We show statistically significant results demonstrating that our 2D visualizations are more accurate and efficient than 3D representations, and that a perceptually appropriate color map leads to fewer diagnostic mistakes than a rainbow color map. -
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). -
Your Pulse and Target Heart Rate
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Vessels and Circulation
CARDIOVASCULAR SYSTEM OUTLINE 23.1 Anatomy of Blood Vessels 684 23.1a Blood Vessel Tunics 684 23.1b Arteries 685 23.1c Capillaries 688 23 23.1d Veins 689 23.2 Blood Pressure 691 23.3 Systemic Circulation 692 Vessels and 23.3a General Arterial Flow Out of the Heart 693 23.3b General Venous Return to the Heart 693 23.3c Blood Flow Through the Head and Neck 693 23.3d Blood Flow Through the Thoracic and Abdominal Walls 697 23.3e Blood Flow Through the Thoracic Organs 700 Circulation 23.3f Blood Flow Through the Gastrointestinal Tract 701 23.3g Blood Flow Through the Posterior Abdominal Organs, Pelvis, and Perineum 705 23.3h Blood Flow Through the Upper Limb 705 23.3i Blood Flow Through the Lower Limb 709 23.4 Pulmonary Circulation 712 23.5 Review of Heart, Systemic, and Pulmonary Circulation 714 23.6 Aging and the Cardiovascular System 715 23.7 Blood Vessel Development 716 23.7a Artery Development 716 23.7b Vein Development 717 23.7c Comparison of Fetal and Postnatal Circulation 718 MODULE 9: CARDIOVASCULAR SYSTEM mck78097_ch23_683-723.indd 683 2/14/11 4:31 PM 684 Chapter Twenty-Three Vessels and Circulation lood vessels are analogous to highways—they are an efficient larger as they merge and come closer to the heart. The site where B mode of transport for oxygen, carbon dioxide, nutrients, hor- two or more arteries (or two or more veins) converge to supply the mones, and waste products to and from body tissues. The heart is same body region is called an anastomosis (ă-nas ′tō -mō′ sis; pl., the mechanical pump that propels the blood through the vessels. -
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). -
The Heart Institute
The Heart Institute Division of Cardiology 4650 Sunset Blvd., #34, Los Angeles, CA 90027 Phone: 323-361-2461 Fax: 323-361-1513 The Heart Institute at Children’s Hospital Los Angeles is CHLA.org/CARDIOLOGY one of the top-ranked pediatric heart programs in the Division of nation—with a long history of exceptional and innovative Cardiothoracic Surgery 4650 Sunset Blvd., #66 care for the most complex pediatric cardiac conditions. Los Angeles, CA 90027 Phone: 323-361-4148 Fax: 323-361-3668 We treat patients from fetus to adulthood and serve as CHLA.org/CTSurgery a major tertiary referral center for all forms of congenital Referrals Phone: 888-631-2452 and acquired heart disease. Fax: 323-361-8988 Email: [email protected] Physician Portal: https://myCHLA.CHLA.org We offer an integrated inpatient and outpatient Our Cardiothoracic Intensive Care Unit (CTICU) complement of services that brings together experts was the first of its kind on the West Coast, using in cardiology, cardiothoracic surgery, cardiothoracic innovative treatments including extracorporeal transplant, cardiothoracic intensive care and membrane oxygenation (ECMO) and ventricular cardiovascular acute care in a centrally located, assist services. state-of-the-art healing environment. With fewer steps to navigate, our patients and families receive care Our two state-of-the-art catheterization laboratories that is more streamlined and less stressful. use the latest technology to provide accurate cardiac data while reducing radiation. Our programmatic emphasis on high-complexity surgeries in neonates has produced outcomes that are among the best in the country, as shown in the most recent Society of Thoracic Surgeons report. -
Vascular Anomalies Compressing the Oesophagus and Trachea
Thorax: first published as 10.1136/thx.24.3.295 on 1 May 1969. Downloaded from T7horax (1969), 24, 295. Vascular anomalies compressing the oesophagus and trachea J. C. R. LINCOLN, P. B. DEVERALL, J. STARK, E. ABERDEEN, AND D. J. WATERSTON From the Hospital for Sick Children, Great Ormond Street, London W.C.I Vascular rings formed by anomalies of major arteries can compress the trachea and oesophagus so much as to cause respiratory distress and dysphagia. Twenty-nine patients with this condition are reviewed and discussed in five groups. The symptoms and signs are noted. Radiological examination by barium swallow is the most useful diagnostic aid. Symptoms can only be relieved by operation. The trachea is often deformed at the site of the constricting ring. Only infrequently is there immediate relief from the pre-operative symptoms. Two babies were successfully treated for an aberrant left pulmonary artery. The diagnosis and treatment of major arterial DOUBLE AORTIC ARCH Nineteen children were anomalies which cause compression of the oeso- treated for some form of double aortic arch. Their phagus and trachea are now well established. age at operation ranged from 1 week to 11 months, Although an aberrant right subclavian artery was but the majority were treated at about the age of described in 1794 by Bayford (Fig. 1), who gave 5 to 6 months (Fig. 2). Frequently the presenting the detailed post-mortem finding in a woman who symptoms had been noticed since birth but for had died from starvation secondary to this varying reasons there was delay in making the http://thorax.bmj.com/ anomaly, and a double aortic arch was described correct diagnosis. -
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. -
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. -
Artery/Vein Classification of Blood Vessel Tree in Retinal Imaging
Artery/vein Classification of Blood Vessel Tree in Retinal Imaging Joaquim de Moura1, Jorge Novo1, Marcos Ortega1, Noelia Barreira1 and Pablo Charlon´ 2 1Departamento de Computacion,´ Universidade da Coruna,˜ A Coruna,˜ Spain 2Instituto Oftalmologico´ Victoria de Rojas, A Coruna,˜ Spain joaquim.demoura, jnovo, mortega, nbarreira @udc.es, [email protected] { } Keywords: Retinal Imaging, Vascular Tree, Segmentation, Artery/vein Classification. Abstract: Alterations in the retinal microcirculation are signs of relevant diseases such as hypertension, arteriosclerosis, or diabetes. Specifically, arterial constriction and narrowing were associated with early stages of hypertension. Moreover, retinal vasculature abnormalities may be useful indicators for cerebrovascular and cardiovascular diseases. The Arterio-Venous Ratio (AVR), that measures the relation between arteries and veins, is one of the most referenced ways of quantifying the changes in the retinal vessel tree. Since these alterations affect differently arteries and veins, a precise characterization of both types of vessels is a key issue in the development of automatic diagnosis systems. In this work, we propose a methodology for the automatic vessel classification between arteries and veins in eye fundus images. The proposal was tested and validated with 19 near-infrared reflectance retinographies. The methodology provided satisfactory results, in a complex domain as is the retinal vessel tree identification and classification. 1 INTRODUCTION Hence, direct analysis of many injuries caused by oc- ular pathologies can be achieved, as is the case, for The analysis of the eye fundus offers useful infor- example, the diabetic retinopathy (DR). The DR is a mation about the status of the different structures the diabetes mellitus complication, one of the principal human visual system integrates, as happens with the causes of blindness in the world (Pascolini, 2011). -
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.