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[PMID]:28925248
[Au] Autor:Pellegrini CA
[Ti] Título:Joint Commission now offering Comprehensive Cardiac Center Certification.
[So] Source:Bull Am Coll Surg;102(2):49-50, 2017 02.
[Is] ISSN:0002-8045
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Comprehensive Cardiac Center Certification is designed for hospitals with robust cardiac care facilities, with the aim of helping institutions to establish the structures, processes, and culture necessary to achieve sustained levels of effective clinical performance and patient outcomes across cardiac specialties and the continuum of care.
[Mh] Termos MeSH primário: Institutos de Cardiologia/normas
Certificação/normas
[Mh] Termos MeSH secundário: Seres Humanos
Joint Commission on Accreditation of Healthcare Organizations
Estados Unidos
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170920
[St] Status:MEDLINE


  2 / 1036 MEDLINE  
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[PMID]:28666617
[Au] Autor:Hayes C; McIntyre WF; White C; Alleta G; Koley L; Seifer CM
[Ti] Título:Long-term Follow-up of the Implementation of a Venous Thromboembolism Prophylaxis Order Set on a Cardiology Ward: Still a Surprising Result?
[So] Source:Can J Cardiol;33(8):1067.e1, 2017 08.
[Is] ISSN:1916-7075
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Anticoagulantes/uso terapêutico
Institutos de Cardiologia
Fidelidade a Diretrizes
Tromboembolia Venosa/prevenção & controle
[Mh] Termos MeSH secundário: Idoso
Feminino
Seguimentos
Seres Humanos
Pacientes Internados
Masculino
Fatores de Tempo
[Pt] Tipo de publicação:LETTER
[Nm] Nome de substância:
0 (Anticoagulants)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170702
[St] Status:MEDLINE


  3 / 1036 MEDLINE  
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[PMID]:28225231
[Au] Autor:Hagen KB
[Ti] Título:Democratic deficit in the health services.
[Ti] Título:Demokratisk underskudd i helsetjenesten..
[So] Source:Tidsskr Nor Laegeforen;137(4):268, 2017 Feb.
[Is] ISSN:0807-7096
[Cp] País de publicação:Norway
[La] Idioma:eng; nor
[Mh] Termos MeSH primário: Institutos de Cardiologia
Política de Saúde
Intervenção Coronária Percutânea
[Mh] Termos MeSH secundário: Democracia
Seres Humanos
Noruega
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170510
[Lr] Data última revisão:
170510
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE
[do] DOI:10.4045/tidsskr.17.0061


  4 / 1036 MEDLINE  
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[PMID]:28092248
[Au] Autor:Ramírez-Arias E; Rosas-Peralta M; Borrayo-Sánchez G; Moreno-Ruiz LA; Arenas-Fonseca JG; Arzola-Covarrubias VM; Santos-Martínez LE; Arizmendi-Uribe E
[Ad] Endereço:Servicio de Urgencias, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. drerickramirez@gmail.com.
[Ti] Título:[Pulmonary thromboembolism: Recent experience of 4 years at a cardiology hospital].
[Ti] Título:Tromboembolismo pulmonar: experiencia reciente de 4 años en un hospital de cardiología..
[So] Source:Rev Med Inst Mex Seguro Soc;55(1):52-62, 2017 Jan-Feb.
[Is] ISSN:0443-5117
[Cp] País de publicação:Mexico
[La] Idioma:spa
[Ab] Resumo:It comprised a series of cases over a period of 4 years, held at the Hospital of Cardiology of the Centro Médico Nacional Siglo XXI, IMSS. From 2008 to 2011, admitted to Emergency 184 patients with suspected pulmonary embolism, of which 41 were removed; of the 143 remaining cases, only 127 patients was diagnosed with PE. The other 16 patients had other diagnoses. In 86% of patients showed electrocardiographic pattern S1Q3T3 and 39% had RBBB, in 17 (13.3%) patients there was hemodynamic instability, and in 94.4% showed enlargement of the right chambers by echocardiography, 55.9% showed paradoxical septal motion, PASP was 66.2+22.8 mm Hg and in 43.3% the Mc Connell sign was positive. A total of 48 patients (37.7%) received thrombolysis, the remaining patients received conventional medical treatment with anticoagulation. Overall mortality was 14%.
[Mh] Termos MeSH primário: Embolia Pulmonar/diagnóstico
Embolia Pulmonar/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Institutos de Cardiologia
Feminino
Hospitais Públicos
Seres Humanos
Masculino
México
Meia-Idade
Embolia Pulmonar/mortalidade
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170117
[St] Status:MEDLINE


  5 / 1036 MEDLINE  
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[PMID]:28058699
[Au] Autor:Schlöglhofer T; Robson D; Bancroft J; Sørensen G; Kaufmann F; Sweet L; Wrightson N
[Ad] Endereço:Center for Medical Physics and Biomedical Engineering, Department of Cardiac Surgery, Medical University of Vienna, Ludwig Boltzmann Cluster for Cardiovascular Research, Vienna - Austria.
[Ti] Título:International coordinator survey results on the outpatient management of patients with the HeartWare® ventricular assist system.
[So] Source:Int J Artif Organs;39(11):553-557, 2017 Jan 13.
[Is] ISSN:1724-6040
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: While the HeartWare® Ventricular Assist System (HVAS) is a successful therapy for end-stage heart failure, outpatient management methods can vary significantly and require further investigation. METHODS: A survey to assess the long-term HVAS patient management and monitoring strategies was completed by 36 international heart centers that currently have over 1,450 patients on VAD support either at home or in the hospital. Multiple choice questions examined VAD program characteristics, anticoagulation management, driveline exit-site dressing and showering recommendations, blood pressure and pump parameter monitoring, and patient discharge protocols. RESULTS: Outpatient international normalized ratio (INR) was most frequently measured every 3-4 days (28.6%), and the most frequent schedule for changing driveline exit site dressings was 3 times per week (30.6%). Only 25.7% of centers required their patients to measure blood pressure at home. A subgroup analysis was performed to assess the influence of center experience and larger centers generally had more frequent monitoring compared to smaller centers. CONCLUSIONS: This survey showed specific differences in outpatient management strategies that were previously unreported. However, further studies with correlations to patient outcomes are necessary to determine optimal patient management recommendations.
[Mh] Termos MeSH primário: Assistência Ambulatorial/estatística & dados numéricos
Coração Auxiliar
[Mh] Termos MeSH secundário: Monitorização Ambulatorial da Pressão Arterial/estatística & dados numéricos
Institutos de Cardiologia
Insuficiência Cardíaca/terapia
Seres Humanos
Coeficiente Internacional Normatizado
Inquéritos e Questionários
Telemetria/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170316
[Lr] Data última revisão:
170316
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170107
[St] Status:MEDLINE
[do] DOI:10.5301/ijao.5000538


  6 / 1036 MEDLINE  
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[PMID]:27765175
[Au] Autor:Henn MC; Percival T; Zajarias A; Melby SJ; Lindman BR; Quader N; Damiano RJ; Moon MR; Lasala JM; Rao RS; Bell J; Damiano MS; Maniar HS
[Ad] Endereço:Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri.
[Ti] Título:Learning Alternative Access Approaches for Transcatheter Aortic Valve Replacement: Implications for New Transcatheter Aortic Valve Replacement Centers.
[So] Source:Ann Thorac Surg;103(5):1399-1405, 2017 May.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Smaller transcatheter aortic valve replacement (TAVR) delivery systems have increased the number of patients eligible for transfemoral procedures while decreasing the need for transaortic (TAo) or transapical (TA) access. As a result, newer TAVR centers are likely to have less exposure to these alternative access techniques, making it harder to achieve proficiency. The purpose of this study was to evaluate the learning curve for TAVR approaches and compare perioperative outcomes. METHODS: From January 2008 to December 2014, 400 patients underwent TAVR (transfemoral, n = 179; TA, n = 120; and TAo, n = 101)). Learning curves were constructed using metrics of contrast utilization, procedural, and fluoroscopy times. Outcomes during the learning curve were compared with after proficiency was achieved. RESULTS: Depending on the metric, learning curves for all three routes differed slightly but all demonstrated proficiency by the 50th case. There were no significant differences in procedural times whereas improvements in contrast use were most notable for TA (69 ± 40 mL versus 50 ± 23 mL, p = 0.002). For both TA and TAo, fewer patients received transfusions once proficiency was reached (62% versus 34%, p = 0.003, and 42% versus 14%, p = 0.002, respectively). No differences in 30-day or 1-year mortality were seen before or after proficiency was reached for any approach. CONCLUSIONS: The learning curves for TA and TAo are distinct but technical proficiency begins to develop by 25 cases and becomes complete by 50 cases for both approaches. Given the relatively low volume of alternative access, achieving technical proficiency may take significant time. However, technical proficiency had no effect on 30-day or 1-year mortality for any access approach.
[Mh] Termos MeSH primário: Institutos de Cardiologia
Curva de Aprendizado
Substituição da Valva Aórtica Transcateter/educação
Substituição da Valva Aórtica Transcateter/instrumentação
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Competência Clínica
Meios de Contraste/administração & dosagem
Feminino
Necessidades e Demandas de Serviços de Saúde
Seres Humanos
Comunicação Interdisciplinar
Colaboração Intersetorial
Estimativa de Kaplan-Meier
Masculino
Duração da Cirurgia
Seleção de Pacientes
Complicações Pós-Operatórias/etiologia
Complicações Pós-Operatórias/mortalidade
Estudos Retrospectivos
Substituição da Valva Aórtica Transcateter/métodos
Substituição da Valva Aórtica Transcateter/mortalidade
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contrast Media)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161022
[St] Status:MEDLINE


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[PMID]:27855052
[Au] Autor:Márquez-González H; Castro-Contreras U; Cerrud-Sánchez CE; López-Gallegos D; Yáñez-Gutiérrez L
[Ad] Endereço:Servicio de Cardiopatías Congénitas, Hospital de Cardiología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México. horacioinvestigacion@hotmail.com.
[Ti] Título:[Experience in the treatment of patent ductus arteriosus closure at a mexican hospital].
[Ti] Título:Experiencia en el tratamiento de cierre de conducto arterioso persistente..
[So] Source:Rev Med Inst Mex Seguro Soc;54 Suppl 3:S291-S295, 2016.
[Is] ISSN:0443-5117
[Cp] País de publicação:Mexico
[La] Idioma:spa
[Ab] Resumo:BACKGROUND: The patent ductus arteriosus (PDA) represents one of the most prevalent diseases in hospitals which treat congenital heart diseases (CHD). Currently, in groups of more than 1 year of age percutaneous closure it is the standard therapy. The aim of this paper is to determine the frequency, characteristics and treatment of PCA in congenital heart disease service at the a Cardiology Hospital in Mexico. METHODS: In clinical CHD our hospital, a descriptive study of 2010-2015 of patients who were treated with percutaneous closure PCA and surgery was performed. They were divided into the following ages: infant, preschool, children, adolescents and adults. The absolute frequencies were recorded. RESULTS: 187 patients of preschool and school which accounted for 60% of the total sample were obtained. Percutaneous closure catheterization was performed in 90%; 2% of complications were recorded. CONCLUSIONS: In this clinic, the PCA is treated mostly by interventional catheterization in most stages of the human being with minimal complications.
[Mh] Termos MeSH primário: Permeabilidade do Canal Arterial/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Institutos de Cardiologia
Cateterismo Cardíaco
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
México
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170503
[Lr] Data última revisão:
170503
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161118
[St] Status:MEDLINE


  8 / 1036 MEDLINE  
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[PMID]:27854486
[Au] Autor:Crossley B
[Ti] Título:Move 'from the Outside in' to Solve Cardiac Output Problems.
[So] Source:Biomed Instrum Technol;50(6):466, 2016 Nov-Dec.
[Is] ISSN:0899-8205
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Institutos de Cardiologia
Débito Cardíaco/fisiologia
Análise de Falha de Equipamento
Monitorização Fisiológica
[Mh] Termos MeSH secundário: Engenharia Biomédica
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170330
[Lr] Data última revisão:
170330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161118
[St] Status:MEDLINE


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[PMID]:27566502
[Au] Autor:Farrehi PM; Clore KR; Scott JR; Vanini G; Clauw DJ
[Ad] Endereço:Department of Internal Medicine, University of Michigan Health Systems, Ann Arbor. Electronic address: pfarrehi@umich.edu.
[Ti] Título:Efficacy of Sleep Tool Education During Hospitalization: A Randomized Controlled Trial.
[So] Source:Am J Med;129(12):1329.e9-1329.e17, 2016 Dec.
[Is] ISSN:1555-7162
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Patients are commonly provided tools in the hospital to overcome poor sleep. Whether education on use of sleep tools can impact health outcomes from a patient perspective is not known. METHODS: We recruited 120 adults admitted to a nonintensive care unit cardiac-monitored floor. All patients received a set of sleep-enhancing tools (eye mask, ear plugs, and a white noise machine) and were randomized to receive direct education on use of and benefit of these sleep-enhancing tools (intervention), or an equal amount of time was spent discussing general benefits of sleep (control). Measurement of several symptom domains was assessed daily by health outcome survey responses, and change from baseline was assessed for differences between groups. Inpatient opioid use and length of stay were also measured. RESULTS: Participants randomized to receive the education intervention had a significantly greater decrease in fatigue scores over the 3 days, compared with controls (5.30 ± 6.93 vs 1.81 ± 6.96, t = 2.32, P = .028). There was a trend toward improvements in multiple other sleep-related domains, including sleep disturbance, sleep-related impairment, physical functioning, pain severity, or pain interference (all P >.140). There was no difference in length of stay between intervention and control groups (7.40 ± 7.29 vs 7.71 ± 6.06 days, P = .996). The change in number of opioid equivalents taken did not differ use between the groups (P = .688). CONCLUSION: In a randomized trial of education in the use of sleep-enhancing tools while hospitalized, patient fatigue was significantly improved, whereas several other patient-reported outcomes showed a trend toward improvements. Implementation of this very low-cost approach to improving sleep and well-being could substantially improve the patient care experience.
[Mh] Termos MeSH primário: Pacientes Internados/educação
Transtornos do Sono-Vigília/terapia
[Mh] Termos MeSH secundário: Institutos de Cardiologia
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Masculino
Meia-Idade
Avaliação de Processos e Resultados (Cuidados de Saúde)
Educação de Pacientes como Assunto/métodos
Estudos Prospectivos
Transtornos do Sono-Vigília/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170503
[Lr] Data última revisão:
170503
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160828
[St] Status:MEDLINE


  10 / 1036 MEDLINE  
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[PMID]:27443143
[Au] Autor:Chakinala MM; Duncan M; Wirth J
[Ad] Endereço:Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, 660 South Euclid Avenue, CB #8052, St Louis, MO 63110, USA. Electronic address: chakinalam@wustl.edu.
[Ti] Título:Managing the Patient with Pulmonary Hypertension: Specialty Care Centers, Coordinated Care, and Patient Support.
[So] Source:Cardiol Clin;34(3):489-500, 2016 Aug.
[Is] ISSN:1558-2264
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Pulmonary hypertension remains a challenging condition to diagnose and manage. Decentralized care for pulmonary arterial hypertension (PAH) has led to shortcomings in the diagnosis and management of PAH. The Pulmonary Hypertension Association-sponsored Pulmonary Hypertension Care Center program is designed to recognize specialty centers capable of providing multidisciplinary and comprehensive care of PAH. Ideally, Pulmonary Hypertension Care Centers will comanage PAH patients with community-based practitioners and address the growing needs of this emerging population of long-term PAH patients.
[Mh] Termos MeSH primário: Institutos de Cardiologia
Gerenciamento Clínico
Fidelidade a Diretrizes
Hipertensão Pulmonar/terapia
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170314
[Lr] Data última revisão:
170314
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160723
[St] Status:MEDLINE



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