Medical Apps for Cardiology Uses. There s an App for That!

Transcription

1 Medical Apps for Cardiology Uses There s an App for That!

2

3

4 Audience Participation Question #1 1. ASCVD Risk App What is the predicted 10 year CV event rate for a 57 y/o black male patient with treated BP of 150/85 and total cholesterol 180 and HDL cholesterol of 35? (Remember statin recommended if the 10 year CV event risk above 7.5%?) A. 4% B. 8% C. 13% D. 17%

5 Audience Participation Question #1 1. ASCVD Risk App What is the predicted 10 year CV event rate for a 57 y/o black male patient with treated BP of 150/85 and total cholesterol 180 and HDL cholesterol of 35? (Remember statin recommended if the 10 year CV event risk above 7.5%?) A. 4% B. 8% C. 13% D. 17%

6

7

8

9

10

11 Audience Participation Question #2 ASCVD Risk App What is the 10 year CV event rate for a white female with the same parameters (age 57, treated BP 150/85, total cholesterol 180, HDL 35)? A. 4% B. 8% C. 13% D. 17%

12 Audience Participation Question #2 ASCVD Risk App What is the 10 year CV event rate for a white female with the same parameters (age 57, treated BP 150/85, total cholesterol 180, HDL 35)? A. 4% B. 8% C. 13% D. 17%

13

14

15

16 2. STATATP III App How different is the new ASCVD risk calculator from the previous ATP III risk assessment?

17

18

19

20

21

22

23 Audience Participation Question #3 3. MedCalc App What is the CHA2DS2-VASC Score and annual stroke risk for a 76 y/o female patient with atrial fibrillation,hypertension & CHF with chronic renal insufficiency before anticoagulation? CHA2DS2-VASC Score A. 2 3% B. 3 4% C. 4 5% D. 5 7% annual stroke risk

24 Audience Participation Question #3 3. MedCalc App What is the CHA2DS2-VASC Score and annual stroke risk for a 76 y/o female patient with atrial fibrillation, hypertension & CHF with chronic renal insufficiency before anticoagulation? CHA2DS2-VASC Score A. 2 3% B. 3 4% C. 4 5% D. 5 7% annual stroke risk

25

26

27

28

29

30

31 Audience Participation Question #4 4. ACC Anticoag Evaluator What is the predicted annual stroke risk vs major bleeding risk in this same 76y/o female patient with atrial fibrillation, hypertension, CHF, and chronic renal insufficiency if she is treated with warfarin? Annual stroke risk major bleeding risk A. 2% 2% B. 3% 6% C. 5% 3% D. 8% 1%

32 Audience Participation Question #4 4. ACC Anticoag Evaluator What is the predicted annual stroke risk vs major bleeding risk in this same 76y/o female patient with atrial fibrillation, hypertension, CHF, and chronic renal insufficiency if she is treated with warfarin? Annual stroke risk major bleeding risk A. 2% 2% B. 3% 6% C. 5% 3% D. 8% 1%

33

34

35

36

37

38

39

40 Audience Participation Question #5 4. ACC Anticoag Evaluator What is the predicted annual stroke risk vs major bleeding risk in this same 76y/o female patient with atrial fibrillation, hypertension, CHF, and chronic renal insufficiency if she is treated with aspirin alone? Annual stroke risk major bleeding risk A. 2% 2% B. 3% 6% C. 5% 3% D. 8% 1%

41 Audience Participation Question #5 4. ACC Anticoag Evaluator What is the predicted annual stroke risk vs major bleeding risk in this same 76y/o female patient with atrial fibrillation, hypertension, CHF, and chronic renal insufficiency if she is treated with aspirin alone? Annual stroke risk major bleeding risk A. 2% 2% B. 3% 6% C. 5% 3% D. 8% 1%

42

43

44 5. AUC Nuclear Should I order a stress nuclear scan on my patient with history of CHF who cannot exercise who is seen in pre-op evaluation before hip surgery? Should I order a stress nuclear scan on my patient who suffered a non-stemi 2 months ago and no chest pain since?

45

46

47

48

49

50

51

52

53 5. AUC Nuclear Should I order a stress nuclear scan on my patient with history of CHF who cannot exercise who is seen in pre-op evaluation before hip surgery? Should I order a stress nuclear scan on my patient who suffered a non-stemi 2 months ago and no chest pain since?

54

55

56

57

58

59

60 5. AUC Nuclear Should I order a stress nuclear scan on my patient who suffered a non-stemi 2 months ago and no chest pain since? What if 6 months post non-stemi and no chest pain since?

61

62 6. AUC Echo Should I order an echocardiogram on my patient with mild aortic valve stenosis on last echocardiogram 2 ½ years ago without new symptoms? Or on my patient with moderate aortic valve stenosis on last echocardiogram 1 year ago without new symptoms? Or on my patient with history of mitral valve replacement 2 years ago without new symptoms?

63

64

65

66

67

68

69

70

71 AUC Echo Should I order an echocardiogram on my patient with mild aortic valve stenosis on last echocardiogram 2 ½ years ago without new symptoms? Or on my patient with moderate aortic valve stenosis on last echocardiogram 1 year ago without new symptoms? Or on my patient with history of mitral valve replacement 2 years ago without new symptoms?

72

73

74

75 AUC Echo Should I order an echocardiogram on my patient without new symptoms with mild aortic valve stenosis on last echocardiogram 2 ½ years ago? Or on my patient without symptoms with moderate aortic valve stenosis on last echocardiogram 1 year ago? Or on my patient with history of mitral valve replacement 2 years ago without new symptoms?

76

77

78

79

80

81 Audience Participation Question #6 7. Seattle HF App What is the predicted 5 year survival for a 72 year old man weighting 80 kg with ischemic heart disease, systolic BP 110, with class 2-3 CHF and LVEF 0.35 without treatment? A. 33% B. 44% C. 55% D. 66%

82 Audience Participation Question #6 7. Seattle HF App What is the predicted 5 year survival for a 72 year old man weighting 80 kg with ischemic heart disease, systolic BP 110, with class 2-3 CHF and LVEF 0.35 without treatment? A. 33% B. 44% C. 55% D. 66%

83 7. Seattle HF App How much is my CHF patient s risk reduced by treatments with beta blocker, ACE inhibitor, spironolactone, and defibrillator? Example: 72 year-old man with blood pressure 110/70, LVEF 0.35, ischemic heart disease, and newly diagnosed class 2-3 CHF

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

100

101

102

103

104