A multicenter tobacco cessation program in acute coronary syndrome
|
|
- Gregory Butler
- 5 years ago
- Views:
Transcription
1 A multicenter tobacco cessation program in acute coronary syndrome PD Nicolas Rodondi, MD, MAS Research Fellow: Reto Auer, MD Head of the Cardiovascular Prevention & Lipid Clinic Department of Ambulatory Care and Community Medicine, University of Lausanne Congress Europrevent, Geneva April
2 Event rate Efficacy of in-hospital multidimensional interventions of secondary prevention after acute coronary syndrome (ACS) 25% 21,3% 20% 19,1% * 15% 11,6% 11,1% Control 10% 8,7% * Intervention 4,8% * * p % 0% Mortality Recurrent MI Readmission Auer R et al. Circulation
3 Secondary Outcomes Outcome Nbr of studies Smoking cessation rate 12 (11 CCT) RR (95% CI) 1.29 ( ) Increase in prescription rate of proven efficacious drug therapy at discharge Nbr of studies RR (95% CI) -β blockers 5 (BAS) 1.48 ( ) -ACE-Inhibitors 6 (BAS) 1.41 ( ) -Lipid lowering drug 4 (BAS) 1.72 ( ) -Antiplatelet agents 6 (BAS) 1.14 ( ) CCT: Clinical Controlled Trial, BAS, Before and After Study Auer R et al. Circulation
4 Smoking and acute coronary syndrome (ACS) (1) High risk of recurrence of ACS: about 15-20% 1 Smokers: recurrence, 2x higher than non smokers or those who stopped smoking. 2 Smoking cessation: 50% risk of recurrence, as well as long-term mortality. 2,3 Hospitalization following a CHD event: smoking cessation Teachable moment for patients, receptivity to educational measures. 4 1 PG Steg et al., JAMA 2007; 2 TD Rea et al., Ann Intern Med LE Daly et al., Br Med J (Clin Res Ed) 1983; 4 CM McBride et al., Health Educ. Res
5 Smoking and acute coronary syndrome (ACS) (2) Patients with ACS in Switzerland: Neither systematic educational intervention during hospitalization nor ambulatory follow-up Ambulatory follow-up by phone: efficient to improve smoking cessation rates. 1 1 Rigotti NA, et al.,cochrane Database Syst Rev 5
6 Efficacy of interventions for smoking cessation in hospitalized patients 1 33 studies identified Interventions to help smoking cessation are efficient with ambulatory follow-up at least 1 month OR at 6 months: 1.65 (95% CI, ) Addition of nicotine replacement therapy cessation rate Should be provided at least to patients with withdrawal symptoms during hospitalization 1 Rigotti et al, Cochrane systematic review,
7 Examples of smoking cessation Chouinard, Nursing research, 2005 Froehlicher, Circulation, 2004 interventions and impact N Intervention vs Control group Quit rate % at 6 mo (12mo) RR Smith, CMAJ, (48) 67 (57) 41 (42) 49 (39) 1.20 (1.12) 1.27 (1.32) Outcomes Continuous abstinence at 6 mo 7 day point prev at 6 mo (12mo) Self reported abstinence at 6 (12) mo Phone calls Patients: Smokers hospitalized with a heart disease Froehlicher et al, 2004: only highly motivated patients by smoking cessation Intervention: Intervention based on stage of change (Chouinard et al) Interview with behaviorial counseling strategies (Froehlicher et al; Smith et al, 2009) 7
8 Possible large margin for smoking cessation: pre-elips preliminary results from Lausanne 23 first patients included in pre-elips phase 11 STEMI, 10 NSTEMI, 2 unstable angina 1 woman; 22 men 8 smokers (35%) 8
9 Hospital discharged medications and Treatment interventions Prescription rate Aspirin: 23/23 - Reason for non-prescription Clopidogrel: 20/23 3 CABG: no indication β blocker: 20/23 Bradycardia: 2 No reason reported: 1 IECA/ARB 16/23 Prescription controversial: 1 Renal insufficiency: 2 Not prescribed, but suggested to PCP: 1 No reason reported: 3 Statin 23/23 - Smoking cessation intervention 4/8 Patient refusal reported: 1 No reason reported: 3 9
10 Objectives of the Swiss smoking cessation study in ACS 1 objective: does systematic intervention, within a multidimensional intervention, quit rates at one year in patients hospitalized with ACS? 2 objectives: Which patient groups benefit most from intervention (according to age, gender, and SES) rate of re-admission and recurrent MI? Cost-effectiveness analysis of smoking cessation intervention 10
11 Systematic smoking cessation intervention offered to ELIPS patients with a motivational interviewing Follow-up by phone for 2 months Before-after study Methods 240 patients included in the pre-elips phase 70 patients included in the Elips intervention phase in LA and GE until today, 240 target Swiss Federal Office of Public Health Project supported by the Swiss Tobacco Prevention Fund 11
12 Ambulatory follow-up by telephone 48h, 1 week, 1 month and 2 months Average effective duration : 5-15 min / patient Intervention based on patient s stage of change Motivational counseling Undetermination Intention Preparation/Action Cognitive Behaviourial Counseling 12
13 Baseline data collection Tobacco use: past pack-years, current quantity Motivation to smoking cessation (visual scale from 1 to 10) Patients of STOP-tabac consultation (in LA + GE): Stage of change Fagerströhm Past smoking cessation attemps Nicotine replacement therapies 13
14 Outcome To compare pre- and post-elips: I : 7-day point prevalence smoking cessation at 1 year II : Continuous abstinence at 12 months Attempt to quit >24 hours during the past year Change on the motivation scale Smoking cessation levels validated by expired CO and serum cotinine 14
15 Preliminary results of pre-elips phase (n=207) 1 Before systematic smoking cessation interventions % smokers at baseline 36% % smokers at 1-year follow-up 27%! Successful smoking cessation 27%! - Lower than in control group of several previous studies - Large margin for improvement in intervention phase 1 Preliminary data from Lausanne site 15
16 Potential impact Inpatient counseling with ambulatory follow-up by telephone for smoking cessation support: innovative intervention in Switzerland Large margin for improvement in ACS patients Each smoker should benefit from best care to recurrence of ACS and life duration in a healthy state. If efficient program: widespread systematic intervention on smoking cessation for patients with ACS in all Swiss hospitals 16
17 Thank you for your attention 17
18 Rationale Acute events, such as myocardial infarction, have been shown to be very effective teachable moments when smoking habits are particularly susceptible to interventions for smoking cessation. 18
19 Established within 24 hours at CHUV, or obtained from addressing hospital Lipid profile 6/12 Measured, but only after 24 hours 3/9 Nitrates Regular therapy 1/23 Optional 2/23 Cardiac rehabiliation Rehabilitation suggested 9/23
20 Intensity of intervention: 1. Single contact in hospital lasting <= 15 minutes, no follow-up support. 2. One or more contacts in hospital lasting in total > 15 minutes, no follow-up support. 3. Any hospital contact plus follow-up <=1 month. 4. Any hospital contact plus follow-up > 1 month. Rigotti NA, et al. Cochrane Database Syst Rev 2007:CD
Smoking Cessation Interventions In Hospital Settings: Implementing the Evidence
Smoking Cessation Interventions In Hospital Settings: Implementing the Evidence Nancy Rigotti, MD Tobacco Research & Treatment Center, General Medicine Division, Massachusetts General Hospital, Harvard
More informationPREVENTIVE AND REHABILITATIVE MANAGEMENT OF ACUTE CORONARY SYNDROMES (NSTEMI, STEMI, PCI)
PREVENTIVE AND REHABILITATIVE MANAGEMENT OF ACUTE CORONARY SYNDROMES (NSTEMI, STEMI, PCI) Dato Dr. Balachandran Kandasamy Institut Jantung Negara 12 th November 2016 KEY MESSAGES 1. Initiate a long-term
More informationCORONARY ARTERY DISEASE (CAD) MEASURES GROUP OVERVIEW
CONARY ARTERY DISEASE (CAD) MEASURES GROUP OVERVIEW 2014 PQRS OPTIONS F MEASURES GROUPS: 2014 PQRS MEASURES IN CONARY ARTERY DISEASE (CAD) MEASURES GROUP: #6. Coronary Artery Disease (CAD): Antiplatelet
More informationPerformance Measure Name: TOB-3 Tobacco Use Treatment Provided or Offered at Discharge TOB-3a Tobacco Use Treatment at Discharge
Measure Information Form Collected For: The Joint Commission Only CMS Informational Only Measure Set: Tobacco Treatment (TOB) Set Measure ID #: Last Updated: New Measure Version 4.0 Performance Measure
More informationProgram Metrics. New Unique ID. Old Unique ID. Metric Set Metric Name Description. Old Metric Name
Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for, Atrial Fibrillation, Hypertension and.
More informationAcute Myocardial Infarction. Willis E. Godin D.O., FACC
Acute Myocardial Infarction Willis E. Godin D.O., FACC Acute Myocardial Infarction Definition: Decreased delivery of oxygen and nutrients to the myocardium Myocardial tissue necrosis causing irreparable
More informationWhat Do We Know About Best Practice Prenatal Counseling Interventions In Clinical Settings?
1 What Do We Know About Best Practice Prenatal Counseling Interventions In Clinical Settings? Cathy L. Melvin, PhD, MPH Presented by Catherine L. Rohweder, DrPH The National Conference on Tobacco or Health
More informationConsensus Core Set: Cardiovascular Measures Version 1.0
Consensus Core Set: Cardiovascular s NQF 0330 Hospital 30-day, all-cause, riskstandardized readmission rate (RSRR) following heart failure hospitalization 0229 Hospital 30-day, all-cause, riskstandardized
More informationPerformance Measure Name: Tobacco Use: Assessing Status after Discharge
Measure Information Form Collected For: The Joint Commission Only CMS Informational Only Measure Set: Tobacco Treatment (TO) Set Measure ID #: Last Updated: New Measure Version 4.0 Performance Measure
More informationSmoking Cessation: Good News at Last!
Smoking Cessation: Good News at Last! Andrew L. Pipe, CM, MD The Minto Prevention & Rehabilitation Centre University of Ottawa Heart Institute Ottawa, Ontario. Canada apipe@ottawaheart.ca Declaration of
More informationDo Not Cite. Draft for Work Group Review.
Defect Free Acute Inpatient Ischemic Stroke Measure Bundle Measure Description Percentage of patients aged 18 years and older with a diagnosis of ischemic stroke OR transient ischemic attack who were admitted
More informationDisclosures. Diabetes and Cardiovascular Risk Management. Learning Objectives. Atherosclerotic Cardiovascular Disease
Disclosures Diabetes and Cardiovascular Risk Management Tony Hampton, MD, MBA Medical Director Advocate Aurora Operating System Advocate Aurora Healthcare Downers Grove, IL No conflicts or disclosures
More informationDeclaration of Conflict of Interest. No potential conflict of interest to disclose with regard to the topics of this presentations.
Declaration of Conflict of Interest No potential conflict of interest to disclose with regard to the topics of this presentations. Clinical implications of smoking relapse after acute ischemic stroke Furio
More informationKnow the Quality of our Care at Every Step. Kansas City ACS Summit BI-State Cardiovascular Education Consortium
Know the Quality of our Care at Every Step Kansas City ACS Summit BI-State Cardiovascular Education Consortium Welcome to the Kansas City ACS Summit Objectives: Follow the flow and care of an ACS patient
More informationPractice-Level Executive Summary Report
PINNACLE Registry Metrics 0003, Test Practice_NextGen [Rolling: 1st April 2015 to 31st March 2016 ] Generated on 5/11/2016 11:37:35 AM American College of Cardiology Foundation National Cardiovascular
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Myocardial infarction: secondary prevention in primary and secondary care for patients following a myocardial infarction 1.1
More informationPatient Navigator Program: Focus MI Diplomat Hospital Metrics
Patient Navigator Program: Focus MI Diplomat Hospital Metrics Goal Statement: To reduce avoidable hospital readmissions for patients discharged with acute myocardial infarction (AMI) by supporting a culture
More informationTobacco Treatment Measures KATHY WONDERLY RN, MSED, CPHQ CONSULTANT DEVELOPED: JANUARY 2018
Tobacco Treatment Measures KATHY WONDERLY RN, MSED, CPHQ CONSULTANT DEVELOPED: JANUARY 2018 Background This measure set is required for The Joint Commission participating hospitals only. Tobacco use is
More informationCardiovascular Health Practice Guideline Outpatient Management of Coronary Artery Disease 2003
Authorized By: Medical Management Guideline Committee Approval Date: 12/13/01 Revision Date: 12/11/03 Beta-Blockers Nitrates Calcium Channel Blockers MEDICATIONS Indicated in post-mi, unstable angina,
More information10-Year Mortality of Older Acute Myocardial Infarction Patients Treated in U.S. Community Practice
10-Year Mortality of Older Acute Myocardial Infarction Patients Treated in U.S. Community Practice Ajar Kochar, MD on behalf of: Anita Y. Chen, Puza P. Sharma, Neha J. Pagidipati, Gregg C. Fonarow, Patricia
More informationAPPENDIX F: CASE REPORT FORM
APPENDIX F: CASE REPORT FORM Instruction: Complete this form to notify all ACS admissions at your centre to National Cardiovascular Disease Registry. Where check boxes are provided, check ( ) one or more
More informationRepeat ischaemic heart disease audit of primary care patients ( ): Comparisons by age, sex and ethnic group
Repeat ischaemic heart disease audit of primary care patients (2002-2003): Comparisons by age, sex and ethnic group Baseline-repeat ischaemic heart disease audit of primary care patients: a comparison
More informationAcute Myocardial Infarction
Acute Myocardial Infarction Hafeza Shaikh, DO, FACC, RPVI Lourdes Cardiology Services Asst.Program Director, Cardiology Fellowship Associate Professor, ROWAN-SOM Acute Myocardial Infarction Definition:
More informationSTATINS EVALUATION IN CORONARY PROCEDURES AND REVASCULARIZATION
STATINS EVALUATION IN CORONARY PROCEDURES AND REVASCULARIZATION Otávio Berwanger, MD, FACS - On behalf of the SECURE Steering Committee and Investigators Trial Organization Trial Steering Committee Dr.
More informationAcute Coronary Syndrome- The Role of the ACS Clinic in Providing Best Practice Care
Acute Coronary Syndrome- The Role of the ACS Clinic in Providing Best Practice Care Deborah Pora MSN, ANP-C, RCIS Objectives Review the latest treatment guidelines for adults with acute coronary syndrome
More informationISCHEMIC VASCULAR DISEASE (IVD) MEASURES GROUP OVERVIEW
ISCHEMIC VASCULAR DISEASE (IVD) MEASURES GROUP OVERVIEW 2014 PQRS OPTIONS F MEASURES GROUPS: 2014 PQRS MEASURES IN ISCHEMIC VASCULAR DISEASE (IVD) MEASURES GROUP: #204. Ischemic Vascular Disease (IVD):
More informationQuality Payment Program: Cardiology Specialty Measure Set
Quality Payment Program: Cardiology Specialty Set Title Number CMS Reporting Method(s) Heart Failure (HF): Angiotensin- Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for
More informationInterventions for smoking cessation in hospitalised patients
[Intervention Review] for smoking cessation in hospitalised patients Nancy A Rigotti 1, Carole Clair 2,3, Marcus R Munafò 4, Lindsay F Stead 5 1 Tobacco Research and Treatment Center, Department of Medicine,
More informationEvidence-based Practice
Evidence-based Practice Michael V. Burke, EdD Assistant Professor of Medicine Treatment Program Coordinator Mayo Clinic Nicotine Dependence Center May, 2013 Learning objectives At the end of this presentation
More informationBeta-blockers in Patients with Mid-range Left Ventricular Ejection Fraction after AMI Improved Clinical Outcomes
Beta-blockers in Patients with Mid-range Left Ventricular Ejection Fraction after AMI Improved Clinical Outcomes Seung-Jae Joo and other KAMIR-NIH investigators Department of Cardiology, Jeju National
More informationEarly discharge in selected patients after an acute coronary syndrome can it be safe?
Early discharge in selected patients after an acute coronary syndrome can it be safe? Glória Abreu, Pedro Azevedo, Carina Arantes, Catarina Quina-Rodrigues, Sara Fonseca, Juliana Martins, Catarina Vieira,
More informationSmoking Cessation at Bladder Cancer Diagnosis: Many Patients Might Benefit from this Teachable Moment
Smoking Cessation at Bladder Cancer Diagnosis: Many Patients Might Benefit from this Teachable Moment Josemanuel Saucedo, BS Jeffrey Bassett, MD, MPH Lorna Kwan, MPH Sarah E. Connor, MPH, CHES William
More informationLong-Term Management Of the ACS Patient: State-of-the-Art. Kim Newlin, CNS, NP-C, FPCNA Sutter Roseville Medical Center Roseville, CA
Long-Term Management Of the ACS Patient: State-of-the-Art Kim Newlin, CNS, NP-C, FPCNA Sutter Roseville Medical Center Roseville, CA Disclosures I have no disclosures. Case Study 45 y/o male admitted to
More informationUnstable angina and NSTEMI
Issue date: March 2010 Unstable angina and NSTEMI The early management of unstable angina and non-st-segment-elevation myocardial infarction This guideline updates and replaces recommendations for the
More informationSmoking and CVD. .what role for the Cardiologist? Dr Sandeep Gupta, MD, FRCP
Smoking and CVD.what role for the Cardiologist? Dr Sandeep Gupta, MD, FRCP Consultant Cardiologist Whipps Cross/BartsHealth NHS Trusts Hospitals, London, UK Therapeutic Advances in the Treatment of Cardiovascular
More informationPerformance and Quality Measures 1. NQF Measure Number. Coronary Artery Disease Measure Set
Unless indicated, the PINNACLE Registry measures are endorsed by the American College of Cardiology Foundation and the American Heart Association and may be used for purposes of health care insurance payer
More informationQuality Payment Program: Cardiology Specialty Measure Set
Measure Title * Reportable via PINNACLE α Reportable via Diabetes Collaborative CQMC v1.0 Measure High Priority Measure Cross Cutting Measure Heart Failure (HF): Angiotensin- Converting Enzyme (ACE) Inhibitor
More informationPerformance Outcomes: Measure & Metric Details
Performance Outcomes: Measure & Metric Details Adherence to Antipsychotic Medications for People with Schizophrenia Numerator: Number of people who remained on an antipsychotic for at least 80% of their
More informationthe high CVD risk smoker
Smoking Cessation: population and patients A comprehensive approach to the smoker the high CVD risk smoker Catriona Jennings Cardiovascular Specialist Research Nurse Imperial College London European Society
More informationVarenicline and cardiovascular and neuropsychiatric events: Do Benefits outweigh risks?
Varenicline and cardiovascular and neuropsychiatric events: Do Benefits outweigh risks? Sonal Singh M.D., M.P.H, Johns Hopkins University Presented by: Sonal Singh, MD MPH September 19, 2012 1 CONFLICTS
More informationNicotine Replacement Therapy and Brief Motivational Interview for Emergency Department Smokers with Asthma
Yale University EliScholar A Digital Platform for Scholarly Publishing at Yale Yale Medicine Thesis Digital Library School of Medicine 3-4-2008 Nicotine Replacement Therapy and Brief Motivational Interview
More informationTable 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings
CMS-1345-P 174 Table 1. Proposed Measures for Use in Establishing Quality Performance Standards that ACOs Must Meet for Shared Savings AIM: Better Care for Individuals 1. Patient/Care Giver Experience
More informationA randomized trial comparing two Internetbased smoking cessation programs
A randomized trial comparing two Internetbased smoking cessation programs Jean-François ETTER Faculty of Medicine, University of Geneva, Switzerland E-mail: Jean-Francois.Etter@unige.ch Acknowledgements
More information6/1/18 LEARNING OBJECTIVES PATIENT POPULATION PRESENTATIONS
PREVENTING HOSPITAL READMISSIONS IN CARDIOVASCULAR PATIENTS Christina Cortez Perry, MSN, FNP-C, CCCC Cardiology Coordinator- Corpus Christi Medical Center 1 2 LEARNING OBJECTIVES Identify the target patient
More informationAcute Coronary Syndrome (ACS) Initial Evaluation and Management
Acute Coronary Syndrome (ACS) Initial Evaluation and Management Symptoms of Possible ACS Chest discomfort with or without radiation to the arm(s), jaw, or epigastrium Short of breath Weakness Diaphoresis
More information2017 MSSP Clinical Quality Measures
*The information contained in this document relies heavily on information supplied by CMS. GPRO CARE-1 (NQF 0097): Medication Reconciliation Post-Discharge DESCRIPTION: Percentage of discharges from any
More informationThe importance of follow-up after a cardiac event: CARDIAC REHABILITATION. Dr. Guy Letcher
The importance of follow-up after a cardiac event: CARDIAC REHABILITATION Dr. Guy Letcher The National Medicare Experience Mortality After Angioplasty 225,915 patients Mortality After Bypass Surgery 357,885
More informationMeasurement Name Beta-Blocker Therapy Prior Myocardial Infarction (MI)
Program Metrics The list below includes the metrics that will be calculated by the PINNACLE Registry for the outpatient office setting. These include metrics for Artery, Atrial Fibrillation, Hypertension
More informationMedical Therapy for Peripheral Artery Disease
Medical Therapy for Peripheral Artery Disease Beau M. Hawkins, MD, FSCAI University of Oklahoma Health Sciences Center, Oklahoma City, OK Sahil A. Parikh, MD, FSCAI Columbia University Medical Center,
More informationThe table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO
The table below includes the quality measures an ACO is required to submit to CMS as a participant in an MSSP Track 3 ACO ACO-1 ACO-2 Getting Timely Care, Appointments, and Information How Well Your Providers
More informationSetting The setting was the Walter Reed Army Medical Center. The economic study was carried out in the USA.
Coronary calcium independently predicts incident premature coronary heart disease over measured cardiovascular risk factors: mean three-year outcomes in the Prospective Army Coronary Calcium (PACC) project
More informationTrends and Variations in General Medical Services Indicators for Coronary Heart Disease: Analysis of QRESEARCH Data
Trends and Variations in General Medical Services Indicators for Coronary Heart Disease: Analysis of QRESEARCH Data Authors: Professor Julia Hippisley-Cox Professor Mike Pringle Professor of Clinical Epidemiology
More information2017 CMS Web Interface Reporting
2017 CMS Web Interface Reporting Measure Specification Review May 18, 2017 Sherry Grund, Telligen Mary Schrader, Telligen Medicare Shared Savings Program and Next Generation ACO Model DISCLAIMER This presentation
More informationClinical Policy Title: Cardiac rehabilitation
Clinical Policy Title: Cardiac rehabilitation Clinical Policy Number: 04.02.02 Effective Date: September 1, 2013 Initial Review Date: February 19, 2013 Most Recent Review Date: February 6, 2018 Next Review
More informationNew PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0.
New PINNACLE Measures The below measures for PINNACLE will be added as new measures to the outcomes reporting starting with Version 2.0. Measure Steward Measure Name Measure Description Rationale for Adding
More informationTOBACCO TREATMENT INPATIENT QUALITY MEASURES. Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015
TOBACCO TREATMENT INPATIENT QUALITY MEASURES Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 The Joint Commission has included a tobacco treatment measure set in their National Hospital
More informationHelping Nurses Help Smokers Quit. Beth Allison, FNP BC OHSU Smoking Cessation Center & Tobacco Consult Service
Helping Nurses Help Smokers Quit Beth Allison, FNP BC OHSU Smoking Cessation Center & Tobacco Consult Service Disclosures This education course is sponsored by OHSU Hospitals and the OHSU Smoking Cessation
More informationCardiac Rehabilitation Individualized Healing for Patients with Cardiovascular Disease
Cardiac Rehabilitation Individualized Healing for Patients with Cardiovascular Disease Richard A. Josephson MS, MD FACC, FAHA, FACP, FAACVPR Director of Cardiac Intensive Care Director of Cardiovascular
More informationSecondary prevention patterns in persons with pre-existing coronary artery disease: Are we getting it right?
740596PSH0010.1177/2010105817740596Proceedings of Singapore HealthcareAbdul Hafidz et al. research-article20172017 Original Article PROCEEDINGS OF SINGAPORE HEALTHCARE Secondary prevention patterns in
More informationPlatelet function testing to guide P2Y 12 -inhibitor treatment in ACS patients after PCI: insights from a national program in Hungary
Platelet function testing to guide P2Y 12 -inhibitor treatment in ACS patients after PCI: insights from a national program in Hungary Dániel Aradi MD PhD Interventional Cardiologist Assistant professor
More informationPatient characteristics Intervention Comparison Length of followup
ISCHAEMIA TESTING CHAPTER TESTING FOR MYCOCARDIAL ISCHAEMIA VERSUS NOT TESTING FOR MYOCARDIAL ISCHAEMIA Ref ID: 4154 Reference Wienbergen H, Kai GA, Schiele R et al. Actual clinical practice exercise ing
More informationMean INTERHEART Risk Score (IHRS) Yusuf et al NEJM 2014
Mean INTERHEART Risk Score (IHRS) Yusuf et al NEJM 2014 CVD Event Rates Major CVD = death from CV causes, stroke, MI and HF Non major CVD = all other CVD events that led to hospitalization Yusuf et al
More informationAcute Coronary Syndrome. Cindy Baker, MD FACC Director Peripheral Vascular Interventions Division of Cardiovascular Medicine
Acute Coronary Syndrome Cindy Baker, MD FACC Director Peripheral Vascular Interventions Division of Cardiovascular Medicine Topics Timing is everything So many drugs to choose from What s a MINOCA? 2 Acute
More informationPrimary and Secondary Prevention of Cardiovascular Disease. Frank J. Green, M.D., F.A.C.C. St. Vincent Medical Group
Primary and Secondary Prevention of Cardiovascular Disease Frank J. Green, M.D., F.A.C.C. St. Vincent Medical Group AHA Diet and Lifestyle Recommendations Balance calorie intake and physical activity to
More informationDIFFERENTIATING THE PATIENT WITH UNDIFFERENTIATED CHEST PAIN
DIFFERENTIATING THE PATIENT WITH UNDIFFERENTIATED CHEST PAIN Objectives Gain competence in evaluating chest pain Recognize features of moderate risk unstable angina Review initial management of UA and
More informationCardiac Rehabilitation after Primary Coronary Intervention CONTRA
DEBATE SESSION Is there a role for cardiac rehabilitation in the modern era of Percutaneous coronary intervention and coronary artery bypass grafting? Cardiac Rehabilitation after Primary Coronary Intervention
More informationAssociate Professor Gerry Devlin
Associate Professor Gerry Devlin Clinical Cardiologist and Interventional Cardiologist NZ Heart Foundation Hamilton 9:00-9:15 Secondary Prevention of IHD The Challenge of Secondary Prevention Associate
More informationImplementation of myocardial system of care in a rural area in Brazil using telecardiology
Implementation of myocardial system of care in a rural area in Brazil using telecardiology Prof. Antonio Luiz Pinho Ribeiro Research and Innovation Head, University Hospital Universidade Federal de Minas
More informationCoronary Heart Disease in Women Go Red for Women
Coronary Heart Disease in Women Go Red for Women Dr Fiona Stewart Green Lane Cardiovascular Service and National Women s Health Auckland City Hospital Auckland Heart Group Women are Different from Men
More informationTOBACCO CESSATION: INCORPORATING MOTIVATIONAL INTERVIEWING AND EXAMINING THE ROLE OF E-CIGS
Learning Objectives TOBACCO CESSATION: INCORPORATING MOTIVATIONAL INTERVIEWING AND EXAMINING THE ROLE OF E-CIGS Cheyenne Newsome, PharmD PGY2 Ambulatory Care Resident University of New Mexico College of
More informationCardiovascular risk reduction in diabetes Lipids (NICE CG181)
Cardiovascular risk reduction in diabetes Lipids (NICE CG181) Primary Prevention T1DM Offer Atorvastatin 20mg if >40 years old Diabetes duration >10 years Established nephropathy Other CVS risk factors
More informationCoronary Catheterization and Percutaneous Coronary Intervention in China 10-Year Results From the China PEACE-Retrospective CathPCI Study
Coronary Catheterization and Percutaneous Coronary Intervention in China 10-Year Results From the China PEACE-Retrospective CathPCI Study Xin Zheng, MD, PhD; Jeptha P. Curtis, MD; Shuang Hu, PhD; YongfeiWang,
More informationChest pain and troponins on the acute take. J N Townend Queen Elizabeth Hospital Birmingham
Chest pain and troponins on the acute take J N Townend Queen Elizabeth Hospital Birmingham 3 rd Universal Definition of Myocardial Infarction Type 1: Spontaneous MI related to atherosclerotic plaque rupture
More informationDepression, isolation, social support and cardiovascular rehabilitation in older adults
Depression, isolation, social support and cardiovascular rehabilitation in older adults B. Rauch ZAR Ludwigshafen Klinikum EuroPRevent 21 Prague some data to the actual situation Depression increases mortality
More informationTOBACCO CESSATION: INCORPORATING MOTIVATIONAL INTERVIEWING AND EXAMINING THE ROLE OF E-CIGS
TOBACCO CESSATION: INCORPORATING MOTIVATIONAL INTERVIEWING AND EXAMINING THE ROLE OF E-CIGS Cheyenne Newsome, PharmD PGY2 Ambulatory Care Resident University of New Mexico College of Pharmacy Learning
More information1. Whether the risks of stent thrombosis (ST) and major adverse cardiovascular and cerebrovascular events (MACCE) differ from BMS and DES
1 Comparison of Ischemic and Bleeding Events After Drug- Eluting Stents or Bare Metal Stents in Subjects Receiving Dual Antiplatelet Therapy: Results from the Randomized Dual Antiplatelet Therapy (DAPT)
More informationPhysical activity as an aid for smoking cessation
Physical activity as an aid for smoking cessation - study David Faeh, MD Christiane Ruffieux, PhD Jacques Cornuz, MD, MPH Background Prevalence of smoking in Switzerland: 33% Most smokers cumulate both
More informationBelinda Green, Cardiologist, SDHB, 2016
Acute Coronary syndromes All STEMI ALL Non STEMI Unstable angina Belinda Green, Cardiologist, SDHB, 2016 Thrombus in proximal LAD Underlying pathophysiology Be very afraid for your patient Wellens
More informationSmoking Cessation after Acute Myocardial Infarction. among Patients of Nork-Marash Medical Center in. Armenia: a Cross-Sectional Survey
Smoking Cessation after Acute Myocardial Infarction among Patients of Nork-Marash Medical Center in Armenia: a Cross-Sectional Survey Master of Public Health Integrating Experience Project Professional
More informationQuality ID #404: Anesthesiology Smoking Abstinence National Quality Strategy Domain: Effective Clinical Care
Quality ID #404: Anesthesiology Smoking Abstinence National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE: Intermediate Outcome DESCRIPTION:
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Proposed Health Technology Appraisal
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Proposed Health Technology Appraisal Vorapaxar for the secondary prevention of atherothrombotic events after myocardial infarction Draft scope (pre-referral)
More information4. Which survey program does your facility use to get your program designated by the state?
STEMI SURVEY Please complete one survey for each TCD designation you have in your facility. There would be a maximum of three surveys completed if your facility was designated as a trauma, stroke and STEMI
More informationQuality Measures MIPS CV Specific
Quality Measures MIPS CV Specific MEASURE NAME Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy CAHPS for MIPS Clinician/Group Survey Cardiac Rehabilitation Patient Referral from
More informationImproving Quality of Care for Medicare Patients: Accountable Care Organizations
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE
More informationBackground- Methods-
ST-segment elevation myocardial infarction in China from 2001 to 2011 (the China PEACE- Retrospective Acute Myocardial Infarction Study): a retrospective analysis of hospital data Jing Li, Xi Li, Qing
More informationThe Future of Cardiac Care: Managing Our Patients Together
The Future of Cardiac Care: Managing Our Patients Together Charles R. Caldwell, MD, FACC Disclosures: iheartdoc,inc. Telemedicine 1 MACRA Medicare Access and CHIP Reauthorization Act of 2015 Repealed the
More informationThe life after myocardial infarction: a long quiet river?
The life after myocardial infarction: a long quiet river? Cardiac rehabilitation: for whom and how? Dr. Barnabas GELLEN MD, PhD, FESC Poitiers JESFC 2018 - Paris Conflicts of interest Speaker honoraria
More informationTobacco-related deaths and disabilities are on
Nursing intervention and smoking cessation: A meta-analysis Virginia Hill Rice, PhD, RN, CS, FAAN, Detroit, Michigan OBJECTIVE: To determine with meta-analysis the effects of nursing-delivered smoking
More informationCLINICIAN INTERVIEW RECOGNIZING ACS AND STRATIFYING RISK IN PRIMARY CARE. An interview with A. Michael Lincoff, MD, and Eric R. Bates, MD, FACC, FAHA
RECOGNIZING ACS AND STRATIFYING RISK IN PRIMARY CARE An interview with A. Michael Lincoff, MD, and Eric R. Bates, MD, FACC, FAHA Dr Lincoff is an interventional cardiologist and the Vice Chairman for Research
More informationCardiac Rehabilitation Should be Paid in Korea?
Cardiac Rehabilitation Should be Paid in Korea? Cardiac prevention & Rehabilitation Center, Heart Institute, Asan Medical Center, Seoul, Korea Jong-Young Lee, MD. NO CONFLICT OF INTEREST TO DECLARE Before
More informationCoronary Heart Disease
Coronary Heart Disease This document is a final specification of the PRIMIS Comparative Analysis Service (CAS) MIQUEST query set to enable analyses in support of the NSF for CHD. The specification has
More informationThe University of Mississippi School of Pharmacy
LONG TERM PERSISTENCE WITH ACEI/ARB THERAPY AFTER ACUTE MYOCARDIAL INFARCTION: AN ANALYSIS OF THE 2006-2007 MEDICARE 5% NATIONAL SAMPLE DATA Lokhandwala T. MS, Yang Y. PhD, Thumula V. MS, Bentley J.P.
More informationLow Dose Rivaroxaban Versus Aspirin, in Addition to P2Y12 Inhibition, in Acute Coronary Syndromes (GEMINI-ACS-1)
Low Dose Rivaroxaban Versus Aspirin, in Addition to P2Y12 Inhibition, in Acute Coronary Syndromes (GEMINI-ACS-1) Caitlin C. Akerman, PharmD PGY2 Cardiology Resident WakeMed Health & Hospitals Raleigh,
More informationIschemic Heart Disease Interventional Treatment
Ischemic Heart Disease Interventional Treatment Cardiac Catheterization Laboratory Procedures (N = 11,61) is a regional and national referral center for percutaneous coronary intervention (PCI). A total
More informationNicotine Dependence and Smoking Cessation after Hospital Discharge among Inpatients with Coronary Heart Attacks
[Environmental Health and Preventive Medicine 7, 74 78, May 2002] Original Article Nicotine Dependence and Smoking Cessation after Hospital Discharge among Inpatients with Coronary Heart Attacks Atsuhiko
More informationDurlaza. Durlaza (aspirin) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.85.13 Subject: Durlaza Page: 1 of 4 Last Review Date: September 15, 2016 Durlaza Description Durlaza
More informationThe Changing Epidemiology of Acute Coronary Syndromes: Implications for practice: Dr. Sonia Anand, McMaster University
The Changing Epidemiology of Acute Coronary Syndromes: Implications for practice: Dr. Sonia Anand, McMaster University Expert Opinions CCS Vancouver, BC October 23, 2011 Overview of ACS Epidemiology: Global
More informationSupplementary Material to Mayer et al. A comparative cohort study on personalised
Suppl. Table : Baseline characteristics of the patients. Characteristic Modified cohort Non-modified cohort P value (n=00) Age years 68. ±. 69.5 ±. 0. Female sex no. (%) 60 (0.0) 88 (.7) 0.0 Body Mass
More informationClinical Quality Measures
Core Measures Preventive Care and Screening Measure Pair: a. Tobacco Use Assessment, b. Tobacco Cessation Intervention. Percentage of patients aged 18 years and older who have been seen for at least 2
More informationDaily practice of ACS management in the Gulf: Data from Gulf COAST
Daily practice of ACS management in the Gulf: Data from Gulf COAST Mohammad Zubaid, MB, ChB, FRCPC, FACC Professor of Medicine, Kuwait University Head, Division of Cardiology Mubarak Alkabeer Hospital
More information