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Content

Medical


Cardiology and Cardiovascular Diseases



TEAM APPROACH TO ESTABLISHING REGIONAL SYSTEMS OF CARE FOR STEMI, A

By David M. Janicke, MD, PhD

Essential elements in the care of patients with ST-segment elevation myocardial infarction (STEMI) are rapid, accurate diagnosis and keeping the encounter time to reperfusion as short as possible. The choice of method of reperfusion is based on an individual hospital's capability and the time to percutaneous coronary intervention (PCI), whether directly or via transfer, relative to fibrinolytic therapy. The American College of Cardiology/American Heart Association (ACC/AHA) 2009 joint STEMI/PCI focused update recommends that each community develop a STEMI system of care that follows standards at least as stringent as those developed for the AHA's Mission: Lifeline initiative. It should include ongoing multidisciplinary team meetings with emergency medical services (EMS), STEMI referral centers, and STEMI receiving centers; a process for prehospital identification and activation; destination protocols for STEMI receiving centers; and transfer protocols for STEMI referral centers. Ensuring that all patients receive optimum care requires having protocols in place, working together as a team, tracking time to treatment, and minimizing system-based errors.


DVD / 2010 / () / 35 minutes

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GENDER DIFFERENCES IN ACUTE CORONARY SYNDROMES CARE AND OUTCOMES

By Christopher P. Cannon, MD

Gender plays an important role in a patient's risk of developing disease, as well as in the complications that are most likely to occur. Data also show that gender may affect what treatment options are most appropriate. While men with acute coronary syndromes (ACS) appear to benefit from early treatment using invasive options, women often do not. Current American College of Cardiology/American Heart Association guidelines for unstable angina/nonˇVST-segment elevation myocardial infarction (UA/NSTEMI) recommend a conservative strategy for women with low-risk features. They also stress the use of risk stratification as an integral prerequisite to decision making, not only in the intensive initial assessment of patients but also during continuous clinical assessment. In this video program, Dr. Christopher Cannon addresses the treatment of women with ACS, specifically with regard to early risk stratification and assessment, the role of cardiac biomarkers, and the efficacy and safety of GP Iib/IIIa inhibitor therapy.


DVD / 2009 / () / 60 minutes

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VENOUS THROMBOEMBOLISM: PROPHYLAXIS IN MEDICAL AND SURGICAL PATIENTS

By Steven L. Cohn, MD, FACP

Venous thromboembolism (VTE) is the leading preventable cause of hospital death in the US. Although the risk of VTE is thought to be most commonly associated with surgical patients, 50 to 70 percent of symptomatic thromboembolic events and 70 to 80 percent of fatal pulmonary embolism (PE) occur in nonsurgical patients. In September 2008, the Acting Surgeon General issued a "Call to Action" to reduce the number of VTE cases in the country, urging a coordinated, multifaceted plan and emphasizing the need for evidence-based practices. In addition, Joint Commission/National Quality Forum VTE voluntary consensus standards for 2009 will be available for data collection and reporting for discharges beginning autumn 2009. In this video, Dr. Steven Cohn provides the latest guidelines and study results pertaining to VTE prophylaxis and offers advice for meeting current and forthcoming quality measures.


DVD / 2009 / () / 60 minutes

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ADVANCED CARDIAC LIFE SUPPORT

Susan Holcombe, RN, CCRN, MN; Marlene Link, RN; Jan George, RN

Be able to assess patient before and after inventional treament; know the benefits of an endotracheal tube for airway control rather that bag/valve/mask or mask or mouth to mouth; list potential enhancers of transthoracic resistance; know the proper use of the automated-external defibrillator; learn the drugs and dosage for each algorithm, endotracheal tube, calculate continuous infusions, differentiate stable/unstable symptoms.


DVD / 2008 / () / 60 minutes

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BEST PRACTICES IN BLOOD MANAGEMENT

By Aryeh Shander, MD, FCCM, FCCP

Potential adverse effects of blood transfusions range from immunomodulatory reactions to infections with blood-borne pathogens. In addition to these health risks, issues of blood shortages, blood storage, and high costs make alternatives to transfusion even more attractive. In this timely and authoritative video, Dr. Shander explores strategies to markedly reduce the need for transfusion, such as optimizing the perioperative hemoglobin level through the use of pharmacologic agents, preoperative autologous blood donation, acute normovolemic hemodilution, and meticulous hemostasis and operative techniques. In addition, he discusses steps hospital taems can take toward developing cost-effective blood management programs for their own institutions


DVD / 2008 / () / 70 minutes

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PRIMARY PREVENTION OF CARDIOVASCULAR DISEASE

By William E. Boden, MD

Clinical risk assessment tools such as the Framingham risk score are used to identify patients at low, intermediate, or high risk of developing cardiovascular disease. New approaches to risk stratification go beyond the standard risk factor assessment (eg, age, sex, blood pressure, smoking, lipids) to include measurement of high-sensitivity C-reactive protein to detect subclinical atherosclerosis, evaluation for metabolic syndrome, and imaging for preclinical vascular disease. Noninvasive detection of atherosclerosis provides a direct and individualized patient-specific approach to assessing the presence of low-, intermediate-, or high-risk subsets. Although atherosclerosis develops over decades, it is typically asymptomatic in many individuals until it is quite advanced. The goal is to identify the at-risk patient and intervene before the patient develops an event. Emerging modalities for detecting preclinical vascular disease, such as computed tomographic evaluation of coronary artery calcium and carotid ultrasonography, help to further define a group of patients who warrant more aggressive intervention with either medication or, potentially, revascularization interventions. Management of global cardiovascular risk requires extensive and comprehensive risk evaluation using traditional and newer assessment tools and aggressive treatment of multiple risk factors.


DVD / 2008 / () / 60 minutes

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APPLYING THE ACC/AHA 2007 GUIDELINES FOR UA/NSTEMI IN CLINICAL PRACTICE

By Christopher P. Cannon, MD

The American College of Cardiology and American Heart Association (ACC/AHA) recently released updated guidelines for the management of patients with unstable angina and nonˇVST-segment elevation myocardial infarction (UA/NSTEMI). The new guidelines provide physicians with up-to-date, detailed information on initial diagnostic tests and treatment options that can provide the best possible outcomes for patients with these acute coronary syndromes (ACS). The 2007 update also includes a number of important changes regarding long-term management after discharge for ACS to prevent secondary events. Dr. Cannon reviews the new guidelines, highlighting the major changes from the previous 2002 guidelines based on evidence from recent clinical trials, and discusses how the new guidelines can be applied to critical pathways and implementation tools currently used in clinical practice for the acute and long-term management of patients with UA/NSTEMI.


DVD / 2007 / () / 60 minutes

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ASSISTING PATIENTS WHO NEED LIFESTYLE CHANGES

By Joseph Giangola, MD

This program provides nonpharmacologic approaches to slowing disease progression and improving the quality of life of patients with chronic disease. It focuses on educational and counseling strategies to help patients improve their diet and nutrition, increase their physical activity, and enhance their problem-solving and coping skills. The strategies that Dr. Giangola and his team employ at their center to help patients with diabetes make healthy lifestyle changes can also be used to assist patients with heart disease, the metabolic syndrome, cancer, or other chronic illnesses. The lifestyle changes program that is discussed in this video is emblematic of other hospital-based education programs in the United States that are accredited by the American Diabetes Association.


DVD / 2006 / () / 60 minutes

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NEW PARADIGMS IN THE TREATMENT OF MYOCARDIAL INFARCTION

By Deepak L. Bhatt, MD, MPH, FACC, FAHA, FSCAI, Marc S. Sabatine, MD, MPH

How is the standard of care for patients with MI being redefined in 2005? In these live, interactive dinner forums, two national cardiovascular experts present results from recent clinical trials that may impact future guidelines. Topics include the first major milestone in over a decade for incremental pharmacologic reperfusion and mortality reduction in STEMI; fine points in choosing PCI versus thrombolysis in STEMI; the role of troponins, hs-CRP, and other CV risk markers in targeting therapies in UA/NSTEMI; and interpreting the latest results from drug-eluting stent trials. A community cardiovascular expert from your area will join the national faculty to discuss how to incorporate new evidence-based medicine into actionable critical pathways at your own hospital. "Late-breaking" reports and an illustrative case study presentation provide additional clinical perspective.


DVD / 2006 / () /

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PERIPHERAL ARTERIAL DISEASE

By Alain Drooz, MD

Peripheral arterial disease (PAD) is a highly prevalent disorder that is associated with significant cardiovascular morbidity and mortality. Despite its prevalence and severity, PAD is underdiagnosed and undertreated in primary care practice. In order to address this public health crisis, the American College of Cardiology and the American Heart Association, in collaboration with the nation's major vascular societies, released new practice guidelines for the management of patients with PAD. In this video program, Dr. Alain Drooz, a leading vascular specialist, explains how to easily apply the new guidelines for PAD in clinical practice. He reviews the differential diagnosis of PAD, provides strategies for risk reduction and secondary prevention, outlines primary treatment of symptoms of intermittent claudication, and explains when to refer a patient with PAD to a vascular specialist. Practical application of the guidelines is further enhanced by the inclusion of two cases of actual patients with PAD and treatment algorithms for PAD organized by disease severity.


DVD / 2006 / () /

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CVD: PREVENTION TO INTERVENTION

By Samin K. Sharma, MD

Although cardiovascular disease (CVD) is still the leading cause of death and disability in the United States, major advances have been made in the diagnosis, treatment, and prevention of CVD. In this video, Dr. Sharma reviews current strategies for preventing and diagnosing coronary artery disease. He discusses the use of risk stratification to determine whether a patient should receive medical therapy or be referred for revascularization or cardiac catheterization. In addition, he reviews current medical treatment and postintervention management of patients with acute coronary syndromes based on the results of current studies.


DVD / 2005 / () / 60 minutes

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CARDIOVASCULAR DISEASE PREVENTION

By Paul D. Thompson, MD

This video provides practical steps for the prevention and treatment of cardiovascular disease (CVD) in primary care patients. It explains how to perform a quick and efficient patient assessment for CVD risk and describes lifestyle changes that can reduce various modifiable risk factors for CVD. It also discusses assessment and treatment of elevated levels of low-density lipoprotein cholesterolˇXa key step in the primary and secondary prevention of CVD todayˇXbased on therapeutic guidelines from the National Cholesterol Education Program. The importance of glucose control to prevent adult-onset diabetes in combination with CVD (the metabolic syndrome) also is addressed, as is treatment of depression in patients with CVD. Actual case examples are presented to illustrate how to prevent and manage CVD in individual patients.


DVD / 2004 / () / 60 minutes

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ADVANCES IN THE PREVENTION OF HEART ATTACKS



DVD / / () / 90 minutes

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CARDIOLOGY PERSPECTIVES: EFFECTIVE MANAGEMENT OF CHOLESTEROL

John Kane, MD; Alan Chait, MD; John LaRose, MD; Tom Bersot, MD; Stephen G. Young, MD; Gustav Schoenfeld, MD; Virgil Brown, MD

Increasing awareness and importance of controlling cholesterol in patients with heart disease and other high risk individuals. Most recent NCEP guidelines for management of hypertension in adults.


2 DVDs / / () / 120 minutes

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CURRENT PERSPECTIVES IN MANAGEMENT OF HEART FAILURE: LEFT VENTRICULAR SYSTOLIC DYSFUNCTION

Denise Drummond Hayes, MSN, RN, CCRN

Differentiate between heart failure secondary to left-ventricular systolic dysfunction and heart failure secondary to left-ventricular diastolic dysfunction; Describe the initial pharmacologic management for patients with heart failure in the setting of reduced left-ventricular systolic function; Discuss current AHCPR recommendations for patient and family education and counseling in reference to left - ventricular systolic dysfunction.


DVD / / () / 60 minutes

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EKG INTERPRETATION

Terry Lea, RN, BSN; Sabrina Bodin, RN, BSN; Anna Banford, RN

Identify the location and placement of the12 EKG leads. Explain the difference in the 12 leads and understand the advantage of using a 12 lead EKG vs. the difference between facing and opposite leads. Relate EKG changes to Patient Care. Describe the basic to advanced EKG interpretation.


DVD / / () / 60 minutes

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IMPROVING CARDIOVASCULAR RISK

Robert B. Supernaw, PharmD; Mary J. Ferrill, PharmD; Sian Carr-Lopez, PharmD

Hyperlipidemia: Reducing Risk by Reducing Cholesterol; Should We Be Treating Patients With Medication?; Hypertension and Cardiovascular Risk: Will Controlling Blood Pressure Reduce the Risk?


DVD / / () / 60 minutes

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INITIAL ASSESSMENT, DIAGNOSIS & MANAGEMENT OF THE ACUTE MYOCARDIAL INFARCTION PATIENT

Susan Simmons Holcomb, RN, MN, CCRN; Jan George, RN, BSN, CCRN; Mary Dugan Saxon, RN, MSN, CCRN

Identify typical and atypical patterns of chest pain in the acute myocardial infarction patient; Identify atpical heart rate and blood pressure presentations presenting with anterior wall vs. inferior wall myocardial infarction; Compare differences in presentation in patients with myocardial infarction who are male, young, female, elderly, and/or diabetic; State criteria for the diagnosis of myocardial infarction vs. 12-lead EKG; Identify the locations of common myocardial infarctions on the 12-lead EKG. Identify lab data currently being used to diagnose acute myocardial infarction and list immediate interventions for the patient. Identify situations in which interventional therapy may be the treatment of choice.


DVD / / () / 60 minutes

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INNOVATIONS IN CARDIAC SURGERY: PARTIAL LEFT VENTRICULECTOMY & THE USE OF LVADS

Randas Batista, MD; O.H. Frazier, MD; Tomas A. Salerno, MD

This program is designed for cardiologists and cardiovascular surgeons involved in the care of patients with end-stage heart disease. This program features leading cardiologists and surgeons who will explore innovative approaches for dealing with patients with severe heart disease. The tape also includes footage from actual surgical procedures with step by step narration.


DVD / / () / 90 minutes

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IV THERAPY: CENTRAL VASCULAR CATHETER - INDICATIONS AND NURSING MANAGEMENT

Virginia Strootman, RN - Marijane Barbone, RN - Sue Masoorli, RN

The objectives of this program are to distinguish the three types of central vascular access devices, explain implementation of the appropriate nursing management of central vascular access devices, and articulate the rationale for central vascular access device nursing procedures. Specific topics include: Non-Tunneled Catheters; Tunneled Catheters; Implanted Ports .


DVD / / () / 60 minutes

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PRE-HOSPITAL CARE FOR THE CARDIAC PATIENT

Michael Sayre, MD; Alan Mister, RN, EMT-P; Anthony Kramer, RN, BSN, EMT-P; Ronald Crafton, MD

Prehospital 12 lead electrocardiography, history and physical exam of chest pain patient, chest pain management in field and defribillation skills


DVD / / () / 60 minutes

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RECENT INNOVATIONS IN CARDIAC SURGERY: PARTIAL LEFT VENTRICULECTOMY IN THE TREATMENT OF END-STAGE HEART DISEASE AND MINIMALLY INVASIVE CORONARY ARTERY BYPASS SURGERY

Antonio M. Calafiore, MD; Randas Batista, MD; Tomas A. Salerno, MD

This program is designed for cardiologists and cardiovascular surgeons . A live surgical procedure is shown and leading cardiologists and surgeons discuss recent progress in the battle against heart disease.


2 DVDs / / () / 270 minutes

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WOMEN & HEART DISEASE

Susan Simmons Holcomb, RN, MN, CCRN; Marlene Link, RN, MN; Jan George, RN, BSN, CCRN

Identify fixed versus modifiable risk for women who develop heart disease; State the differences between men and women undergoing diagnostic procedures such as exercise stress tests; List the differences in the outcomes of women vs. men under interventional cardiology procedures. Compare the presentation of signs and symptoms between men and women presenting to the Emergency Department with Ischemic-type chest pain; Identify differences between treatment modalities for men and women presenting to the Emergency Department with Ischemic-type chest pain.


DVD / / () / 60 minutes

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