Welcome

          EvidenceMedicine.com
           & GuidelineMedicine.org

FREE SERVICE: DOCTORS and PATIENTS: SAVE TIME:
Have Your Patients Complete My Med List and My Med History (See Tabs Above)
  
   

FDA Safety Alerts  PubMed   Medline   MedLine Plus Drug Info 
 Centers for Disease Control  National Institutes of Health

New England Journal of Medicine   JAMA   American Heart Association   American Diabetes Assoc 
Cardiosource   Up To Date  WebMD  eMedicine
PBS News Hour Health Care Debate:
health care
 Deficits Do Matter. org


ABC NEWS: Obama Prescription for America
abc prescription

 

CDC Swine Flu Page

http://www.cdc.gov/swineflu/

cdc
NEW NUCLEAR STRESS GUIDELINES
ACCF/ASNC/ACR/AHA/ASE/SCCT/SCMR/SNM
2009 Appropriate Use Criteria for Cardiac Radionuclide Imaging

http://content.onlinejacc.org/cgi/content/full/j.jacc.2009.02.013
PDF:
http://content.onlinejacc.org/cgi/reprint/53/23/2201.pdf

 
NEW CHF Guidelines
Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults. A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
http://circ.ahajournals.org/cgi/content/abstract/CIRCULATIONAHA.109.192064v1
PDF:
http://click.jwatch.org/cts/click?q=227%3B67167257%3BZJaD7tNmiX%2Bpy23ndRj4l5ps4UzUsTHzRErX0wkUXVk%3D
Circulation article with full guidelines (Free PDF)
 http://click.jwatch.org/cts/click?q=227%3B67167257%3BZJaD7tNmiX%2Bpy23ndRj4l3QIKQT4cA67RErX0wkUXVk%3D

Risk of Adverse Outcomes Associated With Concomitant Use of Clopidogrel
and Proton Pump Inhibitors Following Acute Coronary Syndrome
JAMA March 2009

http://jama.ama-assn.org/cgi/content/full/301/9/937
Alcohol Linked to Cancer Risk in Women
Study Shows Even Low-to-Moderate Drinking Raises Risk of Cancer
By Salynn Boyles WebMD Health News Reviewed by Louise Chang, MD
Feb. 24, 2009 -- Women who drink as little as one alcoholic beverage a day -- be it beer, wine, or hard liquor -- have an increased cancer risk, a study shows. Researchers followed more than 1.2 million middle-aged women for an average of seven years. The women were participants in the ongoing Million Women Study in the U.K. Those who drank alcohol consumed on average one drink a day. These women had an increased cancer risk with increasing alcohol intake, especially for cancers of the breast, liver, rectum, mouth, throat, and esophagus
http://women.webmd.com/news/20090224/alcohol-linked-to-cancer-risk-in-women



WATCH FREE ONLINE NOW - CLICK IMAGE
Frontline_Sick_Around_Americafrontline sick around the world
NEW ENGLAND JOURNAL AND REUTERS HEALTH NEWS FEEDS

Visit the Widget Gallery

ACC Guidelines
(American College of Cardiology)

ACC / AHA Guidelines

ACS Cancer Screening Guidelines
(American Cancer Society)


AHA Guidelines
(American Heart Association)

 ATS Guidelines
(American Thoracic Society Guidelines)

ESC Guidelines 
(European Society of Cardiology)

 IDSA Guidelines
(Infectious Disease Society of America)

ICSI Cardiac Guidelines
(Institute for Clinical Systems Improvement)

National Heart Lung and Blood Instit/NIH

(Includes JNC 7-HTN, NCEP/ATP 3-Cholesterol)


Acute Coronary Syndromes:  ACC/AHA 2002 Unstable Angina and Non-ST Elevation MI
  Summary 2002 http://circ.ahajournals.org/cgi/content/full/106/14/1893
  Full Text 2002 http://www.americanheart.org/presenter.jhtml?identifier=3001260

Acute Myocardial Infarction (ST-Elevation)- also see Acute Coronary Syndromes above:
 
2007 Focused Update of the ACC/AHA2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction
 
http://content.onlinejacc.org/cgi/content/full/j.jacc.2007.10.001v1
 ACC/AHA 2004 ST-Elevation MI Summary: 
  
http://www.americanheart.org/presenter.jhtml?identifier=3023107 
 
2007 ACC/AHA Non-ST Elevation MI and USA Guidelines (Summary)
  http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.107.185752



Alcohol and Heart Disease
 
Wine and Your Heart (2001)
  “there is little current justification to recommend alcohol (or wine specifically) as a cardioprotective strategy.”


Amyloidosis

 NEJM Review 1997 http://content.nejm.org/cgi/content/extract/337/13/898 


Anticoagulation

 ICIS Anticoagulation Guidelines

Aneurysm

 Brain Aneurysm: AHA 2002 Guidelines for Management http://circ.ahajournals.org/cgi/content/full/102/18/2300
 

Arrhythmias & Antiarrhytmic Drugs (see specific arrhythmias)

JAMA Collection of Arrhythmia Articles: http://jama.ama-assn.org/cgi/collection/arrhythmias
 some articles with restricted access to subscribers only
 
Atrial Fibrillation:

 ACC/AHA/ESC Atrial FIbrillation 2006
  Summary 2006 http://circ.ahajournals.org/cgi/content/full/114/7/700 
    SEE PAGE 723 RISK FACTORS FOR CVA - RECOMMENDATIONS ASPIRIN VERSUS WARFARIN
  Full Text 2006 http://circ.ahajournals.org/cgi/content/full/114/7/e257

 ICIS 2004 Atrial Fibrillation Guidelines



Cardiac CT
 ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR
  2006 Appropriateness Guidelines for Cardiac CT and MR http://content.onlinejacc.org/cgi/reprint/48/7/1475

 ACC/AHA 2007 Calcuim Scoring and Risk http://www.americanheart.org/presenter.jhtml?identifier=3044629

 ACC/AHA 2005 Cardiac CT and MR Clinical competence www.acc.org/qualityandscience/clinical/competence/imaging/index.pdf

 
Cholesterol
 2004 ATP/NCEP Chlesterol Guidelines Update
.
   abstract: http://circ.ahajournals.org/cgi/content/abstract/110/2/227
  2004 Statins After Stroke and TIA: http://stroke.ahajournals.org/cgi/content/full/35/4/1023


Congestive Heart Failure (CHF)

NEW CHF Guidelines
Focused Update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults. A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
http://circ.ahajournals.org/cgi/content/abstract/CIRCULATIONAHA.109.192064v1
PDF:
http://click.jwatch.org/cts/click?q=227%3B67167257%3BZJaD7tNmiX%2Bpy23ndRj4l5ps4UzUsTHzRErX0wkUXVk%3D
Circulation article with full guidelines (Free PDF)
 http://click.jwatch.org/cts/click?q=227%3B67167257%3BZJaD7tNmiX%2Bpy23ndRj4l3QIKQT4cA67RErX0wkUXVk%3D

 ACC/AHA 2005 CHF Update
  Full Text 2005 http://circ.ahajournals.org/cgi/content/full/112/12/e154
  Summary 2005 http://circ.ahajournals.org/cgi/content/full/112/12/1825

 ICSI Pre-printed CHF Orders http://www.icsi.org/heart_failure__admission_for__order_set_/heart_failure__admission_for__order_set___ms_word_.html

 JAMA Collection of CHF Articles (some articles restricted access)
  http://jama.ama-assn.org/cgi/collection/congestive_heart_failure_cardiomyopathy


CPR / ACLS
 AHA 2005 Guidelines http://circ.ahajournals.org/content/vol112/24_suppl/


Defibrillators (see Pacemakers and Ventricualr Arrhyhthmias below)

Diabetes
 
ADA 2008 Diabetes Guidelines
 Screening for CAD in Diabetes ADA 2007:
  “
Although the CAD asymptomatic patient with diabetes is by definition at least at intermediate risk for CVD events,
   it is difficult to support routine CAD screening for these patients.”

 
http://care.diabetesjournals.org/cgi/content/abstract/30/10/2729?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&searchid=1&FIRSTINDEX=0&sortspec=relevance&volume=30&firstpage=2729&resourcetype=HWCIT 

DVT/PE Venous Thromboembolism
 
2007 ACP/AAFP Venous Thromboembolism Guidelines http://www.annfammed.org/cgi/content/abstract/5/1/74
  ICSI Venous Thromboembolism Guidelines
 
ICIS Venous Thromboembolism Prevention Guidelines
  ATS 1999 Diagnosis of Acute Venous Thromboembolism (PDF)
   http://www.thoracic.org/sections/publications/statements/pages/respiratory-disease-adults/venous1-24.html
    

Endocarditis

 
2007 American Heart Association Guidelines/ACC: Endocarditis Prophylaxis :
  http://www.americanheart.org/presenter.jhtml?identifier=3004539
 
 AHA Prevention Endocarditis 1997 (see update 2007 above)

 DIRECT LINK TABLE ANTBX REGIMEN ORAL/ESOPH PROCEDURES: http://www.circ.ahajournals.org/cgi/content/full/96/1/358/T4

 DIRECT LINK TABLE ANTBX REGIMEN GI/GU PROCEDURES: http://www.circ.ahajournals.org/cgi/content/full/96/1/358/T5 

 AHA 2005 Infective Endocarditis (endorsed by IDSA) http://circ.ahajournals.org/cgi/content/full/111/23/e394 

 
AHA Dx and Management Endocarditis 1998 (see more current 2005 Guideline above)

Framingham CHD Risk Score: www.nhlbi.nih.gov/about/framingham/riskabs.htm


Heart Failure (see CHF above)

Hypertension
 
JNC 7 Hypertension Guidelines

Hypertrophic Cardiomyopathy
:

 ASC/ESC Hypertrophic Cardiomyopathy 2003 http://www.acc.org/qualityandscience/clinical/consensus/cardiomyopathy/index.htm

 
Recommendations and Considerations Related to Preparticipation Screening for Cardiovascular Abnormalities in Competitive Athletes: 2007 Update

 NEJM Review HCM: March 13, 1997 vol 336 p775-85 www.nejm.org

 NEJM Clinical Practice HCM: March 25, 2004 vol 350 p1320 www.nejm.org

 2007 Septal myectomy and alcohol septal ablation for HCM http://www.cardiosource.com/cjrpicks/CJRPick.asp?cjrID=3032
 
Myocardial Infarction (see Acute Coronary Syndrome and Acute Myocardial Infarction)

Omega 3 Fish Oils

 AHA Online statement referring to Nov 2002 Circulation recommendations:
  
http://www.americanheart.org/presenter.jhtml?identifier=3006581

  2002 AHA Statement: http://circ.ahajournals.org/cgi/content/full/106/21/2747   

Pacemakers and Defibrillators

 ACC/AHA/NAPSE 2002 Pacemakers and Defbrillators
  Summary 2002 http://circ.ahajournals.org/cgi/content/full/106/16/2145
  Full Text 2002 http://www.americanheart.org/presenter.jhtml?identifier=3005415

 NEJM Review ICDs: Nov 6, 2003 vol 349 p1836-47 http://content.nejm.org/cgi/content/extract/349/19/1836
   requires subscription for access


Pnuemonia

ATS/IDSA 2005:“GUIDELINES FOR THE MANAGEMENT OF ADULTS WITH HOSPITAL-ACQUIRED,
 VENTILATOR-ASSOCIATED, AND HEALTHCARE-ASSOCIATED PNEUMONIA”

 http://www.thoracic.org/sections/publications/statements/pages/mtpi/guide1-29.html

2007 IDSA Community Acquired Pneumonia Guidelines
DIRECT LINK to 2007 IDSA CAP Antibiotic Recommendations:

  http://www.journals.uchicago.edu/CID/journal/issues/v44nS2/41620/41620.tb7.html 


Pre-op Evaluation for Non-Cardiac Surgery

 
ACC/AHA Guideline Update for Perioperative Cardiovascular Evaluation for Noncardiac Surgery (2007)
 ACC/AHA Periop Evaluation for Non-Cardiac Surgery 2002 (see more recent version above)
  Summary 2002 http://circ.ahajournals.org/cgi/content/full/105/10/1257?ck=nck
  Full Text 2002 http://www.americanheart.org/presenter.jhtml?identifier=3000370

 DIRECT LINK: http://circ.ahajournals.org/cgi/content/full/105/10/1257/FIG1?ck=nck (ONE PAGE FLOW DIAGRAM - PRINT PDF)
 
 2006 ACC/AHA Update Focus on BETA-BLOCKERS http://www.americanheart.org/presenter.jhtml?identifier=3038250

Pulmonary Embolism (PE) - see DVT/PE above

Stress Testing
 ACC/AHA 2002 Exercise Testing
   Summary 2002 http://circ.ahajournals.org/cgi/content/full/106/14/1883
   Full Text 2002 http://www.americanheart.org/presenter.jhtml?identifier=3005237

Stroke
 ALL AHA Stroke Guidelines http://www.americanheart.org/presenter.jhtml?identifier=3004586
 2005 Guidelines for the Treatment of Ischemic Stroke http://stroke.ahajournals.org/cgi/content/full/36/4/916
  2006 Secondary Prevention of Ischemic Stroke http://stroke.ahajournals.org/cgi/content/full/37/2/577
  2004
Statins After Stroke and TIA: http://stroke.ahajournals.org/cgi/content/full/35/4/1023
 Bleeding Stroke (Intracerebral CVA)
 AHA 1999 Intracerebral Hemorrhage Guidelines: http://stroke.ahajournals.org/cgi/content/full/30/4/905


Syncope

 ESC 2004 Syncope Guidelines
  http://www.escardio.org/knowledge/guidelines/Management_of_Syncope_Guidelines.htm
 ACC/ACCF 2006 Syncope http://content.onlinejacc.org/cgi/reprint/47/2/473  
 DIRECT LINK ALGORITHM TO DIAGNOSE SYNCOPE http://content.onlinejacc.org/cgi/content/figsonly/47/2/473
  NOTE: this algorithm puts a heavier emphasis on ischemia work-up than other sources and DOES NOT SITE STATISTICAL
   EVIDENCE FOR THESE RECOMMENDATIONS (stress testing)

 NEJM Review Syncope: Dec. 21, 2000 vol 343 p1856-62 http://content.nejm.org/cgi/content/extract/343/25/1856
  (requires subscription for access)

Valvular Heart Disease:

 ACC/AHA Valvular Heart Disease 2006
  Summary 2006 http://www.americanheart.org/presenter.jhtml?identifier=3040632
  Full Text 2006 http://www.americanheart.org/presenter.jhtml?identifier=3040213

Ventricular Arrhythmias
 ACC/AHA/ESC Ventricular Arrhythmia/Sudden Death 2006
  Summary http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.106.178104
  Full Text http://www.americanheart.org/presenter.jhtml?identifier=3041764

  Pocket Guideline 2006 http://www.americanheart.org/presenter.jhtml?identifier=3041764
  Wallet Card 2006 http://www.americanheart.org/presenter.jhtml?identifier=3041765 _

 
PRINT NEWS
Reuters   USA Today  USA Today Markets  Wall Street Journal
 LA Times   NY Times   Washington Post

 Deficit News.com

E-MAIL / WEB SEARCH
AOLmail    Gmail     Hotmail     Verizon Mail     Yahoo Mail
 FaceBook      MySpace     Twitter 
 Ask.com   Bing   The Free Library    Google     Yahoo    Wikipedia
 
espn mlb nba nfl-logo a_ncaa nhl si_logo
amazon craigs_list ebay_logo i-tunes netflix1 yahoo_movie you_tube
 businessweek Bankrate-logo BLOOMBERG cnbc cnn money marketplace Marketwatch2
    Abcnewslogo CBS_News cnn_2 cspan_2  msnbc  logo_npr_125 newshour2
  
  

Google News    News Paper Archive    Politico
LA Times  NY Times    Reuters   USA Today   USA Today Markets   Wall Street Journal    Washington Post