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HARRISON’S CLUB/JOURNAL CLUB OCT 2009

Mon Oct 7, 2009 5pm
Harrison’s: Wilson’s Disease
Journal Club: http://content.nejm.org/cgi/content/full/353/3/249 
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Mon Oct 12

TOPIC Cardiology: Atrial Fibrillation

HARRISON’S : READ Afib/flutter (requires paid subscription or pay per view)
http://www.accessmedicine.com/content.aspx?aid=2901807

GUIDELINES:
Read 2006 Afib summary
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
Optional Reading:
  ICIS 2008 Atrial Fibrillation Guidelines
  2008 ACCP Antithrombotic Therapy in Atrial Fibrillation http://chestjournal.chestpubs.org/content/133/6_suppl/546S.full.pdf+html


OPTIONAL JOURNAL CLUB ARTICLES


Defibrillator Implantation Early after Myocardial Infarction
NEJM Oct 8 2009
Conclusions Prophylactic ICD therapy did not reduce overall mortality among patients with acute myocardial infarction and clinical features that placed them at increased risk.
http://content.nejm.org/cgi/content/short/361/15/1427


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Mon Oct 19
Topic Cardiology: Heart Failure

Harrison’s:

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

Review Article:
http://content.nejm.org/cgi/content/short/348/20/2007


Journal Club:
OPTIONAL JOURNAL CLUB ARTICLES
Cardiac-Resynchronization Therapy for the Prevention of Heart-Failure Events
MADIT-CRT Trial Investigators
FROM ABSTRACT :
“Background This trial was designed to determine whether cardiac-resynchronization therapy (CRT) with biventricular pacing would reduce the risk of death or heart-failure events in patients with mild cardiac symptoms, a reduced ejection fraction, and a wide QRS complex.

Conclusions CRT combined with ICD decreased the risk of heart-failure events in relatively asymptomatic patients with a low ejection fraction and wide QRS complex.”
:
http://content.nejm.org/cgi/content/short/361/14/1329


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Mon Oct 26
Topic Cardiology: Acute Coronary Syndrome

Guidelines:
Acute Coronary Syndromes:   see Acute Mi below
  
ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction
     Summary 2007 http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.107.185752
  
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
 


Harrison’s:

Journal Club:

ADDITIONAL GUIDELINE RESOURCES:

Acute Coronary Syndromes:   see Acute Mi below
  
ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction
  Full Text 2007 http://content.onlinejacc.org/cgi/content/full/50/7/e1
   Summary 2007
http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.107.185752
   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  DEAD LINK (link removed by AHA)

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   (DEAD LINK - deleted by AHA)
 
2007 ACC/AHA Non-ST Elevation MI and USA Guidelines (Summary)
   http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.107.185752