Memorial

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)

PBS News Hour Health Care Debate:

Deficits Do Matter. org
HEALTH CARE VIDEO NEWS PAGE

GUIDELINE SNAPSHOT OF THE WEEK
(Did you know this? Keep returning for the most diverse source of 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

November 2009 Sunday November 1st Daylight Saving Time Ends; Wednesday November 11th Veteran's Day; Thursday November 26th Thanksgiving
December 2009 Thursday December 17th Wright Brothers Day; Monday December 21st First Day Winter; Friday December 25th Christmas

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 overallmortality among patients with acute myocardial infarction andclinical 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-resynchronizationtherapy (CRT) with biventricular pacing would reduce the riskof death or heart-failure events in patients with mild cardiacsymptoms, a reduced ejection fraction, and a wide QRS complex.^”“^“Conclusions CRT combined with ICD decreased the risk of heart-failureevents in relatively asymptomatic patients with a low ejectionfraction 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