Cardiology 2013 (Full reference info)

Reference Type: Journal Article
Record Number: 745Author: Krause, P. J. and Bockenstedt, L. K.
Year: 2013
Title: Cardiology patient pages. Lyme disease and the heart
Journal: Circulation
Volume: 127
Issue: 7
Pages: e451-4
Date: Feb 19
Short Title: Cardiology patient pages. Lyme disease and the heart
Alternate Journal: Circulation
ISSN: 1524-4539 (Electronic)
0009-7322 (Linking)
DOI: 10.1161/CIRCULATIONAHA.112.101485
Accession Number: 23429899
Keywords: Animals
Anti-Bacterial Agents/*therapeutic use
Borrelia burgdorferi/*growth & development
Endemic Diseases/prevention & control
Humans
*Lyme Disease/diagnosis/drug therapy/transmission
*Myocarditis/diagnosis/drug therapy/microbiology
Rodentia
Ticks/*microbiology
United States
Notes: Krause, Peter J
Bockenstedt, Linda K
eng
Patient Education Handout
Research Support, Non-U.S. Gov’t
2013/02/23 06:00
Circulation. 2013 Feb 19;127(7):e451-4. doi: 10.1161/CIRCULATIONAHA.112.101485.
URL: http://www.ncbi.nlm.nih.gov/pubmed/23429899
Author Address: Senior Research Scientist, Yale School of Public Health, 60 College St, New Haven, CT 06520, USA. peter.krause@yale.edu

Reference Type: Journal Article
Record Number: 627Author: Kuon, E., Empen, K., Weitmann, K., Staudt, A., Hummel, A., Dorr, M., Reffelmann, T., Hoffmann, W. and Felix, S. B.
Year: 2013
Title: Long-term efficacy of a mini-course in radiation-reducing techniques in invasive cardiology
Journal: Rofo
Volume: 185
Issue: 8
Pages: 720-5
Date: Aug
Short Title: Long-term efficacy of a mini-course in radiation-reducing techniques in invasive cardiology
Alternate Journal: RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin
ISSN: 1438-9010 (Electronic)
1438-9010 (Linking)
DOI: 10.1055/s-0033-1335323
Accession Number: 23696018
Keywords: Aged
Angioplasty, Balloon, Coronary/*adverse effects/*education/methods
Cardiology/*education
Coronary Angiography/*adverse effects/*methods
Curriculum
*Education, Medical, Continuing
Female
Fluoroscopy/*adverse effects/*methods
Follow-Up Studies
Germany
Humans
Male
Middle Aged
Neoplasms, Radiation-Induced/etiology/*prevention & control
*Radiation Dosage
Radiation Injuries/etiology/*prevention & control
Radiometry/methods
Scattering, Radiation
Abstract: PURPOSE: To validate the long-term efficacy of a 90-min. educational mini-course in less-irradiating cardiac interventional techniques. MATERIALS AND METHODS: Before, two months after, and two years after the mini-course (periods I, II, and III), we analyzed the following radiation dose parameters for ten coronary angiographies (CA), performed by each of 7 cardiologists: total dose-area product (DAP), radiographic and fluoroscopic DAP fractions, number of radiographic frames and runs, and fluoroscopy time. RESULTS: The median patient DAP for periods I, II and III was 31.4, 15.8 and 8.5 Gy x cm2, respectively. The long-term effect was related to shorter median fluoroscopy times (180, 172, and 120 s), shorter (57, 52, and 45) and fewer (12, 12, and 10) radiographic runs, consistent collimation and restriction to an adequate image quality. Both radiographic DAP/frame (28.7, 17.0, and 18.4 mGy x cm2) and fluoroscopic DAP/second (45.7, 24.2, and 10.0 mGy x cm2) decreased significantly. The multivariate linear regression analysis confirmed the increasing efficacy of the mini-course itself (-44.6 and -60.7%), and revealed a decreasing influence of the interventionalist’s experience (-8.6% and -4.9% per 1,000 CAs, lifelong performed until the mini-course). The number of CAs performed after the mini-course did not influence the long-term DAP results. CONCLUSION: The presented educational mini-course allows a significant, long-lasting, and apparently ongoing reduction of patient radiation exposure due to CA. A self-surveillant documentation of relevant radiation parameters is well suited to monitor and improve each operator’s individual long-term radiation-reducing efforts.
Notes: Kuon, E
Empen, K
Weitmann, K
Staudt, A
Hummel, A
Dorr, M
Reffelmann, T
Hoffmann, W
Felix, S B
eng
Germany
2013/05/23 06:00
Rofo. 2013 Aug;185(8):720-5. doi: 10.1055/s-0033-1335323. Epub 2013 May 21.
URL: http://www.ncbi.nlm.nih.gov/pubmed/23696018
Author Address: Abteilung fur Kardiologie, Klinik Frankische Schweiz, Ebermannstadt, Germany. eberhard.kuon@gmx.de

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