Cardiology 2013 (Full reference info)
March 9, 2014
Reference Type: Journal Article
Record Number: 482Author: Lala, A. and Mehra, M. R.
Title: Durable mechanical circulatory support in advanced heart failure: a critical care cardiology perspective
Journal: Cardiol Clin
Pages: 581-93, viii-ix
Short Title: Durable mechanical circulatory support in advanced heart failure: a critical care cardiology perspective
Alternate Journal: Cardiology clinics
ISSN: 1558-2264 (Electronic)
Accession Number: 24188222
Abstract: Though cardiac transplantation for advanced heart disease patients remains definitive therapy for patients with advanced heart failure, it is challenged by inadequate donor supply, causing durable mechanical circulatory support (MCS) to slowly become a new primary standard. Selecting appropriate patients for MCS involves meeting a number of prespecifications as is required in evaluation for cardiac transplant candidacy. As technology evolves to bring forth more durable smaller devices, selection criteria for appropriate MCS recipients will likely expand to encompass a broader, less sick population. The “Holy Grail” for MCS will be a focus on clinical recovery and explantation of devices rather than the currently more narrowly defined indications of bridge to transplantation or lifetime device therapy.
Notes: Lala, Anuradha
Mehra, Mandeep R
Cardiol Clin. 2013 Nov;31(4):581-93, viii-ix. doi: 10.1016/j.ccl.2013.07.003.
Author Address: Department of Medicine, Division of Cardiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, A3, Boston, MA 02115, USA.
Reference Type: Journal Article
Record Number: 526Author: Lavranos, G., Koliaki, C., Briasoulis, A., Nikolaou, A. and Stefanadis, C.
Title: Effectiveness of current teaching methods in Cardiology: the SKILLS (medical Students Knowledge Integration of Lower Level clinical Skills) study
Short Title: Effectiveness of current teaching methods in Cardiology: the SKILLS (medical Students Knowledge Integration of Lower Level clinical Skills) study
Alternate Journal: Hippokratia
ISSN: 1108-4189 (Print)
Accession Number: 23935341
Abstract: Introduction: The aim of the study is to assess reported changes in medical students’ capacity to attain five basic cardiological clinical skills, following a one-month intensive cardiology course provisioned in the core curriculum. Materials and Methods: An anonymous questionnaire comprising self reported performance in the five skills, namely 1) arterial blood pressure measurement, 2) cardiac auscultation, 3) electrocardiogram (ECG) carry out, 4) ECG interpretation and 5) defibrillation, was distributed to 177 fifth year students of the Athens Medical School upon initiating the cardiology course (pre-training group) and to 59 students matched for sex, age, year of study and training centre, following completion of the course (post training group). Comparison of pre- and post- training performance was evaluated using the chi(2) test. Results: No change was noted with regards to blood pressure measurement, cardiac auscultation or defibrillation. By contrast, a statistically significant improvement was reported for ECG execution (54.3 versus 81.4%; p<0.001) and interpretation (from 33.1 to 89.8%; p<0.001). Conclusions: Improvement in the execution and interpretation of ECGs seems to be among the strengths of the cardiology training program. Further studies including larger samples from multiple medical schools and objective assessment of skill execution might facilitate accurate training evaluation and define opportunities for improvement.
Notes: Lavranos, G
Hippokratia. 2013 Jan;17(1):34-7.
Author Address: 1 Department of Cardiology, Medical School, Athens University, Greece.