Related Experiment Video

Updated: Sep 16, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

Reducing the knowledge-practice gap in the management of patients with cardiovascular disease

Ezra A Amsterdam1, Lawrence Laslett, Deborah Diercks

  • 1Division of Cardiovascular Medicine, Department of Internal Medicine, University of California (Davis) Medical Center, Sacramento, CA 95817, USA. eaamsterdam@ucdouis.edu

Preventive Cardiology
|March 2, 2002
PubMed

Insights

Cardiovascular disease remains a leading cause of death. Bridging the knowledge-practice gap in adopting proven treatments is crucial for improving patient outcomes and reducing mortality rates.

Area of Science:

  • Cardiology
  • Health Services Research
  • Medical Education

Background:

  • Cardiovascular disease is the leading cause of mortality despite therapeutic advancements.
  • A significant "knowledge-practice gap" exists, delaying the adoption of evidence-based treatments from clinical trials.
  • Progress in implementing recommended cardiovascular therapies has been modest over the past decade.

Purpose of the Study:

  • To address the lag in adopting effective cardiovascular treatments.
  • To explore strategies for bridging the knowledge-practice gap in cardiovascular care.
  • To highlight the potential of performance tracking in improving adherence to optimal therapy.

Main Methods:

  • Review of factors contributing to the knowledge-practice gap in cardiovascular medicine.
  • Analysis of recent approaches to assessing physician and institutional clinical performance.
  • Examination of the role of performance tracking in promoting optimal patient care.

Main Results:

  • The knowledge-practice gap impedes the implementation of optimal cardiovascular therapy.
  • Performance tracking by physicians, health plans, and institutions is increasingly used for accreditation and consumer guidance.
  • These assessment methods show potential for enhancing adherence to current cardiovascular care standards.

Conclusions:

  • Closing the knowledge-practice gap is essential for reducing cardiovascular disease mortality.
  • Clinical performance tracking offers a promising avenue to improve adherence to evidence-based cardiovascular treatments.
  • System-level interventions are needed to ensure timely adoption of effective therapies and optimize patient care.

More Related Videos

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Exercise Test for Evaluation of the Functional Efficacy of the Pig Cardiovascular System02:47

Exercise Test for Evaluation of the Functional Efficacy of the Pig Cardiovascular System

Published on: May 12, 2023

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...