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Related Concept Videos

Actuarial Approach01:20

Actuarial Approach

69
The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
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Pulse rhythm01:30

Pulse rhythm

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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Increased pulse rate01:17

Increased pulse rate

651
Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
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Treatment Adherence Rates and Long-Term Mortality in a Quaternary Multidisciplinary Heart Team: An Observational

David A McNamara1, Mahrukh F Akram2, Andrea L Burgess1

  • 1Division of Cardiology, Frederick Meijer Heart and Vascular Institute Corewell Health Grand Rapids MI USA.

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|August 9, 2024
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High adherence to heart team recommendations for complex coronary artery disease was observed. These findings suggest individualized treatment plans are well-accepted by patients and physicians, impacting long-term outcomes.

Keywords:
adherence ratescardiovascular diseasecoronary artery diseaseheart teammortality ratesmultidisciplinary team

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiovascular Surgery

Background:

  • A multidisciplinary heart team (HT) approach is recommended for complex coronary artery disease (CAD).
  • Limited data exist on adherence to HT recommendations and long-term outcomes in these patients.

Purpose of the Study:

  • To assess adherence rates to heart team recommendations for complex CAD.
  • To evaluate long-term mortality rates in patients with complex CAD following HT recommendations.

Main Methods:

  • Reviewed 684 sequential HT cases for complex CAD (Jan 2015-May 2017).
  • Compared baseline characteristics based on treatment recommendations: optimal medical therapy, percutaneous coronary intervention, or coronary artery bypass grafting.
  • Extracted adherence rates and obtained 5-year mortality data from the Michigan Death Registry.

Main Results:

  • Included 405 patients (72% male, mean age 66±11 years) with high comorbidity rates.
  • Recommended treatments: optimal medical therapy (34%), percutaneous coronary intervention (23%), coronary artery bypass grafting (42%).
  • High adherence (96%) to HT recommendations across all treatment groups; 5-year cumulative mortality was 29%.

Conclusions:

  • High adherence to heart team recommendations was observed in a large US cohort of high-risk complex CAD patients.
  • Adherence was consistent regardless of the recommended treatment, indicating individualized and acceptable plans.
  • This suggests heart team recommendations are well-accepted by both patients and physicians.