Navigation Links
Medical Groups Update Heart, Blood Pressure Care Guidelines
Date:6/13/2011

MONDAY, June 13 (HealthDay News) -- Patient-focused outcomes are emphasized in 10 updated performance measures for people with coronary artery disease and hypertension that were released Monday by a trio of major U.S. medical groups.

"These measures are primarily intended for the use of individual practitioners and group practices in their efforts to improve the care of patients with hypertension and those with stable coronary disease," Dr. Joseph Drozda Jr., director of outcomes research at Sisters of Mercy Health System in St. Louis, Mo., and co-chairman of the writing committee for the new measures, said in an American College of Cardiology news release.

"By adhering to the specifications called for in this measures set, entities operating such accountability programs can be assured of having high quality and clinically meaningful measures," he added.

The measures were released by the American College of Cardiology Foundation, the American Heart Association and the American Medical Association-convened Physician Consortium for Performance Improvement.

The coronary artery disease measures include:

  • Blood pressure control: Adults should obtain a blood pressure of less than 140/90 mm Hg. If that target cannot be reached, at least two antihypertensive medications should be prescribed.
  • Lipid control: Patients should achieve an LDL ("bad") cholesterol level of less than 100 mg/dL. If they can't reach that target, their doctor should document a plan of care to lower their LDL level, which includes at minimum the prescription of a statin.
  • Symptom and activity assessment: Doctors should evaluate patients' activity levels and the corresponding presence or absence of angina symptoms. Angina is chest pain or discomfort that occurs when the heart does not get enough blood.
  • Symptom management: For someone with angina, a doctor should document a plan of care to manage symptoms.
  • Tobacco use: Patients should be screened for tobacco use and should receive tobacco-cessation counseling, if needed.
  • Antiplatelet therapy: Physicians should prescribe aspirin or clopidogrel.
  • Beta-blocker therapy: It should be prescribed for people with prior myocardial infarction or a left ventricular ejection fraction of less than 40 percent.
  • ACE inhibitor/ARB therapy: This should be prescribed for people with diabetes or a left ventricular ejection fraction of less than 40 percent.
  • Cardiac rehabilitation referral: Early referrals should be made for people who've had an acute heart attack, coronary artery bypass graft surgery, stenting, cardiac valve surgery or a heart transplant.

In the area of hypertension, the new measures include:

  • Blood pressure control: Patients should have a blood pressure of less than 140/90 mm Hg. If their blood pressure is higher, at least two antihypertensive medications should be prescribed.

"This report represents an update and revision of guidelines last published in 2005" and "clearly outlines what is appropriate care for patients with coronary artery disease and/or hypertension," said Dr. Louis Evan Teichholz, chief of cardiology and medical director of cardiac services at Hackensack University Medical Center in New Jersey. "A significant change is the addition of cardiac rehabilitation referral from an outpatient setting."

Although the blood pressure and lipid guidelines have not changed much, he said, both are "in the midst of revision and new recommendations will be available late in 2011 or early 2012."

More information

The U.S. National Heart, Lung, and Blood Institute has more about coronary heart disease.

-- Robert Preidt

SOURCES: Louis Evan Teichholz, M.D., chief, cardiology, and medical director, cardiac services, Hackensack University Medical Center, Hackensack, N.J.; American College of Cardiology, news release, June 13, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. New study looks at disconnect between medical and lay expertise
2. What can we do about death? Reinventing the American medical system
3. Medical ethicists working in hospitals need to have standards
4. Boston Medical Center chief honored by AUA
5. Cancer Patients Benefit From Full Access to Medical Records
6. Access to personal medical records increases satisfaction among new cancer patients
7. Breakthrough medical food reverses risk of heart disease and diabetes
8. Electronic medical records lower infant mortality, study finds
9. Ohio residents: Medical and health research important to states economy, jobs and incomes
10. ESC Policy Conference makes recommendations for new EU medical device legislation
11. Family Medical History Murky for Many
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Medical Groups Update Heart, Blood Pressure Care Guidelines 
(Date:2/10/2016)... ... February 10, 2016 , ... LaserShip, a regional parcel carrier that services the ... Eastern Michigan last Friday in order to aid in the Flint water crisis. In ... a facility located in Clio, only 15 miles away from Flint. , “We have ...
(Date:2/10/2016)... ... February 10, 2016 , ... InDemand ... within Healthcare, recently partnered with Heart City Health Center to improve ... 23 years, Heart City Health Center has provided the Elkhart community with access ...
(Date:2/10/2016)... (PRWEB) , ... February 10, 2016 , ... 10 ... Brand. There were three leading bottled water brand owners that topped the list as ... enhance connectivity and optimize conversion. The premier brand was Tibet 5100, a top notch ...
(Date:2/10/2016)... ... February 10, 2016 , ... ... welcomes S.S. Nesbitt as the latest addition to its growing list of Partner ... locations throughout the Southeast, from Orlando to Huntsville and in between. , Harnessing ...
(Date:2/10/2016)... ... February 10, 2016 , ... Pediatric therapists are challenged to ... shows that the Goal Attainment Scale (GAS) captures 20% more change in outcomes ... more about the Goal Attainment Scale, Education Resources Inc. is offering a course ...
Breaking Medicine News(10 mins):
(Date:2/10/2016)... and PITTSBURGH, Feb. 10, 2016 Mylan N.V. (NASDAQ, ... quarter and year ended December 31, 2015. ... Full year adjusted total revenues of $9.45 billion, up ... year; GAAP total revenues of $9.43 billion. Excluding the ... markets specialty and branded generics business (the "EPD Business"), ...
(Date:2/10/2016)... , Feb. 10, 2016  Resolve Therapeutics, ... transformative new approaches to the treatment of lupus ... of a multiple ascending dose study in patients ... compound RSLV-132. --> ... placebo-controlled multiple ascending dose study of RSLV-132 in ...
(Date:2/10/2016)... , Feb. 10, 2016  Rich Pharmaceuticals, Inc. (OTC ... a 1-for-100 reverse split of its issued and outstanding ... trading on Thursday, February 11, 2016. The Company,s common ... CUSIP number 76303T308 and temporary ticker symbol "RCHAD". After ... under the ticker symbol (RCHA).  --> ...
Breaking Medicine Technology: