Management of Patients With Refractory Angina: Canadian Cardiovascular Society/Canadian Pain Society Joint Guidelines  Michael McGillion, RN, PhD, Heather.

Slides:



Advertisements
Similar presentations
Date of download: 5/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Quality of Life After PCI vs CABG Among Patients.
Advertisements

Chris A. Rogers, PhD, Alan J
Focused 2012 Update of the Canadian Cardiovascular Society Guidelines for the Use of Antiplatelet Therapy  Jean-François Tanguay, MD, CSPQ, FRCPC, FACC,
Robert A. Guyton, MD  The Annals of Thoracic Surgery 
Severity of Angina as a Predictor of Quality of Life Changes Six Months After Coronary Artery Bypass Surgery  Vladan M. Peric, MD, Milorad D. Borzanovic,
Late survival in abdominal aortic aneurysm patients: The role of selective myocardial revascularization on the basis of clinical symptoms  Martha M. Reigel,
The Evolution of Myocardial Infarction: When the Truths We Hold To Be Self-Evident No Longer Have Evidence  David D. Waters, MD, Sripal Bangalore, MD,
Ventilator-associated pneumonia after cardiac surgery: A meta-analysis and systematic review  Siyi He, MD, Bocheng Chen, MD, Wei Li, MD, Junyan Yan, MD,
The Demise of Morphine Oxygen Nitroglycerin Aspirin (MONA)
Two-Year Clinical Outcomes After Enhanced External Counterpulsation (EECP) Therapy in Patients With Refractory Angina Pectoris and Left Ventricular Dysfunction.
Percutaneous coronary invervention versus coronary artery bypass grafting: A meta- analysis  Yolba Smit, MD, MSc, Joan Vlayen, MD, Hetty Koppenaal, MD,
Pre-existing psychological depression confers increased risk of adverse cardiovascular outcomes following cardiac surgery: A systematic review and meta-analysis 
Off-pump coronary artery bypass grafting does not preserve renal function better than on-pump coronary artery bypass grafting: Results of a case-matched.
Ventilator-associated pneumonia after cardiac surgery: A meta-analysis and systematic review  Siyi He, MD, Bocheng Chen, MD, Wei Li, MD, Junyan Yan, MD,
Robert A. Guyton, MD  The Annals of Thoracic Surgery 
Intramyocardial bone marrow stem cell transplantation during coronary artery bypass surgery: A meta-analysis  Peter Donndorf, MD, Guenther Kundt, PhD,
Should clopidogrel be discontinued before coronary artery bypass grafting for patients with acute coronary syndrome? A systematic review and meta-analysis 
Stenting versus coronary artery bypass grafting for unprotected left main coronary artery disease: A meta-analysis of comparative studies  Hisato Takagi,
Focused 2012 Update of the Canadian Cardiovascular Society Guidelines for the Use of Antiplatelet Therapy  Jean-François Tanguay, MD, CSPQ, FRCPC, FACC,
Canadian Cardiovascular Society/Canadian Pediatric Cardiology Association Position Statement on Pulse Oximetry Screening in Newborns to Enhance Detection.
Peter K. Smith, MD  The Journal of Thoracic and Cardiovascular Surgery 
Peter K. Smith, MD  The Annals of Thoracic Surgery 
Effect of PCI on 1-year risk of all-cause mortality and major cardiovascular outcomes. CABG, coronary artery bypass grafting; CI, confidence interval (bars);
Chris A. Rogers, PhD, Alan J
Association Between Obesity and Postoperative Atrial Fibrillation in Patients Undergoing Cardiac Operations: A Systematic Review and Meta-Analysis  Adrian.
Off-Pump Versus On-Pump Coronary Revascularization: Meta-Analysis of Mid- and Long-Term Outcomes  Umar A.R. Chaudhry, MBBS, Leanne Harling, MRCS, Christopher.
Long-Term Survival of Patients With Ischemic Cardiomyopathy Treated by Coronary Artery Bypass Grafting Versus Medical Therapy  Eric J. Velazquez, MD,
Juan A. Crestanello, MD, Richard C. Daly, MD 
Coronary artery bypass grafting is superior to first-generation drug-eluting stents for unprotected left main coronary artery disease: An updated meta-analysis.
Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials  Hisato Takagi, MD, PhD,
Why surgery won the SYNTAX trial and why it matters
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Beating-Heart Versus Conventional On-Pump Coronary Artery Bypass Grafting: A Meta- Analysis of Clinical Outcomes  Umar A.R. Chaudhry, MBBS, Leanne Harling,
Zhe Zheng, MD, PhD, Heng Zhang, MD, PhD, Bo Xu, MBBS 
Assessment of Effect of Diabetes on Health-Related Quality of Life in Patients with Coronary Artery Disease Using the EQ-5D Questionnaire  Bhavik Shah,
Systematizing Inpatient Referral to Cardiac Rehabilitation 2010: Canadian Association of Cardiac Rehabilitation and Canadian Cardiovascular Society Joint.
Zheng-Zhe Feng, MD, Jian Shi, MD, Xue-Wei Zhao, MD, Zhi-Fei Xu, MD 
Figure 1 Periprocedural myonecrosis and myocardial infarction after left main coronary artery revascularization with ... Figure 1 Periprocedural myonecrosis.
Risk Stratification and Interventional Cardiology: Robert L
Early and long-term outcomes of coronary artery bypass grafting in patients with acute coronary syndrome versus stable angina pectoris  Toshihiro Fukui,
Hisato Takagi, MD, PhD, Hideaki Manabe, MD, Takuya Umemoto, MD, PhD 
A decade after the Surgical Treatment for Ischemic Heart Failure (STICH) trial: Weaving firm clinical recommendations from lessons learned  Robert E.
Recent Temporal Changes in Atherosclerotic Cardiovascular Diseases in Ontario: Clinical and Health Systems Impact  Jack V. Tu, MD, PhD, Anam M. Khan,
Clinical validity of a disease-specific health status questionnaire: The Peripheral Artery Questionnaire  Sanne E. Hoeks, MSc, Kim G. Smolderen, MSc,
Anaortic off-pump coronary artery bypass grafting: The criterion standard for minimization of neurologic injury  J. James Edelman, BSc(Hons), MBBS(Hons),
Drug-eluting balloon angioplasty versus uncoated balloon angioplasty in patients with femoropopliteal arterial occlusive disease  Hidde Jongsma, MD, Joost.
Do the EXCEL and NOBLE Trial Results Change Meta-Analysis Findings?
Meta-Analysis of Medium and Long-Term Efficacy of Loading Statins After Coronary Artery Bypass Grafting  Cheng Bin, MM, Mu Junsheng, MD, Zhang Jianqun,
Yin-Shu Chang, MD, Jia-Xiang Wang, MD, PhD, Da-Wei Chang, PhD 
For everything there is a season
David Montero, Agnès Vinet, Christian K. Roberts 
To bypass or stent? The changing rules of an advancing game
Canadian Cardiovascular Society Atrial Fibrillation Guidelines 2010: Prevention of Stroke and Systemic Thromboembolism in Atrial Fibrillation and Flutter 
Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass  Benjamin Medalion, MD, Michael G. Katz, MD,
Nonelective cardiac surgery in the elderly: Is it justified?
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Adjunctive Therapies in the Treatment of Acute Coronary Syndromes
Cox regression of proportion mortality in the first 8 years for patients with three-vessel disease with a significant difference between the treatment.
Are racial differences in hospital mortality after coronary artery bypass graft surgery real? A risk-adjusted meta-analysis  Umberto Benedetto, MD, PhD,
Assessment and Management of Acute Coronary Syndromes (ACS): A Canadian Perspective on Current Guideline-Recommended Treatment – Part 2: ST-Segment Elevation.
From Primary to Secondary Percutaneous Coronary Intervention: The Emerging Concept of Early Mechanical Reperfusion With Delayed Facilitated Stenting—When.
Canadian Cardiovascular Society Atrial Fibrillation Guidelines 2010: Rate and Rhythm Management  Anne M. Gillis, MD, FRCPC, Atul Verma, MD, FRCPC, Mario.
Effect of PCI on 3 to 5-year risk of all-cause mortality and major cardiovascular outcomes. CABG, coronary artery bypass grafting; CI, confidence interval.
COMPARISON OF OUTCOMES FOLLOWING CORONARY ARTERY BYPASS GRAFT SURGERY AND PERCUTANEOUS CORONARY INTERVENTION IN ONTARIO AS REPORTED BY THE CARDIAC CARE.
Transatlantic editorial: A comparison between European and North American guidelines on myocardial revascularization  Philippe Kolh, MD, PhD, Paul Kurlansky,
The 2013 Canadian Cardiovascular Society Heart Failure Management Guidelines Update: Focus on Rehabilitation and Exercise and Surgical Coronary Revascularization 
The Clinical Significance and Management Implications of Chronic Total Occlusion Associated With Surgical Coronary Artery Revascularization  Lorenzo Azzalini,
Mobile Medicine: Digital Dynamo or Virtual Vaporware
Targeted Therapeutic Drug Monitoring for Direct Oral Anticoagulants: What Is Its Potential Place and Can It Limit Black Swan Events?  D. George Wyse,
Brian W. McCrindle, MD, MPH, Kevin C. Harris, MD 
Presentation transcript:

Management of Patients With Refractory Angina: Canadian Cardiovascular Society/Canadian Pain Society Joint Guidelines  Michael McGillion, RN, PhD, Heather M. Arthur, PhD, FESC, Allison Cook, RN, BScN, Sandra L. Carroll, PhD, J. Charles Victor, MSc, Philippe L. L'Allier, MD, FRCPC, E. Marc Jolicoeur, MD, MSc, MHS, FACC, FCRPC, Nelson Svorkdal, MD, FRCPC, Joel Niznick, MD, FRCPC, Kevin Teoh, MD, MSc, FRCSC, Tammy Cosman, RN(EC), PhD, Barry Sessle, PhD, Judy Watt-Watson, RN, PhD, Alexander Clark, RN, PhD, Paul Taenzer, PhD, Peter Coyte, PhD, Louise Malysh, RN, MN, Carol Galte, RN, MN, James Stone, MD, PhD, FRCPC, FAACVPR, FACC  Canadian Journal of Cardiology  Volume 28, Issue 2, Pages S20-S41 (March 2012) DOI: 10.1016/j.cjca.2011.07.007 Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 1 Comparison of transmyocardial laser revascularization vs medical treatment, outcome Canadian Cardiovascular Society (CCS) class. CI, confidence interval; df, degree of freedom; M-H, Mantel-Haenszel; NYHA, New York Heart Association. Reproduced from Briones et al.49 Copyright © 2009 Cochrane Collaboration, reproduced with permission. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 2 Comparison of transmyocardial laser revascularization vs medical treatment, outcome Seattle Angina Questionnaire-physical limitation. CI, confidence interval; df, degree of freedom; IV, inverse variance; SD, standard deviation. Reproduced from Briones et al.49 Copyright © 2009 Cochrane Collaboration, reproduced with permission. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 3 Comparison of transmyocardial laser revascularization vs medical treatment, outcome exercise tolerance. CI, confidence interval; df, degree of freedom; IV, inverse variance; SD, standard deviation. Reproduced from Briones et al.49 Copyright © 2009 Cochrane Collaboration, reproduced with permission. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 4 Comparison of transmyocardial laser revascularization vs medical treatment, outcome early postoperative mortality (as treated). CI, confidence interval; df, degree of freedom; M-H, Mantel-Haenszel. Reproduced from Briones et al.49 Copyright © 2009 Cochrane Collaboration, reproduced with permission. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 5 Comparison of percutaneous myocardial laser revascularization vs maximal medical therapy, outcome Canadian Cardiovascular Society class. CI, confidence interval; df, degree of freedom; IV, inverse variance; LD, low dose; SD, standard deviation. Reprinted from McGillion et al.,54 © 2010, with permission from Dove Medical Press Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 6 Comparison of percutaneous myocardial laser revascularization vs maximal medical therapy, outcome Seattle Angina Questionnaire-angina frequency. CI, confidence interval; df, degree of freedom; IV, inverse variance; LD, low dose; SD, standard deviation. Reprinted from McGillion et al.,54 © 2010, with permission from Dove Medical Press Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 7 Comparison of percutaneous myocardial laser revascularization vs maximal medical therapy, outcome Seattle Angina Questionnaire-disease perception. CI, confidence interval; df, degree of freedom; IV, inverse variance; LD, low dose; SD, standard deviation. Reprinted from McGillion et al.,54 © 2010, with permission from Dove Medical Press Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 8 Comparison of percutaneous myocardial laser revascularization vs maximal medical therapy, outcome Seattle Angina Questionnaire-physical limitation. CI, confidence interval; df, degree of freedom; IV, inverse variance; LD, low dose; SD, standard deviation. Reprinted from McGillion et al.,54 © 2010, with permission from Dove Medical Press Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 9 Comparison of percutaneous myocardial laser revascularization vs maximal medical therapy, outcome Seattle Angina Questionnaire-angina severity. CI, confidence interval; df, degree of freedom; IV, inverse variance; LD, low dose; SD, standard deviation. Reprinted from McGillion et al.,54 © 2010, with permission from Dove Medical Press Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 10 Comparison of percutaneous myocardial laser revascularization vs maximal medical therapy, outcome Seattle Angina Questionnaire-treatment satisfaction. CI, confidence interval; df, degree of freedom; IV, inverse variance; LD, low dose; SD, standard deviation. Reprinted from McGillion et al.,54 © 2010, with permission from Dove Medical Press Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 11 Comparison of percutaneous myocardial laser revascularization vs maximal medical therapy, outcome exercise performance. CI, confidence interval; df, degree of freedom; IV, inverse variance; LD, low dose; SD, standard deviation. Reprinted from McGillion et al.,54 © 2010, with permission from Dove Medical Press Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 12 Comparison of percutaneous myocardial laser revascularization vs maximal medical therapy, outcome all-cause mortality. CI, confidence interval; df, degree of freedom; IV, inverse variance; LD, low dose; SD, standard deviation. Reprinted from McGillion et al.,54 © 2010, with permission from Dove Medical Press Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 13 Comparison of SCS vs controls, outcome exercise capacity, between-group difference. CABG, coronary artery bypass grafting; CI, confidence interval; df, degree of freedom; ESBY, Electrical Stimulation vs Coronary Artery Bypass Surgery in Severe Angina Pectoris study; IV, inverse variance; PMR, percutaneous myocardial laser revascularization; SCS, spinal cord stimulation; SD, standard deviation; SPiRiT, Spinal Cord Stimulation vs Percutaneous Myocardial Laser Revascularization in Patients With Refractory Angina Pectoris Trial. Reproduced from Taylor et al.81 with permission granted under BioMed Central's general open access terms. © 2009 Taylor et al; licensee BioMed Central Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 14 Comparison of SCS vs controls, outcome health-related quality of life, between-group difference. Based on NHP Part 1 score for ESBY 1993;87 SF-36 physical health scale at 2 years for SPiRiT 2006;88 ADL score for DeJongste 1994,86 EQ-5D VAS score for Eddicks 2007;83 LASA score for Hautvast 1998.85 ADL, Activities of Daily Living; CABG, coronary artery bypass grafting; CI, confidence interval; df, degree of freedom; EQ-5D VAS, EuroQol 5 Dimensions Visual Analogue Scale; ESBY, Electrical Stimulation vs Coronary Artery Bypass Surgery in Severe Angina Pectoris study; IV, inverse variance; LASA, Linear Analogue Self-Assessment; NPH, Nottingham Health Profile; PMR, percutaneous myocardial laser revascularization; SCS, spinal cord stimulation; SD, standard deviation; SF-36, Medical Outcomes Study Short Form-36; SPiRiT, Spinal Cord Stimulation vs Percutaneous Myocardial Laser Revascularization in Patients With Refractory Angina Pectoris Trial. Reproduced from Taylor et al.81 with permission granted under BioMed Central's general open access terms. © 2009 Taylor et al; licensee BioMed Central Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 15 Enhanced external counter-pulsation: comparison of pre- vs post-treatment, outcome Seattle Angina Questionnaire-anginal stability. CI, confidence interval; df, degree of freedom; IV, inverse variance; SE, standard error. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 16 Comparison of self-management training with controls, outcome frequency of angina episodes per week. CI, confidence interval. Modified and reproduced from McGillion et al.132 with permission from Bentham Science Publishers Ltd. © 2008 Bentham Science Publishers Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 17 Comparison of self-management training with controls, outcome sublingual nitrate usages per week. CI, confidence interval. Modified and reproduced from McGillion et al.132 with permission from Bentham Science Publishers Ltd. © 2008 Bentham Science Publishers Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 18 Comparison of self-management training with controls, outcome Seattle Angina Questionnaire-physical limitation. CI, confidence interval. Modified and reproduced from McGillion et al.132 with permission from Bentham Science Publishers Ltd. © 2008 Bentham Science Publishers Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions

Figure 19 Comparison of self-management training with controls, outcome Seattle Angina Questionnaire-disease perception. CI, confidence interval. Modified and reproduced from McGillion et al.132 with permission from Bentham Science Publishers Ltd. © 2008 Bentham Science Publishers Ltd. Canadian Journal of Cardiology 2012 28, S20-S41DOI: (10.1016/j.cjca.2011.07.007) Copyright © 2012 Canadian Cardiovascular Society Terms and Conditions