CVD Prevention Guidelines: Design in addition to Implementation Scientific Statements Guidelines Overview of AHA CVD Prevention Guidelines Overview of ACCF/AHA Per as long as mance Measurement Sets

CVD Prevention Guidelines: Design in addition to Implementation Scientific Statements Guidelines Overview of AHA CVD Prevention Guidelines Overview of ACCF/AHA Per as long as mance Measurement Sets www.phwiki.com

CVD Prevention Guidelines: Design in addition to Implementation Scientific Statements Guidelines Overview of AHA CVD Prevention Guidelines Overview of ACCF/AHA Per as long as mance Measurement Sets

David, Paul, News Director has reference to this Academic Journal, PHwiki organized this Journal CVD Prevention Guidelines: Design in addition to Implementation Nathan D. Wong, PhD, FACC, FAHA Professor in addition to Director Heart Disease Prevention Program Division of Cardiology University of Cali as long as nia, Irvine, CA USA President, American Society as long as Preventive Cardiology Scientific Statements – increase knowledge in addition to awareness by healthcare professionals of effective, state-of-the art science related to the causes, prevention, detection, or management of cardiovascular diseases in addition to stroke. – represent the consensus of the leading experts in cardiovascular disease in addition to stroke. – undergo blinded peer review in addition to are reviewed in addition to approved by the AHA Science Advisory in addition to Coordinating Committee (SACC), the highest scientific body of the AHA. Guidelines The Institute of Medicine defines a guideline as “systematically developed statements to assist practitioner in addition to patient decisions about appropriate health care as long as specific clinical circumstances.” The AHA often develops practice guidelines in conjunction with the American College of Cardiology (ACC), but also may develop them alone or in partnership with other organizations as appropriate. All guidelines adhere to the levels of evidence in addition to classes of recommendation as established by the ACC/AHA Guidelines Task Force. All guidelines undergo peer review in addition to are reviewed in addition to approved by the AHA SACC.

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Overview of AHA CVD Prevention Guidelines Diet in addition to Lifestyle Recommendations: Revision 2006 AHA/ACC Guidelines as long as Secondary Prevention as long as Patients With Coronary in addition to Other Atherosclerotic Vascular Disease: 2006 Update Guidelines as long as Prevention of Stroke in Patients With Ischemic Stroke or Transient Ischemic Attack American Heart Association Guide as long as Improving Cardiovascular Health at the Community Level AHA Guidelines as long as Primary Prevention of Cardiovascular Disease in addition to Stroke: 2002 Update Heart Association Guidelines as long as Weight Management Programs as long as Healthy Adults Overview of ACCF/AHA Per as long as mance Measurement Sets Attributes of Per as long as mance Measures

Classification of Recommendations in addition to Levels of Evidence Applying Classification of Recommendations in addition to Level of Evidence Applying Classification of Recommendations in addition to Level of Evidence

Applying Classification of Recommendations in addition to Level of Evidence Applying Classification of Recommendations in addition to Level of Evidence AHA / ACCF Primary Prevention Revised Statement September 2009 Circulation, September 2009

Numerator = Patients with assessment of diet in addition to physical activity occurred in the past 2 years Denominator = Patients aged 8-80 years at beginning of assessment period Lifestyle / Risk Factor Screening Numerator = Patients who were advised to eat a healthy diet at least once in the past 2 years Denominator – All patients 18 to 80 years of age at start of the measurement period Dietary Intake Counseling

AHA Scientific Statement: Diet in addition to Lifestyle Recommendations Revision 2006 Numerator = Patients who were advised at least once within the past 2 years to engage in regular physical activity Denominator – All patients 18 to 80 years of age at start of the measurement period Physical Activity Counseling Numerator = Patients who were queried about tobacco use 1 or more times in the past 2 years Denominator – All patients 18 years of age or over at start of the measurement period Smoking / Tobacco Use

Numerator = Patients identified as tobacco users who received cessation intervention Denominator = All patients aged 18 years in addition to over at start of measurement period identified as tobacco users Smoking / Tobacco Cessation Weight / Adiposity Assessment Numerator = Patients as long as whom weight in addition to BMI in addition to /or WC is documented at least once in the last 2 years Denominator = All patients 18-80 years of age at start of measurement period Weight Management Numerator = All patients who were counseled on weight management at least once within the past 2 years Denominator = All patients 18-80 years of age at start of measurement period with BMI >30 or WC >102 cm (men) or >88 cm (women)

Blood Pressure Measurement Numerator = Patients as long as whom blood pressure measurement was recorded at least once in the past 2 years Denominator = All patients aged 18-80 years at start of measurement period Blood Pressure Control Numerator: Patients aged 18-80 years of age with HTN who had a recorded BP reading <140/90 mmHg or who were prescribed 2+ medications Denominator: Patients with HTN diagnosed as long as at least 6 months Blood Lipid Measurement Numerator = Patients with at least 1 fasting lipid profile per as long as med within the past 5 years Denominator = Men aged 35-80 or Women aged 45-80 with at least 1 risk factor, 2+ visits David, Paul KKLD-FM News Director www.phwiki.com

Blood Lipid Therapy in addition to Control Numerator = Patients whose most recent LDL-C (mg/dl) was <190 (<10% risk women), <160 (<10% low risk men), <130 (10-20% risk), <100 (>20% risk), or prescribed maximal lipid therapy Denominator = Patients with a fasting lipid profile in addition to risk assessment Global Risk Estimation Numerator (quality improvement only): patients as long as whom 10-year risk of CHD is recorded at least once in the last 5 years Denominator: Men aged 35-80 in addition to women 45-80 free of CHD but with at least one risk factor Aspirin use Numerator ( internal quality improvement only): men aged 35-80 or women 45-80 advised to use aspirin Denominator: All men 35-80 or women 45-80 without CVD but with estimated 10-year CHD risk >=20%

Hvala – Thank you! For more in as long as mation contact the UCI Heart Disease Prevention Program at: www.heart.uci.edu 949-824-5561

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