Cardiovascular Disability Updating the Social Security Listings (2010) / Chapter Skim
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Appendix C: Review of ACC/AHA Clinical Practice Guidelines
Appendix C: Review of ACC/AHA Clinical Practice Guidelines
Pages 269-278
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From page 269... ...
to analyze the clinical practice guidelines developed by the American College of Cardiology/American Heart Association (ACC/AHA) for their relevance to improving the criteria required to meet the cardiovascular listings.
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From page 270... ...
ACC Briefing of IOM Committee James Fasules, M.D., senior vice president, advocacy, American College of Cardiology, participated in the first committee meeting to discuss the role of the ACC/AHA clinical practice guidelines in updating SSA's cardiovascular disability criteria in the Listings. He indicated four potential contributions of the guidelines: 1.
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From page 271... ...
2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients with Thoracic Aortic Disease: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, Ameri can College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine Note: This is relevant to the committee's work, although it is not cited in the ACC/AHA letter. continued
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From page 272... ...
ACC/AHA/ESC 2006 Guidelines for Management of Patients with Ventricular Ar rhythmias and the Prevention of Sudden Cardiac Death: A Report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death) , Developed in Collaboration with the European Heart Rhythm Association and the Heart Rhythm Society (HRS)
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From page 273... ...
2003 Guideline Update for the Clinical Application of Echocardiography: A Report of the American Col lege of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Ap plication of Echocardiography) • Work (e.g., working, worked, worker)
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From page 274... ...
The main objective was to see if any diagnostic or treatment criteria (e.g., laboratory test results, examination findings, clinical severity scores, or treatment regimens) were associated with the existence or severity of disability or whole-person impairment.
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From page 275... ...
The Guidelines and Functional Capacity Most of the guidelines discuss assessment of function, usually through treadmill or bicycle exercise tests or, for more disabled patients, the 6minute walk test. A few make the statement that such tests, such as capacity to walk, are useful for evaluating disability, but none provide guidance on how specific test results predict work capacity.
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From page 276... ...
CCS class is similarly used in the guidelines for management and follow-up of patients with chronic stable angina. NYHA functional class is also a criterion for some indications in the valvular heart disease guidelines (e.g., aortic valve repair, mitral balloon valvotomy, mitral valve repair and replacement)
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From page 277... ...
2008. 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart dis ease: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients with Valvular Heart Disease)
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From page 278... ...
2010. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/ SVM guidelines for the di agnosis and management of patients with thoracic aortic disease: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiol ogy, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine.
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