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Continuing Medical Implementation Inc.

Details: Concept Profile. Delays and gaps in implementation of knowledge compromise patient outcomes.The major barrier appears to be the overwhelming logistical difficulty of systematizing rapidly evolving knowledge and applying it in a consistent and continuous manner in the busy clinical setting.Continuing Medical Implementation Inc. strives to make invaluable implementation tools and information

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Continuing Medical Implementation Inc.

Details: In terms of concept, scope or content there is not an equivalent patient health management site. The CVToolbox™ will help change the way we access, translate, utilize and integrate knowledge into practice. This paradigm shift from CME to CPD to CMI is essential in order to Bridge the Care Gap. We thank you for visiting this site and encourage

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Continuing Medical Implementation Inc.

Details: CVToolbox is a constantly evolving dynamic site, that delivers a broad range of subject matter that is related to heart health. We are always interested in maintaining the quality of the site in both subject matter and content delivery.

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Continuing Medical Implementation Inc.

Details: Heart Health Handbooks : Cardio Rehab Guide: HF Survival Kit : Cardiology Information Packages : Atrial Fibrillation. Congestive Heart Failure . CHF Discharge Summary : Dyslipidemia Package. Hypertension Package. PostMI Discharge Summary : Chest Pain Evaluation Tool. Cardiovascular Disease in Women : Heart Health Diet Sheets : Eating Plan for

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Continuing Medical Implementation Inc.

Details: Any medical or health advice provided and hosted on this site will only be given by medically trained and qualified professionals unless a clear statement is made that a piece of advice offered is from a non-medically qualified individual or organization. The source of information is published clinical practice guidelines and consensus

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Continuing Medical Implementation Inc.

Details: • Health Canada Food Guide • NHLBI DASH Diet • NHLBI Obesity Guideline Dyslipidemia • 2009 Canadian Cardiovascular Society/Canadian guidelines for the diagnosis and treatment of dyslipidemia and prevention of cardiovascular disease in the adult - 2009 recommendations • AACE • NCEP

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Continuing Medical Implementation Inc.

Details: Please note: CVToolbox.com, its contents and downloads, are no longer actively maintained and remain online for historical purposes as a legacy site. CVToolbox.com

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CHEST PAIN EVALUATION TOOL

Details: • X-ray examinations provide valuable information about your health and play an important role in helping your doctor make an accurate diagnosis and prognosis. Measuring radiation dosage • The scientific unit of measurement for radiation dose, commonly referred to as effective dose, is the millisievert (mSv).

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LOW SODIUM EATING PLAN FOR HYPERTENSION

Details: In Moderation - sweets, caffeine & alcohol. • Limit sweets, candy, sugar, jam, honey, syrup regular soft drink and sweetened fruit drinks. Cakes, pies, cookies and many pre-packaged snack foods are high in calories and low on nutrients.

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EATING PLAN FOR TYPE 2 DIABETES

Details: EATING PLAN FOR TYPE 2 DIABETES This eating plan is low in refined grains and sugar, low in saturated and trans fat and high in fibre. It focuses on eating regularly timed meals

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Continuing Medical Implementation Inc.

Details: Health-Heart.org (Nutrition,Health & Heart Disease) Heart Health Education Centre; Heart Attack Signs (NHLBI) Heart Failure Online; Heart Failure Society of America - About HF.org; Heart Valve Disease - Medtronic; Heart Valve Disease - St. Jude Medical; Health Information Translations

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WAISTING AWAY Healthy Weight Management

Details: Health Canada suggests walking 10,000 steps per day for optimal health. This is the eventual step goal but go slowly at first. By walking more, you will diminish your waist line and decrease your total body fat. This is a great way to help prevent and/ or treat disease states such as diabetes and heart disease.

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EATING PLAN FOR HEART FAILURE

Details: fruit, whole grains and lean protein choices for overall heart health. Heart Failure (HF) Also called congestive heart failure (CHF), is a condition that affects the pumping function of the heart. Heart muscle that has become weak or stiff is unable to properly fill the heart chambers with blood and squeeze it out again. This results in reduced

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Nutritional Management of Diabetes

Details: diabetes can affect long term health and quality of life. The goal for nutritional management is optimal metabolic control through a balance between food intake, physical activity, and if necessary, medication to avoid complications.2 All people with diabetes should receive individual advice on nutrition from a registered dietitian

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EATING PLAN FOR HIGH CHOLESTEROL (HYPERLIPIDEMIA)

Details: Heart Health Mixture = 1/3 ground flax, 1/3 oat bran, 1/3 psyllium. Use 2tbsp each day added to your food. It mixes well with yogurt, hot cereal and salad dressing. Salt – Shake the Habit Tips to reduce salt (sodium) intake: • Home prepared fresh or frozen foods are best. If using canned foods, look for labels such as “no added salt” or

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PLAVIX Patient Information Sheet

Details: PLAVIX ® Patient Information Sheet You have been prescribed Plavix ® (clopidogrel), which is an anti-platelet medication. Antiplatelet agents are medications which interfere with the action of small clotting elements in the blood called platelets.

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POTASSIUM MODIFIED EATING PLAN

Details: to meet the needs of your health condition. Potassium is a mineral found in the body’s blood and cells. It is needed for normal muscle and nerve function. Potassium levels are usually well balanced by our kidneys but may rise or fall if factors throw this balance off. Hypokalemia: is the condition of having low blood levels of potassium.

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Continuing Medical Implementation Inc.

Details: The information has been compiled into two patient education booklets which are available for free download. A Guide for Cardiac Rehabilitation (cardiac rehab). The purpose of this booklet is to provide the patient with the information about heart disease and recovery after suffering a heart attack.

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Continuing Medical Implementation Inc.

Details: The Heart: What is Does and How it Works. The heart is a hollow, muscular organ located between the lungs and underneath the breastbone. A muscular wall divides the heart into two sides – …

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Continuing Medical Implementation Inc.

Details: The recent ICES Atlas of Cardiovascular Health and Services in Ontario has demonstrated an astounding 33% annual mortality for patients hospitalized for HF over the years 1994-1997. This discrepancy in outcomes between clinical trials and clinical reality may in part be attributable to patient selection in the clinical trials, but nevertheless

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Continuing Medical Implementation Inc.

Details: Adverse health effects of smoking: Smoking raises your blood pressure contributing to hypertension; Smoking changes the balance of cholesterol in your body to increase the risk of hardening of the arteries. The good cholesterol (HDL) levels fall in association with smoking. Smoking results in carbon monoxide build up in the blood and reduced

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Continuing Medical Implementation Inc.

Details: Health Canada has recently (Feb. 1, 2005) posted an Advisory for Health Professionals and a Public Advisory on ezetimibe (Ezetrol“) based on a letter from Merck Frosst/Schering Pharmaceuticals highlighting important safety information on ezetimibe (Ezetrol“). The product monograph has been updated to include information from international

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Continuing Medical Implementation Inc.

Details: Heart Sounds and Murmur Library. The sounds on this page are representative of normal and abnormal heart sounds and murmurs. They assist the observer in clinical recognition but are only a small component of the cardiac exam. All sounds are in Windows WAV format. Aortic Regurgitation (103KB)

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Continuing Medical Implementation Inc.

Details: The purpose of this toolbox is to provide the busy practitioner with accessible, up-to-date distillations of the latest evidence, patient information tools and evidence implementation tools. The intent is to permit information download and duplication to facilitate best practice. The goal is to bridge the gap between knowledge and action

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Continuing Medical Implementation Inc.

Details: section. subject. page. i ii iii iv v vi vii viii ix x xi xii xiii xiv xv xvi. introduction the heart: what it does and how it works congestive heart failure other symptoms of heart disease

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Continuing Medical Implementation Inc.

Details: Originally founded to provide evidence based implementation tools to the referral physicians of the Ottawa Cardiovascular Centre and the CONDOR Network, Continuing Medical Implementation Inc. strives to make these invaluable tools and information sheets available to …

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Continuing Medical Implementation Inc.

Details: Examine the JVP for height and waveform and the carotids for volume and upstroke. Palpate the precordium for palpable heart sounds, abnormal impulses, lifts,thrills, and apical dynamic qualities. Put the pieces of the puzzle together as you go. By the time you put the stethoscope on the chest, you should know what you should hear.

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Continuing Medical Implementation Inc.

Details: The Canadian Heart Health Survey has shown that only 42% of patients are aware that they have hypertension, of these, the majority are inadequately treated and only 16% of hypertensive patients have their blood pressure adequately controlled. What are the risks of high blood pressure?

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Continuing Medical Implementation Inc.

Details: Your doctor may prescribe medicine for you to take at home to help your heart continue to heal and function efficiently. The medication is carefully chosen to meet your needs. There are points you need to remember about taking medication. Know the name of your medicine and how you are to take it (i.e.: on an empty stomach, with food, times

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Continuing Medical Implementation Inc.

Details: To download, please right-click the image. of the cover (above) and choose "Save As" (10.5Mb) or click here. The purpose of this booklet is to provide you with information about heart disease and recovery after suffering a heart attack. The development of heart disease is naturally accompanied by many fears.

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Continuing Medical Implementation Inc.

Details: What is Congestive Heart Failure? Congestive heart failure (CHF) is a term used to describe the heart’s inability to pump enough blood to meet the body’s needs.

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Continuing Medical Implementation Inc.

Details: Diabetes is a disease in which your body cannot properly use and store sugar, which is a principle fuel for the body. Diabetes is due to a lack of insulin production in the pancreas (TYPE I) or a resistance to the actions of insulin in the body (TYPE II). The sugar that is not used by the body builds up in the bloodstream and is washed out of

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Continuing Medical Implementation Inc.

Details: The evidence and the cost benefit, particularly in 2° prevention, are compelling. Delays and gaps in implementation compromise patient outcomes and represent a huge lost opportunity to reduce hospitalization and health care costs and diminish the burden of cardiovascular disease. The clinical benefit of lipid lowering was examined in a meta

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Continuing Medical Implementation Inc.

Details: Cholesterol and Lipid Lowering Drugs. These drugs are used to treat abnormally high levels of one or more types of fats such as cholesterol or triglycerides.

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Continuing Medical Implementation Inc.

Details: Myocardial infarction is the medical term for a heart attack. It has also been known as coronary thrombosis or simply as a "coronary". The pain of myocardial infarction lasts longer than that of angina pectoris. Generally there is a prolonged, sudden-crushing chest pain accompanied by shortness of breath, sweating, nausea, vomiting and perhaps

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Continuing Medical Implementation Inc.

Details: Emerging Risk Factors. Metabolic Syndrome: The metabolic syndrome comprises a clustering of cardiovascular risk factors including abdominal obesity, insulin resistance, elevated triglycerides, low HDL-C and hypertension.

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Continuing Medical Implementation Inc.

Details: However, your health can benefit simply by accumulating 30 minutes of moderate activity per day, such as stair climbing, walking to work, or gardening. Also it is not just aerobic exercise such as walking, cycling, jogging and swimming that is recommended. Resistance/strength training (light weight lifting), and interval training are important

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Continuing Medical Implementation Inc.

Details: Inspection (Slideshow) The physical examination of the heart and circulation involves five principle items: physical appearance or general inspection, the arterial and jugular venous pulses, the movements of the heart or palpation, estimation of organ size or percussion, and auscultation.Examination of the chest, abdomen and extremities may also reveal abnormalities reflective of cardiac disease.

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Continuing Medical Implementation Inc.

Details: Long-acting nitrates are preparations or Nitroglycerin that have been formulated for prolonged action. They may be taken in pill form (Isordil, Nitrong SR, Nitrodur) or applied to the skin (Nitropaste, Transderm Nitro, Nitrodur, Minitran) or applied under the gums (Nitrogard). All of these medications provide continuous levels of Nitroglycerin

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Continuing Medical Implementation Inc.

Details: Remember - Guidelines are only guidelines and should always be applied in the context of your best clinical judgement and experience.

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Continuing Medical Implementation Inc.

Details: The nuclear angiogram is the best way to measure the ejection fraction or EF of the heart. This is the percentage of the heart’s internal blood volume that is ejected with every beat. A normal ejection fraction is > 55%. An EF of 40-55% is considered mild LV (left ventricular) dysfunction. An EF of 30-40% is considered moderate LV (left

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Continuing Medical Implementation Inc.

Details: Microalbuminuria 1,2. Diabetic kidney disease or nephropathy is the most common cause of end stage renal disease (ESRD) or kidney failure in the Western World.

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Continuing Medical Implementation Inc.

Details: Angiotensin Converting Enzyme Inhibitors (ACE-inhibitors) Angiotensin Converting Enzyme Inhibitors (ACE-inhibitors) Captopril (Capoten) Enalapril (Vasotec) VASOTEC® Patient …

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Continuing Medical Implementation Inc.

Details: Introduction. Cardiovascular disease (CVD) is the #1 killer of women both in Canada and the US. Average lifetime risk of cardiovascular disease in women is approximately 40%, and increases as the number of risk factors increases.

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Continuing Medical Implementation Inc.

Details: Research presentations have included: AHA Quality control and Outcomes Research - Washington 2009 Poster Presentation (PDF) Handout Presentation (PDF)

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Continuing Medical Implementation Inc.

Details: Now available to all users! To download, please right-click the image of the cover (above) and choose "Save As"

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Continuing Medical Implementation Inc.

Details: as a PowerPoint slideshow by clicking on the download button above. Return to Top. CV Toolbox Two | Physical Exam | Inspection | Blood Pressure | Fundoscopy | JVP. Palpation | Auscultation | HS & Murmur Library | CV Exam Links | History Template | Physical Exam Template. Combined Template (Hystphys) | Follow-up Template | CV Exam Essentials

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Continuing Medical Implementation Inc.

Details: Modified Eating Plan for Heart Failure. Now available to all users! To download, please right-click the image. of the cover (above) and choose "Save As" (2Mb) or click here.

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