- CIAP Newsletters
February 2016 Issue 2
Focus on... Cardiology
Cardiovascular disease is one of Australia's largest health problems, according to the Heart Foundation,
killing one Australian every 12 minutes. February 2016 is Heart Research Australia's Heart Research Month, with its website providing information
and resources to continue research into the prevention and treatment of cardiovascular disease, coronary
heart disease and heart attack.
The Clinical Information Access Portal (CIAP) provides access to clinical information and resources to support
clinicians working with patients suffering cardiovascular disease. A good place to start is the
Cardiovascular Specialty Guide, located
by selecting ‘Specialty Guides & Links’ from CIAP's left menu. Here you will find recommended
CIAP resources, a selection of online journals and books along with NSW Health and other recommended
guidelines and websites.
A popular CIAP resource is the Interactive ECG, which can assist in developing skills and knowledge
relating to electrocardiograms (ECGs). It provides ECG theory with topics available including interpreting the
normal ECG, tachycardias, ventricular conduction disorders, and recording an ECG. Interactive
problems include topics on myocardial infarction, myocardial ischaemia, tachycardias, bradycardias and
rhythm disorders. Problems involve a short case history, ECG printout and a series of quiz
questions. The quizzes are suitable for current staff and students and range from basic ECGs to more
advanced ECG cases involving less common conditions.
Another useful source of information is BMJ Best Practice. Select ‘Show Conditions’ on the
BMJ Best Practice homepage to view a list of available topics. Selecting ‘Cardiothoracic surgery’
will allow you to view topics including aortic dissection, atrial myxoma, cardiac tamponade, mitral
stenosis and thymic tumour. Selecting ‘Cardiovascular disorders’ will allow you to view topics
including bradycardia, chronic congestive heart failure, diabetic cardiovascular disease, peripheral
vascular disease and unstable angina. Topics include a summary and definition of the condition,
diagnostic and treatment steps, evidence tables, images and patient information leaflets.
If you are interested in improving your physical diagnosis skills, then the Auscultation Assistant may
be of use. It provides recorded audio of heart sounds, heart murmurs and breath sounds along with a theory
analysis of the audio and what to listen for. To find a comprehensive list of medical equations, clinical
criteria and decision trees such as Diffusing capacity for carbon monoxide (DLCO) corrected for anemia
or Oxygen Content of Arterial Blood; Cardiovascular Risk Assessment, Chest Pain Score, Heart Failure
Diagnosis, Heart Failure Clinical Prediction Rule, and Warfarin Dosing Nomogram, visit MedCalc 3000
through ‘Tools’ in CIAP's left menu. You can select ‘Specialties’ from the MedCalc
homepage and then choose ‘Cardiology’ to see the full selection.
To learn more about the range of resources available through CIAP, visit the Learning
Centre for a range of workshops, user guides, elearning modules and video tutorials.
Journals and Books from Elsevier
The publisher Elsevier has discontinued the resource Mosby's Nursing Consult. The key nursing
journals and books that were provided by Nursing Consult remain available in full text through the
Full Journal List and
Full Book List links located from either 'Journals' or 'Books &
Dictionaries' in CIAP's left menu. You can browse these lists for specific journal and book titles
or topics using the search box presented on the page.
Article in Focus
Circulation 133(2): 12 January 2016, p 147-155
Although guidelines suggest that older adults engage in regular physical activity (PA) to reduce
cardiovascular disease (CVD), surprisingly few studies have evaluated this relationship, especially
in those >75 years.
This large prospective study among 4207 US men and women assessed the long-term
effects of PA over 10 years. Greater PA was inversely associated with coronary heart disease, stroke
(especially ischemic stroke), and total CVD, even in those >=75 years. Walking pace, distance, and
overall walking score, leisure-time activity, and exercise intensity were each associated with lower
These data provide empirical evidence supporting PA recommendations, in particular, walking, to
reduce the incidence of CVD among older adults.
Gems on CIAP
Resuscitation Council Guidelines and Flowcharts
The Australian Resuscitation Council (ARC) provides a wealth of information regarding the
teaching and practice of resuscitation. Its Guidelines
section displays a list of guidelines
for resuscitation, first aid, education and life support. Section 8 Cardiopulmonary Resuscitation
has recently been updated and published in January 2016. Section 9.2 First Aid Guidelines also
provides updated sections on recognition and first aid management of heart attack (guideline 9.2.1)
and stroke (9.2.2), both published in January 2016.
Section 14 Acute Coronary Syndromes (ACS) provides 5 guidelines; the majority have been
updated and published in January 2016:
- ACS: Overview & Summary
- ACS: Presentation with ACS
- ACS: The use of a Gastro Intestinal Cocktail for the Diagnosis of Acute Coronary Syndrome
in Adult Emergency Department Patients Presenting with Chest Pain
- ACS: Initial Medical Therapy
- ACS: Reperfusion Strategy
At the top of the guidelines section is a useful Glossary
of Terms button, which provides
easy-to-view definitions of the terms utilised within the ARC website and guidelines. Simply hover
your mouse over the terms in the list to view each definition.
Another useful feature of the ARC website is the Flowcharts section, which allows you to
download and print a selection of Australian Resuscitation Council flowcharts including ANZCOR
Adult Cardiorespiratory Arrest Flowchart, ANZCOR Neonatal Flowchart, and ANZCOR Paediatric
Cardiorespiratory Arrest Flowchart among others.
The ARC website can be found through 'Guidelines' in CIAP's left menu.
Need help with CIAP?
Contact the CIAP Helpdesk 24 hours, 7 days a week.
1800 824 279
or visit Support & Contact.