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Khilnani NM, Wasan SM, Pappas PJ, Deol Z, Schoonover JP, Daugherty SF, Attaran RR, Cartee TV, Straight TM, Fish J, Granzow JW, Winokur RS, Desai KR, Salazar G, Stoughton J, Gibson K, Jones AD, Lohr JM, Vayuvegula S, Meissner MH. Core content for venous and Lymphatic Medicine: 2022 revision. Phlebology 2023:2683555231212302. [PMID: 37934910 DOI: 10.1177/02683555231212302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2023]
Abstract
The core content for a medical specialty outlines the scope of the discipline as well as the categories of knowledge considered essential to practice in the field. It provides a template for the development of curricula for medical school, graduate, and postgraduate education, as well as for creating certification standards. Venous and Lymphatic Medicine (VLM) is a specialty that has benefitted from contributions from specialists from several medical disciplines. Optimally, the societies, boards, and residency review committees representing these disciplines would uniformly recognize the scope of VLM to develop education and assessment standards to allow training and identification of qualified practitioners. In order to inform the standard setting bodies and other stakeholders of the current scope of VLM, a task force of VLM experts from cardiology, dermatology, emergency medicine, general surgery, interventional radiology, vascular medicine, and vascular surgery was formed to revise a 2014 consensus document defining the core content of the specialty of VLM.
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Affiliation(s)
- N M Khilnani
- Division of Interventional Radiology, Weill Cornell Medicine-New York Presbyterian Hospital, New York, NY, USA
| | - S M Wasan
- REX Vascular Speicalists, UNC Health, Raleigh, NC, USA
| | - P J Pappas
- Center for Vein Restoration, Morristown, NJ, USA
| | - Z Deol
- Center for Vein Restoration, Toledo, Ohio and Detroit, MI, USA
| | | | | | - R R Attaran
- Department of Cardiology, Yale School of Medicine, Norwich, CT, USA
| | - T V Cartee
- Division of Dermatology, Penn State College of Medicine, Hershey, PA, USA
| | | | - J Fish
- Department of Medicine, Jobst Vascular Instituteof Promedica, Toledo, OH, USA
| | - J W Granzow
- Granzow Lymphedema and Lipedema Center, Jacksonville, FL, USA
| | - R S Winokur
- Division of Interventional Radiology, Weill Cornell Medicine-New York Presbyterian Hospital, New York, NY, USA
| | - K R Desai
- Division of Interventional Radiology, Northwestern UniversityFeinberg School of Medicine, Chicago, IL, USA
| | - G Salazar
- Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - J Stoughton
- Department of Vascular Surgery, Massachusetts General Hospital, Stoneham, MA, USA
| | - K Gibson
- Lake Washington Vascular Surgeons, Bellevue, WA, USA
| | - A D Jones
- Inova Vein Specialty Center, Bend, OR, USA
| | - J M Lohr
- Division of Vascular and Endovascular Surgery, William Jennnings Bryan Dorn VA, Columbia, SC, USA
| | | | - M H Meissner
- Department of Surgery, University of WashingtonSchool of Medicine, Seattle, WA, USA
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Attaran RR, Ramaraj R, Sorrell VL, Movahed MR. Poor correlation of estimated pulmonary artery systolic pressure between echocardiography and right heart catheterization in patients awaiting cardiac transplantation: results from the clinical arena. Transplant Proc 2010; 41:3827-30. [PMID: 19917395 DOI: 10.1016/j.transproceed.2009.06.201] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2009] [Revised: 06/13/2009] [Accepted: 06/24/2009] [Indexed: 11/25/2022]
Abstract
BACKGROUND Pulmonary arterial pressure measurement is an integral part of the pre-heart transplant evaluation. In the clinical arena, the correlation and agreement between pulmonary artery systolic pressure (PASP) measured by Doppler echocardiography versus catheterization in pre-heart transplant patients has not been studied. METHODS Data on all patients evaluated for heart transplantation at our program between 2003 and 2005 (n = 176) were retrospectively reviewed. Patients with both transthoracic echocardiography (with interpretable images) and right heart catheterization performed were included (n = 108; mean time difference, 2.2 days; median, 2 days). The tricuspid valve regurgitant jet was identified by color flow Doppler and jet maximum velocity was measured by continuous wave Doppler. The PASP was estimated by using the modified Bernoulli equation and adding right atrial pressure. We correlated echocardiographically estimated PASP with that measured by right heart catheterization. RESULTS Mean estimated PASP by echocardiography was 46.6 +/- 13.7 mmHg versus 44.8 +/- 17.9 mmHg by right heart catheterization (P = NS). However, the correlation between echocardiographic and measured PASP was poor (r = 0.49, P < .001). The correlation was poor in both ischemic and nonischemic cardiomyopathy. CONCLUSION Among patients referred for heart transplant evaluation, there is poor agreement and correlation between echocardiographically estimated PASP and values obtained by right heart catheterization. Furthermore, echocardiographically obtained estimates of PASP should not be exclusively relied upon to exclude heart transplant recipient candidates.
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Affiliation(s)
- R R Attaran
- Department of Medicine, University of Arizona, Sarver Heart Center, Tucson, Arizona, USA
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Abstract
Scombrotoxic or histamine fish poisoning is a common condition normally associated with consuming spoiled tuna, mackerel, bonito, or skipjack. Typical symptoms like flushing, urticaria, and palpitations mimic those of allergy so histamine fish poisoning can easily be misdiagnosed. Diagnosis is often clinical and the mainstay of treatment is antihistamines.
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Affiliation(s)
- R R Attaran
- Accident and Emergency Department, Guy's and St Thomas' NHS Trust, London, UK
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