There are few areas in cardiology in which the impact of genetics and genetic testing on clinical management has been as great as in cardiac channelopathies,arrhythmic disorders of genetic origin related to the ionic control of the cardiac action potential. Among the growing number of diseases identified as channelopathies,3 are sufficiently prevalent to represent significant clinical and societal problems and to warrant adequate understanding by practicing cardiologists: long QT syndrome,catecholaminergic polymorphic ventricular tachycardia,and Brugada syndrome. This review will focus selectively on the impact of genetic discoveries on clinical management of these 3 diseases. For each disorder,we will discuss to what extent genetic knowledge and clinical genetic test results modify the way cardiologists should approach and manage affected patients. We will also address the optimal use of genetic testing,including its potential limitations and the potential medico-legal implications when such testing is not performed. We will highlight how important it is to understand the ways that genotype can affect clinical manifestations,risk stratification,and responses to the therapy. We will also illustrate the close bridge between molecular biology and clinical medicine,and will emphasize that consideration of the genetic basis for these heritable arrhythmia syndromes and the proper use and interpretation of clinical genetic testing should remain the standard of care.
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The American Medical Association, the American
….College of Physicians, the American Academy of Family Physicians, the American College of Surgeons, the American Academy of Pediatrics, the American Congress of Obstetricians and Gynecologists, the American Society of Anesthesiologists, the American Osteopathic Association, the American Psychiatric Association, and the American College of Cardiology all endorsed last years health reform. These groups represent hundreds of thousands of physicians across a wide range of medical sub-specialties.
FACT !!! Dr’s support the ACA !!
Loons like American Medical Association?
According to the August issue of the American Journal of Medicine, the cost of obtaining medical care resulted in sixty-two percent of bankruptcies in 2007 an increase of 49.7 percent from 2001. Most interestingly, patients who filed bankruptcy as the result of health care costs had health insurance.
In addition, the information that bankruptcy has caused two-thirds of bankruptcies was gathered prior to the current economic decline. The data reveals that just over sixty percent of people who declared bankruptcy had private health insurance, that most were college educated and homeowners
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