During the sessions in CardioAlex either the interventional cardiology cases done during live transmission or the abroad live transmission or the live in a box cases or the different clinical patient scenarios which is discussed in different cardiology fields during CardioAlex we are trying to implement the guidelines and we found that when we are doing a continues medical education and we stress to apply the guidelines while we are managing patients in the different cardiology fields this is reflected in better clinical outcome. In Alexandria University hospital we did a seses and during this sises compared between three hospitals. The first is a private hospital implementing and applying the guidelines for patient management and to gather with the availability of different tools. The second was the university hospital applying the guidelines but with some deficiency in the different tools used to manage the patient either drugs or devices. The third was in the ministry hospital the guidelines were not properly applied unfortunately and there is deficiency in the devices and some drugs and we are aiming to see the outcomes of these patients. And you find that the best outcome when we are applying the guidelines either in the university hospital or in private hospital and this reflected on … (2:25) and in case of not applying the guidelines in the other hospital there was the worst outcome. So we are stressing for all the young physician to attend the sessions discussing the different guidelines in CardioAlex on order to be updated with the latest knowledge of the guidelines and to implement this knowledge in management of their patient.