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Heart failure with preserved ejection fraction
Heart failure with preserved ejection fraction

... of effort intolerance during low-level exercise in HFpEF,33 emphasizing the complex cross-talk between peripheral processes and perception of symptoms in HF.85 These data provide further rationale for therapies targeting NO in HFpEF. Vascular dysfunction is not confined to the systemic circulation i ...
Fig.1.
Fig.1.

... Table 1. Baseline parameters of mechanical dyssynchrony • Discussion CRT is an effective treatment for patients with CHF. Randomized controlled trials have demonstrated that CRT is associated with decreased heart failure symptoms, heart failure hospitalization, and all-cause mortality. However appro ...
Dobutamine versus levosimendan for patients with acute
Dobutamine versus levosimendan for patients with acute

... All information was collected from medical records and include all patients over 18 years with the diagnosis of acute decompensated heart failure who have required inotropic support and have had oliguria. Patients with persistent systolic BP < 85 mmHg, persistent heart rate > 130 bpm and a history o ...
Exercise Management
Exercise Management

... Effects on the Exercise Response ICDs Patients are at risk of receiving inappropriate shocks during exercise if • the heart rate exceeds the programmed threshold rate for therapy • the person develops an exercise-induced supraventricular tachycardia. Thus, patients with ICDs should be closely monito ...
Therapeutic Hypothermia After Cardiac Arrest
Therapeutic Hypothermia After Cardiac Arrest

... fluctuations should be minimized to 0.5 degree C.  Core body temperature should be monitored continuously during TH  Pulmonary artery catheters and central venous catheters are considered the gold standard for core temperature monitoring  In practice, many patients admitted to the coronary intens ...
Arrhythmogenic right ventricular cardiomyopathy (ARVC)
Arrhythmogenic right ventricular cardiomyopathy (ARVC)

... can affect one or more members of a family. Some members of a family may be affected more than others. Some family members may not be affected at all. There are three main types of cardiomyopathy: • arrhythmogenic right ventricular cardiomyopathy (ARVC) • hypertrophic cardiomyopathy (HCM or HOCM) ...
Doping and effects of anabolic androgenic steroids on the heart: histological,
Doping and effects of anabolic androgenic steroids on the heart: histological,

... and the function of cardiac tissue. These properties may now be measured using either Doppler or twodimensional ultrasound techniques. Echocardiographic strain rate imaging (SRI) has been applied for the assessment of resting ventricular function, the assessment of myocardial viability using lowdose ...
Nutrition Guideline Cardiovascular Care Heart Failure
Nutrition Guideline Cardiovascular Care Heart Failure

... Encourage patients to measure their weight each morning. Changes in weight can indicate changes in sodium and fluid status. Sudden weight gain is often a sign of hypervolemia and an indicator of worsening HF severity. Long chain omega-3 fats (marine based) are associated with lower HF incidence in o ...
ANATOMY Dissection 3: Serous Sacs, Heart, and Lungs
ANATOMY Dissection 3: Serous Sacs, Heart, and Lungs

...  Blood flow in the fetus is not the same as in the adult; there are 5 structures that are functional only in fetal circulation: o Umbilical vein: carries blood from placenta to liver o Ductus venosus: allows most of the blood returning to fetus in umbilical vein to bypass the liver and enter the in ...
Dobutamine versus levosimendan for patients with acute
Dobutamine versus levosimendan for patients with acute

... All information was collected from medical records and include all patients over 18 years with the diagnosis of acute decompensated heart failure who have required inotropic support and have had oliguria. Patients with persistent systolic BP < 85 mmHg, persistent heart rate > 130 bpm and a history o ...
Neural Control of Heart Rate: a Comparison between
Neural Control of Heart Rate: a Comparison between

... evoked an increased arterial pulse pressure without concomitant changes in heart rate. He ascribed this increase in pulse pressure to an enhancement of ventricular contractility. He concluded that the "left sympathetic directly and richly innervates the sinoatrial node in only a small percentage of ...
Physical Activity: What if my child has a Congenital Heart Condition
Physical Activity: What if my child has a Congenital Heart Condition

... type of physical activity your child can and cannot do, although they will still need to know about your child’s individual abilities and limitations. The card also gives additional information on what to do in the case of an emergency. The BHF card is only issued by cardiac specialists – ask your c ...
Is there a maximum age to be a construction worker?
Is there a maximum age to be a construction worker?

... individual workload level the injury, incident or accident rate rises disproportionately. In order to prevent these increases in injuries, incidents and accidents the workload should be integrated into work flow planning and project scheduling. But until only a few useable data sets are provided but ...
An anomalous Origin of Left Anterior Descending Coronary Artery
An anomalous Origin of Left Anterior Descending Coronary Artery

... Different types of congenital coronary anomalies have been reported, most of them having been discovered incidentally through routine coronary angiography. A double LAD is among the rarest anomalies and its incidence ranges from 0.01 to 0.03% in different studies.5 In their classification, Spindola- ...
Digoxin - Webstercare
Digoxin - Webstercare

... The National Heart Foundation of Australia guideline for chronic heart failure recommends ACE inhibitors, unless not tolerated or contraindicated, for all patients with systolic heart failure, whether symptoms are mild, moderate or severe. Diuretics should be used with ACE inhibitors to reduce fluid ...
incidence and course of acute myocardial infarction complicated by
incidence and course of acute myocardial infarction complicated by

... Atrial flutter, atrial and atrioventricular tachycardias are less prevalent. In some patients different types of SVT may occur consequently. Most of data regarding SVT complicating AMI have been received in multicenter controlled trials. It has been reported that SVT developed during AMI course are ...
ACYANOTIC HEART DEFECTS - UT Cardiothoracic Surgery
ACYANOTIC HEART DEFECTS - UT Cardiothoracic Surgery

... Presentation depends on the presence of associated cardiac anomalies. If there is no VSD, cyanosis will be more pronounced and may be present at birth. On the other hand, if there is a significant VSD, cyanosis will develop later and heart failure may be the predominant clinical finding. Most patien ...
Influence of Ejection Fraction on Outcomes and Efficacy of Sacubitril
Influence of Ejection Fraction on Outcomes and Efficacy of Sacubitril

... between LVEF and any of the clinical outcomes in either unadjusted or adjusted models. Sacubitril/valsartan was effective across the spectrum of EF for the primary outcome (Figure 3, upper left, P interaction=0.87), for cardiovascular death (Figure 3, upper right, P interaction=0.55), for HF hospita ...
Distribution and Risk Profile of Paroxysmal
Distribution and Risk Profile of Paroxysmal

... from each country supplied a list of centers that would be suitable to participate in the survey.5 The authors noted that they may have had an overrepresentation of highly specialized and AF-interested centers.5 In contrast, RealiseAF was an international survey comprising data from 26 countries acr ...
Understanding your child`s heart Aortic stenosis
Understanding your child`s heart Aortic stenosis

... Your child will continue to have check-ups at a specialist centre for congenital heart disease throughout their life. Up to the age of about 16, he or she will go to a centre which may be called a ‘specialist centre for children with congenital heart disease’, or a ‘specialist paediatric centre’. (P ...
Pediatric Heart Surgery
Pediatric Heart Surgery

... machine. At approximately six months, when the baby is better able to handle major open surgery, we correct the remainder of the problem. Although surgical outcomes currently are comparable between the Norwood and hybrid procedures, the hybrid procedure is thought to be safer in high-risk patients s ...
Heart Failure
Heart Failure

... have been nothing short of spectacular. Age-adjusted CVDrelated deaths have declined by about two-thirds in industrialized nations (1). Mortality rates associated with the acute coronary syndromes (ACS), valvular and congenital heart disease, uncontrolled hypertension, and many arrhythmias all have ...
Sympathetic Innervation Alters Growth and Intrinsic Heart Rate of
Sympathetic Innervation Alters Growth and Intrinsic Heart Rate of

... The influence of sympathetic innervation on the growth and intrinsic rate of beating established by fetal rat heart was studied by culturing fetal atrial tissue in sympathetically innervated and denervated anterior eye chambers of adult Sprague-Dawley rats. One anterior eye chamber in each host rat ...
+ = BeSt OutcOmeS Pediatric Heart Surgery
+ = BeSt OutcOmeS Pediatric Heart Surgery

... machine. At approximately six months, when the baby is better able to handle major open surgery, we correct the remainder of the problem. Although surgical outcomes currently are comparable between the Norwood and hybrid procedures, the hybrid procedure is thought to be safer in high-risk patients s ...
Influence of Aging on Cardiac Function
Influence of Aging on Cardiac Function

... flow, the E/A ratio of transtricuspid flow decreased slowly where for subjects who were in their 70’s, the average value of E/A ratio was 1.06 ± 0.29, which was not below 1.0 and the inversion of E wave and A wave was 40% from overall result. For subjects who were in their 80’s, the inversion of E a ...
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Electrocardiography



Electrocardiography (ECG or EKG*) is the process of recording the electrical activity of the heart over a period of time using electrodes placed on a patient's body. These electrodes detect the tiny electrical changes on the skin that arise from the heart muscle depolarizing during each heartbeat.In a conventional 12 lead ECG, ten electrodes are placed on the patient's limbs and on the surface of the chest. The overall magnitude of the heart's electrical potential is then measured from twelve different angles (""leads"") and is recorded over a period of time (usually 10 seconds). In this way, the overall magnitude and direction of the heart's electrical depolarization is captured at each moment throughout the cardiac cycle. The graph of voltage versus time produced by this noninvasive medical procedure is referred to as an electrocardiogram (abbreviated ECG or EKG).During each heartbeat, a healthy heart will have an orderly progression of depolarization that starts with pacemaker cells in the sinoatrial node, spreads out through the atrium, passes through the atrioventricular node down into the bundle of His and into the Purkinje fibers spreading down and to the left throughout the ventricles. This orderly pattern of depolarization gives rise to the characteristic ECG tracing. To the trained clinician, an ECG conveys a large amount of information about the structure of the heart and the function of its electrical conduction system. Among other things, an ECG can be used to measure the rate and rhythm of heartbeats, the size and position of the heart chambers, the presence of any damage to the heart's muscle cells or conduction system, the effects of cardiac drugs, and the function of implanted pacemakers.
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