HISTORY TAKING AND EXAMINING THE GERIATRIC PATIENT
... cause reduced cardiac output and HF each may be due to a variety of etiologies. Systolic dysfunction — The most common causes are coronary (ischemic) heart disease, idiopathic dilated cardiomyopathy (DCM), hypertension, and valvular disease. Diastolic dysfunction — Diastolic dysfunction can be i ...
... cause reduced cardiac output and HF each may be due to a variety of etiologies. Systolic dysfunction — The most common causes are coronary (ischemic) heart disease, idiopathic dilated cardiomyopathy (DCM), hypertension, and valvular disease. Diastolic dysfunction — Diastolic dysfunction can be i ...
Congential heart disease
... The American Heart Association recently updated its guidelines regarding which patients should take a precautionary antibiotic to prevent infective endocarditis (IE) before a trip to the dentist. The guidelines, published in Circulation: Journal of the American Heart Association ,are based on a grow ...
... The American Heart Association recently updated its guidelines regarding which patients should take a precautionary antibiotic to prevent infective endocarditis (IE) before a trip to the dentist. The guidelines, published in Circulation: Journal of the American Heart Association ,are based on a grow ...
Congential heart disease
... The American Heart Association recently updated its guidelines regarding which patients should take a precautionary antibiotic to prevent infective endocarditis (IE) before a trip to the dentist. The guidelines, published in Circulation: Journal of the American Heart Association ,are based on a grow ...
... The American Heart Association recently updated its guidelines regarding which patients should take a precautionary antibiotic to prevent infective endocarditis (IE) before a trip to the dentist. The guidelines, published in Circulation: Journal of the American Heart Association ,are based on a grow ...
Doppler Hemodynamics
... Consequently, in patients with a compliant left atrium and unelevated LA pressure, the mitral flow velocity profile is rounded during most of systole. If LA pressure rises sharply because of either acute or subacute severe MR and the left atrium is relatively noncompliant, the result is a sharp elev ...
... Consequently, in patients with a compliant left atrium and unelevated LA pressure, the mitral flow velocity profile is rounded during most of systole. If LA pressure rises sharply because of either acute or subacute severe MR and the left atrium is relatively noncompliant, the result is a sharp elev ...
Short QT syndrome
... It is not only important to assess the value of QT but also its accommodation to heart rate. Patients with SQTS show constant QT values and a lack of adaptation to heart rate with failure to prolong adequately at slower heart rates and abnormal shortening during acceleration (pseudonormalization of ...
... It is not only important to assess the value of QT but also its accommodation to heart rate. Patients with SQTS show constant QT values and a lack of adaptation to heart rate with failure to prolong adequately at slower heart rates and abnormal shortening during acceleration (pseudonormalization of ...
Heart Failure Prescribing Guidelines Approved February 2011
... First line treatment should include (Use clinical judgement to determine which drug to start first. Titrate the dose of the first drug before adding the second drug): ACE inhibitor (e.g.ramipril capsules initially 1.25mg once daily increase gradually at intervals of 1 – 2 weeks to max 10mg daily if ...
... First line treatment should include (Use clinical judgement to determine which drug to start first. Titrate the dose of the first drug before adding the second drug): ACE inhibitor (e.g.ramipril capsules initially 1.25mg once daily increase gradually at intervals of 1 – 2 weeks to max 10mg daily if ...
Cardiac Qs
... permeability to calcium and sodium ions reduces the slope of the pacemaker potential. This response is faster to occur than sympathetic stimulation. Parasympathetic fibers also innervate the atria and the AV node where it increases the AV node delay. The action potential duration itself is lengthene ...
... permeability to calcium and sodium ions reduces the slope of the pacemaker potential. This response is faster to occur than sympathetic stimulation. Parasympathetic fibers also innervate the atria and the AV node where it increases the AV node delay. The action potential duration itself is lengthene ...
Brain Tumor is a Rare Cause of both Bradycardia and Seizure
... that was followed by syncope as the first sign of a right frontal brain tumor. Although we didn’t perform simultaneous ECG/EEG recordings during a period of bradycardia, we believe that the origin of the bradycardia was a brain tumor in the frontal lobe. Electrical stimulation of the cingulated gyru ...
... that was followed by syncope as the first sign of a right frontal brain tumor. Although we didn’t perform simultaneous ECG/EEG recordings during a period of bradycardia, we believe that the origin of the bradycardia was a brain tumor in the frontal lobe. Electrical stimulation of the cingulated gyru ...
Class 7 – 1st year 2005/2006
... 1. Not being presented in English, Portuguese, Spanish and French. 2. Not mentioning levosimendan, directly or indirectly (through other designation such as calcium sensitizer). 3. Not to be a randomized clinical trial or an observational longitudinal study. 4. Not to approach the effects of levosim ...
... 1. Not being presented in English, Portuguese, Spanish and French. 2. Not mentioning levosimendan, directly or indirectly (through other designation such as calcium sensitizer). 3. Not to be a randomized clinical trial or an observational longitudinal study. 4. Not to approach the effects of levosim ...
Positive Inotropes
... tachyarrhythmias. Starting at a lower dosage with uptitration every 15–30 min as required is recommended. Concurrent ECG monitoring is strongly recommended, and a reduction or withdrawal of dobutamine is recommended should arrhythmias worsen. Because dobutamine increases conduction through the AV no ...
... tachyarrhythmias. Starting at a lower dosage with uptitration every 15–30 min as required is recommended. Concurrent ECG monitoring is strongly recommended, and a reduction or withdrawal of dobutamine is recommended should arrhythmias worsen. Because dobutamine increases conduction through the AV no ...
Multimodality imaging of Churg–Strauss myocarditis
... and peripheral neuropathy resulting from vascular embarrassment in various systems and organs” [1]. This entity was known as “Churg–Strauss syndrome” for many years but this has now been replaced by “eosinophilic granulomatosis with polyangiitis” (EGPA) [2]. The American College of Rheumatology ha ...
... and peripheral neuropathy resulting from vascular embarrassment in various systems and organs” [1]. This entity was known as “Churg–Strauss syndrome” for many years but this has now been replaced by “eosinophilic granulomatosis with polyangiitis” (EGPA) [2]. The American College of Rheumatology ha ...
Cardiology.Part2.GNRS5
... T R A N S C AT H E T E R A O R T I C VA LV E R E P L A C E M E N T ( TAV R ) • TAVR with a bioprosthesis is associated with improved outcomes relative to medical therapy in older adults who are not candidates for surgical AV replacement (SAVR) • Shorter hospital lengths of stay and faster functiona ...
... T R A N S C AT H E T E R A O R T I C VA LV E R E P L A C E M E N T ( TAV R ) • TAVR with a bioprosthesis is associated with improved outcomes relative to medical therapy in older adults who are not candidates for surgical AV replacement (SAVR) • Shorter hospital lengths of stay and faster functiona ...
Cardiac muscle tissue
... Cardiac muscle tissue forms 2 functional syncytia or units: the atria being one & the ventricles the other. Because of the presence of gap junctions, if any cell is stimulated within a syncytium, then the impulse will spread to all cells. In other words, the 2 atria always function as a unit & the ...
... Cardiac muscle tissue forms 2 functional syncytia or units: the atria being one & the ventricles the other. Because of the presence of gap junctions, if any cell is stimulated within a syncytium, then the impulse will spread to all cells. In other words, the 2 atria always function as a unit & the ...
Relative toxicity of SSRIs
... Almost 4 times the risk of QTc prolongation compared to control – Potential for arrhythmias/bundle branch block ...
... Almost 4 times the risk of QTc prolongation compared to control – Potential for arrhythmias/bundle branch block ...
The Impact of Verapamil on Catecholamine Polymorphic Ventricular
... electrocardiogram showed continuous bidirectional VPEs. (C) Spontaneous onset of ventricular fibrillation and self-limitation. (D) The sequencing figure showed a gene mutation(R2401 H) in the exon 47 of RyR2, heterozygous pattern at the seventh base from the left side. (arrow head) ...
... electrocardiogram showed continuous bidirectional VPEs. (C) Spontaneous onset of ventricular fibrillation and self-limitation. (D) The sequencing figure showed a gene mutation(R2401 H) in the exon 47 of RyR2, heterozygous pattern at the seventh base from the left side. (arrow head) ...
Heart failure and anaesthesia
... cardiac output and minimising myocardial work. 1. Preserving cardiac output: There are three factors that influence cardiac output. These are preload, afterload and contractility. The poorly compliant ventricle must be given the opportunity to fill in diastole. This will require a higher than usual ...
... cardiac output and minimising myocardial work. 1. Preserving cardiac output: There are three factors that influence cardiac output. These are preload, afterload and contractility. The poorly compliant ventricle must be given the opportunity to fill in diastole. This will require a higher than usual ...
Should Old Acquaintance be Forgot: Auld Lang Syne Q Waves!
... What did the reviewers and editors find attractive in this paper? Is it partly out of nostalgia for the ECG—a technique that was the workhorse during the formative years of training for the editors and clinicians of our vintage? Or, is it to score a point against the generational gap that not everyt ...
... What did the reviewers and editors find attractive in this paper? Is it partly out of nostalgia for the ECG—a technique that was the workhorse during the formative years of training for the editors and clinicians of our vintage? Or, is it to score a point against the generational gap that not everyt ...
medication administration
... straight away as soon as pain begins Carry medication at all times If pain is not relieved in 15 mins following 2 tabs, seek medical advice. ...
... straight away as soon as pain begins Carry medication at all times If pain is not relieved in 15 mins following 2 tabs, seek medical advice. ...
Scholars Journal of Medical Case Reports Acute Dilated
... viral illness. She reported a drastic decrease from a previously normal exercise tolerance to 20 metres on flat ground, orthopnoea and bipedal oedema. Past medical history included a 30 pack year smoking history. The patient was not taking any regular medications, had no significant family history o ...
... viral illness. She reported a drastic decrease from a previously normal exercise tolerance to 20 metres on flat ground, orthopnoea and bipedal oedema. Past medical history included a 30 pack year smoking history. The patient was not taking any regular medications, had no significant family history o ...
Clinical Review of Cardiac Resynchronization Therapy for Heart
... CRT outcomes including overall reduction in mortality, morbidity and improvement of the functionality and the quality of life have been reported in several clinical trials (MIRACLE, MUSTIC, CARE-HF, COMPANION, CONTAK-CD and others). These clinical trials also reported statistically significant 19% r ...
... CRT outcomes including overall reduction in mortality, morbidity and improvement of the functionality and the quality of life have been reported in several clinical trials (MIRACLE, MUSTIC, CARE-HF, COMPANION, CONTAK-CD and others). These clinical trials also reported statistically significant 19% r ...
UNIVERSITY OF ILORIN “THE CHOICE IS YOURS BUT THE BURDEN IS OURS”
... patients seen at the University of Ilorin Teaching Hospital were aware of the adverse effects of salt consumption on hypertension and only a third of the patients had well controlled BP (Katibi et al, 2010). One of the reasons for inadequate BP control is non-compliance to drug therapy which we have ...
... patients seen at the University of Ilorin Teaching Hospital were aware of the adverse effects of salt consumption on hypertension and only a third of the patients had well controlled BP (Katibi et al, 2010). One of the reasons for inadequate BP control is non-compliance to drug therapy which we have ...
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.