Can alcohol cause arrhythmias in people with normal heart
... The relation of alcohol to arrhythmias has strong evidence, based on epidemiological studies, basic science investigations and animal models Binge drinking is the model situation for acute ethanol effects on healthy hearts – clinically relevenat atrial and ventricular arrhythmias were described The ...
... The relation of alcohol to arrhythmias has strong evidence, based on epidemiological studies, basic science investigations and animal models Binge drinking is the model situation for acute ethanol effects on healthy hearts – clinically relevenat atrial and ventricular arrhythmias were described The ...
Coming Out of the Water
... “In ARNI, an ARB is combined with an inhibitor of neprilysin, an enzyme that degrades natriuretic peptides, bradykinin, adrenomedullin, and other vasoactive peptides. In an RCT that compared the first approved ARNI, valsartan/sacubitril, with enalapril in symptomatic patients with HFrEF tolerating a ...
... “In ARNI, an ARB is combined with an inhibitor of neprilysin, an enzyme that degrades natriuretic peptides, bradykinin, adrenomedullin, and other vasoactive peptides. In an RCT that compared the first approved ARNI, valsartan/sacubitril, with enalapril in symptomatic patients with HFrEF tolerating a ...
ACC/AHA Guideline Update for Perioperative Cardiovascular
... The preoperative cardiac evaluation must be carefully tailored to the circumstances that have prompted the consultation and to the nature of the surgical illness (e.g., acute surgical emergency) as opposed to urgent or elective cases. Successful perioperative evaluation and treatment of cardiac pati ...
... The preoperative cardiac evaluation must be carefully tailored to the circumstances that have prompted the consultation and to the nature of the surgical illness (e.g., acute surgical emergency) as opposed to urgent or elective cases. Successful perioperative evaluation and treatment of cardiac pati ...
Cardiac Arrhythmias and Stroke
... he association between atrial fibrillation (AF) and stroke is well documented.1– 6 Prevalence of AF has been estimated to be 2% to 4% among elderly individuals,1–3,7 and 10% of the stroke morbidity among persons aged 70 years has been attributed to this condition.1 Frequent or complex ventricular ar ...
... he association between atrial fibrillation (AF) and stroke is well documented.1– 6 Prevalence of AF has been estimated to be 2% to 4% among elderly individuals,1–3,7 and 10% of the stroke morbidity among persons aged 70 years has been attributed to this condition.1 Frequent or complex ventricular ar ...
Kidney Research and Clinical Practice
... in those with difficult-to-control blood pressure, may help to reveal blood pressure physiology and ultimately improve efficiency and efficacy of treatment. Low-PRA individuals are presumed to have volume-related HTN, whereas high-PRA individuals are considered to have vasoconstriction-dependent HTN [1 ...
... in those with difficult-to-control blood pressure, may help to reveal blood pressure physiology and ultimately improve efficiency and efficacy of treatment. Low-PRA individuals are presumed to have volume-related HTN, whereas high-PRA individuals are considered to have vasoconstriction-dependent HTN [1 ...
Weight loss in obesity reduces epicardial fat thickness
... and magnetic resonance imaging (MRI) have been used to quantitate EAT thickness or volume in healthy lean and obese subjects and in patients with coronary atherosclerosis (CAD) (1–5, 12). One rationale driving these studies is that EAT, itself visceral fat by definition, shares some common features ...
... and magnetic resonance imaging (MRI) have been used to quantitate EAT thickness or volume in healthy lean and obese subjects and in patients with coronary atherosclerosis (CAD) (1–5, 12). One rationale driving these studies is that EAT, itself visceral fat by definition, shares some common features ...
Aortic Valve Replacement for Moderate Aortic Stenosis with Severe
... now with the advent of TAVR, upcoming clinical trials will seek to address whether a less invasive approach such as TAVR may be a viable strategy to reduce afterload in patient’s with LV systolic dysfunction and concomitant moderate aortic stenosis, who are of high surgical risk (14). Our patient di ...
... now with the advent of TAVR, upcoming clinical trials will seek to address whether a less invasive approach such as TAVR may be a viable strategy to reduce afterload in patient’s with LV systolic dysfunction and concomitant moderate aortic stenosis, who are of high surgical risk (14). Our patient di ...
stabilization of the congestive heart failure patient in the er
... disease such as the presence or absence of CHF, serious arrhythmia or ATE and the size of the left atrium. It is also the author’s opinion that many cats originally documented to have HCM will have their heart disease progress to having a degree of left ventricular dilation with reduced contractile ...
... disease such as the presence or absence of CHF, serious arrhythmia or ATE and the size of the left atrium. It is also the author’s opinion that many cats originally documented to have HCM will have their heart disease progress to having a degree of left ventricular dilation with reduced contractile ...
Fulltext - Jultika
... Sudden cardiac death (SCD) is a major medical and public health concern responsible for 50% of cardiovascular deaths and as much as 15% to 20% of overall mortality. Coronary heart disease is the underlying cause of most of these deaths, and in 50% of such cases, SCD is the first manifestation of the ...
... Sudden cardiac death (SCD) is a major medical and public health concern responsible for 50% of cardiovascular deaths and as much as 15% to 20% of overall mortality. Coronary heart disease is the underlying cause of most of these deaths, and in 50% of such cases, SCD is the first manifestation of the ...
Vascular Pathophysiology in Response to Increased Heart Rate
... consequence, increased resting heart rate has emerged as an independent risk factor both in primary prevention and in patients with hypertension, coronary artery disease, and myocardial infarction. Experimental and clinical data suggest that sustained elevation of heart rate—independent of the under ...
... consequence, increased resting heart rate has emerged as an independent risk factor both in primary prevention and in patients with hypertension, coronary artery disease, and myocardial infarction. Experimental and clinical data suggest that sustained elevation of heart rate—independent of the under ...
The physician`s role in prescribing physical activity for the prevention
... important determinant of cardiovascular fitness is physical activity, and measurement of the former is more objective than other tools. It is not commonly done in clinical practice due to cost, lack of universal use and absence of ‘normal’ values. However, it may have value as a motivational tool to ...
... important determinant of cardiovascular fitness is physical activity, and measurement of the former is more objective than other tools. It is not commonly done in clinical practice due to cost, lack of universal use and absence of ‘normal’ values. However, it may have value as a motivational tool to ...
Multi-Ethnic Study of Atherosclerosis (MESA) remodelling in a
... reported to be significant for young men but not for women and older men in population-based samples.6 7 To date, little is known about the relationship of common levels of physical activity to myocardial size (except left ventricular mass), mass to volume ratio (a measure of myocardial remodelling) ...
... reported to be significant for young men but not for women and older men in population-based samples.6 7 To date, little is known about the relationship of common levels of physical activity to myocardial size (except left ventricular mass), mass to volume ratio (a measure of myocardial remodelling) ...
A Meta-Analysis of Randomized Controlled Trials
... nonhospitalized adults (>18 y) with and without CHD but otherwise free of significant noneCHD-related disease pathologies. Studies were required to report hazard ratios (HR) or rate ratios (RR) of outcomes and measures of variance (ie, 95% CIs), or data were required to be available to calculate such ...
... nonhospitalized adults (>18 y) with and without CHD but otherwise free of significant noneCHD-related disease pathologies. Studies were required to report hazard ratios (HR) or rate ratios (RR) of outcomes and measures of variance (ie, 95% CIs), or data were required to be available to calculate such ...
Synagis - CVS Specialty
... Recommendations from the American Academy of Pediatrics for the prevention of RSV infection with Synagis are summarized in Table below. Synagis should be administered intramuscularly at a dose of 15 mg/kg once per month beginning prior to the onset of the RSV season, which typically occurs in Novemb ...
... Recommendations from the American Academy of Pediatrics for the prevention of RSV infection with Synagis are summarized in Table below. Synagis should be administered intramuscularly at a dose of 15 mg/kg once per month beginning prior to the onset of the RSV season, which typically occurs in Novemb ...
Myocarditis
... It resembles a heart attack but coronary arteries are not blocked. The definition of myocarditis varies, but the central feature is an infection of the heart, with an inflammatory infiltrate, and damage to the heart muscle, ...
... It resembles a heart attack but coronary arteries are not blocked. The definition of myocarditis varies, but the central feature is an infection of the heart, with an inflammatory infiltrate, and damage to the heart muscle, ...
Prognostic benefits of heart rate reduction in cardiovascular disease
... disturbances that lead to hypertension, atherosclerosis and increased cardiovascular morbidity and mortality. In this respect, elevated heart rate can be considered a marker of risk. Whole body temperature and energy needs are controlled by heart activity, and the ‘language’ employed by the heart co ...
... disturbances that lead to hypertension, atherosclerosis and increased cardiovascular morbidity and mortality. In this respect, elevated heart rate can be considered a marker of risk. Whole body temperature and energy needs are controlled by heart activity, and the ‘language’ employed by the heart co ...
ethical and medical considerations in heart transplantation in children
... children with CMD, and which team would be capable enough to identify and solve the ethical considerations that appear around this disease, with a great risk of a premature death without a transplant? [17] The reality that heart transplant in children with heart failure, due to the unfavorable evolu ...
... children with CMD, and which team would be capable enough to identify and solve the ethical considerations that appear around this disease, with a great risk of a premature death without a transplant? [17] The reality that heart transplant in children with heart failure, due to the unfavorable evolu ...
08_Main symptoms and syndromes in ischemic heart disease
... Angiospastic angina • Caused by spasm of coronal arteries. Arises up in young persons, mainly at night, in rest, when tone of vagus nerve prevails. Duration of attack till 30 min, during this time ECG shows changes typical for MI (depression of ST segment) which disappear after stopping of attack o ...
... Angiospastic angina • Caused by spasm of coronal arteries. Arises up in young persons, mainly at night, in rest, when tone of vagus nerve prevails. Duration of attack till 30 min, during this time ECG shows changes typical for MI (depression of ST segment) which disappear after stopping of attack o ...
Cardiac Computed Tomographic Angiography (Cardiac CTA)
... II. Per appropriateness criteria from a multidisciplinary cardiac CTA and cardiac MRI work group (Hendel, et al., 2006) chest pain syndrome is defined as any constellation of symptoms that the physician feels may represent a complaint consistent with obstructive CAD. Examples of such symptoms includ ...
... II. Per appropriateness criteria from a multidisciplinary cardiac CTA and cardiac MRI work group (Hendel, et al., 2006) chest pain syndrome is defined as any constellation of symptoms that the physician feels may represent a complaint consistent with obstructive CAD. Examples of such symptoms includ ...
Absolute and relative exercise risk for patients with arrhythmias
... With aging, bradyarrhythmias decrease in frequency while atrial arrhythmias and ventricular ectopy increase (Nademanee et al (1997) Shepard (1992) NEGRUSZ-KAWECKA et al (1999) ...
... With aging, bradyarrhythmias decrease in frequency while atrial arrhythmias and ventricular ectopy increase (Nademanee et al (1997) Shepard (1992) NEGRUSZ-KAWECKA et al (1999) ...
A Novel Noninvasive Device to Assess Sympathetic Nervous
... Short-term cardiovascular regulation is often studied by imposing orthostatic stress challenges such as sit-to-stand procedures. Hemodynamic responses to these challenges are affected by the elapsed time after postural change, length of rest period before the postural change, aging, disease, and med ...
... Short-term cardiovascular regulation is often studied by imposing orthostatic stress challenges such as sit-to-stand procedures. Hemodynamic responses to these challenges are affected by the elapsed time after postural change, length of rest period before the postural change, aging, disease, and med ...
pdf 1.64 MB - Sarver Heart Center
... Heart failure is present in more than 5 million people in the United States and increases by 550,000 each year. Fortunately, the vast majority of these individuals can be treated with medical therapy. Unfortunately, according to a study by the National Institute of Medicine, about 65,000 people per ...
... Heart failure is present in more than 5 million people in the United States and increases by 550,000 each year. Fortunately, the vast majority of these individuals can be treated with medical therapy. Unfortunately, according to a study by the National Institute of Medicine, about 65,000 people per ...
Frequent Premature Ventricular Contractions
... marker for coronary artery disease. PREMATURE VENTRICULAR CONTRACTIONS IN LVH The frequency and complexity of PVCs in LVH are correlated to left ventricular mass4. Left ventricular hypertrophy is associated with increased ventricular ectopy and an increase in sudden death. Patients with hypertension ...
... marker for coronary artery disease. PREMATURE VENTRICULAR CONTRACTIONS IN LVH The frequency and complexity of PVCs in LVH are correlated to left ventricular mass4. Left ventricular hypertrophy is associated with increased ventricular ectopy and an increase in sudden death. Patients with hypertension ...
Looking High and Low for Cardiac Markers
... troponin turns positive, or they may use myoglobin, a necrosis marker that rises about one to three hours post-MI. Myoglobin is a popular test in Europe, Dr. Christenson says. “But many clinicians in the U.S. feel like it may be a misleading test because, unlike the cardiac troponins, myoglobin is r ...
... troponin turns positive, or they may use myoglobin, a necrosis marker that rises about one to three hours post-MI. Myoglobin is a popular test in Europe, Dr. Christenson says. “But many clinicians in the U.S. feel like it may be a misleading test because, unlike the cardiac troponins, myoglobin is r ...
Mental Stress and Coronary Artery Disease: A
... assess ischemia have been used in this research, including radionuclide ventriculography, echocardiography, myocardial perfusion imaging, and positron emission tomography.40 As in the study of daily life mental stress, laboratory mental stress induces ischemia that is usually silent and occurs at lo ...
... assess ischemia have been used in this research, including radionuclide ventriculography, echocardiography, myocardial perfusion imaging, and positron emission tomography.40 As in the study of daily life mental stress, laboratory mental stress induces ischemia that is usually silent and occurs at lo ...
Cardiovascular disease
Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. Cardiovascular disease includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs are stroke, hypertensive heart disease, rheumatic heart disease, cardiomyopathy, atrial fibrillation, congenital heart disease, endocarditis, aortic aneurysms, peripheral artery disease and venous thrombosis.The underlying mechanisms vary depending on the disease in question. Coronary artery disease, stroke, and peripheral artery disease involve atherosclerosis. This may be caused by high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol consumption, among others. High blood pressure results in 13% of CVD deaths, while tobacco results in 9%, diabetes 6%, lack of exercise 6% and obesity 5%. Rheumatic heart disease may follow untreated strep throat.It is estimated that 90% of CVD is preventable. Prevention of atherosclerosis is by decreasing risk factors through: healthy eating, exercise, avoidance of tobacco smoke and limiting alcohol intake. Treating high blood pressure and diabetes is also beneficial. Treating people who have strep throat with antibiotics can decrease the risk of rheumatic heart disease. The effect of the use of aspirin in people who are otherwise healthy is of unclear benefit. The United States Preventive Services Task Force recommends against its use for prevention in women less than 55 and men less than 45 years old; however, in those who are older it is recommends in some individuals. Treatment of those who have CVD improves outcomes.Cardiovascular diseases are the leading cause of death globally. This is true in all areas of the world except Africa. Together they resulted in 17.3 million deaths (31.5%) in 2013 up from 12.3 million (25.8%) in 1990. Deaths, at a given age, from CVD are more common and have been increasing in much of the developing world, while rates have declined in most of the developed world since the 1970s. Coronary artery disease and stroke account for 80% of CVD deaths in males and 75% of CVD deaths in females. Most cardiovascular disease affects older adults. In the United States 11% of people between 20 and 40 have CVD, while 37% between 40 and 60, 71% of people between 60 and 80, and 85% of people over 80 have CVD. The average age of death from coronary artery disease in the developed world is around 80 while it is around 68 in the developing world. Disease onset is typically seven to ten years earlier in men as compared to women.