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Inhaled Beta-2 adrenergic receptor agonists and
Inhaled Beta-2 adrenergic receptor agonists and

... Analyses were performed using Stata 7.0 (Stata Corporation, College Station, Texas). In descriptive analyses, the prevalence of risk factors was compared between cases and controls, and between users and nonusers of inhaled ␤-agonists in the control group, using chi-squared tests for categorical var ...
Changes in Arterial Stiffness and Wave Reflection With Advancing
Changes in Arterial Stiffness and Wave Reflection With Advancing

... pulse pressure with advancing age. Increased levels of pulse pressure, an indirect measure of arterial stiffness, and carotidfemoral pulse wave velocity (CFPWV), a more direct measure of stiffness, are associated with adverse clinical events.1– 6 Arterial stiffening is associated with a number of kn ...
2. Acute coronary syndromes
2. Acute coronary syndromes

...  Indications: diagnosis of CAD, risk assessment and prognosis among patients with symptoms or known CAD, post-MI  In low risk patients, testing can be performed when patients have been free of active ischemic or heart failure symptoms for a minimum of 8-12 hours and have ruled out for myocardial i ...
Detection and management of preclinical heart failure
Detection and management of preclinical heart failure

... • At June 2010, there were 79,100 people aged 65 years and over in Tasmania - 15.6% of the population • The prevalence of people in this age group with diabetes (T2DM), obesity, high blood pressure, past cancer therapy or known cardiac disease is about 50% - roughly 40,000 people (100 times the numb ...
Survival Associated with Two Sets of Diagnostic Criteria
Survival Associated with Two Sets of Diagnostic Criteria

... annual follow-up clinic visits (10). Prevalent CHF at baseline was ascertained through self-report, with medical record verification; during follow-up, baseline CHF status was updated by using information obtained during investigations for incident events (11). All potential incident cardiovascular ...
The Relationship Between Atrial Fibrillation and Chronic
The Relationship Between Atrial Fibrillation and Chronic

... of AF in diabetic populations.53 Hyperglycemicinduced renovascular disease promotes up-regulation of neurohumoral signaling cascades that also lead to development of pathological cardiac remodeling phenotypes associated with AF (Table 1).50 Further investigations are needed to investigate the mechan ...
Print - Circulation
Print - Circulation

... system activity, the short- and long-term effects of a low-salt diet (40 meq/day) were assessed in 10 normal subjects. Measurements of hemodynamic, hormonal, and other parameters were obtained on the day preceding institution of the low-salt diet (day 0) and on days 4, 7, 30, and 60 of the diet. Uri ...
Aortic Dissection - Vascular Disease
Aortic Dissection - Vascular Disease

... with aortic dissection who require invasive treatment, surgery to repair the dissected portio of the aorta is generally the recommended treatment. In some cases, minimally invasive stenting procedures can be used to treat aortic dissection. For all patients who have an aortic dissection longterm fol ...
The Relation between Left Coronary Dominancy and
The Relation between Left Coronary Dominancy and

... does not predispose to coronary atherosclerosis. This result was in contrast to the findings of another study by Vasheghani-Farahani,12 which stated a significantly higher predisposition to 3-vessel involvement in RD patients even after adjusting the data for age, sex, and coronary risk factors. RCA ...
Reducing Heart Failure Readmissions: Case Studies Utilizing
Reducing Heart Failure Readmissions: Case Studies Utilizing

... Conclusions of Readmissions Analysis “The diagnoses associated with 30-day readmission are diverse and are not associated with patient demographic characteristics or time after discharge for older patients initially hospitalized with HF, acute MI, or pneumonia. Although a high percentage of 30-day ...
HEART FAILURE
HEART FAILURE

... cardiac dilation and the failing pump problems due to the inadequate stroke volume and perceived hypotension produced by the failing heart.  Sympathetic nerve activity is chronically elevated in CHF. o The worse the heart failure, the higher the sympathetic nervous system activity. o INCREASED plas ...
Left Circumflex to Coronary Sinus Fistula
Left Circumflex to Coronary Sinus Fistula

... CAF is a rare congenital anomaly accounting for less than 0.5% of all cardiac anomalies. A CAF is defined as a direct connection between a coronary artery with right heart chambers including the right atrium, right ventricle, coronary sinus, superior vena cava, or pulmonary arteries. Although a sing ...
Prevention of Recurrences of Ventricular Arrhythmias in Patients
Prevention of Recurrences of Ventricular Arrhythmias in Patients

... combination of ischemia and scar is probably responsible for the genesis of lethal arrhythmias. Experimental studies have clearly shown that acute ischemia superimposed on myocardial scar is arrhythmogenic, while the same degree of acute ischemia in the absence of myocardial scar tissue is not (8,9) ...
Pulse pressure - Frank`s Hospital Workshop
Pulse pressure - Frank`s Hospital Workshop

... example distance runners, the diastolic will progressively fall as the systolic increases. This behavior facilitates a much greater increase in stroke volume and cardiac output at a lower mean arterial pressure and enables much greater aerobic capacity and physical performance. The diastolic drop re ...
4/22/11 STS Adult Cardiac Surgery Database Training Manual, v2
4/22/11 STS Adult Cardiac Surgery Database Training Manual, v2

... cases, the PD is a branch of the right coronary artery, making it a right-dominant system. In 7% of cases, the PD is a branch of the LAD, making it a left-dominant system. In 8% of cases, the coronary circulation is co-dominant. The Left Main coronary artery typically bifurcates into two branches, t ...
Relationship between body composition and left ventricular
Relationship between body composition and left ventricular

... hypertrophy) in obesity due to a mildly volume-overload state [25]. In contrast, later CMR-derived cohort data indicated that obesity was associated with concentric LV remodelling without a change in ejection fraction [26]. However, this population had a high prevalence of hypertension, diabetes and ...
Angina pectoris
Angina pectoris

... • Sudden, severe, pressing chest pain and radiating to the neck, jaw, back, and arms. The episodes are transient, stay between 15 sec to 15 min. • Caused by a reduction in the coronary blood flow to a level that does not meet the requirements of the myocardium, leading to what is called ischemia. ...
Left Atrial Volume - A New Index in Echocardiography
Left Atrial Volume - A New Index in Echocardiography

... symptomatic heart failure would be clinically useful. LA volume ≥ 32 ml/m2 is associated with increased incidence of heart failure which is independent of age, myocardial infarction, diabetes mellitus, hypertension, LV hypertrophy and mitral inflow velocities.14,15 Even in subjects with a normal eje ...
Preview the material
Preview the material

... spite of the marked declines in mortality that have been observed on a national scale over the past several decades. These disparities, in particular, have an adverse impact on the clinical outcomes and quality of life for African American and Hispanic women, which must be recognized by health pract ...
heartworm_disease_in_dogs
heartworm_disease_in_dogs

... • Stabilize lung/breathing failure with oxygen supplementation; medications to prevent the development of blood clots (known as “antithrombotic agents,” such as aspirin or heparin); or anti-inflammatory dosages of steroids, depending on the clinical and x-ray (radiographic) findings • Melarsomine (I ...
Secondary Prevention of Atherosclerotic Cardiovascular Disease
Secondary Prevention of Atherosclerotic Cardiovascular Disease

... Specific statins and doses are noted in bold that were evaluated in RCTs included in CQ1, CQ2 and the CTT 2010 meta-analysis included in CQ3. All of these RCTs demonstrated a reduction in major cardiovascular events. Statins and doses that are approved by the U.S. FDA but were not tested in the RCTs ...
Nathan D
Nathan D

... 1994-2001 - Board of Directors, American Heart Association, Orange County, CA Division; Vice Chair, Program Advisory Committee, 1993-1994 1995 - Member, Physician-Physician/Scientist Task Force on Affiliations, American Heart Association California Affiliate 1995 - Present - Member, California Preve ...
The Roles of Thiamine in Myocardial Infarction
The Roles of Thiamine in Myocardial Infarction

... Right heart catheterization showed a high-output state with elevated filling pressures suggesting high-output heart failure. The echocardiography confirmed normal left and right ventricular contraction. After a single dose of intravenous thiamine (100 mg), the patient's hemodynamic status dramatical ...
Severe left anterior descending artery stenosis
Severe left anterior descending artery stenosis

... patients treated with a covered stent for aneurysmal disease is not known. There are still risks of subacute stent thrombosis and stent re-stenosis. For our patient, stenting the proximal LAD stenotic lesion with either a bare metal or drug-eluting stent would have afforded the same outcome in terms ...
The Client with Altered Cardiac Output
The Client with Altered Cardiac Output

... in coronary artery narrowing or total occlusion. • Atherosclerosis • Most common cause of CAD • The abnormal accumulation of plaques on the vessel wall; involves inflammatory process. • Causes narrowing then eventually blockages in the coronary arteries that reduces myocardial blood flow = CAD • Asy ...
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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.
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