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In the Name of God
In the Name of God

... • The ST segment is usually coved upward and resembles the hyper acute MI(differentiation with more extensive lead involvement in pericarditis and the presence of reciprocal ST depression in ischemia.) • However, ST elevation in pericarditis sometimes involves a smaller number of leads • Somtimes, t ...
2- Left circumflex coronary artery
2- Left circumflex coronary artery

... Treatment: - aims of treatment: - relief of pain (Morphine) - thrombolysis (streptokinase) - prophylaxis for arrhythmias (lidocaine) - low flow oxygen - aspirin (reduce risk of thrombosis) - reduce afterload ( beta blockers) - reduce preload (diuretics ...
SDL 13- Ischemic Heart Disease Ischemic Heart Disease AKA
SDL 13- Ischemic Heart Disease Ischemic Heart Disease AKA

... Unexpected death due to cardiac causes within a short time period from the onset of symptoms (1hr) Prodromal symptoms such as palpitations, chest pain, dyspnea Epidemiology: avg age 65yrs, 70-80% men Pathophysiology: immediate cause of sudden death is ventricular arrhythmia: vfib, vtach in 70%; brad ...
Effects of oral supplementation with L
Effects of oral supplementation with L

... • Dr. Mark Stayton, Dept. of Molecular Biology • Dr. Paul Thomas, Div. of Kinesiology & Health ...
Myocardyal fibrosis markers: A new target in Cardiovascular
Myocardyal fibrosis markers: A new target in Cardiovascular

... [7-11], and ventricular remodeling, explaining why ACE inhibitors, angiotensin II type 1 receptors blockers and antagonist of aldosterone reduce the fibrotic process [7, 12-14] . Presently we are in the initial steps of genetic therapies and would see some evidence that particular genotype in essent ...
1 - toggenburg ski patrol
1 - toggenburg ski patrol

... 16. An OEC Technician indicates that she understands the difference between stable angina and an acute myocardial infarction (MI) when she states: a. “Stable angina occurs when the heart rate becomes too high; an acute MI is the result of coronary artery disease.” b. “Stable angina is not accompani ...
Atrial Fibrillation: Beyond Primary Care
Atrial Fibrillation: Beyond Primary Care

... Lip, GY, DG Beevers, 1996 UK. ...
Print this article
Print this article

... Fig 2: A: Rhythm strip (lead II) after administration of 12 mg IV of adenosine, showing high-grade AV block and flutter waves (arrows). B: Shortly after slowing of ventricular response, enhanced 1 to 1 conduction occurred at a rate of 260 beats per minute, lasting 7 seconds (lead AVL). C: Briefly af ...
Pharm Chapter 21 [4-20
Pharm Chapter 21 [4-20

... Indications for nitroglycerin (NTG) are angina pectoris, acute MI, hypertension, and heart failure In the body, organic nitrates are chemically reduced to release NO Mitochondrial aldehyde dehydrogenase can catalyze making of NO Although NO can dilate both an artery or vein, venous dilation is what ...
Anesthesia Assistants Review Course
Anesthesia Assistants Review Course

... propagate down the Purkinjie fibers simultaneously  and  the  lag  time  will  make  the  wave  look  wider,  not slim and skinny.   ...
Lethal outcomes in patients with symptomatic heart failure
Lethal outcomes in patients with symptomatic heart failure

... up to 100 cases per 100 people older than 65 years (3, 7, 8). Similar findings are also presented in the UK study on the frequency of CHF – 40–60 cases per 100 people older than 70 years (9). Thus, CHF in the general population is found in 1–3% cases, and in people older than 70 years – in 10% of ca ...
Physical activity and exercise training in preventive cardiology
Physical activity and exercise training in preventive cardiology

... Current guidelines recommend at least 150 min/week of moderate-intensity continuous aerobic PA in both healthy individuals as well as those with cardiac disease. In healthy adults, alternatively intensity can be increased and volume can be halved. High intensity interval training (HIIT) is a relativ ...
The American Red Cross states that over 350,000 people will suffer
The American Red Cross states that over 350,000 people will suffer

... through voice prompts and messages what is to be done. It will tell the operator when it is necessary to shock the victim or to begin or continue CPR. 8. Since defibrillation is so important, why is CPR even necessary? CPR allows for the circulation of some blood through the body while the heart is ...
Out-of-Hospital Cardiac Arrest
Out-of-Hospital Cardiac Arrest

... with or without preexisting heart disease. Most studies include cases that are associated with death occurring within 1 hour of an acute change in clinical status or an unexpected death that occurred within the previous 24 hours,1 but this definition is not specific for sudden arrhythmic death. The ...
Arrhythmogenic Right Ventricular Cardiomyopathy vs. Cardiac
Arrhythmogenic Right Ventricular Cardiomyopathy vs. Cardiac

... Figure 1. Axial section Cardiac MRI showing right ventricular infiltration consistent with a diagnosis of ARVC The initial emergency department electrocardiograph (ECG) revealed ventricular tachycardia (VT). Within 20 minutes of admission, the patient became haemodynamically unstable with a blood pr ...
Interventional Cardiology
Interventional Cardiology

... predictor of lack of recovery of LV function after successful ablation of VPDs [20] . The authors suggest that an increase in VPD duration might be a marker for an increase in fiber disarray due to microfibrosis and these patients with subclinical cardiac pathology may be predisposed to developing d ...
Heart rate variability in the course of ST
Heart rate variability in the course of ST

... physical activity on HR and HRV was limited due to in-hospital settings and restricted to a rehabilitation programme what eliminates the remarkable impact of exercise on the autonomic nervous system [14]. In the guidelines of the European Society of Cardiology on the management of acute myocardial i ...
A Case of Left Ventricular Endomyocardial Fibrosis
A Case of Left Ventricular Endomyocardial Fibrosis

... EMF patients were reported to complain of heart failure symptoms, beginning with fever, physical weakness, and fatigue.7) However, careful examinations are required because there is no characteristic symptom of EMF. Previously reported cases of EMF were diagnosed based on the following findings: car ...
Cardiac Output WHY?
Cardiac Output WHY?

... Levosimendan Calcium sensitizer on troponin C may increase force of contraction without increasing myocardial oxygen consumption. ...
Cardiovascular Damage Resulting from Chronic
Cardiovascular Damage Resulting from Chronic

... events and drowning during the swim portion of the races.32 The incidence of SCD among collegiate athletes during competition is about 1 per 40,000 participants per year for all athletes, but rises to 1 per 3,000 for Division I male basketball players. 33 However, the rare occurrence of sudden cardi ...
Crayfish Heart
Crayfish Heart

... in the absence of any neural input. The cells throughout the heart beat in a coordinated fashion because they are electrically coupled and beat at the same rate as the pacemaker cells in the sino-atrial and atrial-ventricular nodes. In most vertebrates, the blood is pumped into a closed circulatory ...
commotio cordis - Parent Heart Watch
commotio cordis - Parent Heart Watch

... by a blunt trauma to the area of the chest directly over the heart during a precise moment of the heart’s cycle, leading to sudden cardiac arrest. Commotio cordis is usually caused by a baseball, lacrosse ball, hockey puck, fist, shoulder or knee. Who is at risk? • Commotio cordis can happen to anyo ...
Spironolactone Preserves Cardiac Norepinephrine Reuptake in Salt
Spironolactone Preserves Cardiac Norepinephrine Reuptake in Salt

... compared with DR (Fig. 1A). Moreover, DS developed signs of heart failure, as indicated by biventricular myocardial hypertrophy combined with elevated lung wet weights (Table 1) and elevated LVEDPs (Fig. 1B). Treatment of these animals with spironolactone lowered the mean arterial blood pressure by ...
Detection of the third and fourth heart sounds using Hilbert
Detection of the third and fourth heart sounds using Hilbert

... of using diastolic heart sounds with the standard ECG as a measurement of ventricular dysfunction may improve the noninvasive diagnosis of myocardial ischemia. Several studies have verified the characteristics of S3 and have applied time-frequency methods to detect S3 [10,11]. However, there have be ...
Cardionews 1 - Cardio Academy
Cardionews 1 - Cardio Academy

... Heart disease leads to structural and functional changes of the heart, which may affect the outcome of the disease1. These changes are often referred to as remodelling2,3,4 and can include: • hypertrophic enlargement of the heart1,3 • thickening of the blood vessel walls5 • cardiovascular fibrosis R ...
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Heart failure



Heart failure (HF), often referred to as congestive heart failure (CHF), occurs when the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs. The terms chronic heart failure (CHF) or congestive cardiac failure (CCF) are often used interchangeably with congestive heart failure. Signs and symptoms commonly include shortness of breath, excessive tiredness, and leg swelling. The shortness of breath is usually worse with exercise, while lying down, and may wake the person at night. A limited ability to exercise is also a common feature.Common causes of heart failure include coronary artery disease including a previous myocardial infarction (heart attack), high blood pressure, atrial fibrillation, valvular heart disease, excess alcohol use, infection, and cardiomyopathy of an unknown cause. These cause heart failure by changing either the structure or the functioning of the heart. There are two main types of heart failure: heart failure due to left ventricular dysfunction and heart failure with normal ejection fraction depending on if the ability of the left ventricle to contract is affected, or the heart's ability to relax. The severity of disease is usually graded by the degree of problems with exercise. Heart failure is not the same as myocardial infarction (in which part of the heart muscle dies) or cardiac arrest (in which blood flow stops altogether). Other diseases that may have symptoms similar to heart failure include obesity, kidney failure, liver problems, anemia and thyroid disease.The condition is diagnosed based on the history of the symptoms and a physical examination with confirmation by echocardiography. Blood tests, electrocardiography, and chest radiography may be useful to determine the underlying cause. Treatment depends on the severity and cause of the disease. In people with chronic stable mild heart failure, treatment commonly consists of lifestyle modifications such as stopping smoking, physical exercise, and dietary changes, as well as medications. In those with heart failure due to left ventricular dysfunction, angiotensin converting enzyme inhibitors or angiotensin receptor blockers along with beta blockers are recommended. For those with severe disease, aldosterone antagonists, or hydralazine plus a nitrate may be used. Diuretics are useful for preventing fluid retention. Sometimes, depending on the cause, an implanted device such as a pacemaker or an implantable cardiac defibrillator may be recommended. In some moderate or severe cases cardiac resynchronization therapy (CRT) may be suggested or cardiac contractility modulation may be of benefit. A ventricular assist device or occasionally a heart transplant may be recommended in those with severe disease despite all other measures.Heart failure is a common, costly, and potentially fatal condition. In developed countries, around 2% of adults have heart failure and in those over the age of 65, this increases to 6–10%. In the year after diagnosis the risk of death is about 35% after which it decreases to below 10% each year. This is similar to the risks with a number of types of cancer. In the United Kingdom the disease is the reason for 5% of emergency hospital admissions. Heart failure has been known since ancient times with the Ebers papyrus commenting on it around 1550 BCE.
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