
Coronary Arteries From Pulmonary Artery
... orifice of the coronary trunk. The second patient underwent transection of the main pulmonary artery to facilitate wide excision of the coronary button and direct reimplantation to the adjacent aorta. The long-term follow-up of our first patient suggests that recovery of myocardial function is possi ...
... orifice of the coronary trunk. The second patient underwent transection of the main pulmonary artery to facilitate wide excision of the coronary button and direct reimplantation to the adjacent aorta. The long-term follow-up of our first patient suggests that recovery of myocardial function is possi ...
Comparison of estimations versus measured resting oxygen
... HF, with annual healthcare cost estimations reaching $39 billion in 2010 when the cost of hospitalizations, medications and loss of productivity are considered (Bui et al., 2011). Cardiac output (while supine at rest) is an important measure in the determination of HF severity and in assessment of ...
... HF, with annual healthcare cost estimations reaching $39 billion in 2010 when the cost of hospitalizations, medications and loss of productivity are considered (Bui et al., 2011). Cardiac output (while supine at rest) is an important measure in the determination of HF severity and in assessment of ...
Cost-effectiveness of implantable cardiac devices in - Heart
... Heart failure and cardiomyopathies recommended by NICE.17 Costs considered are those of the UK National Health Service (NHS), and outcomes are expressed as quality-adjusted life-years (QALYs). An annual discount rate of 3.5% is applied to both costs and benefits.17 The analysis is based on a decision ...
... Heart failure and cardiomyopathies recommended by NICE.17 Costs considered are those of the UK National Health Service (NHS), and outcomes are expressed as quality-adjusted life-years (QALYs). An annual discount rate of 3.5% is applied to both costs and benefits.17 The analysis is based on a decision ...
cardiology - Turner White
... discomfort, dizziness, and dyspnea at rest. Patients frequently complain of palpitations and dyspnea on exertion that progresses to shortness of breath at rest. They also may complain of general weakness, poor appetite, abdominal distention, atypical chest pain, and cough.1 When cardiac tamponade co ...
... discomfort, dizziness, and dyspnea at rest. Patients frequently complain of palpitations and dyspnea on exertion that progresses to shortness of breath at rest. They also may complain of general weakness, poor appetite, abdominal distention, atypical chest pain, and cough.1 When cardiac tamponade co ...
Get - Oman Medical Journal
... At birth, the infant is asymptomatic but during the early months of life the pulmonary pressure falls below systemic pressure, which results in left-to-right shunt from the higher pressure left coronary arterial system to the lower pressure pulmonary arterial system. This is known as the coronary st ...
... At birth, the infant is asymptomatic but during the early months of life the pulmonary pressure falls below systemic pressure, which results in left-to-right shunt from the higher pressure left coronary arterial system to the lower pressure pulmonary arterial system. This is known as the coronary st ...
01_Paper_Totally dilated right coronary artery
... cavities were caused by totally dilated and tortuous the right coronary artery (RCA) as shown in Fig.2 and 3. RCA was severely dilated up to 2.5cm, meandered and run backward on the right side of the heart with keeping almost the same width, just like co-existence of two aortas (Fig.4). The volume o ...
... cavities were caused by totally dilated and tortuous the right coronary artery (RCA) as shown in Fig.2 and 3. RCA was severely dilated up to 2.5cm, meandered and run backward on the right side of the heart with keeping almost the same width, just like co-existence of two aortas (Fig.4). The volume o ...
Cardiac Pumping and the Function of Ventricular
... There is a considerable number of monographs in the history of heart physiology and cardiology [165] , as well as chapters in books on the general history of medicine devoted to these topics. But they do not cover development up to the present day. It is thus meaningful to provid ...
... There is a considerable number of monographs in the history of heart physiology and cardiology [165] , as well as chapters in books on the general history of medicine devoted to these topics. But they do not cover development up to the present day. It is thus meaningful to provid ...
Level of Evidence: C - Professional Heart Daily
... Stages in the Development of Heart Failure/Recommended Therapy by Stage. ACEI indicates angiotensin-converting enzyme Inhibitors; ARB, angiotensin II receptor blocker: EF, ejection fraction; FHx CM, family history of cardiomyopathy, HF, heart Failure; LVH, left ventricular hypertrophy; and MI,4myoc ...
... Stages in the Development of Heart Failure/Recommended Therapy by Stage. ACEI indicates angiotensin-converting enzyme Inhibitors; ARB, angiotensin II receptor blocker: EF, ejection fraction; FHx CM, family history of cardiomyopathy, HF, heart Failure; LVH, left ventricular hypertrophy; and MI,4myoc ...
Increased Susceptibility of the Heart to Ventricular Fibrillation During
... metabolic alkalosis, the threshold to ventricular fibrillation increased. In contrast, similar variations in pH owing to respiratory acidosis and alkalosis did not affect the ventricular fibrillation threshold. Hyperventilation in dogs with metabolic acidosis, even though resulting in alkaline arter ...
... metabolic alkalosis, the threshold to ventricular fibrillation increased. In contrast, similar variations in pH owing to respiratory acidosis and alkalosis did not affect the ventricular fibrillation threshold. Hyperventilation in dogs with metabolic acidosis, even though resulting in alkaline arter ...
Targeted ablation of cardiac sympathetic neurons - AJP
... therapy for ventricular arrhythmias. For example, -adrenergic-receptor blockade reduces mortality due to sudden death by 30 –50% (14, 29, 39, 53, 56). However, despite these favorable outcomes, the mortality following myocardial infarction, even when placed on optimal -adrenergic-receptor antagoni ...
... therapy for ventricular arrhythmias. For example, -adrenergic-receptor blockade reduces mortality due to sudden death by 30 –50% (14, 29, 39, 53, 56). However, despite these favorable outcomes, the mortality following myocardial infarction, even when placed on optimal -adrenergic-receptor antagoni ...
post CABG Myocardial Infarction : Latest Diagnostic and
... but are at increased risk for adverse events and should be kept in a highly monitored environment (ICU) during their early postoperative periods. Prior to discharge to the ward, such patients should be medically optimized with: ...
... but are at increased risk for adverse events and should be kept in a highly monitored environment (ICU) during their early postoperative periods. Prior to discharge to the ward, such patients should be medically optimized with: ...
Precordial and Carotid Pulse Palpation
... A hypokinetic pulse, which is of low amplitude, occurs as a result of a reduction in left ventricular stroke volume or a decrease in systemic arterial pressure. A hypokinetic carotid pulse is sometimes called pulsus parvus; a pulse that is slow in rising and late in peaking is called pulsus tardus. ...
... A hypokinetic pulse, which is of low amplitude, occurs as a result of a reduction in left ventricular stroke volume or a decrease in systemic arterial pressure. A hypokinetic carotid pulse is sometimes called pulsus parvus; a pulse that is slow in rising and late in peaking is called pulsus tardus. ...
Parasympathetic control of the heart. I. An interventriculo
... the ready differentiation of neuronal cytoplasm, nuclei, and axons from other tissue elements within the heart. Nuclear labeling of retrogradely labeled neurons with diamidino yellow was also readily observed with this optical system but was confirmed by using a UV optical filter that visualizes dia ...
... the ready differentiation of neuronal cytoplasm, nuclei, and axons from other tissue elements within the heart. Nuclear labeling of retrogradely labeled neurons with diamidino yellow was also readily observed with this optical system but was confirmed by using a UV optical filter that visualizes dia ...
Is treating cardiac hypertrophy salutary or
... cardiac hypertrophy is essential hypertension in Western countries, virtually all forms of cardiac diseases, including valvular dysfunction, coronary artery disease, and arrhythmias, can stimulate development of cardiac hypertrophy. Hypertrophy also occurs in several systemic diseases, such as endoc ...
... cardiac hypertrophy is essential hypertension in Western countries, virtually all forms of cardiac diseases, including valvular dysfunction, coronary artery disease, and arrhythmias, can stimulate development of cardiac hypertrophy. Hypertrophy also occurs in several systemic diseases, such as endoc ...
Ebstein™s anomaly - Swiss Medical Weekly
... in 1866, dramatic advances in diagnosis and therapy have been made. In this review, we describe current diagnostic criteria and classification, natural history, clinical features, and prognosis, typical echocardiographic features and pathologic findings, and the spectrum of associated cardiac malfor ...
... in 1866, dramatic advances in diagnosis and therapy have been made. In this review, we describe current diagnostic criteria and classification, natural history, clinical features, and prognosis, typical echocardiographic features and pathologic findings, and the spectrum of associated cardiac malfor ...
Cardiac Murmurs
... to 2 cm2. However, an additional reduction in t he valve area from half its normal size to a quarter of it’s normal size produces severe obstruction to flow and progressive pressure overload on the left ventricle. ...
... to 2 cm2. However, an additional reduction in t he valve area from half its normal size to a quarter of it’s normal size produces severe obstruction to flow and progressive pressure overload on the left ventricle. ...
Machine Learning for Cardiac Ultrasound Time Series Data
... representation, while the previous manifold learning methods LLE and ISOMAP attempt to achieve nonlinear dimension reduction. We find that NMF is more robust to noise, a major problem for ultrasound videos. While manifold learning techniques require the selection of a nearest neighbor parameter, the ...
... representation, while the previous manifold learning methods LLE and ISOMAP attempt to achieve nonlinear dimension reduction. We find that NMF is more robust to noise, a major problem for ultrasound videos. While manifold learning techniques require the selection of a nearest neighbor parameter, the ...
Volume Changes in Painful and Painless Myocardial
... the occurrence of cardiac pain. Changes in left ventricular volume were continuously assessed in 12 patients during 11 spontaneous (two painful) and 12 ergometrine-induced (nine painful) ischemic attacks with a precordial scintillation probe and blood pool labeling with technetium99m. In all ischemi ...
... the occurrence of cardiac pain. Changes in left ventricular volume were continuously assessed in 12 patients during 11 spontaneous (two painful) and 12 ergometrine-induced (nine painful) ischemic attacks with a precordial scintillation probe and blood pool labeling with technetium99m. In all ischemi ...
- Wiley Online Library
... Inhibition of profibrotic and prohypertrophic neurohormones is a reasonable treatment goal in HCM and other cardiac diseases. In a cardiac troponin T transgenic rat model of HCM, spironolactone (SPIR) reversed interstitial fibrosis, decreased myocyte disarray by 50%, and improved diastolic function as ...
... Inhibition of profibrotic and prohypertrophic neurohormones is a reasonable treatment goal in HCM and other cardiac diseases. In a cardiac troponin T transgenic rat model of HCM, spironolactone (SPIR) reversed interstitial fibrosis, decreased myocyte disarray by 50%, and improved diastolic function as ...
Transcriptional Regulation of Heart Development in Zebrafish
... Nkx2.5 is dispensable for adult zebrafish cardiac function [32]. Nevertheless, given the redundant roles of nkx2.5 and nkx2.7 during early cardiac development [28,31], more study is required to determine the full extent of nkx gene functions in the adult zebrafish heart. 2.4. Tbx20 Is Required for C ...
... Nkx2.5 is dispensable for adult zebrafish cardiac function [32]. Nevertheless, given the redundant roles of nkx2.5 and nkx2.7 during early cardiac development [28,31], more study is required to determine the full extent of nkx gene functions in the adult zebrafish heart. 2.4. Tbx20 Is Required for C ...
Remodeling in myocardium adjacent to an infarction in - AJP
... tissue was excised with dimensions (in mm) 3 ⫻ 3 ⫻ n, where n is the ventricular wall thickness (rounded down to the mm). Two cuts (3 mm apart) were in the circumferential plane whereas the other two cuts (3 mm apart) were in the apex-base plane. After the apex side was marked, a custom made sledge- ...
... tissue was excised with dimensions (in mm) 3 ⫻ 3 ⫻ n, where n is the ventricular wall thickness (rounded down to the mm). Two cuts (3 mm apart) were in the circumferential plane whereas the other two cuts (3 mm apart) were in the apex-base plane. After the apex side was marked, a custom made sledge- ...
PDF file - Via Medica Journals
... monitoring. Blood pressure was measured and recorded at rest, at the end of each stress stage, at peak stress, and at recovery. The test was stopped for any of the following reasons: a rating of perceived exertion > 17 (Borg scale); achievement of > 90% of age predicted maximum HR; if the subject wa ...
... monitoring. Blood pressure was measured and recorded at rest, at the end of each stress stage, at peak stress, and at recovery. The test was stopped for any of the following reasons: a rating of perceived exertion > 17 (Borg scale); achievement of > 90% of age predicted maximum HR; if the subject wa ...
PDF
... one in 500 individuals [1]. Heart function in patients with HCM is characterized by hyperdynamic contraction [2] and impaired relaxation [3]. The clinical course is variable with some patients experiencing minimal symptoms and others developing exertional dyspnea, heart failure, atrial fibrillation ...
... one in 500 individuals [1]. Heart function in patients with HCM is characterized by hyperdynamic contraction [2] and impaired relaxation [3]. The clinical course is variable with some patients experiencing minimal symptoms and others developing exertional dyspnea, heart failure, atrial fibrillation ...
ICD in LV Dysfunction
... stratification tools to identify patients who are most likely to benefit from ICD are needed. ...
... stratification tools to identify patients who are most likely to benefit from ICD are needed. ...
Abnormal heart rate recovery after exercise predicts coronary artery
... monitoring. Blood pressure was measured and recorded at rest, at the end of each stress stage, at peak stress, and at recovery. The test was stopped for any of the following reasons: a rating of perceived exertion > 17 (Borg scale); achievement of > 90% of age predicted maximum HR; if the subject wa ...
... monitoring. Blood pressure was measured and recorded at rest, at the end of each stress stage, at peak stress, and at recovery. The test was stopped for any of the following reasons: a rating of perceived exertion > 17 (Borg scale); achievement of > 90% of age predicted maximum HR; if the subject wa ...
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.