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inhalants: not a fad – a deadly fact
inhalants: not a fad – a deadly fact

... Inhalants starve the body of oxygen and force the heart to beat irregularly and more rapidly. The heart may begin to quiver rather than function as an efficient pump. Blood is not pumped effectively through the body, resulting in sudden death. Inhalants damage other parts of your body. People who us ...
5 Cardiac Rehabilitation
5 Cardiac Rehabilitation

... older with disabilities from cardiovascular conditions in 1991–1992, representing approximately 19% of disabilities from all conditions. Cardiac disease also accounts for a large portion of the total health care expenditures. In 1992, there were 3.9 million hospital admissions, including 2.1 million ...
Diastology: What the Radiologist Needs to Know. Objectives LV
Diastology: What the Radiologist Needs to Know. Objectives LV

... – The diagnosis of diastolic HF is generally based on the finding of typical symptoms and signs of HF in a patient who is shown to have a normal left ventricular ejection fraction and no valvular abnormalities on echocardiography. ...
Cardiovascular Adaptations to Physical Training
Cardiovascular Adaptations to Physical Training

... haw~generated detailed dimensionaldata, particularly on the left ventricle. The results support the older radiographic observations. Cross-sectional studies comparing sedentary subjects and highly trained young and older athletes have demonstratedsignificant differences that can be related to the di ...
SUDDEN CARDIAC DEATH IN YOUNG PEOPLE – FORENSIC
SUDDEN CARDIAC DEATH IN YOUNG PEOPLE – FORENSIC

... deaths, in which case the type and cause of death will be determined only after forensic autopsy and laboratory complex thanatological examinations (microscope, toxicological, serological, etc.) whose results must be correlated with survey data. In the category of sudden death (death suspected to be ...
Pregnancy Complicated by Valvular Heart Disease: An Update
Pregnancy Complicated by Valvular Heart Disease: An Update

... maternal complication in pregnant women with VHD. Hospital admission was common, seen in 38% of patients with VHD, and supraventricular arrhythmias were more commonly observed in VHD patients than in any other patient subgroup, which included those with congenital heart disease, cardiomyopathy, and ...
Jo Ellen Rodgers, PharmD, FCCP, BCPS
Jo Ellen Rodgers, PharmD, FCCP, BCPS

... Partnership in Patient Care, Acute Care Committee Partnership in Patient Care, Medication History Subcommittee Residency Progression Committee (PGY2) Partnership in Patient Care, Education Committee Student Resident Advisory Committee Heart Failure Readmission Taskforce, Education Committee Residenc ...
Extracorporeal Membrane Oxygenation for Cardiac Failure
Extracorporeal Membrane Oxygenation for Cardiac Failure

... inability of the heart to fill or eject blood at a rate commensurate with the body’s requirements.1,2 Heart failure is also referred to as cardiac failure and the terms are often used interchangeably. There are two major types of heart failure: diastolic heart failure which is associated with abnorm ...
Basic ECG Theory, 12-Lead Recordings and Their Interpretation
Basic ECG Theory, 12-Lead Recordings and Their Interpretation

... creating an electric field that could be detected by electrodes placed in the solution. A similar electrical field around the heart can be detected using electrodes attached to the skin. The intensity of the voltage detected depends on the orientation of the electrodes with respect to that of the di ...
Ventricular long axis function: amplitudes and timings
Ventricular long axis function: amplitudes and timings

... 8.1. LV assesment beyond ejection fraction...................................................... 44 8.2. Physiology of the ageing heart ................................................................... 45 8.3. Timing mitral annular motion and LV filling............................................. ...
Temporal Evolution of Left Ventricular Strain Late After Repair of
Temporal Evolution of Left Ventricular Strain Late After Repair of

... Although short-term outcome is excellent, long-term sequelae include increased rates of hypertension, LV hypertrophy (LVH), coronary artery disease, congestive heart failure, and premature death (1,3). Studies have reported increased LV mass by echocardiography (4 – 7), and enhanced ejection fractio ...
2016 ACC/AHA/HFSA Focused Update on New Pharmacological
2016 ACC/AHA/HFSA Focused Update on New Pharmacological

... Modernization—Processes have evolved over time in response to published reports from the Institute of Medicine (2, 3) and ACC/AHA mandates (4-7), leading to adoption of a “knowledge byte” format. This process entails delineation of a recommendation addressing a specific clinical question, followed b ...
maximum cardiac performance of rainbow trout (oncorhynchus
maximum cardiac performance of rainbow trout (oncorhynchus

... Vancouver tapwater. Throughout the experiment only one stock of fish was used. All fish were initially maintained at 15 °C, before subsequent exposure to 18 and then 22 °C. Fish were acclimated at each temperature for at least 2 weeks prior to use. Water temperature was regulated to within 1 °C of t ...
Accelerated idioventricular rhythm associated
Accelerated idioventricular rhythm associated

... or deceleration of ectopic rhythm [3]. The importance of AIVR lies in its potential confusion with other, potentially serious, rhythm disorders that have, as AIVR almost invariably does, a left bundle branch block pattern by ECG: ventricular tachycardia, SVT such as those with aberration or involvin ...
Abnormal Echocardiogram
Abnormal Echocardiogram

... machine, the experience and skill of examiner, the condition of the patient. In addition, there may be some false positive or negative results. Echocardiography ...
MRI assessment of LV relaxation by untwisting rate
MRI assessment of LV relaxation by untwisting rate

... at time t and Tormax is the maximum systolic torsion. [Normalization to maximum torsion was performed as the primary analysis here because ␶, the gold standard for relaxation, is based on the time required for a percentage of pressure fall (1/eth) rather than an absolute pressure drop in mmHg. Howev ...
Direct Determinations of Aortic Blood Flow
Direct Determinations of Aortic Blood Flow

... The following variables were calculated by relating flow and pressure: (1) area of the regurgitant orifice and of the stenotic orifice (cm2), when present, according to the Gorlin formulael' (2) left ventricular pressure work6 (g-m/stroke); (3) left ventricular kinetic work7 (g-m/stroke); (4) total ...
Tissier
Tissier

... the first case and revealed an abnormal relaxation phase. After the first examination, pimobendan administration was stopped in both cases and dogs were re-examined 3 and 1 mo later, respectively. Mitral valve regurgitation assessed by echocardiography decreased in both dogs, and the systolic heart ...
Pulmonary Hypertension - American Thoracic Society
Pulmonary Hypertension - American Thoracic Society

... in the 1940s. In 1951, the entity “primary pulmonary hypertension” was accurately described. A major advance was the development of Doppler echocardiography, which allowed noninvasive imaging of the right ventricle and estimation of pulmonary artery pressure. The discovery that calcium channel block ...
The effect of exercise training on transverse tubules in normal
The effect of exercise training on transverse tubules in normal

... heart failure hypertrophied myocardium that was unloaded by pharmacological treatment, we also included 8 sedentary and 8 exercise trained post-MI heart failure rats that were treated with the angiotensin II type 1 (AT1) receptor antagonist losartan (MSD, Whitehouse Station, NJ). Losartan, initiated ...
Diagnosis and Management of Acute Rheumatic Fever and
Diagnosis and Management of Acute Rheumatic Fever and

... – May occur on both sides or only one side of body – More common in teenagers and females (rare after age 20) – May be associated with irritability and or depression – May begin up to 3-4 months after the streptococcal throat infection, and often occurs without other symptoms – Usually resolves with ...
Isolated right ventricular dysfunction in systemic sclerosis: latent pulmonary hypertension?
Isolated right ventricular dysfunction in systemic sclerosis: latent pulmonary hypertension?

... ABSTRACT: Right ventricular function is frequently abnormal in patients with systemic sclerosis, but whether this is related to pulmonary vascular complications of the disease is unclear. Standard echocardiography with tissue Doppler imaging was performed at rest and during exercise for the study of ...
Echocardiographic Demonstration of Coronary Artery to Left
Echocardiographic Demonstration of Coronary Artery to Left

... that drain to the systemic veins or right atrium have a physiology similar to an atrial septal defect; those that drain to the pulmonary arteries have physiology similar to a patent ductus arteriosus; those that drain to the left atrium do not cause a left-to-right shunt, but do cause a volume load ...
Echocardiographic Determination of Contraction and
Echocardiographic Determination of Contraction and

... From the Departments of Pediatrics and Neurology, University of Arizona Health Sciences Center, Tucson, Arizona. Address for correspondence: Stanley J. Goldberg, M.D., Department of Pediatrics (Cardiology), University of Arizona Health Sciences Center, Tucson, Arizona 85724. Received November 8, 197 ...
Increased left ventricular twist, untwisting rates, and - AJP
Increased left ventricular twist, untwisting rates, and - AJP

... published January 8, 2010; doi:10.1152/ajpheart.00987.2009.—Left ventricular (LV) systolic function increases with passive heat stress (HS); however, less is known about diastolic function. Eight healthy subjects (24.0 ⫾ 2.0 yr of age) underwent whole body passive heating ⬃1°C above baseline (BL). C ...
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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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