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Clinical Practice Guideline for Anticoagulation
Clinical Practice Guideline for Anticoagulation

... reduce the incidence of CVA. Fifteen percent (15%) of CVA’s have cardiac origin. Two-thirds of these are due to atrial fibrillation. The benefits of anticoagulant therapy are well-documented in studies. Coumadin is the preferred medication. Aspirin is better than placebo. Surveys show coumadin is un ...
Document
Document

... pressure as substitute. In the current publication by Vecera and colleagues, not even that is done. The LV pressure curve shape is only estimated based on the cuff measurement of the systolic blood pressure and cardiac time intervals.6 Earlier work from the same group had shown that this approach ha ...
Surgical Remodeling of the Left Ventricle in Heart Failure
Surgical Remodeling of the Left Ventricle in Heart Failure

... and mortality. The incidence of HF is reaching epidemic proportions, with more than 500,000 new cases diagnosed yearly in North America.1) The Framingham study showed that both increased age and hypertension are significant risk factors for developing HF.2) Costs associated with treating HF exceed $ ...
dysrhythmias
dysrhythmias

... 1. PVCs are common in elderly patients who are seen for any reason. They should only be treated in the presence of acute cardiac symptoms. Discuss any other indications with base before treatment. 2. Atrial fibrillation is commonly complicated by wide complex beats. Many of these are not ventricular ...
acls pretest answer key - PRO-CPR
acls pretest answer key - PRO-CPR

... to check for weakness, repeat “you can’t teach an old dog new tricks” to check for mentation and speech slurring, and ask them to give you a big smile to check for facial droop. These 3 things should be performed on EVERY patient suspicious for ...
(HCM), idiopathic hypertrophic
(HCM), idiopathic hypertrophic

... 12. After cross clamping, the excessive bulk of the myocardium makes it difficult for the cold cardioplegia to cool the heart effectively. 13. The ambient temperature within the chest and relatively warmer venous blood returning to the heart and any pulmonary collaterals add to the difficulty in ke ...
Lecture 2
Lecture 2

... a. sodium in the extracellular leaks into cells b. low threshold for discharge - near resting potential c. leakiness of cells leads to self-excitation. d.. controls rate of entire heart 7. resting potential: a. -55 to -60 for the SA node b. -85 to -90 for the ventricular muscle fiber 8.. membrane io ...
Chapter 20: The Cardiovascular System: The Heart
Chapter 20: The Cardiovascular System: The Heart

... AV valves close preventing backflow of blood into atria ventricles are contracted increased blood pressure in ventricles push valve cusps closed chordae tendinae are pulled taut papillary muscles contract to pull cords and prevent cusps from everting Semilunar valves open with ventricular contractio ...
Chapter 20
Chapter 20

... AV valves close preventing backflow of blood into atria ventricles are contracted increased blood pressure in ventricles push valve cusps closed chordae tendinae are pulled taut papillary muscles contract to pull cords and prevent cusps from everting Semilunar valves open with ventricular contractio ...
Palpitations Pathway - Harrogate and Rural District CCG
Palpitations Pathway - Harrogate and Rural District CCG

... interventions for defined arrhythmias such as AF and define when specialist referral is indicated. ...
Evolution of resuscitation from the past to the present
Evolution of resuscitation from the past to the present

... 2005 Uninterrupted precordial compression 2010 Change from ABC to CAB 2015 Check pulse and breathing at the same time ...
Acute Heart Failure and Atrial Fibrillation
Acute Heart Failure and Atrial Fibrillation

... volume of blood under pressure into the left ventricle, leading to increments in ventricular diastolic volume, end-diastolic pressure, and stroke volume . Loss of atrial systole can therefore diminish the stroke volume. This may be particularly important when left ventricular compliance is reduced a ...
(AV) Block
(AV) Block

... Asystole is defined as a cardiac arrest rhythm in which there is no discernible electrical activity on the ECG monitor. Asystole is sometimes referred to as a “flat line.” Confirmation that a “flat line” is truly asystole is an important step. Ensure that asystole is not another rhythm that looks li ...
Unlocking The Key To Arrhythmias
Unlocking The Key To Arrhythmias

... ♦ Atrial rate 60-100 BPM with a regular rhythm ♦ Ventricular rate 40-60 BPM, QRS > .12 with a ...
Ventricular Septal Rupture After Acute Myocardial Infarction
Ventricular Septal Rupture After Acute Myocardial Infarction

... non-anterior infarctions.7 Anterior MI is associated with rupture of the apical septum, in inferior MI, it often occurs at the base of the heart. An MI associated with a VSR is usually extensive. Early treatment of MI with thrombolysis may reduce the incidence of VSR, influence the time to septal ru ...
Critical infarct size to induce ventricular remodeling, cardiac
Critical infarct size to induce ventricular remodeling, cardiac

... to the pathogenesis of diabetes mellitus type 2 (DM2) and predicts its incidence [1]. Further evidence suggests that CRP is not just an acute phase protein, but rather a mediator of atherogenesis, serving as a marker of acute coronary syndromes, as well as predicting events after interventional proc ...
BASIC CONCEPT OF ECG
BASIC CONCEPT OF ECG

... complexes? STEP 4: Calculate the duration of the PR interval 1. Does the duration of PR interval fall within normal limits? 2. Is the PR interval constant? STEP 5: Calculate the duration of the QRS complex 1. Does the duration of the QRS complex fall within normal limits? 2. Are all the QRS complexe ...
Increased Susceptibility of the Heart to Ventricular Fibrillation During
Increased Susceptibility of the Heart to Ventricular Fibrillation During

... all experiments the animals breathed an oxygenenriched gas mixture which maintained the oxygen tension of the arterial blood at 100 mm Hg or above. The heart was exposed by a median sternotomy and the pericardium was opened. For each experiment the ventricular fibrillation threshold was first ascert ...
The Visualization of Two-Dimensional Second
The Visualization of Two-Dimensional Second

... of the complex deformation of the heart muscle. Using techniques new to the biomedical field offers additional insight. Tensor ellipsoids and hyperstreamlines make it possible to visualize complex deformation in a single image. Line integral convolution uncovered the presence of degenerate points at ...
Asymptomatic Left Ventricular Dysfunction
Asymptomatic Left Ventricular Dysfunction

... ALVD would not change management. Clearly, the emergence of a new drug, efficacious at preventing HF, would change this approach and broaden the indications for screening. Moreover, many patients at risk for ALVSD have a clinical indication for echocardiography (e.g., after myocardial infarction, and ...
INTRAOPERATIVE VENTRICULAR BIGEMINY: REPORT OF 5 CASES
INTRAOPERATIVE VENTRICULAR BIGEMINY: REPORT OF 5 CASES

... congestive cardiac failure, prolonged Q-T syndrome and the transfusion of stored blood.12, 13 Hypoxia as a cause of ventricular bigeminy in uor patients could not be ruled out because, although arterial oxygen saturation was monitored and remained normal, end tidal CO2 was not monitored intraoperati ...
Ventricular Special Defect in the Elderly. An Uncommon Clinical Entity
Ventricular Special Defect in the Elderly. An Uncommon Clinical Entity

... The survival of patients is about 85% at the second decade while the mortality at age 60 is about 75%.6 However, evidence in the medical literature concerning elderly patients with VSD is lacking, while for those over 80 years old only two cases7,8 have been reported, one as a finding on autopsy.7 T ...
Management of Common Arrhythmias: Part II. Ventricular
Management of Common Arrhythmias: Part II. Ventricular

... inferior infarctions and does not usually have a negative impact on hemodynamic status. Accelerated idioventricular rhythm is also common after successful reperfusion with thrombolytics, but it is not considered a reliable indicator of reperfusion. Most episodes are self-limited and do not require t ...
Survival following Ventricular Free Wall Rupture: A Case Series
Survival following Ventricular Free Wall Rupture: A Case Series

... of acute myocardial infarction (AMI) in the USA, yet accounts for 15% of AMI hospital deaths.1 Following cardiogenic shock, it is the most common cause for death associated with AMI. We present two cases of acute ventricular rupture which were treated successfully and discuss salient points which co ...
BLS : CPR by
BLS : CPR by

... electrical activity • caused by the inability of cardiac muscle to generate a sufficient force despite an electrical depolarization due to global cardiac insult • Rarely occur outside the hospital practise • 5% of in-hospital cardiac arrest ...
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Ventricular fibrillation



Ventricular fibrillation (V-fib or VF) is a condition in which there is uncoordinated contraction of the cardiac muscle of the ventricles in the heart, making them quiver rather than contract properly. Ventricular fibrillation is the most commonly identified arrhythmia in cardiac arrest patients. While there is some activity, the lay person is usually unable to detect it by palpating (feeling) the major pulse points of the carotid and femoral arteries. Such an arrhythmia is only confirmed by electrocardiography. Ventricular fibrillation is a medical emergency that requires prompt Advanced Life Support interventions. If this arrhythmia continues for more than a few seconds, it will likely degenerate further into asystole (""flatline""). This condition results in cardiogenic shock and cessation of effective blood circulation. As a consequence, sudden cardiac death (SCD) will result in a matter of minutes. If the patient is not revived after a sufficient period (within roughly 5 minutes at room temperature), the patient could sustain irreversible brain damage and possibly become brain-dead, due to the effects of cerebral hypoxia. On the other hand, death often occurs if sinus rhythm is not restored within 90 seconds of the onset of VF, especially if it has degenerated further into asystole.
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