Management of Patients Undergoing Coronary Artery
... high likelihood of good long-term outcome (e.g., a low SYNTAX score [<22], ostial or trunk left main CAD); and 2) clinical characteristics that predict a significantly increased risk of adverse surgical outcomes (e.g., STS-predicted risk of operative mortality >5%). (Level of Evidence: B) 2. PCI to ...
... high likelihood of good long-term outcome (e.g., a low SYNTAX score [<22], ostial or trunk left main CAD); and 2) clinical characteristics that predict a significantly increased risk of adverse surgical outcomes (e.g., STS-predicted risk of operative mortality >5%). (Level of Evidence: B) 2. PCI to ...
Immediate Outcomes and Long-Term Follow-Up
... rate in 879 patients, (18) while Iung et al. report a primary success rate of 89%, with an incidence of 3.4% severe MR. (19) In our series, the rate of MR after PMV is lower than that of other authors. (15-19) In 27 patients (20.4%) there was manifestation or increase of MR, although in most cases t ...
... rate in 879 patients, (18) while Iung et al. report a primary success rate of 89%, with an incidence of 3.4% severe MR. (19) In our series, the rate of MR after PMV is lower than that of other authors. (15-19) In 27 patients (20.4%) there was manifestation or increase of MR, although in most cases t ...
R21 - American College of Radiology
... proximal to the abnormal vessel section and is another measurement 1 cm distal to the stenosis or dilatation on the longitudinal straightened curved planar images. The average diameter of these 2 measurements is used as the reference normal diameter of the vessel. The diameter of the abnormal segmen ...
... proximal to the abnormal vessel section and is another measurement 1 cm distal to the stenosis or dilatation on the longitudinal straightened curved planar images. The average diameter of these 2 measurements is used as the reference normal diameter of the vessel. The diameter of the abnormal segmen ...
Comparison of Serial Qualitative and Quantitative Assessments of
... Results: Twenty-four patients were enrolled and yielded 72 caval index and LVF videos that were scored at the bedside prior to any measurements and then reviewed later. Visual estimates of caval index compared to measured caval index yielded a correlation of 0.81 (p < 0.0001). Visual estimates of LV ...
... Results: Twenty-four patients were enrolled and yielded 72 caval index and LVF videos that were scored at the bedside prior to any measurements and then reviewed later. Visual estimates of caval index compared to measured caval index yielded a correlation of 0.81 (p < 0.0001). Visual estimates of LV ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
... deficiency decreases the threshold of arrhythmias.[1] In cardiac surgery, hypomagnesaemia has been associated with the presence of supraventricular cardiac arrhythmias, atrial fibrillation, lengthened P-R andQ-T segments or ventricular fibrillation.On-pump Coronary artery bypassgrafting is a techniq ...
... deficiency decreases the threshold of arrhythmias.[1] In cardiac surgery, hypomagnesaemia has been associated with the presence of supraventricular cardiac arrhythmias, atrial fibrillation, lengthened P-R andQ-T segments or ventricular fibrillation.On-pump Coronary artery bypassgrafting is a techniq ...
ANGINA PECTORIS Classic angina is characterized by substernal
... • Coronary artery obstructions are not sufficient to result in resting myocardial ischemia. However, when myocardial demand increases, ischemia results. ...
... • Coronary artery obstructions are not sufficient to result in resting myocardial ischemia. However, when myocardial demand increases, ischemia results. ...
CLINICAL PROGRESS Living Man
... contrast material into the catheterized coronary sinus. Occasional or accidental opacification of this structure has been reported by a few authors.2 3 Recently Gensini et al. introduced the technic of occlusion coronary venography4 5 for the study of myocardial toxicity of contrast materials6 and a ...
... contrast material into the catheterized coronary sinus. Occasional or accidental opacification of this structure has been reported by a few authors.2 3 Recently Gensini et al. introduced the technic of occlusion coronary venography4 5 for the study of myocardial toxicity of contrast materials6 and a ...
Dual-phase multi-detector computed tomography - Heart
... From September 2007 to August 2008, AMI patients admitted to our cardiovascular centre who did not receive primary or rescue angioplasty were evaluated to participate in this prospective study. Diagnosis of myocardial infarction (MI) was defined by typical angina lasting >30 minutes; biochemical evi ...
... From September 2007 to August 2008, AMI patients admitted to our cardiovascular centre who did not receive primary or rescue angioplasty were evaluated to participate in this prospective study. Diagnosis of myocardial infarction (MI) was defined by typical angina lasting >30 minutes; biochemical evi ...
Factors Associated with Ischemic Stroke on Therapeutic
... We collected data for demographics, vascular risk factors, underlying cardiovascular diseases, and concurrent medications in cases and controls. Atrial fibrillation (AF) was categorized as paroxysmal or persistent/permanent AF. The CHADS2 score or CHA2DS2-VASc scores were calculated for all patients ...
... We collected data for demographics, vascular risk factors, underlying cardiovascular diseases, and concurrent medications in cases and controls. Atrial fibrillation (AF) was categorized as paroxysmal or persistent/permanent AF. The CHADS2 score or CHA2DS2-VASc scores were calculated for all patients ...
Prognostic Significance of PVCs and resting heart rate, 2007
... considered for patients with multiple ECGs in the database. Most of the ECG analysis was performed using the GE/Marquette ECG analysis program (www.gemedicalsystems.com). PVCs were defined as at least one QRS complex that was premature, ectopic shaped and had a QRS duration of greater than 120 ms. A ...
... considered for patients with multiple ECGs in the database. Most of the ECG analysis was performed using the GE/Marquette ECG analysis program (www.gemedicalsystems.com). PVCs were defined as at least one QRS complex that was premature, ectopic shaped and had a QRS duration of greater than 120 ms. A ...
Atrial Septal Defect Guideline
... o Symptomatic patients require complete hemodynamic evaluation o Intervention in adulthood Significant impact on quality of life Decreases mortality in > 35 year old population Indications for Closure o All sinus venosus and ostium primum defects o Secundum defects Four years of age or older ...
... o Symptomatic patients require complete hemodynamic evaluation o Intervention in adulthood Significant impact on quality of life Decreases mortality in > 35 year old population Indications for Closure o All sinus venosus and ostium primum defects o Secundum defects Four years of age or older ...
Chapter 14 - Supraventricular Arrhythmias, Part I: Premature Beats
... such APBs causing delayed (aberrant) depolarization of the right and left ventricles, respectively. • Sometimes when an APB is very premature, the stimulus reaches the atrioventricular (AV) junction just after it has been stimulated by the preceding beat. Because the AV junction, like other card ...
... such APBs causing delayed (aberrant) depolarization of the right and left ventricles, respectively. • Sometimes when an APB is very premature, the stimulus reaches the atrioventricular (AV) junction just after it has been stimulated by the preceding beat. Because the AV junction, like other card ...
TOC
... MD 21201-2436. Individuals may subscribe for their personal use at the following rates: $149 for members of an American Heart Association scientific council and $256 for nonmembers; international: $229 for members of an American Heart Association scientific council and $350 for nonmembers. Postage p ...
... MD 21201-2436. Individuals may subscribe for their personal use at the following rates: $149 for members of an American Heart Association scientific council and $256 for nonmembers; international: $229 for members of an American Heart Association scientific council and $350 for nonmembers. Postage p ...
Part II: Chapter 8
... (E/SRIVR) was calculated as an index of LV filling pressures.20 LA peak strain was measured during LV systole as an index of LA compliance.9, 21 For this measure, LA endocardial border was identified in the apical 4-chamber view and a region of interest was adjusted to include the entire LA wall. LA ...
... (E/SRIVR) was calculated as an index of LV filling pressures.20 LA peak strain was measured during LV systole as an index of LA compliance.9, 21 For this measure, LA endocardial border was identified in the apical 4-chamber view and a region of interest was adjusted to include the entire LA wall. LA ...
Carotid dP/dt as a Psychophysiological Index of Sympathetic
... major sources of error in the estimation of each step by its immediately lower step will be considered. In addition, problems associated with such validation approaches as pharmacological blockade will also be considered. Parasympathetic Influences on Ventricular Contractility As can be seen in Fig. ...
... major sources of error in the estimation of each step by its immediately lower step will be considered. In addition, problems associated with such validation approaches as pharmacological blockade will also be considered. Parasympathetic Influences on Ventricular Contractility As can be seen in Fig. ...
Slide 1 - Annals of Internal Medicine
... tachycardia by electrophysiologic testing; she had successful radiofrequency ablation in the posteroseptal region near the os of the coronary sinus. Displayed are surface leads II and V . Note the long RP interval of the tachycardia and the negative P wave in the inferior lead II. When the applicati ...
... tachycardia by electrophysiologic testing; she had successful radiofrequency ablation in the posteroseptal region near the os of the coronary sinus. Displayed are surface leads II and V . Note the long RP interval of the tachycardia and the negative P wave in the inferior lead II. When the applicati ...
Left Atrial Volume Combined With Atrial Pump Function
... remodeling, which is a substrate for atrial fibrillation, but impaired atrial pump function is also another aspect of the remodeling. Our objective was to differentiate patients with a history of paroxysmal atrial fibrillation using echocardiography. We studied 280 hypertensive patients (age: 66⫾7 y ...
... remodeling, which is a substrate for atrial fibrillation, but impaired atrial pump function is also another aspect of the remodeling. Our objective was to differentiate patients with a history of paroxysmal atrial fibrillation using echocardiography. We studied 280 hypertensive patients (age: 66⫾7 y ...
Influence of sibutramine on heart rate in obese patients: systematic
... in heart rate occurs through the reduction in diastolic period, where occurs blood flow to the coronary arteries. We also know that some cardiac arrhythmias may be triggered by a persistent increase in heart rate. Given this, we must be vigilant in prescribing sibutramine because of its sympathomime ...
... in heart rate occurs through the reduction in diastolic period, where occurs blood flow to the coronary arteries. We also know that some cardiac arrhythmias may be triggered by a persistent increase in heart rate. Given this, we must be vigilant in prescribing sibutramine because of its sympathomime ...
Acute chagasic cardiopathy produced by a strain of Trypanosoma
... that T. cruzi can modify its morphologic, histopathologic and virulence properties with time in order to be able to maintain its infectious properties depending upon factors both from the host and the parasite (Fife, 1977, Postan et al., 1987). Morales et al. (1987) have given more impor tance to t ...
... that T. cruzi can modify its morphologic, histopathologic and virulence properties with time in order to be able to maintain its infectious properties depending upon factors both from the host and the parasite (Fife, 1977, Postan et al., 1987). Morales et al. (1987) have given more impor tance to t ...
Arrhythmia Monitoring Arrhythmia Monitoring
... From Marion McRae, Acute Care Nurse Practitioner, Cardiac Surgery, Toronto General Hospital ...
... From Marion McRae, Acute Care Nurse Practitioner, Cardiac Surgery, Toronto General Hospital ...
Sudden death and hypoglycaemia
... cases”. They also noted that there had been little research in the area of hypoglycaemia and cardiac rhythm disturbances. This study has been followed by a number of other surveys of mortality in young people with diabetes, particularly from Scandinavia where epidemiological data are robust. Sartor ...
... cases”. They also noted that there had been little research in the area of hypoglycaemia and cardiac rhythm disturbances. This study has been followed by a number of other surveys of mortality in young people with diabetes, particularly from Scandinavia where epidemiological data are robust. Sartor ...
Temporal Evolution of Left Ventricular Strain Late After Repair of
... strain within each group, with two-way ANOVA to test for differences between groups. Global volume, hemodynamic data and strain rates were compared with an unpaired t-test. A p value of less than 0.05 was required to reject the null hypothesis that there were no differences between groups or regions ...
... strain within each group, with two-way ANOVA to test for differences between groups. Global volume, hemodynamic data and strain rates were compared with an unpaired t-test. A p value of less than 0.05 was required to reject the null hypothesis that there were no differences between groups or regions ...
Jump up
... dyspnea have been reported as frequently occurring symptoms that may manifest as long as one month before the actual clinically manifested ischemic event. In women, chest pain may be less predictive of coronary ischemia than in men.[23] Women may also experience back or jaw pain during an episode.[2 ...
... dyspnea have been reported as frequently occurring symptoms that may manifest as long as one month before the actual clinically manifested ischemic event. In women, chest pain may be less predictive of coronary ischemia than in men.[23] Women may also experience back or jaw pain during an episode.[2 ...
Cardiac contractility modulation
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Cardiac contractility modulation (CCM) is a treatment for patients with moderate to severe left ventricular systolic heart failure (NYHA class II–IV). The short- and long-term use of this therapy enhances both the strength of ventricular contraction and the heart’s pumping capacity. The CCM mechanism is based on stimulation of the cardiac muscle by non-excitatory electrical signals (NES). CCM treatment is delivered by a pacemaker-like device that applies the NES, adjusted to and synchronized with the electrical action in the cardiac cycle.In CCM therapy, electrical stimulation is applied to the cardiac muscle during the absolute refractory period. In this phase of the cardiac cycle, electrical signals cannot trigger new cardiac muscle contractions, hence this type of stimulation is known as a non-excitatory stimulation. However, the electrical CCM signals increase the influx of calcium ions into the cardiac muscle cells (cardiomyocytes). In contrast to other electrical stimulation treatments for heart failure, such as pacemaker therapy or implantable cardioverter defibrillators (ICD), CCM does not affect the cardiac rhythm directly. Rather, the aim is to enhance the heart’s natural contraction (the native cardiac contractility) sustainably over long periods of time. Furthermore, unlike most interventions that increase cardiac contractility, CCM is not associated with an unfavorable increase in oxygen demand by the heart (measured in terms of Myocardial Oxygen Consumption or MVO2). This may be explained by the beneficial effect CCM has in improving cardiac efficiency. A meta-analysis in 2014 and an overview of device-based treatment options in heart failure in 2013 concluded that CCM treatment is safe, that it is generally beneficial to patients and that CCM treatment increases the exercise tolerance (ET) and quality of life (QoL) of patients. Furthermore, preliminary long-term survival data shows that CCM is associated with lower long-term mortality in heart failure patients when compared with expected rates among similar patients not treated with CCM.