Cardiovascular Case Study
... 1. Mr. Klosterman had a myocardial infarction. Explain what happened to his heart. The muscles of the heart have three levels. From superficial to deep, the muscles are epicardium, myocardium, and endocardium. The myocardium, the middle layer of the cardiac wall, is in charge of contracting to eje ...
... 1. Mr. Klosterman had a myocardial infarction. Explain what happened to his heart. The muscles of the heart have three levels. From superficial to deep, the muscles are epicardium, myocardium, and endocardium. The myocardium, the middle layer of the cardiac wall, is in charge of contracting to eje ...
Interventricular Septum Rupture in the Catheterization Laboratory
... with acute cardiogenic shock while undergoing cardiac catheterization, it proved invaluable. In patients presenting with frank cardiogenic shock, emergent surgery is required to prevent imminent death. Acute medical management involves afterload reduction with vasodilators and intraaortic balloon pu ...
... with acute cardiogenic shock while undergoing cardiac catheterization, it proved invaluable. In patients presenting with frank cardiogenic shock, emergent surgery is required to prevent imminent death. Acute medical management involves afterload reduction with vasodilators and intraaortic balloon pu ...
A case of an anomalous origin of left main coronary artery
... agnostic tools for coronary artery anomalies.10 Imaging, however, allows physicians to note the presence of a congenital defect in the origin of the coronary, follow the artery’s unusual course, and assess the integrity of the artery by looking for regions ...
... agnostic tools for coronary artery anomalies.10 Imaging, however, allows physicians to note the presence of a congenital defect in the origin of the coronary, follow the artery’s unusual course, and assess the integrity of the artery by looking for regions ...
Get - Oman Medical Journal
... Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary abnormality also known as Bland-White-Garland syndrome. The incidence of ALCAPA is about 1 in every 300,000 live births, and constitutes 0.24% and 0.46% of all congenital cardiac disease. It ...
... Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital coronary abnormality also known as Bland-White-Garland syndrome. The incidence of ALCAPA is about 1 in every 300,000 live births, and constitutes 0.24% and 0.46% of all congenital cardiac disease. It ...
Over view of Coronary Arteries
... At the end of lecture the student will be able to: Discuss the main branches of coronary arteries. Enlist the branches of each main artery. Give the ansthamosis of coronaries. Arterial supply of heart Will discuss the Aorta, the Ascending aorta and branches the Arch of Aorta and branches the Descend ...
... At the end of lecture the student will be able to: Discuss the main branches of coronary arteries. Enlist the branches of each main artery. Give the ansthamosis of coronaries. Arterial supply of heart Will discuss the Aorta, the Ascending aorta and branches the Arch of Aorta and branches the Descend ...
Tips on Transcribing Cardiac Surgery and Related Cardiology
... and is often abbreviated F; thus, 7F means 7 French. The catheters are named for shape, size, inventor, manufacturer, or have a trade name. Angioplasty. When your neighbor’s cardiac evaluation is completed, she may be told she has blockage of only one coronary artery. One of her options at this poin ...
... and is often abbreviated F; thus, 7F means 7 French. The catheters are named for shape, size, inventor, manufacturer, or have a trade name. Angioplasty. When your neighbor’s cardiac evaluation is completed, she may be told she has blockage of only one coronary artery. One of her options at this poin ...
Advances in Natural and Applied Sciences
... As the results of this study showed, changes in serum creatinine level was much lower in OPCAB surgery group. In contrast, significant increases in serum creatinine were observed in the counter group. In addition, changes in sodium levels were significantly different in the two groups. However, ther ...
... As the results of this study showed, changes in serum creatinine level was much lower in OPCAB surgery group. In contrast, significant increases in serum creatinine were observed in the counter group. In addition, changes in sodium levels were significantly different in the two groups. However, ther ...
Cardiac Coned
... • Dose 0.4mg sublingual • BLS: Patient Assisted Medication q 3-5 min, max 3 doses (patient and EMS) • ALS: same as above. Must have an IV if pt is not prescribed NTG • SBP must be > 90 mmHg; No drop of more than 20 mmHg & Pulse > 60 BPM • No recent pulmonary hypertensive or sexually enhancing medica ...
... • Dose 0.4mg sublingual • BLS: Patient Assisted Medication q 3-5 min, max 3 doses (patient and EMS) • ALS: same as above. Must have an IV if pt is not prescribed NTG • SBP must be > 90 mmHg; No drop of more than 20 mmHg & Pulse > 60 BPM • No recent pulmonary hypertensive or sexually enhancing medica ...
"Cough, goddamn it!": A fearful mishap leads to the revolutionary
... blood flow in the woman’s heart. This event revolutionized the surgical treatment of coronary artery disease. Within three years, Favaloro and his colleagues performed 1,086 operations with an acceptably low mortality. The Cleveland Clinic became a mecca for angina patients who could benefit from su ...
... blood flow in the woman’s heart. This event revolutionized the surgical treatment of coronary artery disease. Within three years, Favaloro and his colleagues performed 1,086 operations with an acceptably low mortality. The Cleveland Clinic became a mecca for angina patients who could benefit from su ...
Tumor Invasion of Myocardium Presented with Acute Coronary
... Patient with malignancies may have uncommon etiologies of acute myocardial infarction, which are tumor emboli, or direct invasion or compression of coronary arteries.4 Any patient who had typical angina and a STEMI ECG pattern as the presented case should undergo emergency coronary intervention, or ...
... Patient with malignancies may have uncommon etiologies of acute myocardial infarction, which are tumor emboli, or direct invasion or compression of coronary arteries.4 Any patient who had typical angina and a STEMI ECG pattern as the presented case should undergo emergency coronary intervention, or ...
Severe coronary artery ectasia and abdominal aortic aneurysm
... left anterior fascicular block, q-waves in the inferior leads, prominent R-waves in leads V2 –V3 and mild ST-segment depression in leads V3 –V5. The initial blood tests were remarkable for elevated levels of troponin I (0.85 ng/ml, normal <0.5), creatine kinase (267 U/l, normal <195), glucose (17.2 ...
... left anterior fascicular block, q-waves in the inferior leads, prominent R-waves in leads V2 –V3 and mild ST-segment depression in leads V3 –V5. The initial blood tests were remarkable for elevated levels of troponin I (0.85 ng/ml, normal <0.5), creatine kinase (267 U/l, normal <195), glucose (17.2 ...
Ischemic Heart Disease
... blocks P2Y12 ADP receptor–mediated platelet aggregation. • It provides benefits similar to those of aspirin in patients with stable chronic IHD and may be substituted for aspirin if aspirin causes the side effects listed above. • Clopidogrel combined with aspirin reduces death and coronary ischemic ...
... blocks P2Y12 ADP receptor–mediated platelet aggregation. • It provides benefits similar to those of aspirin in patients with stable chronic IHD and may be substituted for aspirin if aspirin causes the side effects listed above. • Clopidogrel combined with aspirin reduces death and coronary ischemic ...
acute myocardial infarction in an elderly patient with severe aortic
... the coronary arteries are normal12. In a recent study reported by Miyagawa et al.12, who used myocardial contrast echocardiography to evaluate the deterioration of blood flow in the hypertrophied myocardium of AS patients, the myocardial blood flow in the subendocardium was significantly lower than ...
... the coronary arteries are normal12. In a recent study reported by Miyagawa et al.12, who used myocardial contrast echocardiography to evaluate the deterioration of blood flow in the hypertrophied myocardium of AS patients, the myocardial blood flow in the subendocardium was significantly lower than ...
Ramesh M. Gowda, MD
... • The patient was chest pain free at the end of the procedure and transferred to the CCU in stable condition. • Because of the severity of the patient’s remaining coronary disease, a heart team discussion was had and coronary artery bypass graft surgery was scheduled for the next week. • Meanwhile, ...
... • The patient was chest pain free at the end of the procedure and transferred to the CCU in stable condition. • Because of the severity of the patient’s remaining coronary disease, a heart team discussion was had and coronary artery bypass graft surgery was scheduled for the next week. • Meanwhile, ...
Switchable surface wettability Research Highlights
... applications: the time the film takes to break down must be appropriate for its intended use. Ajiro’s team compared the degradation speed of amorphous and crystalline poly(LA) films to their coating, and found that the degradation was markedly slower for the crystallized block copolymer film — makin ...
... applications: the time the film takes to break down must be appropriate for its intended use. Ajiro’s team compared the degradation speed of amorphous and crystalline poly(LA) films to their coating, and found that the degradation was markedly slower for the crystallized block copolymer film — makin ...
Levosimendan: The Next Dobutamine?
... intracellular calcium levels. Potential clinical benefits of levosimendan include increased myocardial contractility (without increased intracellular calcium levels), vasodilation (coronary, systemic, pulmonary), and no effects on myocardial oxygen demand nor arrhythmogenesis. The most common advers ...
... intracellular calcium levels. Potential clinical benefits of levosimendan include increased myocardial contractility (without increased intracellular calcium levels), vasodilation (coronary, systemic, pulmonary), and no effects on myocardial oxygen demand nor arrhythmogenesis. The most common advers ...
Anomalous left coronary artery from the pulmonary artery presenting
... elderly stage of life is extremely rare. Insufficient collateral flow from the right coronary artery with a coronary steal from the left coronary artery into the pulmonary trunk result in malperfusion of the left ventricular myocardium, with the right coronary artery becoming large and tortuous. Pre ...
... elderly stage of life is extremely rare. Insufficient collateral flow from the right coronary artery with a coronary steal from the left coronary artery into the pulmonary trunk result in malperfusion of the left ventricular myocardium, with the right coronary artery becoming large and tortuous. Pre ...
PDF Article
... The optimal dose of aspirin in vascular diseases remains controversial. Although low aspirin doses (⬍100 mg daily) have potential advantages over higher doses, a recent meta-analysis has shown that in patients at high risk for vascular events, there was a similar reduction of events over a dose rang ...
... The optimal dose of aspirin in vascular diseases remains controversial. Although low aspirin doses (⬍100 mg daily) have potential advantages over higher doses, a recent meta-analysis has shown that in patients at high risk for vascular events, there was a similar reduction of events over a dose rang ...
EARLY DEVELOPMENT OF CORONARY ARTERY DISEASE AT A
... For the time spent in hospital for ongoing background antianginal therapy the patient‘s health considerably improved, anginal pains were not present, though rare discomforts in the heart remained, shortness of breath was not observed, hemodynamic parameters were stable, the patient was dismissed fro ...
... For the time spent in hospital for ongoing background antianginal therapy the patient‘s health considerably improved, anginal pains were not present, though rare discomforts in the heart remained, shortness of breath was not observed, hemodynamic parameters were stable, the patient was dismissed fro ...
ZiffraChoosingwiselyinCardiology
... Guidelines relevant to the spectrum of IHD are in parentheses. CABG indicates coronary artery bypass graft; CV, cardiovascular; ECG, electrocardiogram; IHD, ischemic heart disease; PCI, percutaneous coronary intervention; SCD, sudden cardiac death; SIHD, stable ischemic heart disease; STEMI, ST-elev ...
... Guidelines relevant to the spectrum of IHD are in parentheses. CABG indicates coronary artery bypass graft; CV, cardiovascular; ECG, electrocardiogram; IHD, ischemic heart disease; PCI, percutaneous coronary intervention; SCD, sudden cardiac death; SIHD, stable ischemic heart disease; STEMI, ST-elev ...
Consumer-ACS-Word-547KB - Australian Commission on
... Acute coronary syndrome refers to any blockage of blood vessels in your heart. Key to the provision of timely and effective care is to recognise the early signs of a heart attack and call for an ambulance. The goal of the Clinical Care Standard for Acute Coronary Syndrome is to improve the early acc ...
... Acute coronary syndrome refers to any blockage of blood vessels in your heart. Key to the provision of timely and effective care is to recognise the early signs of a heart attack and call for an ambulance. The goal of the Clinical Care Standard for Acute Coronary Syndrome is to improve the early acc ...
Effects of Nicorandil on the Clinical and Laboratory Outcomes of
... patients (10). However, if these patients undergo PCI, Nicorandil could prevent microvascular dysfunction (11). In the present study, patients administered with Nicorandil had reduced cardiac enzyme levels after the intervention, while no significant difference was observed in the short-term clinica ...
... patients (10). However, if these patients undergo PCI, Nicorandil could prevent microvascular dysfunction (11). In the present study, patients administered with Nicorandil had reduced cardiac enzyme levels after the intervention, while no significant difference was observed in the short-term clinica ...
Corrected Transposition of the Great Arteries
... adult patients with CTGA, each of whom had been followed-up for years with a clinical diagnosis of coronary arterial disease complicated by ventricular aneurysm and mitral insufficiency. Coronary arteriographic studies showed no luminal narrowing but led to the correct diagnosis in each patient. ...
... adult patients with CTGA, each of whom had been followed-up for years with a clinical diagnosis of coronary arterial disease complicated by ventricular aneurysm and mitral insufficiency. Coronary arteriographic studies showed no luminal narrowing but led to the correct diagnosis in each patient. ...
Document
... procedures in the next year. DES should not be used in primary PCI for patients with STEMI who are unable to tolerate or comply with a prolonged course of DAPT because of the increased risk of stent thrombosis with premature discontinuation of one or both agents. *Balloon angioplasty without stent p ...
... procedures in the next year. DES should not be used in primary PCI for patients with STEMI who are unable to tolerate or comply with a prolonged course of DAPT because of the increased risk of stent thrombosis with premature discontinuation of one or both agents. *Balloon angioplasty without stent p ...
What is cardiac scoring
... Cardiac scoring is not recommended for persons with multiple stents, arrhythmias or with relative resting tachycardia (heart rate greater than 90 beats per minute). A high or irregular heart rate makes ECG gating of the heart difficult, resulting in poor image quality. However, these conditions can ...
... Cardiac scoring is not recommended for persons with multiple stents, arrhythmias or with relative resting tachycardia (heart rate greater than 90 beats per minute). A high or irregular heart rate makes ECG gating of the heart difficult, resulting in poor image quality. However, these conditions can ...
Drug-eluting stent
A drug-eluting stent (DES) is a peripheral or coronary stent (a scaffold) placed into narrowed, diseased peripheral or coronary arteries that slowly releases a drug to block cell proliferation. This prevents fibrosis that, together with clots (thrombi), could otherwise block the stented artery, a process called restenosis. The stent is usually placed within the peripheral or coronary artery by an interventional cardiologist or interventional radiologist during an angioplasty procedure.Drug-eluting stents in current clinical use were approved by the FDA after clinical trials showed they were statistically superior to bare-metal stents for the treatment of native coronary artery narrowings, having lower rates of major adverse cardiac events (usually defined as a composite clinical endpoint of death + myocardial infarction + repeat intervention because of restenosis). The first drug-eluting stents to be approved in Europe and the U.S. were coated with paclitaxel or an mTOR inhibitor, such as sirolimus.