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An Intelligent System for Pacemaker Reprogramming
An Intelligent System for Pacemaker Reprogramming

... energy threshold, due, for example, to a fibrous tissue barrier around the lead’s tip, which obstructs impulse conduction. The three types of problems mentioned above may give rise to what is called the pacemaker syndrome: the patient feels a beat in the neck, due to the regurgitation of ventricular ...


... intervention is rarely necessary to simply lower the risk of surgery unless such intervention is indicated irrespective of the preoperative context. The purpose of preoperative evaluation is not to give medical clearance but rather to perform an evaluation of the patient’s current medical status; ma ...
Role of catheter-induced mechanical trauma in localization of target
Role of catheter-induced mechanical trauma in localization of target

... node, right posteroseptal and left inferoposterior region, respectively. In two of these patients a partial control of the arrhythmia was obtained by pharmacologic therapy; in the third patient with dilated cardiomyopathy (ejection fraction 18%), the AV junction was ablated, and a permanent VVIR pac ...
Standards for the use of cardiopulmonary exercise testing
Standards for the use of cardiopulmonary exercise testing

... role of a central nervous system governor [29]. VO2max attainment is evidenced by failure of VO2 to increase despite increasing work rate [30]. However, flattening of the VO2 versus power relationship is not seen often in routine clinical practice, and therefore a more realistic goal is to assess pe ...
Sleep disordered breathing and enlargement of the right heart after myocardial infarction
Sleep disordered breathing and enlargement of the right heart after myocardial infarction

... SDB are exposed to repetitive hypoxia, increased heart rate and increased cardiac afterload [7]. In addition, coronary blood flow is uncoupled from cardiac workload in patients with SDB and related endothelial dysfunction [8]. Through these mechanisms, SDB contributes to reduced myocardial salvage, ...
Corporate Medical Policy
Corporate Medical Policy

... prediction models were found to have only modest discriminatory ability, with C-statistics of approximately 0.60. The most commonly used model has been CHADS2 (congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, stroke/transient ischemic attack) score, although this has now bee ...
Chronic heart failure in adults: management
Chronic heart failure in adults: management

... This guideline offers best practice advice on the care of adults with chronic heart failure. Treatment and care should take into account patients' needs and preferences. People with chronic heart failure should have the opportunity to make informed decisions about their care and treatment, in partne ...
Management strategies for patients with pulmonary hypertension Continuing Medical Education Article
Management strategies for patients with pulmonary hypertension Continuing Medical Education Article

... dopamine, dobutamine, phenylephrine, isoproterenol, and vasopressin. Both human and animal studies related to pulmonary hypertension were reviewed. Conclusions: Pulmonary hypertension presents a particular challenge in critically ill patients, because typical therapies such as volume resuscitation a ...
Congenital Anomalies Involving the Coronary
Congenital Anomalies Involving the Coronary

... prerenal segments of the developing inferior vena cava fail to fuse into a continuous channel. Under such circumstances, the prerenal segment of the "interrupted" inferior vena cava joins either the azygos or hemiazygos vein. The azygos vein drains into the right superior vena cava. If the inferior ...
WEDNESDAY, September 2
WEDNESDAY, September 2

... “Advances in Cardiovascular Research”, which will be held in Smolenice Castle, the Congress Centre of the Slovak Academy of Sciences. The Symposium will offer an opportunity to bring together renowned scientists; clinicians, as well as basic scientists from all areas of cardiovascular research, the ...
Management strategies for patients with pulmonary hypertension in
Management strategies for patients with pulmonary hypertension in

... dopamine, dobutamine, phenylephrine, isoproterenol, and vasopressin. Both human and animal studies related to pulmonary hypertension were reviewed. Conclusions: Pulmonary hypertension presents a particular challenge in critically ill patients, because typical therapies such as volume resuscitation a ...
Canadian Cardiovascular Society Consensus Conference
Canadian Cardiovascular Society Consensus Conference

... without attention to heart failure-specific education, intensive followup and optimization of medical therapy do not appear to reduce rehospitalizations or improve quality of life (12). Shared care is therefore necessary, and the CCS guidelines have previously identified the profiles of patients who ...
3D anatomical modelling of the human cardiac conduction system
3D anatomical modelling of the human cardiac conduction system

... successfully created. The sinus node is a crescent shaped structure 1.6 cm in length. The paranodal area is ellipsoid in shape and 2 cm in length. The two structures are in close proximity but there were no connections found between them. 2) A 3D anatomical reconstruction of the human heart and majo ...
Mechanisms of Vasovagal Syncope in the Young: Reduced
Mechanisms of Vasovagal Syncope in the Young: Reduced

... prodromal symptoms, physical signs, and postdrome recovery and symptoms.2 In all patients, past fainting had been induced by prolonged standing and in 6 patients it was also triggered by noxious stimuli. Prodromal features included pallor, lightheadedness, nausea with abdominal discomfort, diaphores ...
Moderate Systemic Hypotension During
Moderate Systemic Hypotension During

... All animals used in this study received humane care in compliance with the guidelines for care and use of laboratory animals of the US National Institutes of Health. Twenty-seven pigs weighing 22 to 35 kg were premedicated with ketamine hydrochloride (15 mg/kg IM) and midazolam (0.5 mg/kg IM), anest ...
Learning to Live with Heart Failure
Learning to Live with Heart Failure

... pressure control is very important. If you have high blood pressure, you will likely receive an ACE inhibitor or ARB and an aldosterone blocker. You may also be treated with a beta blocker or calcium channel blocker. If you experience swelling or fluid in your lungs, you will also receive a diuretic ...
Pulmonary Hypertension Advances in Hypertension and
Pulmonary Hypertension Advances in Hypertension and

... to the pulmonary circulation and adaptation to high altitude,” added Dr. Krugman. For many years Dr Reeves was a senior member of the Cardiovascular Pulmonary Laboratory of the School of Medicine within the Department of Medicine and most recently played a significant role in the establishment of th ...
Sustained release organic nitrite therapy
Sustained release organic nitrite therapy

... aggravate congestive heart failure. Afterload is the tension acid and an organic alcohol, provided that the starting developed in the ventricular wall as contraction (systole) alcohol is not toxic and does not interfere with or counteract occurs. Afterload is regulated by the resistance or impedance ...
Atsuyoshi Takao
Atsuyoshi Takao

... letters. In one of them, he said that, rather unexpectedly, he had become the director of the Heart Institute of Japan. Traditionally, the Heart Institute of Japan had been led by either a cardiac surgeon or a cardiologist. He did an excellent job as the director of the institute. He showed well-bal ...


... minutes of O. brevis application of the used dose, indicating an increase in the force of ventricular contraction. In an attempt to reveal the mechanism of action of O. brevis extract, application of verapamil, a selective antagonist of L-type Ca2+ channels, has completely abolished the positive ino ...
PULMONARY CIRCULATION AT EXERCISE
PULMONARY CIRCULATION AT EXERCISE

... the Starling resistor model of the pulmonary circulation In embolic pulmonary hypertension, multipoint (Ppam–Pla)-Q relationships were linear at physiological flow rates, but an inflection point in Ppam vs. Pla relationships could not always be identified (84). Furthermore, the slope of Ppam-Q was i ...
THE UTILITY OF PULSE PRESSURE MEASURED BY RADIAL
THE UTILITY OF PULSE PRESSURE MEASURED BY RADIAL

... congestive heart failure will be explored to determine if higher left ventricular mass mediates the association between pulse pressure and incident congestive heart failure. Arterial hemodynamics The purpose of the arterial circulation is to supply oxygen and nutrients to, and remove waste products ...
2014 ACC/AHA Guideline on Perioperative Cardiovascular
2014 ACC/AHA Guideline on Perioperative Cardiovascular

... This document was approved by the American College of Cardiology Board of Trustees and the American Heart Association Science Advisory and Coordinating Committee in July 2014. The American College of Cardiology requests that this document be cited as follows: Fleisher LA, Fleischmann KE, Auerbach AD ...
chapter ii literature review
chapter ii literature review

... that the lifetime risk of developing CHF is 1 in 5, with incidence increasing steeply at the age of 75 years. In addition to high mortality and morbidity rates, CHF patients have a seriously impaired QOL as pain becomes an increasing and significant problem (Flynn et al., 2009; Selman et al., 2007). ...
AFib Management and the Role of Catheter Ablation
AFib Management and the Role of Catheter Ablation

... Why Ablation for AFib might be Considered FirstLine Therapy for Some Patients “Current therapies, especially AAM, not only are ineffective but also pose a threat to patient QoL and even longevity. In the hands of experienced operators, AF ablation is an effective, safe, and established treatment for ...
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Dextro-Transposition of the great arteries



dextro-Transposition of the great arteries (d-Transposition of the great arteries, dextro-TGA, or d-TGA), sometimes also referred to as complete transposition of the great arteries, is a birth defect in the large arteries of the heart. The primary arteries (the aorta and the pulmonary artery) are transposed.It is called a cyanotic congenital heart defect (CHD) because the newborn infant turns blue from lack of oxygen.In segmental analysis, this condition is described as ventriculoarterial discordance with atrioventricular concordance, or just ventriculoarterial discordance.d-TGA is often referred to simply as transposition of the great arteries (TGA); however, TGA is a more general term which may also refer to levo-transposition of the great arteries (l-TGA).Another term commonly used to refer to both d-TGA and l-TGA is transposition of the great vessels (TGV), although this term might have an even broader meaning than TGA.
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