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Left Atrial Volume Index as a Clinical Marker for Atrial Fibrillation
Left Atrial Volume Index as a Clinical Marker for Atrial Fibrillation

... The prevalence of AF increases with aging and with the severity of the heart disease reaching up to 40% in advanced cases. In patients with heart failure, AF is an independent predictor of morbidity and mortality increasing the risk of death and hospitalization. It is well known that the presence of ...
Heart Murmurs in Cats - Kingsbrook Animal Hospital
Heart Murmurs in Cats - Kingsbrook Animal Hospital

... The murmur may first appear at 6-8 weeks of age, and a kitten with an innocent heart murmur will usually outgrow it by about 4-5 months of age. This type of murmur is benign. Some normal adult cats may have an intermittent heart murmur that shows up when their heart rate is increased due to stress. ...
Facts about Methamphetamine
Facts about Methamphetamine

... Methamphetamine is commonly known as "speed," "meth," and "chalk." In its smoked form it is often referred to as "ice," "crystal," "crank," and "glass." Methamphetamine is a Schedule II stimulant, which means it has a high potential for abuse and is available only through a prescription that cannot ...
Topic 2 - International School Bangkok
Topic 2 - International School Bangkok

... Blood- low on oxygen- flows towards the right atrium via the Vena Cava inferior and superior The right atrium fills with blood and when full contracts The tricuspid valve opens and blood is pumped into right ventricle of your heart When the R ventricle is full of blood the tricuspid valve closes (pr ...
urHealth - the dekalb alphas
urHealth - the dekalb alphas

... Exercise regularly. Exercise is much safer for people who exercise routinely. To maximize the benefits of any aerobic exercise, you must sustain an activity for at Listen to your body and heed warning signs of cardiovascular disease, such a least 20-45 minutes at each session. If you are just beginn ...
Stenting To Reverse Left Ventricular Ischemia Due To Left Main
Stenting To Reverse Left Ventricular Ischemia Due To Left Main

... necessary in each case. One patient had resting left ventricular dysfunction with regional wall motion abnormalities. Left ventricular dysfunction has been recently described to occur in patients up to 20% of patients with severe pulmonary hypertension, the mechanism of which has been debated.4 Alth ...
Coronary flow regulation in patients with ischemic heart
Coronary flow regulation in patients with ischemic heart

... basal conditions. This small net extraction of adenosine may to some extent have been due to the fact that the coronary sinus catheter was longer than the arterial catheter, since a longer sampling time allows for some additional elimination of adenosine. Fox et al.6 reported appearance of adenosine ...
Low Heart Rate Variability In A 2-Minute Rhythm Strip Predicts Risk
Low Heart Rate Variability In A 2-Minute Rhythm Strip Predicts Risk

... The use of certain medication was considered as a possible confounding factor, because many drugs affect autonomic nervous system function. The analyses for subjects without chronic diseases (subjects who used antihypertensive, glucose-lowering, or other cardioactive medication were excluded) showed ...
Heart failure with preserved ejection fraction: Clinical
Heart failure with preserved ejection fraction: Clinical

... cohort studies, as illustrated in Table 2 [11–18]. In other words, they are elderly and predominantly female. Indeed, the average age (72 years) and proportion of women (60%) of patients in I-PRESERVE closely match those of patients in the epidemiological studies. These characteristics also clearly ...
Acute Myocardial Infarction Complicated With Ventricular
Acute Myocardial Infarction Complicated With Ventricular

... ischemia may protect the heart from a subsequent prolonged infarction. Several observations have proved that pre-conditioning occurs in cardiac patients, for example, during coronary angioplasty and coronary bypass graft surgery, and so it is regarded as a promising approach to reducing infarct size ...
Effects of Spontaneous Respiration on Canine
Effects of Spontaneous Respiration on Canine

... In Figure 7 are shown two episodes of constriction of the outlet of the endotracheal tube. These episodes are indicated by the increased tracheal pressure swings. Each loaded breath was accompanied by an abnormally large increase in 0s, followed by a rise in 0 D with the peak of the latter not occur ...
Guidelines on autopsy practice - The Royal College of Pathologists
Guidelines on autopsy practice - The Royal College of Pathologists

... The investigation, under the jurisdiction of the State and/or local Coroners, should be led by a pathologist with experience in the investigation of sudden death who has access to the infrastructure outlined below. This will usually be a forensic pathologist, but may also be an anatomical or other p ...
Liver function tests in patients with acute heart failure
Liver function tests in patients with acute heart failure

... Introduction  The pathophysiology of acute heart failure (AHF) is complex and not fully un‑ derstood.1 Only recently, it has been hypothesized that an episode of acute decompensation affects not only the cardiovascular system itself, but may also deteriorate the function of other organs, caus‑ ing s ...
Post-mortem in sudden unexpected death in the young: Guidelines
Post-mortem in sudden unexpected death in the young: Guidelines

... The investigation, under the jurisdiction of the State and/or local Coroners, should be led by a pathologist with experience in the investigation of sudden death who has access to the infrastructure outlined below. This will usually be a forensic pathologist, but may also be an anatomical or other p ...
4. and 5. Cardiac Cycle I _ II - 2016
4. and 5. Cardiac Cycle I _ II - 2016

... whereas at a heart rate of 200 beats/min, it is only 0.14 s. Physiologic and clinical implications of shortened diastole: The heart muscle rests during diastole. Coronary blood flows to the subendocardial portions of the left ventricle only during diastole. Furthermore, most of the ventricular filli ...
Cardiology QOD Review
Cardiology QOD Review

... shunt at the VSD and can be accomplished by placing the patient in a knee-to-chest position or by squatting in older children. Pharmacologic augmentation of the systemic vascular resistance can be achieved with intravenous phenylephrine. Therapy also includes the use of sedation with morphine, which ...
Heart Failure
Heart Failure

Adaptation of baroreflex function to increased carotid artery
Adaptation of baroreflex function to increased carotid artery

... consequence of abnormal aortico-pulmonary septal development. Although these TGApatients after surgical correction have good long-term prognosis, they also have considerable late morbidity and mortality caused, in part, by rhythm disturbances (1, 2, 3). The mechanism of these rhythm disturbances is ...
Preview this chapter!
Preview this chapter!

... The coronary arteries are the aorta’s first branches (Figure 12-5). The openings into these small vessels lie behind the flaps of the aortic SL valve. During ventricular diastole, blood in the aorta that backs up behind the aortic SL valve can flow into the coronary arteries. In both coronary thromb ...
Effect of Altitude on the Heart and the Lungs
Effect of Altitude on the Heart and the Lungs

... As shown in Figure 1, there is antagonism between the direct effects of hypoxia on the resistance vessels and those mediated by the chemoreceptors in both the systemic and pulmonary circulation. During the first few hours of exposure, hypoxic vasodilatation tends to override sympathetic vasoconstric ...
Regular physical activity
Regular physical activity

... What to Know About Physical Activity and Health Status 7. Helps older adults become stronger and better able to avoid falling Regular physical activity may help prevent accidents by improving muscular strength, balance, and reaction time. 8. Reduces the risk of cardiovascular diseases Regular physi ...
Annex I
Annex I

... 4.2 Posology and method of administration3 Elderly: For very elderly, or frail patients, the recommended initial dose is reduced to 100 mg a day, administered in divided doses or as a single night time dose. This may be incrementally increased, as described under Adults, under supervision, according ...
Full Text - Verlag der Zeitschrift für Naturforschung
Full Text - Verlag der Zeitschrift für Naturforschung

... contractility. Thus, application of these drugs is theoretically appealing as a treatment to increase the cardiac contractility and improve the cardiac output in heart failure patients. Although patients benefit from the improvement of the symptoms of heart failure, the administration of inotropic a ...
Hemodynamic_Monitoring
Hemodynamic_Monitoring

... Initial treatment consisted of diuretics (intra-operative fluid balance was 1.5 lit positive), dobutamine, and nitroglycerine, considering that this lady was suffering from congestive heart failure Despite the above treatment, leading to a negative fluid balance of 2,5 lit, the patient did not impro ...
Arrhythmias
Arrhythmias

... Simply, it is –ve in any arrhythmia except when arrhythmia contain this word , sinus  it is +ve . ☺ ( HR is increased during inspiration ) Respiratory sinus arrhythmia : - Inspiration  ↑ VR  ↑ of SAN  ↑ HR . - This is a physiological process indicating that the pacemaker is the SAN . 2- Neck vei ...
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Antihypertensive drug



Antihypertensives are a class of drugs that are used to treat hypertension (high blood pressure). Antihypertensive therapy seeks to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Evidence suggests that reduction of the blood pressure by 5 mmHg can decrease the risk of stroke by 34%, of ischaemic heart disease by 21%, and reduce the likelihood of dementia, heart failure, and mortality from cardiovascular disease. There are many classes of antihypertensives, which lower blood pressure by different means. Among the most important and most widely used drugs are thiazide diuretics, calcium channel blockers, ACE inhibitors, angiotensin II receptor antagonists (ARBs), and beta blockers.Which type of medication to use initially for hypertension has been the subject of several large studies and resulting national guidelines. The fundamental goal of treatment should be the prevention of the important endpoints of hypertension, such as heart attack, stroke and heart failure. Patient age, associated clinical conditions and end-organ damage also play a part in determining dosage and type of medication administered. The several classes of antihypertensives differ in side effect profiles, ability to prevent endpoints, and cost. The choice of more expensive agents, where cheaper ones would be equally effective, may have negative impacts on national healthcare budgets. As of 2009, the best available evidence favors the thiazide diuretics as the first-line treatment of choice for high blood pressure when drugs are necessary. Although clinical evidence shows calcium channel blockers and thiazide-type diuretics are preferred first-line treatments for most people (from both efficacy and cost points of view), an ACE inhibitor is recommended by NICE in the UK for those under 55 years old.
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