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Atrial Fibrillation : Present Treatment Protocols by Drugs and Interventions Abstract
Atrial Fibrillation : Present Treatment Protocols by Drugs and Interventions Abstract

... control is their cardio-depressive effects, particularly in patients with heart failure. However, as a common practice – though not appropriately supported by data, one should feel comfortable in using these agents with an echocardiographic or MUGA determined ejection fraction of over 20%. It is evi ...
Flecainide: Current status and perspectives in arrhythmia
Flecainide: Current status and perspectives in arrhythmia

... are hampered by methodological limitations, such as open-label design, small sample size, suboptimal follow-up and underestimation of AF burden mainly due to inability to document asymptomatic or short-lasting arrhythmia bouts. In the context of these limitations, oral flecainide has been demonstrat ...
ASA: Guidelines for Prevention of Stroke in Patients With Ischemic
ASA: Guidelines for Prevention of Stroke in Patients With Ischemic

... fatal stroke and vascular death. These results were seen in studies that recruited patients regardless of whether they had hypertension. Data on the relative benefits of specific antihypertensive regimens for secondary stroke prevention are largely lacking. A meta-analysis showed a significant reduc ...
Guidelines for Prevention of Stroke in Patients With Ischemic Stroke
Guidelines for Prevention of Stroke in Patients With Ischemic Stroke

... fatal stroke and vascular death. These results were seen in studies that recruited patients regardless of whether they had hypertension. Data on the relative benefits of specific antihypertensive regimens for secondary stroke prevention are largely lacking. A meta-analysis showed a significant reduc ...
Bundle Branch Block and Benefit from Cardiac Resynchronization
Bundle Branch Block and Benefit from Cardiac Resynchronization

... thereby correcting the dyssynchronous contraction of both walls (“resynchronization”) (Figure 2). While CRT reduces heart failure symptoms, hospitalizations, and mortality and improves ventricular remodeling and quality of life,4-8 unfortunately not every patient that is implanted with a CRT device ...
Bridging the quality gap: Heart failure
Bridging the quality gap: Heart failure

... Heart failure creates a significant burden, both in terms of compromising patients’ quality of life and economically as, every year, it costs the NHS approximately 1–2% of its annual budget – around £625 million. This chartbook shows that in England, which lags behind international comparisons on he ...
Appropriate Use Criteria for ICD/CRT Online Appendix Guideline
Appropriate Use Criteria for ICD/CRT Online Appendix Guideline

... current or prior symptoms of HF and reduced LVEF who have a history of cardiac arrest, ventricular fibrillation, or Hemodynamically destabilizing ventricular tachycardia (10-12). (Level of Evidence: A) 2006 VENTRICULAR ARRHYTHMIA GUIDELINES: 8.1. Left Ventricular Dysfunction Due to Prior Myocardial ...
AACN Essentials of Critical-Care Nursing Pocket Handbook
AACN Essentials of Critical-Care Nursing Pocket Handbook

... tables and figures from the textbook, AACN Essentials of Critical Care Nursing, and includes items that clinicians are most likely to need at their fingertips: • Critical care drug tables (common vasoactive drugs, ...
Cardiac Thyrotropin-Releasing Hormone Mediates
Cardiac Thyrotropin-Releasing Hormone Mediates

... These normal ratios found in the animals with the inhibition of the LV TRH were not caused by normalization of blood pressure or changes in the body weight, as we measured both variables weekly during the entire experiment, and we did not find any significant changes. (Figure 3C). In addition, we ch ...
Circulatory adaptation to orthostatic stress in
Circulatory adaptation to orthostatic stress in

... non-invasive measurement of heart rate and continuous finger blood pressure (Finapres). 2. Four subjects (two girls, two boys) showed presyncopal symptoms after 4-9 min of free standing. 3. In the 20 non-fainting subjects, changes in blood pressure and heart rate upon standing did not differ between ...
Cardiogenic Shock
Cardiogenic Shock

... At the conclusion of this program, the participants will be able to:  Identify the signs and symptoms of cardiogenic shock  Identify two factors that place a patient at risk for developing cardiogenic shock  Discuss what is currently being stated in the literature regarding the usefulness of IABC ...
ACC/AHA/ESC guidelines for the management of patients with
ACC/AHA/ESC guidelines for the management of patients with

... of patients with supraventricular arrhythmias, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the European Society of Cardiology (ESC) created a committee to establish guidelines for better management of these heterogeneous tachyarrhythmias. This docu ...
PATIENT EDUCATION TOOLS The following tools can be used to
PATIENT EDUCATION TOOLS The following tools can be used to

... Doctors classify heart failure on a scale of 1 to 4 (Roman numerals I to IV) by reviewing your symptoms and your ability to exercise and do activities. The New York Heart Association has developed a system that is commonly used to talk about levels (classes) of heart failure. This system is shown be ...
ACR–SIR Practice Parameter for the Performance of
ACR–SIR Practice Parameter for the Performance of

... controlled, HTN causes significant morbidity and mortality, with end-organ damage frequently affecting the kidneys, as well as the cerebrovascular and cardiovascular systems. Although HTN is most often essential, or idiopathic in origin, renovascular disease is an important and potentially remediabl ...
Fluid Overload: Diagnosis and Management
Fluid Overload: Diagnosis and Management

... including alteration of the myocardial tissue and oxidative stress state [8, 9]. These collagenases are likely responsible for disruption of the collagen strut network that normally weaves the cardiac myocytes together. The net result of cardiac matrix metalloproteinase activation is loss of the nor ...
DATA SHEET LANOXIN
DATA SHEET LANOXIN

... monitoring of serum digoxin levels (see Monitoring) should be used as a basis for adjustment of dosage in these paediatric patient groups. If cardiac glycosides have been given in the two weeks preceding commencement of LANOXIN therapy, it should be anticipated that optimum loading doses of LANOXIN ...
Role of Adenosine in Coronary Blood Flow Regulation after
Role of Adenosine in Coronary Blood Flow Regulation after

... adenosine deaminase, 5 U/min per kg body weight. Parallel studies showed that this dose of enzyme resulted in cardiac lymph adenosine deaminase concentrations of 3.2 ± 0.4 U/ml. Adenosine deaminase abolished the vasodilator response to intracoronary adenosine, 4 and 8 /tg, but had no effect on the v ...
Aortic Stenosis: Diagnosis and Treatment
Aortic Stenosis: Diagnosis and Treatment

... contractility, or systemic vasomotor tone.39 Blood pressure–lowering agents should be initiated at low doses and gradually titrated to achieve the desired effect. Angiotensin-converting enzyme (ACE) inhibitors are well tolerated, improve effort tolerance, and reduce dyspnea in symptomatic patients w ...
thesis frame 23 okt
thesis frame 23 okt

... Ultrasound cardiography (UCG) or nowadays, echocardiography (echo), was first performed in 1953 in Lund, Sweden, by Inge Edler [5] and has become widely used as a diagnostic tool. It was combined with contrast injection by Gramiak in 1969 [6] and the usefulness of contrast echo to diagnose interatri ...
RV function
RV function

... • Non - homogenous distribution within RV free wall in comparison to LV distribution • In pulmonary hypertension pts- the lowest strain values in outflow part of RV wall • Rapid increase in afterload result in systolic strain rate increase and systolic strain reduction • Reduction in systolic strain ...
ACC/AHA/ESC Practice Guideline
ACC/AHA/ESC Practice Guideline

... with supraventricular arrhythmias— executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of P ...
cardiopulmonary services
cardiopulmonary services

... Antiplatelet medicines: Anti-platelet medicines, such as aspirin, keep platelets from sticking to a damaged part of your artery. Beta-blockers: Beta-blockers help reduce the workload on your heart by decreasing the rate and and force of heart contractions, and reducing blood pressure. Blood pressure ...
Magnesium, The Forgotten Mineral
Magnesium, The Forgotten Mineral

... certain dried fruits, and whole grains (see sidebar on page 3 for more magnesium-rich foods). Second, eliminate or reduce your consumption of alcohol, white sugar, white flour, fried foods, and trans-fatty acids (found in margarine as well as baked or fried processed foods). These foods either deple ...
ACC/AHA/ESC Practice Guidelines
ACC/AHA/ESC Practice Guidelines

... with supraventricular arrhythmias— executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of P ...
Federal guidelines on diagnosis and treatment of
Federal guidelines on diagnosis and treatment of

... requires further investigation. Several studies demonstrated clinical differences between men and women suffering from COPD. With similar bronchial obstruction, women with COPD were shown to have more pronounced bronchial hyperresponsibility and more severe breathlessness compared to men. Oxygenatio ...
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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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