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Aspirin: Friend or Foe?
Aspirin: Friend or Foe?

Cardiovascular Medicine 2017
Cardiovascular Medicine 2017

... • New guidelines and practice recommendations for lipid therapy with PCSK9 inhibitors and advanced heart failure therapies • Approaches to tailoring multimodality cardiovascular imaging to the patient: how to deploy magnetic resonance, coronary CT, nuclear imaging, and echocardiography • New find ...
Palpation of the upper and lower limbs arteries
Palpation of the upper and lower limbs arteries

...  Generally, if you feel the pulses in the artery, this indicates that there is a blood flow within it, and if pulses are not palpated, this indicates that there is no blood flow  ischemia.  If you put your little finger on the thumb and do flexion at the wrist joint , you will see these ...
Complete version - ABcomm, Inc. Home
Complete version - ABcomm, Inc. Home

... • Weigh the risks versus benefits for a given mediation, in terms of indication for use, route of administration, side effects, and longterm study data. • Decide if and when combination therapy is a clinical necessity. • Analyze multiple clinical endpoints to determine if treatment is successful. ...
Nurses Guide to Commonly asked Questions about Heart Failure
Nurses Guide to Commonly asked Questions about Heart Failure

... What is the recommended daily sodium intake for a HF Patient? Daily sodium intake should be less than 2000 mg per 24 hours. One teaspoon of salt equals to 2300 mg of sodium which is more than daily recommended amount. It is important to reassure patients that there is enough salt in natural foods t ...
Management of patients with ventricular tachycardia in Europe
Management of patients with ventricular tachycardia in Europe

... Treatment with AADs is the major choice for non-sustained VT in most centres, while AAD treatment or catheter ablation is considered for sustained VT. The treatment decision in these patients is probably made according to the prognosis of their heart disease, symptoms, and patient preference. In pat ...
Aortic Stenosis Client Handout PESC
Aortic Stenosis Client Handout PESC

... Email: [email protected] The combination of all of these tests gives us our best evaluation of the animal’s heart function, however if cost considerations prohibit us performing all of them, two or three will provide much valuable information. IS THERE TREATMENT FOR AORTIC STENOSIS? The goal o ...
Aortic Stenosis Explained - New - CardioRespiratory Pet Referrals
Aortic Stenosis Explained - New - CardioRespiratory Pet Referrals

... The combination of all of these tests gives us our best evaluation of the animal’s heart function, however if cost considerations prohibit us performing all of them, two or three will provide much valuable information. IS THERE TREATMENT FOR AORTIC STENOSIS? The goal of treating aortic stenosis is t ...
Observations on the Circulation of Domestic Cattle
Observations on the Circulation of Domestic Cattle

... The principal studies were done on 12 cows (table 1) ; intracardiac pressures alone were measured on an additional animal (Cow XVII). Respiratory studies, to be reported elsewhere, were performed on a number of the same animals, and in some cases respiratory studies only were done. For this reason, ...
Impact of metabolic syndrome on the outcome of patients with stable
Impact of metabolic syndrome on the outcome of patients with stable

... associated independently with atherosclerosis [7–10]. Recently, MetS was also associated with an increased incidence of cardiovascular events, including increased risk for both cardiovascular and all causes of mortality [11–14]. The impact of MetS on the outcome of patients with chronic coronary art ...
chapter 4 estimation of blood pressure using pulse
chapter 4 estimation of blood pressure using pulse

... cuff is inflated and deflated. Similar to the auscultatory technique, oscillometric also applies an inflated cuff to the arm or wrist. These variations are due to combination of two effects: controlled inflation or deflation of the cuff and the effects of arterial pressure changes under the cuff. In ...
Targeting calcium transport in ischaemic heart disease
Targeting calcium transport in ischaemic heart disease

... myocardial I/R injury. These include: intracellular Ca2þ overload; the occurrence of a no reflow phenomenon due to cell swelling, impaired vascular relaxation or the formation of white cell plugs; and the formation of oxygen radicals. The oxyradical hypothesis of myocardial I/R has been reviewed in ...
1 HEART DISEASE Cardiovascular disease is a class of diseases
1 HEART DISEASE Cardiovascular disease is a class of diseases

... of interventional or surgical therapy, or in making recommendations about activity level, rehabilitation, and work status. ...
Evidence for left ventricular dysfunction in patients with
Evidence for left ventricular dysfunction in patients with

... ABSTRACT: There is limited information on the development of left ventricular (LV) dysfunction in patients with obstructive sleep apnoea (OSA) in the absence of lung and cardiac comorbidity. This study aimed to investigate whether OSA patients without heart morbidity develop LV dysfunction, and to a ...
Prevention and Management of Arrhythmias in Acute Myocardial
Prevention and Management of Arrhythmias in Acute Myocardial

... Atrial fibrillation has been reported to complicate 2.3-21% of acute AMI patients.14 Pre-existing AF observed in patients with AMI, and new-onset AF for the remaining two-thirds. ACE-Is and angiotensin II inhibitors has led to a substantial decline in the incidence of post-MI AF. (2.5-5 mg every 2-5 ...
Group Critical Illness Information
Group Critical Illness Information

... the heart muscle (myocardium) caused by a blockage of one or more coronary arteries. Heart Attack does not include: •• Any other disease or injury involving the cardiovascular system. •• Cardiac Arrest not caused by a myocardial infarction. Diagnosis of a heart attack must include all of the followi ...
Diagnosis and evaluation of pulmonary hypertension
Diagnosis and evaluation of pulmonary hypertension

... Patent ductus arteriosus High-output cardiac failure (thyrotoxicosis, Paget disease) Liver disease Chronic anemia ...
Severe right heart failure in two patients with thyrotoxicosis
Severe right heart failure in two patients with thyrotoxicosis

... of RHF on treatment of the thyrotoxicosis support a causal association. Furthermore, Lozano and Sharma6 also reported one case and reviewed 11 cases of PH and RHF associated with thyrotoxicosis. When thyroid antibodies were measured in six cases, four were positive. Severe TR was present in seven (5 ...
Strengthen the prevention, diagnosis and treatment of rheumatic
Strengthen the prevention, diagnosis and treatment of rheumatic

... The Australian guideline for prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease was updated in 2012 and has been widely endorsed by key organisations in Australia. Central to these guidelines is the need to establish coordinated control programs, which include ...
Document
Document

... – SC dosing preferred; IV dosing also an option in HD patients – the goal is to increase Hb levels by 1–2 g/dL per month ...
Trying to succeed when the right ventricle fails
Trying to succeed when the right ventricle fails

... Although no specific therapies exist for chronic RV failure, treatment is generally based on identifying and correcting the underlying physiologic derangements. Appropriate therapy for left-sided heart disease should theoretically ameliorate chronically elevated PCWP and RV dysfunction; however, dat ...
Congenital Heart Diseases
Congenital Heart Diseases

... -Congenital heart disease is a general term used to describe abnormalities of the heart or great vessels that are present from birth. -Most such disorders arise from faulty embryogenesis, during gestational weeks 3 through 9, when major cardiovascular structures undergo development. ...
Tissue inhibitor
Tissue inhibitor

... [17]. Elevated levels of TIMP-1 have been consistently reported in chronic heart failure (CHF) regardless of the underlying cause or the type of left ventricular dysfunction [8,11,15,18,19], and a level N 1200 ng/ml was indicative of heart failure [20]. However, the available information regarding t ...
Myocardial infarction: redefined or reinvented? - Heart
Myocardial infarction: redefined or reinvented? - Heart

... positive elevations caused by other cardiac conditions and the confounding effect of renal failure. Comparisons of the cost effectiveness of using existing lower cost markers like total CK with the considerably more expensive troponins would seem essential. For example, what is the added value progn ...
Prevalence of impaired left ventricular systolic function - Heart
Prevalence of impaired left ventricular systolic function - Heart

... California, USA), or Vingmed 750 (Vingmed, Horten, Norway)) according to standard protocols. Two dimensional apical four and two chamber and apical long axis views were used for all participants, supplemented by parasternal long and short axis views. Systolic function was evaluated off line in a bli ...
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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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