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BLEEDING RISK ATRIAL FIBRILLATION CHA2DS2 VASc and HAS
BLEEDING RISK ATRIAL FIBRILLATION CHA2DS2 VASc and HAS

... are truly low risk (CHA2DS2-VASc score of 0)17,18 who may reasonably be considered for no antithrombotic treatment. All other AF patients, those with a CHA 2 DS 2 -VASc score of ⱖ1, should be considered for stroke prevention, which is essentially treatment with OAC. One validation of CHA2DS2-VASc an ...
ischemic changes in ecg and myocardial infarction learning objectives
ischemic changes in ecg and myocardial infarction learning objectives

... The branches of coronary arteries arising from the aortic root are distributed on the epicardial surface of the heart. These in turn provide intramural branches that supply the cardiac muscle. Myocardial ischemia (IHD) generally appears first and is more extensive in the sub-endocardial region since ...
Abnormal Diurnal Variation of Blood Pressure, Cardiac
Abnormal Diurnal Variation of Blood Pressure, Cardiac

... mean arterial pressure, heart rate, stroke volume, cardiac output, and total peripheral vascular resistance of cardiac transplant recipients and control subjects are shown in Fig 2. In control subjects, the nocturnal fall in blood pressure was associated with a marked nocturnal fall in cardiac outpu ...
Chapter - Fullfrontalanatomy.com
Chapter - Fullfrontalanatomy.com

... called a(n) _________________________________ (7). Because of this series of diagnostics and therapeutics, Deborah did not have any significant heart muscle damage. The heart muscle itself is called _________________________________ (8). ...
Respirophasic carotid artery peak
Respirophasic carotid artery peak

... undergoing coronary revascularization. Clinical trial registration. NCT 01836081. Keywords: blood flow velocity; carotid artery; Doppler ultrasound; fluid therapy; mechanical ventilation Accepted for publication: 30 December 2013 ...
Article PDF - Open Access Peer Reviewed Medical
Article PDF - Open Access Peer Reviewed Medical

... the recurrence of AF after conversion to sinus rhythm but are limited by adverse events.20 Given these limitations, chronic management of AF remains difficult for both patient and physician. Advances in available medical treatments, in particular dronedarone ...
How respiratory diseases
How respiratory diseases

... as enemas as well as emetics for “lower” and “upper” cleaning, respectively, diuretics and diaphoretics, which were designed to remove harmful substances, letting blood from peripheral veins and applying “dry” or “cut” cups, as well as using leeches [8]. In the case at hand, medications affecting th ...
Medication Guide
Medication Guide

... heart rate decrease starts within an hour and the Day 1 nadir generally occurs within approximately 6 hours, although the nadir can be observed up to 24 hours after the first dose in some patients. Adverse reactions of symptomatic bradycardia following the first dose were reported in 0.5% of patient ...
Systemic Blood Pressure Response to Changes in Right Ventricular
Systemic Blood Pressure Response to Changes in Right Ventricular

... without changes in systemic vascular resistance has been demonstrated following elevation of the systolic pressure in the intact right ventricle.0 The present report describes a pressor reflex which originates in the intact functioning right ventricle. An increase in systemic blood pressure and vasc ...
http://hyper.ahajournals.org/content/early/2013/07/08/ HYPERTENSIONAHA.113.01605.full.pdf
http://hyper.ahajournals.org/content/early/2013/07/08/ HYPERTENSIONAHA.113.01605.full.pdf

... both resting heart rate and cardiovascular mortality.6 However, many studies have shown that resting heart rate predicts adverse events even after adjustment for physical activity.3,5,7 In addition, the use of atrioventricular (AV) nodal blocking agents, such as β-blockers and nondihydropyridine cal ...
Respiratory Emergencies: CHF, Pulmonary Edema, COPD, Asthma
Respiratory Emergencies: CHF, Pulmonary Edema, COPD, Asthma

... Morphine) to a 76 year-old patient who EMS has assessed to be in acute pulmonary edema • The patient begins to lose consciousness and the blood pressure has fallen to 86/60. • What is the appropriate response for EMS to ...
1. The transport system in mammals is a double circulatory system
1. The transport system in mammals is a double circulatory system

... Use the most appropriate terms to complete the paragraph below about the role of haemoglobin in the mammalian blood. Haemoglobin, a pigment found in the blood of mammals, has an important role in the transport of respiratory gases. Each haemoglobin molecule contains haem groups. In the lungs, oxygen ...
section–6 - New Age International
section–6 - New Age International

... (b) Increased lipids (c) Diabetes mellitus (d) Increased atherosclerosis 71. Myxoedema produces all the following ECG changes except ...
Atrial Fibrillation
Atrial Fibrillation

... RF is applied to isolate the PV (PVI) ...
Pulmonary Arteriovenous Fistula with Pulmonary Hypertension г To
Pulmonary Arteriovenous Fistula with Pulmonary Hypertension г To

... Roux et al.5 reported an 11-year-old African female who had a large PAVF and moderate pulmonary hypertension (mean pressure 50 mm Hg) with elevated pulmonary resistance. This patient underwent surgery for resection of the fistula. Unfortunately, during this surgical procedure, acute heart failure de ...
Comparision between Chest X Ray, Electrocardiogram and
Comparision between Chest X Ray, Electrocardiogram and

... M-mode and two dimensional echocardiography is found to be more sensitive and accurate than ECG and Chest X-ray. noninvasive method for left ventricular hypertrophy in hypertensive patients. Hypertensive patients with LVH are at an increased risk for hypertensive complications, including heart failu ...
Thai Acute Decompensated Heart Failure Registry (Thai ADHERE)
Thai Acute Decompensated Heart Failure Registry (Thai ADHERE)

... Baseline clinical characteristics are shown in Table 1. The median age of the patients is 67(IQR 57-75) years with a mean age of 64 ± 14 years. Patients more than 75 years of age accounted for 23%. There was nearly an equal number of male and female patients (M:F = 49.6%:50.4%), and 66.5% had prior ...
Paroxysmal Supraventricular Tachycardia: A Complex Dilemma
Paroxysmal Supraventricular Tachycardia: A Complex Dilemma

... use and thromboembolism should be ruled out before the diagnosis of PSVT is made. Echocardiography helps to rule out structural and functional heart disease. Acute treatment of PSVT in pregnancy is similar to that of nonpregnant women.4 Several reports have described successful nonpharmacological an ...
Click here to this slideshow
Click here to this slideshow

...  GISSI-HF showed no difference between rosuvastatin 10 mg and placebo in the primary end points of death or CV hospitalization in patients with heart failure, with no specific indication for statin treatment, over and above optimized heart failure treatment.  GISSI-HF supports the findings from CO ...
PDF Article
PDF Article

... Address for reprints: Abdulmassih S. Iskandrian, MD, Likoff Cardiovascular Institute, Hahnemann University, 230 North Broad Street, Philadelphia, Pennsylvania 19102. ©1986 by the American College of Cardiology ...
cardiac arrhythmias and left ventricular hypertrophy in systemic
cardiac arrhythmias and left ventricular hypertrophy in systemic

... arrhythmias and mortality. Objective was to investigate the prevalence of cardiac arrhythmias and LVH in systemic hypertension. Methods: In all subjects blood pressure was measured, electrocardiography and echocardiography was done. Holter monitoring and exercise test perform in certain cases. There ...
Document
Document

... Which parameters will help identifying patients who require ICD: Microvolt T Wave Alternans?  Gehi et al. reported in a meta-analysis of cohort studies between ...
Myocardial Blood Flow in Coronary Artery Disease
Myocardial Blood Flow in Coronary Artery Disease

... After completion of the myocardial blo)d flow and hemodynamic determinations coronary cineangiography was performed. Multiple oblique views were obtained using renographic contrast media. Injections were made before and after administration of sublingual nitrates. Recording was performed with 35-mm ...
Sample pages 2 PDF
Sample pages 2 PDF

... Fallot is brought to the emergency department and subsequently to the PICU for progressively turning blue soon after waking when his mother began to feed him. He became fussy, began to cry, and since then, has been getting progressively more cyanotic and limp. All of the following are true statement ...
PDF - Medical Journal of Australia
PDF - Medical Journal of Australia

... control the ventricular rate (Box 1). This should not be an immutable decision, as AF is a dynamic condition in which symptom status, stroke risk and even patient desires and expectations may evolve. Randomised trials have not demonstrated a reduction in mortality or thromboembolism with rhythm cont ...
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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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