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Common Types of Supraventricular Tachycardia
Common Types of Supraventricular Tachycardia

... prehospital setting to determine its effectiveness.20 Vagal maneuvers are an effective first-line treatment option for SVT in younger patients who are hemodynamically stable; they can also be diagnostic for nodal-dependent SVT.2,21 Carotid massage can be used as a diagnostic and therapeutic tool; ho ...
cardiovascular magnetic resonance and computed
cardiovascular magnetic resonance and computed

... Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The chronic hyperglycemia of diabetes is associated with longterm damage, dysfunction, and failure of different organs, especially the eyes, kidneys ...
Role of autonomic reflexes in syncope associated with
Role of autonomic reflexes in syncope associated with

... between 8 :00 AM and 1 :00 PM . All cardioactive and vasoactive drugs were withdrawn . Informed consent was obtained from all participants . The method of execution of carotid sinus massage and the head-up tilt test have been previously described and validated (7-9) . Carotid sinus massage was perfo ...
Instantaneous pressure gradient across the aortic valve
Instantaneous pressure gradient across the aortic valve

Left ventricular hypertrophy and the insulin resistance
Left ventricular hypertrophy and the insulin resistance

... no longer considered compensatory or physiologic, but pathologic27. However, the repertoire of stimuli that may cause LVH stretches far beyond hemodynamic ones, and is yet largely unknown. ...
Sudeen Cardiac Arrest Monograph
Sudeen Cardiac Arrest Monograph

... VT is related to the rate of tachycardia, presence of retrograde conduction, ventricular function, and the integrity of peripheral compensatory mechanisms. A presentation with stable, relatively well-tolerated VT does not suggest the absence of heart disease and can be observed in patients with very ...
Does This Patient Have Aortic Regurgitation?
Does This Patient Have Aortic Regurgitation?

... AR is the presence of an early diastolic murmur (positive likelihood ratio [LR], 8.832.0 [95% confidence interval {CI}, 2.8-32 to 16-63] for detecting mild or greater AR and 4.0-8.3 [95% CI, 2.5-6.9 to 6.2-11] for detecting moderate or greater AR) (2 grade A studies). The most useful finding for rul ...
Interventional Radiology - Society for Pediatric Radiology
Interventional Radiology - Society for Pediatric Radiology

... embolization, the less splenic blood flow there will be. Option B is not correct. It is controversial whether the pneomococcal and meningococcal vaccines need to be given prior to PSE, whereas they are routinely given for splenectomy or splenic arterial embolization. Option C is not correct. Postemb ...
A mathematical model of left ventricular contraction and
A mathematical model of left ventricular contraction and

... results of investigations to describe the condition [11]. Heart failure is most commonly defined as the condition in which the heart is unable to pump blood at a rate commensurate with the requirements of the metabolising tissues or can do so only from an elevated filling pressure [11]. The Frank-St ...
PDF
PDF

... Purine efflux was significantly enhanced in post-ischemic hearts (Table 2). Though not shown, the majority of purine efflux was lost from hearts during the initial 5–10 min of reperfusion. EHNA treatment increased postischemic adenosine efflux |3-fold without substantially altering total purine effl ...
Evaluation of Diastolic Function: How Practical Is it?
Evaluation of Diastolic Function: How Practical Is it?

... diastolic dysfunction with diastolic heart failure. When patients with preserved systolic function present with classic symptoms of heart failure, they are usually at more advanced stages of diastolic dysfunction, manifesting as diastolic dysfunction grade 2, 3, or 4 on echocardiography. I agree wit ...
Effect of Definition on Incidence of Postinfarction
Effect of Definition on Incidence of Postinfarction

... Downloaded from http://circ.ahajournals.org/ by guest on June 18, 2017 ...
Mechanisms for overestimating acute myocardial infarct size with
Mechanisms for overestimating acute myocardial infarct size with

... This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For ...
Adrenergic and Muscarinic Receptors in the Human Heart
Adrenergic and Muscarinic Receptors in the Human Heart

... cardiovascular function (Cavalli et al., 1997). Stimulation of cardiac a1-adrenoceptors does not lead to elevation of cellular cAMP content (Schümann et al., 1975; Brodde et al., 1978; Wagner and Brodde, 1978; Bogoyevitch et al., 1993) but if anything may even reduce cardiac cAMP content. This inhi ...
Cirrhosis - Portal Hypertension - AGA
Cirrhosis - Portal Hypertension - AGA

...  Life-long beta blocker treatment is therefore indicated  Non-compliant patients may be better served by band ligation therapy, although at substantially higher costs ($1425 vs $4284) Hepatology 2001; 34(6):1096-02 ...
Is there a role for sodium bicarbonate in treating lactic acidosis from
Is there a role for sodium bicarbonate in treating lactic acidosis from

... held true even for patients with severe acidemia with pH less than 7.15 [10]. The increase in pH was transient so that much of the bicarbonate effect was gone after 30 min. As all patients were being treated with catecholamines, the observed lack of clinical sensitization following substantial rever ...
Practice Guidelines 2010 ACCF/AHA Guideline for
Practice Guidelines 2010 ACCF/AHA Guideline for

... Heart Association (my.americanheart.org). A copy of the document is also available at http://www.americanheart.org/presenter.jhtml?identifier⫽3003999 by selecting either the “topic list” link or the “chronological list” link (No. KB-0112). To purchase additional reprints, call 843-216-2533 or e-mail ...
Left-to-Right Shunt Lesions
Left-to-Right Shunt Lesions

... are typically tachypneic from decreased lung compliance associated with increased pulmonary blood flow. They do not feed well because of tachypnea and growth failure develops from both decreased caloric intake and increased caloric utilization. As noted above, significant left-to-right shunts induce ...
Gary J. Balady Jonathan Myers, Ross Arena, Barry Franklin, Ileana
Gary J. Balady Jonathan Myers, Ross Arena, Barry Franklin, Ileana

... systems that arise from a central box can be worn around the waist and further stabilize the electrocardiographic signal. Flexible knit “tube” shirts for stabilizing the electrodes and cables are also available. Blood Pressure Monitoring Manual auscultation is still the most feasible method of monit ...
AHA Scientific Statement
AHA Scientific Statement

... systems that arise from a central box can be worn around the waist and further stabilize the electrocardiographic signal. Flexible knit “tube” shirts for stabilizing the electrodes and cables are also available. Blood Pressure Monitoring Manual auscultation is still the most feasible method of monit ...
AHA Scientific Statement
AHA Scientific Statement

... Structural heart disease is the most common congenital disorder diagnosed in newborns, with birth prevalence reported to be 10 per 1000 live births,7,8 and registry studies have estimated an incidence between 3 and 20 per 1000 live births.9 The incidence of CHD based on birth prevalence may be an un ...
Aortic valve dynamics as a tool for pump speed assessment
Aortic valve dynamics as a tool for pump speed assessment

... fusion of the aortic valve [9]. In that case, critical scenarios may occur, especially in the event of pump failure or pump obstruction. Namely, when these complications occur, blood flow to the systemic circulation is limited and total cardiac output decreases dramatically. Also, it would be import ...
Thrombus aspiration in acute myocardial infarction
Thrombus aspiration in acute myocardial infarction

... Rupture of an atherosclerotic plaque is the principal mechanism responsible for the development of an acute coronary syndrome. Thrombus formation ensues rapidly on the surface of the injured endothelium. When the infarct vessel is completely occluded, ST-elevation myocardial infarction is diagnosed ...
Innocent Heart Murmurs
Innocent Heart Murmurs

... through the hole in the atrial septum called the ostium secundum. This means that the most oxygenated blood in the fetus is now in the left atrium where it goes through the mitral valve to the left ventricle, then to the aorta, and up to the fetus’ developing brain. The brain extracts oxygen from th ...
View Full Page PDF - Advances in Physiology Education
View Full Page PDF - Advances in Physiology Education

... This laboratory exercise, along with two similar exercises examining the cardiopulmonary changes associated with aging and congestive heart failure, was presented at an Educational Materials Workshop at the annual meeting of the American College of Sports Medicine in Indianapolis, IN, in 1994. The E ...
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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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