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Haider Sabhan Treatment of Cardiac Arrhythmias in the Emergency
Haider Sabhan Treatment of Cardiac Arrhythmias in the Emergency

... rhythm disturbances, most physicians are uncomfortable and lack confidence when faced with such clinical situations. Therefore, a solid understanding of the different causes and quick action is essential and can be lifesaving in the emergency room setting. Arrhythmias and conduction disorders are ca ...
4-Cardiac Arrhythmias
4-Cardiac Arrhythmias

... 1)Vagal stimulatory maneuvers (unilateral carotid sinus massage, gagging,  pressure on an eyeball), effective in older children rarely effective in infants. ice-water bag on the face (for up to 10 seconds) is often effective in infants (by diving reflex). 2)Adenosine is considered the drug of choic ...
Percutaneous Stenting of Bilateral Pulmonary Artery Stenosis
Percutaneous Stenting of Bilateral Pulmonary Artery Stenosis

... non-small cell lung cancer and severe right ventricular hypertension due to mediastinal lymphadenopathy compressing both PAs. Although the natural course of the disease was not altered, the patient had significant symptomatic relief without adverse effects. Additionally, there was objective evidence ...
was usually unchanged during regular tachycardia.
was usually unchanged during regular tachycardia.

... as these and other observations show (case 2, table 1). In the cases mentioned above there may have been pulmonary congestion which interfered with complete oxygenation of the blood in the lungs. There were however no riles over the chest in either of these cases. On the other hand sufficient conges ...
Constrictive pericarditis after tuberculosis in
Constrictive pericarditis after tuberculosis in

... According to guidelines, there are two therapeutic options for the treatment of constrictive pericarditis[5]: (i) pericardectomy which is considered the only definitive treatment and potential cure (although perioperative mortality is high); (ii) medical management, which is generally ineffective in ...
Secondary Stroke Prevention
Secondary Stroke Prevention

...  Carotid stenting might be as safe as endarterectomy in patients less than 70 years of age and for patients who are not candidates for carotid endarterectomy because of technical, anatomical, or medical reasons ...
Relationship between Sympathetic Overactivity and Left Ventricular
Relationship between Sympathetic Overactivity and Left Ventricular

... in this patient group. In addition, our RH/LVH(+) group had greater sympathetic activity, so it can be postulated that this patient group was able to gain more benefit from renal denervation. In this group of patients, renal denervation was able to both reduce BP levels and regress LV mass effective ...
Sample pages 1 PDF
Sample pages 1 PDF

... estimated as covering the labor cost of building a substantial house (Majno 1975). The risk of performing surgery is defined in paragraph 218 (Fig. 2.2c). Hammurabi’s code tends to mete out severe penalties for failure. There was no liability involved in the administration of drugs or with prescript ...
The Diagnosis and Treatment of Acute Pulmonary Embolism
The Diagnosis and Treatment of Acute Pulmonary Embolism

... Because of its non-invasiveness and rapid availability even in an emergency, transthoracic echocardiography is of value to assess right ventricular function (6). In a current meta-analysis the risk of death due to PE is elevated by a factor of 2.5 with evidence of RV dysfunction (17). On the other h ...
view handouts
view handouts

... Anticoagulation • Increased risk of ICH > 85 but not statistically significant • INRs less than 2.0 as compared to INRs 2-3 were not associated with lower risk of ICH • INRs > 3.5 associated with increased risk as should be avoided Fang MC, et al. Advanced age, anticoagulation intensity, and risk fo ...
stabilization of the congestive heart failure patient in the er
stabilization of the congestive heart failure patient in the er

... control the airway, avoid respiratory muscle fatigue, and initiate positive end-expiratory pressure to help mobilize edema while other therapies take effect. One clinical dilemma that can develop in cats with CHF is the presence of ongoing dyspnea despite some physical examination or laboratory find ...
Perfusion
Perfusion

... This begins with the lungs’ ability to distribute the erythrocytes or red blood cells to and from the pulmonary capillaries Remember that the cardiovascular system and the respiratory system work together in the body. Good perfusion to body organs and the peripheral system means that these target ar ...
Section 1 The Circulatory System Chapter 46 Objectives Describe
Section 1 The Circulatory System Chapter 46 Objectives Describe

... • Red blood cells have surface proteins that are used to classify a person’s blood. The type of surface protein determines a person’s blood type. • The surface proteins on a red blood cell or on an invading pathogen are called antigens. • The most important human antigens are A, B, and Rh. They form ...
cardiac cycle
cardiac cycle

... No electrical activity is produced by cardiac cells thus the isoelectric line is present in the ECG (fig. 4.3). ...
Adverse - Research portal
Adverse - Research portal

... era. We examined whether the distressed personality (Type D) moderates the effect of percutaneous coronary intervention with sirolimus-eluting stent implantation on adverse clinical events at 2-year follow-up. Type D is an emerging risk factor in patients with cardiovascular disease. Design Prospect ...
Exercise Prescription for Cardiovascular Diseases
Exercise Prescription for Cardiovascular Diseases

... ACSM’s guidelines for exercise testing and prescription. 7th edition 36th Bethesda Conference. Eligibility recommendations for competitive athletes with cardiovascular abnormalities. JACC 19 April 2005 Recommendations for preparticipation screening and the assessment of cardiovascular disease in mas ...
PDF - Circulation
PDF - Circulation

... caused by errors in the development of the heart while the child is still in the womb. The heart starts out as a single tube and, during the first eight weeks of pregnancy, divides into four chambers and forms four major valves. If an error or errors occur during this process, a congenital heart def ...
Cardiac Arrhythmias
Cardiac Arrhythmias

... • A condition in which an electrical signal is sent from the ventricles at a very fast but often regular rate. • The ECG shows a rapid ventricular rhythm with broad (often 0.14 s or more), abnormal QRS complexes. AV dissociation may result in visible P waves • Treatment: in haemodynamically compromi ...
Heart Failure Then and Now - For Medical Professionals
Heart Failure Then and Now - For Medical Professionals

... patients with more than 1 moderate risk factor. Such factors include age 75 y or greater, hypertension, HF, impaired LV systolic function (ejection fraction 35% or less or fractional shortening less than 25%), and diabetes mellitus. (Level of Evidence: A) ...
Definitions, mechanisms and prognostic factors of right ventricular
Definitions, mechanisms and prognostic factors of right ventricular

... and recently discovered D-type (DNP), found in snakes. Those useful from a clinical perspective are ANP and BNP.35 CHD characteristically have effort limitation, related to heart failure syndrome (Cyanotic CHD and specially patients with Fontan circulation) that cause an increase on this effort limi ...
Cardiac Arrhythmias sree
Cardiac Arrhythmias sree

... • A condition in which an electrical signal is sent from the ventricles at a very fast but often regular rate. • The ECG shows a rapid ventricular rhythm with broad (often 0.14 s or more), abnormal QRS complexes. AV dissociation may result in visible P waves • Treatment: in haemodynamically compromi ...
Cardiac Arrhythmias
Cardiac Arrhythmias

... • A condition in which an electrical signal is sent from the ventricles at a very fast but often regular rate. • The ECG shows a rapid ventricular rhythm with broad (often 0.14 s or more), abnormal QRS complexes. AV dissociation may result in visible P waves • Treatment: in haemodynamically compromi ...
cardiac_cycle lecture 6
cardiac_cycle lecture 6

... leaky allowing blood to regurgitate through it ...
Ventricular haemodynamics in Python molurus: separation of
Ventricular haemodynamics in Python molurus: separation of

... (MP100, Biopac, Goleta, CA, USA). All four pressure transducers were positioned level with the experimental animal’s heart and calibrated several times a day against a common static water column. All data are presented as means ± S.E.M. Statistical differences between systemic and pulmonary blood pr ...
acute atrial fibrillation treatment in the surgical patient
acute atrial fibrillation treatment in the surgical patient

... reduction over time (p=0.001) when compared to the amiodarone groups. However, the primary study end point (>30% rate reduction within 4 hours), was met by all groups without any significant differences. Premature drug discontinuation due to hypotension was required significantly more often with dil ...
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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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