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What is low blood pressure
What is low blood pressure

... Medications such as calcium channel blockers, beta blockers, and digoxin (Lanoxin) can slow the rate at which the heart contracts. Some elderly people are extremely sensitive to these medications since they are more likely to have diseased SA nodes and electrical conduction tissues. In some individu ...
Coronary Blood Flow
Coronary Blood Flow

... Vascular smooth muscle cell (arteriole) signaled by endothelial cell to contract (vessel constriction) or relax (vessel dilation) ...
Exercise and Physical Activity for the Post-
Exercise and Physical Activity for the Post-

... survived an AD. Most of the limited number of available reports pertain to patients with a history of thoracic aortic aneurysm prior to dissection. Unaccustomed vigorous physical activity, acute emotional stress, and heavy lifting have been suggested as triggers for AD in patients with preexisting a ...
Acute Myocardial Infarction (Heart Attack)
Acute Myocardial Infarction (Heart Attack)

... dead heart cells. Certain heart enzymes slowly leak out into your blood if your heart has been damaged  by a heart attack. There are even further tests that can be performed.  ...
Polycythemia Vera: A Rare Ethiology of Heart Failure
Polycythemia Vera: A Rare Ethiology of Heart Failure

... Case report ...
Anti arrhythmic Drugs
Anti arrhythmic Drugs

... • IV dose: 20-50 mg/min slowly until • Arrhythmia suppressed, hypotension ensues, QRS duration increases 50%, or maximum dose 17 mg/kg given • Maintenance infusion: 1-4 mg/min • Avoid if prolonged QT or CHF ...
Q and A-Truncus V1 - Adult Congenital Heart Association
Q and A-Truncus V1 - Adult Congenital Heart Association

... you have pulmonary hypertension. Arrhythmias are managed as they would be in any adult CHD patient. Your doctor will figure out the cause of the arrhythmia. He/she may then put you on a medication like a beta blocker and/or anti arrhythmia medicine. In some cases, an ablation may be needed or you ma ...
LVAD and Pharmacokinetics 4.27.2016_DRAFT
LVAD and Pharmacokinetics 4.27.2016_DRAFT

... metabolism (eg, CYP enzymes) were generally thought to be minimally affected by heart failure, however, study indicated that CYP-mediated drug metabolism is impaired in heart failure patients. Furthermore, CYP2C19 activity is substantially reduced and is inversely related to circulating concentratio ...
The region`s only dedicated heart failure program.
The region`s only dedicated heart failure program.

Nursing Care Plan of Aortic Aneurysm - An
Nursing Care Plan of Aortic Aneurysm - An

... clinician to a source in the abdomen ...
Atrial Fibrillation Information Sheet
Atrial Fibrillation Information Sheet

... may cause chest pain, shortness of breath, dizziness, weakness or fatigue. In some patients there are no accompanying symptoms. ...
Irbesartan in Patients with Heart Failure and Preserved Ejection
Irbesartan in Patients with Heart Failure and Preserved Ejection

... in many of the processes associated with this syndrome (including hypertension, left ventricular hypertrophy, myocardial fibrosis, and vascular dysfunction),7,8 inhibitors of this system have been of particular interest as a ther­apeutic intervention for these patients.9,10 Although information abou ...
Changes in Arterial Stiffness and Wave Reflection With Advancing
Changes in Arterial Stiffness and Wave Reflection With Advancing

... elevated central pulse pressure is generally ascribed to increased wave reflection and portends an unfavorable prognosis. Using arterial tonometry, we evaluated central (carotid-femoral) and peripheral (carotid-brachial) pulse wave velocity, amplitudes of forward and reflected pressure waves, and au ...
Update on Management of Non-Valvular Atrial Fibrillation
Update on Management of Non-Valvular Atrial Fibrillation

... cardioversion (PCV) and/or electrical cardioversion (ECV); a recent international survey showed that the preference for PCV or ECV varies between countries.33 Pharmacological agents include the anti-arrhythmic agents flecainide, vernakalant or amiodarone, depending on whether there is no, moderate o ...
Heart Failure in Dogs - Today`s Veterinary Practice
Heart Failure in Dogs - Today`s Veterinary Practice

... • Perihilar interstitial-to-alveolar pattern from pulmonary edema. During initial presentation for coughing or decreased exercise tolerance, radiographs are the best way to confirm presence of venous congestion and pulmonary edema. Radiographs can also indicate bronchial compression due to an enlar ...
Hyperkalemia-induced complete heart block
Hyperkalemia-induced complete heart block

... decreased force in lower limbs, which had deteriorated since that morning. He was alert when admitted into the emergency department but complained of pain in left hemithorax accompanied by cold sweating which had begun 3 hours previously. He had a positive history of diabetes mellitus for the previo ...
2013 ESC Guidelines On The Management Of Stable Coronary
2013 ESC Guidelines On The Management Of Stable Coronary

... Eur Heart J 2013;34:2949–3003. doi:10.1093/eurheartj/eht296 ...
Right heart failure in the intensive care unit
Right heart failure in the intensive care unit

... capillary leak syndromes, and side effects of drug therapy such as calcium channel blockers. Causes of elevated CVP other than RHF, such as simple volume overload, pericardial tamponade or constriction, left heart failure (either systolic or diastolic), or factitious causes such as superior vena cav ...
End Stage Heart Failure - Home Care Information Network
End Stage Heart Failure - Home Care Information Network

... Note: These guidelines are to be used in conjunction with the “Non-disease specific baseline guidelines” described in Part II of the LCD Both A & B must be met: A. Impaired functional status- KPS <70 or PPS <70 B. Dependence on assistance for 2 or > ADLs C. Presence of co-morbidities that contribute ...
Cardiac-specific overexpression of fibroblast growth factor
Cardiac-specific overexpression of fibroblast growth factor

... The aorta was cannulated with a 20-gauge stainless steel cannula, preserving the aortic valve and coronary artery ostia. Retrograde perfusion with 37.7ºC Krebs-Henseleit solution was started immediately (Langendorff mode), at a hydrostatic pressure of 60 mmHg. A PE-50 catheter was inserted into the ...
kkkkkkk - Evault
kkkkkkk - Evault

... only when there is no immediate intervention in these areas. Also consider whether your patient appears to be alert or confused or aggressive. You will need to check their blood pressure in both arms, heart rate, respiratory rate and pulse. Look at hands, check for signs of cyanosis and any nail def ...
Renal Insufficiency and Heart Failure Prognostic and Therapeutic
Renal Insufficiency and Heart Failure Prognostic and Therapeutic

... relative contraindication to some proven efficacious therapies. Although a number of studies have reported that renal insufficiency is associated with adverse cardiovascular out- ...
Secondary prevention through cardiac rehabilitation: from
Secondary prevention through cardiac rehabilitation: from

... Secondary goals: HDL-C level > 40 mg/dl (1.0 mmol/l) in men and > 45 mg/dl (1.2 mmol/l) in women; total cholesterol level less than 175 mg/dl with an option of < 155 mg/dl if feasible; fasting triglyceride level less than 150 mg/dl (1.7 mmol/l) Blood pressure monitoring Assessment: BP frequently at ...
TETRALOGY OF FALLOT: a case report and dental
TETRALOGY OF FALLOT: a case report and dental

... pulmonary blood flow (5). Patients frequently present with dyspnea, cyanosis and clubbing. Cyanosis is prominent in finger nails, toe nails and mucous membrane. Growth and development of child is delayed. In an attempt to compensate for low arterial oxygen concentration, the body responds with an in ...
Nuclear Medicine MUGA Scan
Nuclear Medicine MUGA Scan

... MUGA scan provides results that are very accurate. Compared to other heart tests, these results are also highly reproducible, meaning if the test is repeated several times, nearly the same answer is always obtained. Along with the noninvasive nature of the test, these advantages make the MUGA scan i ...
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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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