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Quiz 3 - SNACC
Quiz 3 - SNACC

... (C) Isoflurane is contraindicated Early studies indicated that isoflurane caused coronary steal and should therefore be avoided in patients with coronary heart disease. Subsequently, more detailed trials have disputed this and have shown that as long as coronary perfusion pressure is maintained, is ...
Lecture_05_The mostly spread congenital heart diseases in
Lecture_05_The mostly spread congenital heart diseases in

... • The LV normally has a much higher systolic pressure (~100 mm Hg) than the RV (~85 mm Hg) and through VSD blood leaks into the RV and elevates RV pressure and volume, causing Pulm HTN. • These changes lead to elevated RV & pulmonary pressures & volume hypertrophy of the LA & LV. ...
The realities of dyslipidaemia: what do the studies tell us?
The realities of dyslipidaemia: what do the studies tell us?

... Well-designed studies have established the benefits of statins in populations with widely differing overall cardiovascular risk. Statins reduce LDL-cholesterol in all of these populations, in some cases to a level well below guideline targets. The effects of statins on cardiovascular outcomes are rem ...
diseases of the cardiovascular system
diseases of the cardiovascular system

...  LASIX (furosemide): a diuretic used to treat pulmonary edema  DILTIAZEM: a calcium channel blocker used to inhibit cardiac and vascular smooth muscle contractility; reduces blood pressure and cardiac afterload; overall improvement in diastolic function  Or Propranolol: a beta-blocker to decrease ...
8 Recommendations for Prescribing Exercise to Patients with Heart
8 Recommendations for Prescribing Exercise to Patients with Heart

... symptomatic IHD (3). Pathology findings suggested that a considerable number of fatal myocardial infarctions (MIs) were not due to significant stenosis of the coronary arteries but rupture of unstable coronary atherosclerotic plaque possibly during exercise (3). Another cause of SCD in patients with ...
click - Uplift Education
click - Uplift Education

... What questions did we answer today? What haven’t we answered? What new questions do you have? ...
Emergency diagnosis and management of acute heart failure
Emergency diagnosis and management of acute heart failure

... An ejection fraction below 40% generally signifies a reduced left ventricular systolic function, but there is no definite consensus on its physiological value. Nevertheless, a left ventricular ejection fraction of either below or above 40% can be accompanied by an abnormally high or physiological en ...
Peer Teaching Cardio
Peer Teaching Cardio

... • 1st heart sound = due to the closure of the AV valves • 2nd heart sound = due to the closure of the semi lunar valves • 3rd heart sound = due to the sudden rapid flow of blood into the ventricles during diastole • 4th heart sound = due to the flow of blood into the ventricles due to atrial contrac ...
Peripartum cardiomyopathy
Peripartum cardiomyopathy

... • Pregnant women should not receive angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, or warfarin in 1st trimester because of potential teratogenic effects ...
Heart rate variability in the course of ST
Heart rate variability in the course of ST

... HRV and HR have a prognostic value independent of EF and heart failure symptoms [15-18]. This is of great importance among post-infarction patients with better preserved left ventricular function in whom sudden deaths prevail [19]. HR assessed in 1054 hospitalized patients presenting with myocardial ...
Bradycardia in a Patient with Anaphylactic Shock Case Report
Bradycardia in a Patient with Anaphylactic Shock Case Report

... the "AMPLE" history worth to be emphasized again ...
Warfarin Dosing Guideline 2009
Warfarin Dosing Guideline 2009

... • Check INR at least 4 times during the first week of therapy • User lower initial dose (2.5-5 mg) if Age > 75, Weight < 60 kg, interacting medication known to potentiate warfarin, hepatic dysfunction, severe heart failure, renal dysfunction, hypoproteinemia, impaired nutritional intake, and increas ...
Cardiac Diagnosis from Examination of Arteries and Veins
Cardiac Diagnosis from Examination of Arteries and Veins

... jugular veins should be examined in detail. The external jugular veins, which are often distended abnormally in patients with congestive heart failure, may at times be invisible because of increased venous tone. As a result failure to appreciate the degree of distention and the level of pulsation in ...
peripartum cardiomyopathy
peripartum cardiomyopathy

... ventricular function, and symptoms when added to conventional therapy • Intravenous immunoglobulin improved the ejection fraction in several studies and also markedly reduced the levels of inflammatory cytokines, namely thioredoxin. ...
ICU SEDATION GUIDELINES - Surgical Critical Care. Net
ICU SEDATION GUIDELINES - Surgical Critical Care. Net

...  Check INR at least 4 times during the first week of therapy  User lower initial dose (2.5-5 mg) if Age > 75, Weight < 60 kg, interacting medication known to potentiate warfarin, hepatic dysfunction, severe heart failure, renal dysfunction, hypoproteinemia, impaired nutritional intake, and increas ...
Physiology #4 Cardiac cycle محمد جعفر د. 21/3/2016 Turquoise Team
Physiology #4 Cardiac cycle محمد جعفر د. 21/3/2016 Turquoise Team

... When we talk about the cardiac output we use these terms: During filling phase when the ventricles are filled with blood, this blood “volume” is called end diastolic volume or preload. Then the ejection will start and the blood will be pumped out of the ventricles at the end of systole there will be ...
What is cardiomyopathy?
What is cardiomyopathy?

... What does the heart do and how does it work? The heart’s role is to pump blood around the body. Blood contains oxygen and nutrients to help the body’s cells and organs work. Without this blood supply the body simply wouldn’t be able to work. The heart is the strong muscular pump at the centre of the ...
phys chapter 9 [12-11
phys chapter 9 [12-11

... causes a slight rise in atrial pressure o QRS wave (0.16 sec after P wave) is result of electrical depolarization of ventricles, which initiates contraction of ventricles and causes ventricular pressure to begin rising just before ventricular systole o Ventricular T wave – represents stage of repola ...
hap10 - WordPress.com
hap10 - WordPress.com

...  Contractility is the increase in contractile strength, independent of stretch and EDV  Increase in contractility comes from:  Increased sympathetic stimuli  Certain hormones ...
Case 5. Coronary Heart Disease: Identifying Family Members at Risk
Case 5. Coronary Heart Disease: Identifying Family Members at Risk

... Lifestyle modification is beneficial for all patients with cardiac risk factors, even if drug treatment is also required. Measures include regular exercise; low-fat diet; and smoking cessation (see sections below on physical activity and diet). Drug treatment is an important component of the managem ...
the use of thrombolytic agents in acute myocardial infarction
the use of thrombolytic agents in acute myocardial infarction

... patient in the rt-PA treatment group suffered reinfarction; however the diagnosis was not conclusive. DISCUSSION In this study, most of the patients enrolled were male. This can be due to the fact that the incidence of AMI is greater in males than in females because of their higher CHD risk factor l ...
Peripheral Arterial Disease (PAD)
Peripheral Arterial Disease (PAD)

physical fitness and autonomic dysfunctions in childhood obesity
physical fitness and autonomic dysfunctions in childhood obesity

... The body clearly has an upper limit for oxygen utilisation at a particular state of fitness. This is determined by the maximal cardiac output. In obese subjects more energy is needed to move heavy legs in cycling exercise or to move the large body mass while ambulating in addition to that needed to ...
Left Ventricular Systolic Dysfunction in Asymptomatic Black
Left Ventricular Systolic Dysfunction in Asymptomatic Black

... Aortic diameter (cm) ...


... onset of "congestive failure". Hypoxia may be the cause of the liver dysfunction. The cardiac output in pulmonary heart disease has been extensively studied. (Wade and Bishop, (1962), reviewing the literature, concluded that the cardiac output is normal and falls only in the late stages of the disea ...
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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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