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九十一年六月分CPC 助猜三軍總醫院小兒科
九十一年六月分CPC 助猜三軍總醫院小兒科

... Obstructed venous blood flow from intrahepatic or extrahepatic etiologies can cause splenomegaly. The most common causes include portal vein thrombosis, hepatic cirrhosis, and congestive heart failure. Excessive antigenic stimulation from infection causes most splenomegaly in children. Viral infecti ...
myocardial bridge
myocardial bridge

... Admission History (I) • The 48 y/o male patient was diagnosed to have DM and HTN for years without regular treatment.He suffered from exercise-related chest tightness for 1 year. It could be relieved by rest. He experienced of severe chest tightness with cold sweating in the morning of admission. H ...
Web Addenda - European Society of Cardiology
Web Addenda - European Society of Cardiology

... Web Table 4.2 Typical demographics and co-morbidities associated with heart failure with preserved ejection fraction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Web Table 4.3 Normal and abnormal values of echocardiographic indices of diastolic function of left ventricle at ...
Circulatory System
Circulatory System

... • The average sized adult carries about 5L of blood. • If you were to lay out all of your arteries, veins and capillaries of one adult it would stretch about 60,000 miles. • If you put your Circulatory system on a straight line it would orbit around the Earth two and a half times. • It delivers Horm ...
PDF (07.L.Loumes-Thesis-Cardiovacular_Appl)
PDF (07.L.Loumes-Thesis-Cardiovacular_Appl)

... may include cardiac transplantation or implantation of artificial ventricular assist devices. Over the past 10 years, advances in drug treatment have helped CHF patients in all stages of systolic dysfunction.12 Nevertheless, for a certain number, heart replacement is the only possible therapy.45 Thi ...
PATIENTS WITH REFRACTORY ANGINA ARE OFTEN CALLED NO
PATIENTS WITH REFRACTORY ANGINA ARE OFTEN CALLED NO

Pharmacologic management of UA/NSTEMI
Pharmacologic management of UA/NSTEMI

... 100 mg BID ...
10 Heart Rate BP Vital Signs LQ
10 Heart Rate BP Vital Signs LQ

... health, disease, excitement, and stress. Medical personnel use the heart rate to provide clues as to the presence of many medical conditions. Reflex changes in heart rate are one of the body’s most basic mechanisms for maintaining proper perfusion to the brain and other tissues. Low blood volume cau ...
Heart Rate and Blood Pressure as Vital Signs
Heart Rate and Blood Pressure as Vital Signs

... health, disease, excitement, and stress. Medical personnel use the heart rate to provide clues as to the presence of many medical conditions. Reflex changes in heart rate are one of the body’s most basic mechanisms for maintaining proper perfusion to the brain and other tissues. Low blood volume cau ...
In situ autoradiographic quantitative receptor binding - HAL
In situ autoradiographic quantitative receptor binding - HAL

... The present study confirms that HS diet in normal mice induces LV hypertrophy and fibrosis, independently of arterial pressure. However, two novel findings were observed: 1) HS diet-induced LVH in normal mice mainly occurs at the interventricular septum and 2) this septum-predominant LVH is related ...
Arrhythmia
Arrhythmia

Acute and Chronic Heart Failure Therapies in Patients With
Acute and Chronic Heart Failure Therapies in Patients With

... The management of patients with Takotsubo cardiomyopathy consists of heart failure treatment with angiotensin converting enzyme inhibitors and β-blockers. There are no specific guidelines for managing patients with Takotsubo cardiomyopathy and such patients are treated with generic heart failure med ...
Signal-Averaged Electrocardiography (SAECG)
Signal-Averaged Electrocardiography (SAECG)

... A 2009 updated consensus document by the American College of Cardiology/American Heart Association (ACC/AHA) recommended against routine use of SAECG in adults with heart failure because it “has not been shown to provide incremental value in assessing overall prognosis” in these patients.[14,15] Thi ...
The Heart - WordPress.com
The Heart - WordPress.com

... Remember that your heart is a muscle. If you want it to be strong, you need to exercise it. How do you do that? By being active in a way that gets you huffing and puffing, like jumping rope, dancing, or playing basketball. Try to be active every day! Eat a variety of healthy foods and avoid foods hi ...
If chronic process – congestive heart failure
If chronic process – congestive heart failure

... Resemble sepsis !!! (icterus, oliguria, acidosis) 2. Older infants and children (mild CoA) – hypertension in upper part (headache, chest pain), hypotension in lower part (cold extremities, leg claudication). After years heart failure and aortic dissecting aneurysm can occur. 3. If female look for Tu ...
Circulatory System
Circulatory System

... • Heart is two pumps that work together, right and left half • Repetitive contraction (systole) and relaxation (diastole) of heart chambers • Blood moves through circulatory system from areas of higher to lower pressure. – Contraction of heart produces the pressure ...
Cardiac Assessment Outline
Cardiac Assessment Outline

... • 140/90 = pulse pressure of 50 • 124/79 = pulse pressure of 45 Pulsus Paradoxus • Decrease in systolic BP on inspiration (greater than 10 mm Hg). • Due to increased work of breathing, hypovolemia, pericardial effusion/tamponade Postural BP changes • Postural hypotension occurs when there is a signi ...
Fundamentals of Anatomy and Physiology, Second Edition
Fundamentals of Anatomy and Physiology, Second Edition

... Hepatic portal vein Right and left hepatic veins ...
Introduction to Ischemic Heart Disease
Introduction to Ischemic Heart Disease

... It is predicted that by 2030 23 million people will die from a CVD. Data from the USA suggests that CVD was responsible for 34% of deaths in 2006 and over 151,000 Americans who died were <65 years old. The incidence of CVD is declining in the Western World even though rates of lifestyle associated r ...
Transmyocardial Laser Revascularization
Transmyocardial Laser Revascularization

... pain (also called angina), other treatment options are available. TMR, or transmyocardial laser revascularization, is a newer treatment aimed at improving blood flow to areas of the heart that were not treated by angioplasty or surgery. A special carbon dioxide (CO2) laser is used to create small ch ...
CQ2/C PHYSIOLOGICAL ADAPTATIONS IN RESPONSE TO
CQ2/C PHYSIOLOGICAL ADAPTATIONS IN RESPONSE TO

... minute. In highly trained endurance athletes, CO may even rise as high as 40 litres per minute. What is more exceptional is that the maximal heart rate of the trained athlete may be slightly lower than that of the untrained person even when each person is working to their highest capacity. It follow ...
File
File

... aneurysms are prone to rupture when they reach about 6 to 7 cm in size. They may be felt on physical examination as a pulsatile mass in the abdomen. Most such aneurysms are conveniently located below the renal arteries so that surgical resection can be performed with placement of a dacron graft. ...
Left Ventricular Hypertrophy
Left Ventricular Hypertrophy

... and able to determine if other abnormalities exist. ...
Pressure
Pressure

... cord increase sympathetic stimulation of the adrenal medulla, resulting in secretion of epinephrine and some norepinephrine. ...
HOCMP - rasimenar.com
HOCMP - rasimenar.com

... enlargement (getting spheric shape) and impaired globalsystolic function of the LV or both ventricles. 3 Specific property: (1) decreased systolic function. (2) Global dilatation and/or hypokinesis LV or RV. (3) If there is no CAD, congenital, valvular, hypertensive, specific heart muscle disease, a ...
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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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