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ACC/AHA Guidelines for the Evaluation and Management of
ACC/AHA Guidelines for the Evaluation and Management of

... of a recommendation. A treatment may be considered controversial although it has been evaluated in controlled clinical trials; conversely, a strong recommendation may be based on years of clinical experience and be supported only by historical data or by no data at all. The committee elected to focu ...
Continuous Positive Airway Pressure for Central Sleep Apnea and
Continuous Positive Airway Pressure for Central Sleep Apnea and

... Eligible patients underwent clinical assessment followed by overnight polysomnography. Sleep stages and arousals, episodes of apnea and hypopnea, and the mean and lowest arterial oxygen saturation levels were assessed according to uniform methods at all centers.4,10,11 Respiratory efforts were measu ...
consensus statement
consensus statement

... Downloaded From: http://publications.chestnet.org/pdfaccess.ashx?url=/data/journals/chest/21673/ on 05/02/2017 ...
Document
Document

... Viruses and parasites are the two most common causes. Myocarditis may also be a complication of other diseases, or be caused by exposure to toxic agents. ...
coronary artery disease
coronary artery disease

... heart in response to the demand due to CAD Within 10 seconds myocardial cells experience ischemia Ischemic cells cannot get enough oxygen or glucose Ischemic myocardial cells may have decreased electrical & muscular function Cells convert to anaerobic metabolism. Cells produce lactic acid as waste P ...
coronary artery disease
coronary artery disease

... heart in response to the demand due to CAD Within 10 seconds myocardial cells experience ischemia Ischemic cells cannot get enough oxygen or glucose Ischemic myocardial cells may have decreased electrical & muscular function Cells convert to anaerobic metabolism. Cells produce lactic acid as waste P ...
Linköping University Post Print Cystatin C and NT-proBNP, a powerful
Linköping University Post Print Cystatin C and NT-proBNP, a powerful

... patients with renal failure has increased [1]. The problems are more apparent in patients with both HF and renal insufficiency, which is not unusual among the elderly. Van Kimmenade et al [2] suggested that this condition – combined HF and renal insufficiency - might best be regarded as a separate c ...
Validation of echocardiographic methods for assessing left
Validation of echocardiographic methods for assessing left

... model is widely used in heart failure research, but few echocardiographic indexes of left ventricular (LV) function are validated in this model. Accordingly, the objective of this study was to validate a 13-segment LV wall motion score index (WMSI) and the myocardial performance index (MPI) in infar ...
Valvular Heart Disease - Nursing PowerPoint Presentations
Valvular Heart Disease - Nursing PowerPoint Presentations

Blood Pressure
Blood Pressure

... Blood Flow Converges in the Venules and Veins Blood flows from the capillaries into small vessels called venules. The very smallest venules are similar to capillaries, with a thin exchange epithelium and little connective tissue (Fig. 15.2). They are distinguished from capillaries by their convergen ...
SCI 30 UA CH 1.1 TEXT - Fort Saskatchewan High
SCI 30 UA CH 1.1 TEXT - Fort Saskatchewan High

... Blood does not move through one chamber while the other chambers lay empty waiting for their turn to move the blood on; instead, the two sides of the heart fill at the same time and act together like parallel pumps. Once filled with blood, both atria contract at the same time, followed by the simult ...
cardiovascular dynamics of the chelonia during apnoea and lung
cardiovascular dynamics of the chelonia during apnoea and lung

... varanid lizards than seems to be the case in other squamate or chelonian reptiles. It seems likely that such differences may relate as much to environmental relationships as to phylogenetic position. In the present study, cardiovascular function was examined in two chelonians of very different habit ...
Pulmonary Hypertension
Pulmonary Hypertension

... favorably to pulmonary vasodilator therapy.43 The fact that these patients are clinically failing may indicate that it is not the severity of the pulmonary hypertension but the degree of hypoxemia that is determining their clinical symptomatology.44 When RV failure occurs at this level of pulmonary ...
Secondary pulmonary hypertension – diagnosis and management
Secondary pulmonary hypertension – diagnosis and management

... lung), in situ thrombi, non-obliterative atherosclerosis, and morbid arteriolar hypertrophy. Pulmonary venous hypertension without left ventricular failure or mitral disease (pulmonary veno-occlusive disease) is uncommon, but should be considered when dyspnoea and hypoxemia occur with prominent pulm ...
CLINICAL AND ECHOCARDIOGRAPHIC FINDINGS OF LEFT
CLINICAL AND ECHOCARDIOGRAPHIC FINDINGS OF LEFT

... Waist circumference ...
Exercise - University Hospitals Bristol NHS Foundation Trust
Exercise - University Hospitals Bristol NHS Foundation Trust

... their peers. Perhaps this is not surprising for more complex conditions. However, it has been found that even young people with relatively simple, mild conditions often have low levels of fitness. This can prevent them from participating fully in sports and other physical activities. It can also put ...
Rate vs rhythm control in patients with atrial fibrillation
Rate vs rhythm control in patients with atrial fibrillation

... By screening of records obtained Medline and CENTRAL we found 198 citations. One-hundred fifty eight records were not relevant and/ or did not have the required design (RCT). Remaining 40 studies were selected for full-text assessment and some were excluded for the following reasons: seventeen did no ...
Atrial Septal defect (ASD) Device Closure in Detail
Atrial Septal defect (ASD) Device Closure in Detail

... family members having heart disease etc are high risk factors. STEP II: Now what to do? Visit your child specialist. The pediatrician hears your child’s chest with a stethoscope and can diagnose abnormal sounds called murmurs. He will also check the Blood pressure, pulses and measure the oxygen perc ...
Cardiac Nurses Current Awareness Newsletter May 2016
Cardiac Nurses Current Awareness Newsletter May 2016

... multicenter, nonblinded trial of patients with prior myocardial infarction and an ICD who had at least one episode of VT within the preceding six months while on antiarrhythmic drug therapy, patients were randomized to radiofrequency catheter ablation (RFA) or escalated antiarrhythmic therapy [1]. O ...
DOI: 10.1161/CIRCULATIONAHA.106.653964 published online Mar
DOI: 10.1161/CIRCULATIONAHA.106.653964 published online Mar

... Despite the combined administration of different neurohumoral antagonists, neuroendocrine activation remains incompletely blocked in many patients.4,5 Higher serum aldosterone concentrations in patients on diuretics treated with or without angiotensin-converting enzyme inhibitor/angiotensin II recep ...
Number of Coronary Heart Disease Risk Factors and Mortality in
Number of Coronary Heart Disease Risk Factors and Mortality in

... and 3.6% for patients with 0, 1, 2, 3, 4, and 5 risk factors, respectively. After adjusting for age and other clinical factors, there was an inverse association between the number of coronary heart disease risk factors and hospital mortality adjusted odds ratio (1.54; 95% CI,1.23-1.94) among individ ...
Effects of mitral valve regurgitation in the dog on the right ventricle
Effects of mitral valve regurgitation in the dog on the right ventricle

... degeneration (MMVD), acute rupture of chordae tendinae, or bacterial endocarditis, and secondary, when poor contractions prevent closure as in dilated cardiomyopathy. An abnormality in any component of the mitral valve apparatus (mitral leaflets, annulus of mitral valve, chordae tendinae, ventricula ...
Afro-Caribbean Heart Failure in the UK
Afro-Caribbean Heart Failure in the UK

... worst prognosis compared to other causes of Afro-Caribbean heart failure and Caucasian patients. To better understand this condition, we analyzed data from the largest international cohort of ATTR V122I patients, followed at the UK National Amyloidosis Centre (n=72). Patients presented with cardiac ...
the effects of nasal packs on systemic blood pressure after
the effects of nasal packs on systemic blood pressure after

... Objective: Nasal packs are widely used in nasal operations causing acute and complete obstruction of the nasal passage. The aim of this study was to investigate the effects of nasal packs on systemic blood pressure (BP) after septoplasty operations. Methods: Forty randomly selected patients (24 male ...
Presentation Package
Presentation Package

... • Respiratory Responses – Blood Transport of Gases and Metabolic By-Products • Most oxygen in blood is carried by hemoglobin. • Most carbon dioxide removal is from its combination with water and delivery to the lungs in the form of bicarbonate. • During low- to moderate-intensity exercise, enough ox ...
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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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