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Ivabradine for treating chronic heart failure
Ivabradine for treating chronic heart failure

... distributed between NYHA class II, III or IV. Alcohol consumption and smoking status were also similar between the trial groups, with less than 20% of the patients being current smokers in both groups. The background therapies were also similar in both arms (ACE inhibitors or angiotensin receptor bl ...
STEP 1 Be Spiritually Active and Reduce Negative Stress Making
STEP 1 Be Spiritually Active and Reduce Negative Stress Making

... High blood pressure - also called hypertension - is previously known as the “silent killer.” Many people with high blood pressure may feel healthy and do not may not know they have it. But if it’s left untreated, high blood pressure can cause a heart attack, stroke, kidney failure, blindness, or eve ...
269 the intrinsic properties of an in situ perfused crocodile heart
269 the intrinsic properties of an in situ perfused crocodile heart

... Crocodiles were killed instantaneously by a sharp blow to the head and then weighed. The trachea was intubated with a 3.5 mm rubber tube and the lungs were immediately ventilated with medical grade oxygen. The body cavity was opened with a mid-ventral incision and the vessels going to and from the h ...
Glucagon-like Peptide 1 Can Directly Protect the Heart Against
Glucagon-like Peptide 1 Can Directly Protect the Heart Against

... antiapoptotic signaling pathways such as phosphoinositide 3-kinase and mitogen-activated protein kinase in pancreatic and insulinoma cells. Since these kinases have been shown to protect against myocardial injury, we hypothesized that GLP-1 could directly protect the heart against such injury via th ...
Increased plasma levels of adrenomedullin in patients with
Increased plasma levels of adrenomedullin in patients with

... has been detected in human plasma, and human adrenomedullin messenger RNA is reported to be highly expressed not only in pheochromocytoma, but also in the normal adrenal medulla, kidney, lung and ventricle (2). Recent studies (3,4) report that vascular smooth muscle cells possess specific adrenomedu ...
An overview of cardiovascular disease and research
An overview of cardiovascular disease and research

Slide 1
Slide 1

... Two treatments used to treat heart disease or heart attacks Ans: What are angioplasty, tpa, ventricular reduction (Batista procedure), coronary bypass, transplant, artificial heart, medication? ...
Early origins of cardiac hypertrophy: Does cardiomyocyte attrition
Early origins of cardiac hypertrophy: Does cardiomyocyte attrition

... The developmental origins of adult disease The developmental (or “early”/“fetal”) origins of adult disease hypothesis postulates that environmental factors, particularly nutrition, act early in life to program the later occurrence of cardiovascular and metabolic disease and premature death in adulth ...
A comparative study of embedded and anesthetized zebrafish in
A comparative study of embedded and anesthetized zebrafish in

... and Obara, 2008; Ingham, 2009). Without doubt, the decision to sequence the entire genome of the zebrafish has helped in consolidating zebrafish as an experimental model (Vogel, 2000). In particular, zebrafish has been used for various genetic and ­pharmacological studies. Although the zebrafish was ...
New York Heart Association Classification
New York Heart Association Classification

... One of the main objectives of managing patients with CHF is to introduce appropriate drug therapy, including ACE inhibitors and beta-blockers, ideally titrating doses up to the optimal target doses used in the large randomised controlled trials. There is good evidence that this goal can be achieved ...
Coronary artery disease as the cause of incident heart failure in the
Coronary artery disease as the cause of incident heart failure in the

... resulting from coronary artery disease. Without angiography these cases may be missed. We investigated the frequency of coronary artery disease in incident cases of heart failure in the population. Methods and Results We identified all incident cases of heart failure in a population of 292 000 in So ...
pulmonary hypertension and a continuous murmur due to
pulmonary hypertension and a continuous murmur due to

... given in detail. Three of the four patients were females aged 13, 15, and 33 years. The fourth was a male aged 10 years. All had pulmonary hypertension (56/18, 56/13, 72/7, 108/22 mm. Hg). The girl aged 13 years had a continuous murmur over the entire chest and the angiocardiographic appearances wer ...
Pulmonary Vascular Diseases
Pulmonary Vascular Diseases

... functional status and are strong predictors of survival.2 The 6-minute walk test, used as the primary end point in most PAH clinical trials, correlates better with RV function (ie, cardiac output) than with the degree of pulmonary pressure elevation. However, this test is being heavily criticized be ...
Pharmacoinvasive Strategy Versus Primary Percutaneous Coronary
Pharmacoinvasive Strategy Versus Primary Percutaneous Coronary

... troponin I/T). PPCI was defined as PCI within 12 hours of symptom onset in a patient not receiving fibrinolysis.7 Time to start of reperfusion therapy was defined as time to intravenous injection of fibrinolytics and time to balloon inflation in patients treated with fibrinolysis and PPCI, respectiv ...
Left ventricular ejection time
Left ventricular ejection time

... infusions of AMN after pretreatment with Æ2 -adrenoceptor blockade with yohimbine (given as a loading dose of 32 g/kg by slow i.v. injection over 10 min, followed by an i.v. maintenance dose of 1 g/kg per min) or Æ2 -adrenoceptor blockade with propranolol (given as an i.v. loading dose of 62.5 g/ ...
Cardiac Output Estimation from Arterial Blood Pressure Waveforms
Cardiac Output Estimation from Arterial Blood Pressure Waveforms

... knowledge, and humor has made the past year at LCP a great experience. Scrutinizing over patients on the annotation station with him has made me appreciate the complexities of human physiology. His attention to detail and willingness to spend time with each of his students has made him a respected t ...
Nonlinear lymphangion pressure-volume relationship minimizes
Nonlinear lymphangion pressure-volume relationship minimizes

... flow are therefore needlessly complex to describe larger conducting vessels. Furthermore, heart-arterial system coupling results from an active pump emptying into a passive arterial network. This is qualitatively different from lymphangion-lymphangion interaction arising from two active pumps (18, 3 ...
Anaemia as a contributor to morbidity and mortality in congestive
Anaemia as a contributor to morbidity and mortality in congestive

... than patients without anaemia and is an independent risk factor for these complications even when other factors such as age, sex and renal function have been taken into consideration [5–13]. Anaemia and chronic kidney insufficiency (CKI) have an additive effect on the mortality [8,9] and on the need ...
Impact of obstructive sleep apnoea on diastolic function
Impact of obstructive sleep apnoea on diastolic function

... ABSTRACT: We investigated whether obstructive sleep apnoea (OSA) independently affects diastolic function in a primary care cohort of patients with cardiovascular risk factors. 378 study participants with risk factors for diastolic dysfunction were prospectively included and a polygraphy was perform ...
pre-operative cardio-pulmonary exercise testing
pre-operative cardio-pulmonary exercise testing

... Elderly patients undergoing major abdominal surgery Lung volume resectional surgery for emphysema (currently investigational) • Exercise evaluation and prescription for pulmonary rehabilitation • Evaluation for impairment–disability • Evaluation for lung, heart–lung transplantation Preoperative Eval ...
BLOOD FLOW DISTRIBUTION IN SUBMERGED
BLOOD FLOW DISTRIBUTION IN SUBMERGED

... of handling and on the condition of the ventricular cannula. The cannula often became blocked or was ejected from the left ventricle during experiments, which further reduced the success rate. Since availability of these captive wild ducks was limited, sample sizes were unavoidably smaller than we w ...
OVEREXPRESSION OF ANG-(1-7) OR CARDIAC-SELECTIVE OVEREXPRESSION
OVEREXPRESSION OF ANG-(1-7) OR CARDIAC-SELECTIVE OVEREXPRESSION

... atherosclerotic plaque. Risk factors include previous history of vascular disease (such as atherosclerosis), angina, a previous heart attack or stroke, and age (especially men over 40 and women over 50 years). According to a report from the American Heart Association Statistics Committee, an estimat ...
Curative effect of PCI and CABG on left main coronary artery lesions
Curative effect of PCI and CABG on left main coronary artery lesions

... for left main coronary artery lesions. With the development of interventional techniques, drug-eluting stents in PCI can significantly reduce the incidence of restenosis, thus reduce the risk of PCI in the treatment of left main coronary artery disease [21, 22]. At the same time, the advantages of i ...
The cardiovascular challenge of exercising in the heat
The cardiovascular challenge of exercising in the heat

... and active vasodilator systems (Johnson, 1992; Kenney & Johnson, 1992). At the onset of exercise, there is an initial cutaneous vasoconstriction that occurs both in normothermic conditions and in hyperthermia (see Fig. 2). In both cases, this acute reduction in skin blood flow is brought about by in ...
The final fuck before the break up
The final fuck before the break up

... 7. Define the more common types of cardiovascular diseases with emphasis on etiology, mechanism, morphology and briefly to correlate the pathological aspects of diseases with clinical manifestations. 8. Understand the mechanisms of action, pharmacokinetics, uses and adverse effects of commonly used ...
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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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