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Effect of Endotracheal Suctioning with and without Normal Saline on
Effect of Endotracheal Suctioning with and without Normal Saline on

... evaluated mean arterial pressure. While this study found a significant increase in mean arterial pressure immediately after suctioning. In this case, suction as an invasive procedure leads to physiologic responses; the body response to suction as a stimulator has been higher in the phase immediately ...
2016 Canadian Cardiovascular Society
2016 Canadian Cardiovascular Society

... individuals as traditional cardiovascular risk factors such as dyslipidemia, are most strongly associated with premature CVD.8,9 It has been estimated that many younger individuals (especially those with elevated LDL-C) will benefit substantially from long-term therapy even if they are at low risk o ...
Research ReviewTM
Research ReviewTM

... Since the widespread introduction of open heart surgery for congenital heart disease (CHD) in infants and children from the 1960’s onward, the number of adult survivors has continued to grow. Today, survival to adulthood is the rule for approximately 95% of those affected.1 Consequently, the adult p ...
Right coronary artery becomes stiffer with increase in elastin and
Right coronary artery becomes stiffer with increase in elastin and

... these adaptations is necessary to understand vascular function and dysfunction, including atherogenesis (36, 37). The increase in stiffness of arteries represents an early risk factor for cardiovascular diseases (1, 19). Specifically, increased stiffness is associated with aging (14), atherosclerosi ...
Diapositiva 1
Diapositiva 1

... Class Level ...
Normal Physiology Specialty 7.12010001 "General Medicine" 2
Normal Physiology Specialty 7.12010001 "General Medicine" 2

... B. Rh C. HLA D. CD E. MN. ANSWER: C 23. Proteolitic enzyme plasmin produced during fibrin splitting. What is a place of plasmin action? A. Blood plasma. B. Platelets. C. Endotheliocytes. D. Smooth muscles. E. Blood clot. ANSWER: E 24. Coagulogramm can determine time of blood clotting. What is the ti ...
Cardiac Stress Testing for Diagnosis of Coronary Artery Disease in
Cardiac Stress Testing for Diagnosis of Coronary Artery Disease in

... supplied by stenotic vessels.9–11 This flow differential is significantly less than that obtained with adenosine or dipyridamole because the tachycardia induced by dobutamine abbreviates diastolic filling time.11 Patients with recent myocardial infarction, unstable angina, uncontrolled hypertension, ...
Cardiovascular receptors and the coronary
Cardiovascular receptors and the coronary

... can be stimulated by distension of the vein-atrial walls, which is similar to physiological stimuli. This stimulation has been achieved by distension of small balloons without significant obstruction to blood flow or changes in atrial or arterial pressure [23]. Stimulation of these receptors causes ...
Assessment of T-Wave Alternans Used to Predict Lethal Arrhythmia
Assessment of T-Wave Alternans Used to Predict Lethal Arrhythmia

... fraction [LVEF], 6-minute walk) (5) Ventricular ectopy (longterm ambulatory monitoring) ...
Telemedicine for Post-Myocardial Infarction Patients - Tel
Telemedicine for Post-Myocardial Infarction Patients - Tel

... Thirty-six percent of the study cohort had diabetes, mostly type 2 treated with at least one oral hypoglycemic drug. Although the 1-year mortality was higher among the diabetics (14/252, 5.6%) compared with the nondiabetics (17/446, 3.8%), it did not reach a level of significance (p = 0.283). Data o ...
Mechanics of intraventricular filling: study of LV early - AJP
Mechanics of intraventricular filling: study of LV early - AJP

... there is probably no simple relationship between LV function and the intraventricular flow field. To better understand intraventricular filling it is important to know more about the driving pressures for flow propagation. Studies in dog models have shown significant diastolic pressure gradients in ...
Delivery for Pulmonary Arterial Hypertension (PAH)
Delivery for Pulmonary Arterial Hypertension (PAH)

... Pulmonary arterial hypertension (PAH) is a rare and devastating disease characterized by high blood pressure in the arteries leading to the lung that ultimately results in right heart failure and premature death. Current external systems for parenteral administration of prostanoids (vasodilators) ex ...
Acute right ventricular failure—from pathophysiology to new
Acute right ventricular failure—from pathophysiology to new

... as the cavity volume increases. This leftward shift impairs the function of the left ventricle due to the reduction in left ventricular volume, decreasing both left ventricular filling and compliance, manifested as increased muscle stiffness. Thus, in a canine model, ischaemia and acute dilatation o ...
Resistance Exercise in Individuals With and Without Cardiovascular
Resistance Exercise in Individuals With and Without Cardiovascular

... The effects of RT on the cardiovascular system have been studied in individuals with and without CVD and have been summarized in several reviews.1,24 –28 The results represent a consensus of findings in which the lack of unanimity is attributable to multiple factors, including specific type, intensi ...
Use of intensive lipid-lowering therapy in patients hospitalized with
Use of intensive lipid-lowering therapy in patients hospitalized with

... doi:10.1016/j.ahj.2010.08.041 ...
Serpentine Coronary Arteries
Serpentine Coronary Arteries

... in women and was more pronounced in patients with chronic pressure than in those with volume overload. The determinants of coronary tortuosity were sex, age, LV volume, and muscle mass.3 Our patient had 2 significant conditions that caused increased muscle mass. Coronary tortuosity might lead to flo ...
MI in KAWASAKI`S DISEASE
MI in KAWASAKI`S DISEASE

... Exercise - Bodily exertion for the purpose of restoring the the and functions to a healthy state or keeping them healthy 1.Dynamic:changes in muscle length and joint movement with small force. 2.Static: large force with little or no change in muscle length or joint move. E.J.Lovett, Jr. MD WRAMC ...
Looking High and Low for Cardiac Markers
Looking High and Low for Cardiac Markers

... promise that it could rule out cardiac ischemia in people at low risk for ACS. In clinical practice, however, large numbers of patients test positive for IMA in the ED setting. “There may be a problem with the assay or with the marker itself,” says Dr. deFilippi, who suspects the issue may be a lack ...
Acute right ventricular failure–– from pathophysiology to new
Acute right ventricular failure–– from pathophysiology to new

... as the cavity volume increases. This leftward shift impairs the function of the left ventricle due to the reduction in left ventricular volume, decreasing both left ventricular filling and compliance, manifested as increased muscle stiffness. Thus, in a canine model, ischaemia and acute dilatation o ...
Preparticipation Health Screening and Risk Stratification
Preparticipation Health Screening and Risk Stratification

2. carditis
2. carditis

... the causative agent. However, in most cases MN arise in children with acute viral infection. The greatest value in their appearance is given coxsackievirus, especially groups A and B, and ECHO. Other etiologic factors include influenza and par influenza viruses, measles, mumps, cytomegalovirus, etc. ...
(ACE) have atrial enlargement, cardiac arrhythmia and sudden death
(ACE) have atrial enlargement, cardiac arrhythmia and sudden death

... ACE is a zinc metallopeptidase located on the cell surface of endothelium. In this location, ACE produces angiotensin II adjacent to vascular smooth muscle, a critical target organ for this vasoconstrictor. ACE is also produced by a variety of other tissues including renal tubular epithelium, activa ...
Myxomatous Degenerative Mitral Valve Disease: An Update
Myxomatous Degenerative Mitral Valve Disease: An Update

... These drugs have the efficacy to protect the heart from effects of sympathetic nervous system such as controlling heart rate and reducing the contraction force. A long-term administration of beta-blockers e.g. carvedilol and atenolol has been shown to improve hemodynamic, contractile function, and r ...
Clinical Phenotypes in Heart Failure With Preserved Ejection Fraction
Clinical Phenotypes in Heart Failure With Preserved Ejection Fraction

... patients with HFpEF. In contrast to the well-established effect of neurohormonal modulation on LV remodeling in heart failure with reduced ejection fraction (HFrEF), it may have only modest effect on LV remodeling in HFpEF, with LV mass decreasing by ≤10% in hypertensive patients.78,79 Whether a mod ...
Theme: «CARDIAC INSUFFICIENCY»
Theme: «CARDIAC INSUFFICIENCY»

... A Myocardium hypertrophy B Tachycardia C Rise of arterial pressure D Dyspnea E Cyanosis 3. A patient ill with essential arterial hypertension had a hypertensic crisis that resulted in an attack of cardiac asthma. What is the leading mechanism of cardiac insufficiency in this case? A Heart overload c ...
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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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