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The Cardiovascular System The Heart
The Cardiovascular System The Heart

... The volume of blood pumped by the heart can vary widely, between 5 and 30 liters per minute. ...
Assessments
Assessments

... • Sensitive indicator of hydration status • Should be 0.5ml/kg/hr • Due to high demand for blood supply to the kidneys, urine output is a useful indicator of cardiovascular status. • Generally is a poorly recorded observation. • Monitoring of fluid balance should be appropriate depending on patient ...
Shape and Volume Changes During "Isovolumetric Relaxation" in
Shape and Volume Changes During "Isovolumetric Relaxation" in

... size (end ejection), the frame immediately before the beginning of mitral valve opening (end isovolumetric relaxation), and the frame revealing the largest ventricular size (end diastole) were selected from the right anterior oblique (RAO) projection. The interval between end ejection and mitral val ...
Acetylcholine and Electrolyte Metabolism in the Various Chambers
Acetylcholine and Electrolyte Metabolism in the Various Chambers

... A^ER the past two decades evidence has accumulated which suggests that acetylcholine plays a role in the initiation of the heart beat. As early as 1937, Sachs 1 found that small doses of acetylcholine exerted a stimulant effect on rabbit atria and AVelsh2 in 1938 reported that small amounts of acety ...
Falls and Atrial Fibrillation in Elderly Patients
Falls and Atrial Fibrillation in Elderly Patients

... systolic blood pressure distribution between patients with and without falls. By using multivariate logistic regression, we found that a history of AF [odds ratio (OR) 1.98, 95% confidence interval (CI) 1.08-3.63, p = 0.025], benzodiazepine use (OR 1.93, 95% CI 1.24-3.02, p = 0.004) and higher GDS ( ...
pdf Cardiac Device Patient Parent Brochure
pdf Cardiac Device Patient Parent Brochure

... Will my child be able to travel? Given the short duration of security screening, it is unlikely that your child’s heart device will be affected by metal detectors (walk-through archways and hand-held wands) or full body imaging scanners (also called millimeter wave scanners and 3D imaging scanners) ...
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Tei Index as a Method of Evaluating Left Ventricular Diastolic
Tei Index as a Method of Evaluating Left Ventricular Diastolic

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... that prenatal scanning has clearly affected the choice of hospital for delivery. All infants diagnosed prenatally were born in referral centers for pediatric cardiology, compared with just 60% of those diagnosed postnatally. There are some studies that assesses the outcome for live-born infants with ...
Transthoracic Echocardiography (TTE) Policy
Transthoracic Echocardiography (TTE) Policy

... Covered indications for TTE are consistent with CMS LCD and may include, but are not limited to: • Congenital heart disease Covered indications for 2D TTE are consistent with CMS LCD and may include, but are not limited to: • Abnormalities of the great vessels • Acute endocarditis • Acute myocardial ...
Population-based study of congenital heart defects in Down syndrome
Population-based study of congenital heart defects in Down syndrome

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Anatomic Validation of Left Ventricular Mass Estimates

... However, short-axis images also contain less geometric information about LV shape than do long-axis or apical four-chamber or two-chamber views. Simpson's rule approximations can be made with short-axis images only by obtaining serial images spaced along the long-axis of the ventricle. The number of ...
Hypertension
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Value of an Exercise Workload ≥10 Metabolic Equivalents
Value of an Exercise Workload ≥10 Metabolic Equivalents

... (MACEs), that is, cardiac death and nonfatal MI. Cardiac death was defined as death caused by acute MI, congestive heart failure, lifethreatening arrhythmias, or documented cardiac arrest; unexpected, otherwise unexplained sudden death was also considered cardiac death. MI was defined as the appeara ...
The Adverse Effects of the Cardiopulmonary Bypass Machine
The Adverse Effects of the Cardiopulmonary Bypass Machine

... oxygenation and may therefore experience some ischemia. But once these are reperfused when the clamp comes off, studies show that components of the inflammatory response are released, contributing to SIRS. Another factor that may indirectly lead to SIRS is the release of endotoxins from the abdomina ...
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... The focus of this thesis is on human atrial modelling and hence it is necessary to describe the anatomy of the atria in more detail. Both the right and left atrium are thin walled and contain an area which is greatly expandable when it is filled with blood. This area is known as the atrial appendage ...
Resuscitation of Neonates:
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... Before 14 days of age in puppies, there is little response and before 11 days in kittens, there is no response to the administration of atropine on heart rate [3]. In addition, because the low heart rate is most often due to myocardial hypoxia, it is possible that damage to the myocardium could occu ...
Neurological Outcomes in Newborns with Congenital Heart Disease
Neurological Outcomes in Newborns with Congenital Heart Disease

... five newborns (17%), and stroke in two neonates (7%). One occurred during corrective surgery, and one was associated with a malformation of cortical development. In 5 neonates (17%), the etiology could not be determined, and the seizure was considered cryptogenic or possibly symptomatic. Abnormal fi ...
Heart worms - Urban Animal
Heart worms - Urban Animal

... blood chemistry tests and radiographs of the chest. As a result of these tests, the dog’s stage of disease will be identified. The stages are listed below: Stage 1: Young healthy dog with positive heartworm test but minimal evidence of heartworm disease on radiographs and all other blood tests are n ...
heart regeneration after miocardial infarction using
heart regeneration after miocardial infarction using

... 1.2. New therapeutic strategies under investigation for myocardial infarction  As already stated above, conventional treatments are not enough to deal with  functional and economic complications derived from MI and many aspects of the  treatment for this pathology remain challenging. Therefore, in r ...
Electrocardiography in horses – part 2
Electrocardiography in horses – part 2

... (Hilwig, 1977; Fregin, 1992). It can occur in resting horses but appears much more frequently during the recovery period following exercise. Usually, the rhythm becomes regular again when the heart rate slows down to resting level. The condition is considered physiological but should disappear with ...
The relationship of fibroblast growth factors 21 and 23
The relationship of fibroblast growth factors 21 and 23

... density (BMD) has been reported be associated with high MPV [33] and increased risk of thromboembolic diseases [34]. Considering that FGF23 is involved in bone mineral metabolism, FGF23 might be involved in the increased thromboembolic risk in osteoporosis. Because the reported association between F ...
Pulmonary Atresia with Ventricular Septal Defect and Major
Pulmonary Atresia with Ventricular Septal Defect and Major

... would not guarantee its durability, and it was also difficult to establish a systemic-to-pulmonary artery shunt due to the uncertainty of the exact extent of the ductal tissue. Stent implantation through the catheter intervention could resolve these issues. Although tight narrowing occurred in the u ...
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Myocardial infarction



Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack, occurs when blood flow stops to a part of the heart causing damage to the heart muscle. The most common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Often it is in the center or left side of the chest and lasts for more than a few minutes. The discomfort may occasionally feel like heartburn. Other symptoms may include shortness of breath, nausea, feeling faint, a cold sweat, or feeling tired. About 30% of people have atypical symptoms, with women more likely than men to present atypically. Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. An MI may cause heart failure, an irregular heartbeat, or cardiac arrest.Most MIs occur due to coronary artery disease. Risk factors include high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol intake, among others. The mechanism of an MI often involves the rupture of an atherosclerotic plaque, leading to complete blockage of a coronary artery. MIs are less commonly caused by coronary artery spasms, which may be due to cocaine, significant emotional stress, and extreme cold, among others. A number of tests are useful to help with diagnosis, including electrocardiograms (ECGs), blood tests, and coronary angiography. An ECG may confirm an ST elevation MI if ST elevation is present. Commonly used blood tests include troponin and less often creatine kinase MB.Aspirin is an appropriate immediate treatment for a suspected MI. Nitroglycerin or opioids may be used to help with chest pain; however, they do not improve overall outcomes. Supplemental oxygen should be used in those with low oxygen levels or shortness of breath. In ST elevation MIs treatments which attempt to restore blood flow to the heart are typically recommended and include angioplasty, where the arteries are pushed open, or thrombolysis, where the blockage is removed using medications. People who have a non-ST elevation myocardial infarction (NSTEMI) are often managed with the blood thinner heparin, with the additional use angioplasty in those at high risk. In people with blockages of multiple coronary arteries and diabetes, bypass surgery (CABG) may be recommended rather than angioplasty. After an MI, lifestyle modifications, along with long term treatment with aspirin, beta blockers, and statins, are typically recommended.Worldwide, more than 3 million people have ST elevation MIs and 4 million have NSTEMIs each year. STEMIs occur about twice as often in men as women. About one million people have an MI each year in the United States. In the developed world the risk of death in those who have had an STEMI is about 10%. Rates of MI for a given age have decreased globally between 1990 and 2010.
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