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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 ...
Adult Cardiology Advanced Training Curriculum
Adult Cardiology Advanced Training Curriculum

... Graduates from this training program will be equipped to function effectively within the current and emerging professional, medical and societal contexts. At the completion of the advanced training program in adult cardiology, as defined by this curriculum, it is expected that a new Fellow will have ...
The Nanostim™ Leadless Pacemaker
The Nanostim™ Leadless Pacemaker

... For most people, the procedure is done under local anesthetic. You will be given some medicine to calm you and numbing medicine for your upper leg. The actual procedure will take about one hour, and in some cases less time. When it is over, you will have a special closing bandage on your groin, and ...
Labeled Phosphate Distribution in Working and Nonworking
Labeled Phosphate Distribution in Working and Nonworking

... yielding- products of high radioehemical purity. The result of a typical fnietionation is illustrated in the ra.dioautogrn.ph reproduced in figure 3. Details concerning the isolation technic and identification of individual components have been presented in an earlier report.7 A further fractionatio ...
Thermoregulation and Heart Rate Variability
Thermoregulation and Heart Rate Variability

... distinct frequency bands can be recognized: (i) the high-frequency peak, centred around 0.2 Hz, (ii) the low-frequency peak, centred around 0.1 Hz, and (iii) the very low-frequency band, described as the power between 0.0039 and 0.04 Hz [5]. Several investigators have proposed that discrete frequenc ...
Tissier
Tissier

... treatment and in clinical conditions. Importantly, both dogs were treated with dosages (0.33 and 0.29 mg/kg PO q12h, respectively) close to those recommended in canine systolic heart failure (0.3–0.6 mg/ kg/d) (4). The described potential adverse effects could not therefore be related to high dosage ...
Respiratory modulation of heart sound morphology - AJP
Respiratory modulation of heart sound morphology - AJP

... systolic contraction of the ventricles triggers vibrations of the heart walls, valves, and blood. These vibrations propagate through the thoracic cavity and are received on the chest wall as transient low-frequency vibro-acoustic signal, commonly known as the first heart sound, S1. At the end of sys ...
Effects of Moderate and Vigorous Physical Activity on Heart Rate
Effects of Moderate and Vigorous Physical Activity on Heart Rate

... measured twice with the Hawksley random zero sphygmomanometer (Hawksley & Sons Ltd., West Sussex, United Kingdom) after a 5-minute rest. High density lipoprotein cholesterol concentration was determined from fasting serum samples. Participants completed a questionnaire that included items on smoking ...
Normal myocardial function in severe right ventricular volume
Normal myocardial function in severe right ventricular volume

... This difference between RV and LV volume overloading may also be related, at least speculatively, to the following additional factors. First, the initial hemodynamic burden caused by sudden and severe atrioventricular valvular incompetence may be greater when imposed on the high-systolic-pressure LV ...
Wide Complex Tachycardias - Texas Tech University Health
Wide Complex Tachycardias - Texas Tech University Health

... can precipitate ventricular fibrillation in patients in VT, even if initially stable. Therefore, all wide-complex tachycardias should be assumed to be VT until proven otherwise. ...
Atrial fibrillation in the acute, hypercapnic exacerbations of COPD
Atrial fibrillation in the acute, hypercapnic exacerbations of COPD

... with a high frequency of arrhythmias. Atrial fibrillation (AF) is one of the most common arrhythmias and causes substantial morbidity and mortality. Emerging risk factors for the development of AF include a variety of breathing disorders like COPD. Few studies have analyzed the role of reduced lung ...
experimental fluid mechanics of pulsatile artificial blood pumps
experimental fluid mechanics of pulsatile artificial blood pumps

... Although the use of mechanical circulatory support was postulated as early as 1812 by LeGallois (LeGallois et al. 1813), it was not until 1961 that the first clinical left heart bypass was performed by Hall et al. (1962). It was almost eight years later that Cooley (1969) implanted the first artificial ...
CPR Outline - AHA Updates 2010
CPR Outline - AHA Updates 2010

... Introduction: Why CPR training? Why do people hesitate to act in life-threatening emergencies? Survival depends on YOU taking action! ...
Understanding Heart Failure
Understanding Heart Failure

... tighten or push the blood out of the heart properly, it is called systolic heart failure. Left systolic heart failure is most common. As the left ventricle weakens, fluid backs up into the lungs. This can result in shortness of breath. Less blood is sent to the kidneys. The kidneys may hold water an ...
23 Electrpcardiography evaluation of heart work
23 Electrpcardiography evaluation of heart work

... limbs and its displacement is less than 0,5 mm. In thoracalis leads lV1 - V3 may be a slight shift acording to the isoline up to 2 mm, and in V4, 5,6 - shift down less than 0,5 mm. Wave T – normally always positive in leads I, II, aVF , V2 - V6, moreover T1 > TIII and TV6 > TV1 . It has aslope ascen ...
Medic One/Emergency Medical Services
Medic One/Emergency Medical Services

... outcome is the quality of CPR. The AHA recently revised their ACLS course, stating that “high-quality CPR is more effective than any ACLS drug. The science tells us that our focus should be on BLS skills to maintain perfusion.” Currents in Emergency Cardiovascular Care. Vol. 17 No. 4, Winter, 2006-2 ...
Clinical Implications of the Echocardiographic Evaluation of Right
Clinical Implications of the Echocardiographic Evaluation of Right

... significant predictor of the cause of cardiomyopathy, independently of the influence of age, gender, presence of left bundle branch block and other echocardiographic parameters.7 Some possible explanations were proposed for the abovementioned findings. The overall RV performance depends not only on ...
ICD Support Group - Blackrock Clinic
ICD Support Group - Blackrock Clinic

... quickly, too slowly or in an irregular way. Arrhythmias that come from your heart’s lower chambers (ventricles) can be lifethreatening. Blackout A sudden loss of consciousness, also commonly called fainting or passing out. Brugada syndrome An inherited disorder related to the membranes of heart musc ...
Heritability of the Function and Structure of the Arterial Wall Findings
Heritability of the Function and Structure of the Arterial Wall Findings

... distance between the carotid and the femoral arteries was measured over the surface of the body with a tape measure. PWV was calculated as the ratio between the distance traveled by the pulse wave and the time delay and expressed in meters per second. A duplex scan ultrasonographic investigation of ...
Welcome to the Cardiology Department - Dr Mark Dayer
Welcome to the Cardiology Department - Dr Mark Dayer

... To gain diagnostic information about coronary anatomy and or heart valves. The Risks – see consent form in Appendix Consequences The information gained from the test will inform the consultant’s advice about whether the patient’s condition should be treated medically, with percutaneous coronary inte ...
Prenatal Diagnosis of Pulmonary Atresia with Intact Ventricular
Prenatal Diagnosis of Pulmonary Atresia with Intact Ventricular

... A dilated right atrium is another finding commonly associated with this disorder. The degree of dilation is dependent on the amount of tricuspid regurgitation present or the inability of blood to enter the right ventricle. An enlarged left heart, as was seen in this patient, results from an increase ...
Premature Ventricular Complex-induced Cardiomyopathy
Premature Ventricular Complex-induced Cardiomyopathy

... duration of PVCs, epicardial or broad QRS complex PVCs, interpolated PVCs, male sex, lack of short-term variability of the PVC burden, and PVCs in asymptomatic patients. While no exact PVC frequency separates those at risk for or those safe from PVC-induced cardiomyopathy, a prior study including pa ...
Statistical Atlas of Human Cardiac Fibers - Sophia Antipolis
Statistical Atlas of Human Cardiac Fibers - Sophia Antipolis

... hearts. We register 6 ex vivo hearts classified as abnormal to the atlas of healthy hearts and analyze the angular differences between the fiber structure directions of the abnormal hearts and the ones of the average healthy heart. The statistical study shows that the directions of the cardiac fiber ...
Lenient versus Strict Rate Control in Patients with Atrial Fibrillation
Lenient versus Strict Rate Control in Patients with Atrial Fibrillation

Cardiovascular Drift During Prolonged Exercise: New Perspectives
Cardiovascular Drift During Prolonged Exercise: New Perspectives

... reduction in cutaneous blood flow or hyperthermia that is characteristic of dehydration (10). Keep in mind that only 200 –300 mL of blood volume expansion is required to offset dehydration of the blood volume, and this does not offset dehydration of the extravascular space, which amounts to several ...
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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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