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Disclaimer - American Society of Exercise Physiologists
Disclaimer - American Society of Exercise Physiologists

... transition metals) have been reported Rhoden et al. (29). These effects (i.e., the increase in inflammation and oxidative stress markers) can also be found in humans (4). There are published indications that pulmonary damage elicited by particle inhalation is augmented during exercise through increa ...
Aortic fat pad and atrial fibrillation: cardiac lymphatics revisited
Aortic fat pad and atrial fibrillation: cardiac lymphatics revisited

... Journal compilation ª 2009 Royal Australasian College of Surgeons ...
Presentation Package
Presentation Package

... removal rate is greater than or equal to the production rate. • The aerobic exercise level at which lactic acid (converted to blood lactate at this point) begins to show an increase is termed the onset of blood lactate accumulation, or OBLA. ...
Presentation Package
Presentation Package

... removal rate is greater than or equal to the production rate. • The aerobic exercise level at which lactic acid (converted to blood lactate at this point) begins to show an increase is termed the onset of blood lactate accumulation, or OBLA. ...
Clinical Effects of Percutaneous Cardiopulmonary Support in Severe
Clinical Effects of Percutaneous Cardiopulmonary Support in Severe

... cause of ventricular failure in myocarditis was unresponsiveness to IABP, and another cause was hemodynamic deterioration due to VA. In these patients, surgical stress was less than the patients in Group I, and so the duration of PCPS was short and fatal complications reduced during PCPS. Weaning fr ...
Cardiac Remodeling in Obesity
Cardiac Remodeling in Obesity

... doi:10.1152/physrev.00017.2007.—The dramatic increase in the prevalence of obesity and its strong association with cardiovascular disease have resulted in unprecedented interest in understanding the effects of obesity on the cardiovascular system. A consistent, but puzzling clinical observation is t ...
Risk of Ventricular Arrhythmia After Implantable Defibrillator
Risk of Ventricular Arrhythmia After Implantable Defibrillator

... shocks (4). However, patient selection for ICD implantation remains an important clinical issue, and better knowledge of risk factors for ventricular arrhythmias is needed (1,5). Moreover, sudden cardiac death caused by ventricular arrhythmias may still occur in a small proportion of ICD patients (6 ...
Assessment of systemic right ventricular function using tissue
Assessment of systemic right ventricular function using tissue

... compared to the control group, even if conventional echocardiographic techniques indicate normal ventricular function [12–14]. Systolic and diastolic dysfunction of the systemic ventricle as well as regional wall motion abnormalities may develop in patients with functionally single ventricle followi ...
Cardiorespiratory effects of breathing and relaxation instruction in
Cardiorespiratory effects of breathing and relaxation instruction in

... The effect of individual instruction in relaxation and breathing, additional to an exercise training program, was investigated in 76 post-myocardial infarction patients after rehabilitation and at 3 months follow-up. Respiration rate (RR), heart rate (HR) and respiratory sinus arrhythmia (RSA) were ...
Alcohol Consumption, Left Atrial Diameter, and Atrial Fibrillation
Alcohol Consumption, Left Atrial Diameter, and Atrial Fibrillation

... or any diastolic murmur, participants were deemed to have valvular heart disease. The criteria used by study investigators to define myocardial infarction and heart failure are published.9,19,20 In brief, a myocardial infarction was considered present when 2 of 3 following findings were documented in ...
Cardiopulmonary Exercise Testing in Patients With Left Bundle
Cardiopulmonary Exercise Testing in Patients With Left Bundle

... when appropriate. Significance level was set at 5% for α error and tests were two-tailed. Relative risks with confidence intervals (CI) of 95% were estimated. For the multivariate analysis of covariance (MANCOVA), we used the Trace of Pillai, power (≥ 0.8) and partial ETA2 (effect dimension) as stat ...
Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia
Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia

... and histological features of the disease were classified into major and minor criteria. The presence of 2 major, 1 major and 2 minor, or 4 minor criteria from the various categories sets the diagnosis with high specificity, but low sensitivity. For first-degree relatives of patients with ARVC/D (who ...
Transcatheter Valve Replacement with the Edwards SAPIEN XT
Transcatheter Valve Replacement with the Edwards SAPIEN XT

... effectiveness of the Edwards SAPIEN XT transcatheter heart valve placed in patients with a failing surgical valve. The study was conducted in the United States (US). The study included 97 patients with a failing surgical valve whose doctors had determined them to be at high risk or too sick to under ...
Basic Cardiac Echo
Basic Cardiac Echo

... § PSAX- AV [level of aortic valve] § PSAX-MV [level of mitral valve = base of LV] § PSAX-PAP [level of papillary muscles] § PSAX-APICAL [level of apex] In basic cardiac echo, we can’t usually see the RV very well because it’s lurking in the near field, under the sternum. So all we are really loo ...
How should I treat a perimembranous
How should I treat a perimembranous

... PRESENTATION OF THE CASE A 73-year-old man was admitted to our Institute for repeated episodes of congestive heart failure. His past medical history included arterial hypertension, dyslipidaemia, severe chronic obstructive pulmonary disease, prior episodes of lower intestinal bleeding, and recurrent ...
Digitalis induced paroxysmal atrial tachycardia with AV block
Digitalis induced paroxysmal atrial tachycardia with AV block

... glycoside were well within the recommended limits. Four patients developed this arrhythmia during low maintenance therapy. Sinus rhythm was restored in i6 survivors in 6 hours to 7 days after withdrawal of the drug, with or without administration of potassium chloride. Four patients died soon after ...
Mechanisms of Cardiac Arrhythmias (PDF Available)
Mechanisms of Cardiac Arrhythmias (PDF Available)

... recently been examined, demonstrating that it is due to slow changes in [Na þ ]i and potentially explaining why arrhythmias do not occur all the time [28]. EADs have also been associated with shortening in APDs, occurring late in phase 3 of the action potential [29]. Here, an abbreviated APD permits ...
chap 18b - Dr. Jerry Cronin
chap 18b - Dr. Jerry Cronin

... Figure 18.15a Intrinsic cardiac conduction system and action potential succession during one heartbeat. ...
New York Heart Association Classification
New York Heart Association Classification

Aortic Valve Pathology and Treatment
Aortic Valve Pathology and Treatment

... Disease of the Elderly Symptoms begin: 60-80 yrs. of age Causes: Scarring Calcification Rheumatic fever Bicuspid valve ...
Prospective Evaluation of Relatives for Familial Arrhythmogenic
Prospective Evaluation of Relatives for Familial Arrhythmogenic

... clinical genetic studies have indicated that the disease may be autosomal-dominantly inherited with age-related and variable penetrance (2), only a small number of diseasecausing mutations have as yet been identified (3,4). To facilitate the clinical diagnosis of ARVC, an international task force ha ...
Anita Sharma Timilsina EFFECT OF EXERCISE INTENSITY AND
Anita Sharma Timilsina EFFECT OF EXERCISE INTENSITY AND

... I would like to thank my main supervisor PhD dr.med. Charlotte Björk Ingul and subject supervisor PhD Arnt Erik Tjønna for providing me this great opportunity to participate in this exciting project. Thank you very much for your continuous guidance and valuable suggestions during lab work, thesis da ...
A dynamical model for generating synthetic electrocardiogram signals
A dynamical model for generating synthetic electrocardiogram signals

... in a large database such as the Physionet database [8]. While this gives the operator an indication of the accuracy of a given algorithm when applied to real data, it is difficult to infer how the performance would vary in different clinical settings with a range of noise levels and sampling frequen ...
Atrial Fibrillation: Management Strategies
Atrial Fibrillation: Management Strategies

... (UF EP Fellowship Support) ...
The Heart Failure Clinic: A Consensus Statement of the Heart
The Heart Failure Clinic: A Consensus Statement of the Heart

... to a greater degree than peak oxygen uptake by cardiopulmonary exercise testing.41e44 However, although the 6MWT correlates moderately with peak oxygen update (R values range from 0.68 to 0.76),45 its utility with respect to risk stratification and assessment of response to therapies is less well de ...
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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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