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Fetal echocardiography: 20 years of progress - Heart
Fetal echocardiography: 20 years of progress - Heart

... such as fetal aortic balloon valvuloplasty, before irreversible damage to the endocardium occurs. Congestive cardiac failure is seen in the fetus during tachyarrhythmias caused by the rise in systemic venous pressure and reduced ventricular filling time, but may also be seen secondary to viral myoca ...
Left Ventricular Outflow Tract Pseudoaneurysm after Aortic Valve
Left Ventricular Outflow Tract Pseudoaneurysm after Aortic Valve

... In noninfective cases, pseudoaneurysm formation is correlated with larger diameter aortic root, and morphologic changes occur at the aortic annulus after AVR [6]. In a composite graft, development of pseudoaneurysm of the ascending aorta may occur secondary to dehiscence of the suture line at the ao ...
" What"Evidence"Exists?"
" What"Evidence"Exists?"

... Randomized"Clinical"Trial"of"Junc/onal"AV" Abla/on"for"Permanent"Atrial"Fibrilla/on"in" Pa/ents"Undergoing"Cardiac"Resynchroniza/on" Therapy"(JAVAdCRT):"Study"Hypothesis" •  AVJ"abla/on"in"pa/ents"with"permanent"AF" who"undergo"CRT"results"in"improved" outcome"" –  Greater"reduc/on"in"LVESV"over"/m ...
Printable TAVR Fact Sheet - Berks Cardiologists, Ltd.
Printable TAVR Fact Sheet - Berks Cardiologists, Ltd.

... (defect) which may require a permanent pacemaker; arrhythmia; retroperitoneal bleed; AV fistula or pseudoaneurysm; reoperation; ischemia or nerve injury; restenosis; pulmonary edema; pleural effusion; bleeding; balloon rupture; balloon separation following balloon rupture; anemia; abnormal lab value ...
Tailored telemonitoring in patients with heart failure
Tailored telemonitoring in patients with heart failure

... monitoring because of severe heart failure or many complaints. Also, patients after admission for heart failure were allocated to this programme. Their disease-specific education level allows a less intensive education programme. Programme 3 consists of a low level of monitoring symptoms and a high ...
Copyright (c) 2009, Radiological Society of North America, Inc
Copyright (c) 2009, Radiological Society of North America, Inc

... Clinical Indication: [#] year old [woman |man] with coronary artery disease risk factors of [hyperlipidemia; hypertension; diabetes; autoimmune disease; prior MI; prior stroke; smoking history; family history of heart disease] presenting with [exertional angina; atypical chest pain; chronic chest pa ...
Patients With Continuous-Flow Left Ventricular Assist
Patients With Continuous-Flow Left Ventricular Assist

... speed in 7 patients. Spontaneous sympathetic baroreflex sensitivity was analyzed. Brachial blood pressure was 99⫾4 mm Hg with 14⫾2 mm Hg finger pulse pressure. Muscle sympathetic nerve activity bursts showed a normal morphology, were linked to the cardiac cycle, and were suppressed during blood pres ...
Modelling fibre orientation of the left ventricular human heart wall
Modelling fibre orientation of the left ventricular human heart wall

... serve their purpose of producing force and causing motion [6] through contraction and relaxation. Note that the fibres themselves cannot stretch back out — collagen tissue makes this possible. There are three types of muscles: skeletal, cardiac and smooth. This thesis focuses on cardiac muscle fibre ...
Atrial Natriuretic Peptide (1-28), rat (ANP 1-28)
Atrial Natriuretic Peptide (1-28), rat (ANP 1-28)

... related to BNP (brain natriuretic peptide) and CNP (C-type natriuretic peptide), which all share the same amino acid ring. Iinjection of atrial (but not ventricular) tissue extracts into rats caused copious natriuresis. ANP is produced, stored and released by cardiac myocytes of the atria of the hea ...
Heart Rate, Stroke Volume and Vasomotor
Heart Rate, Stroke Volume and Vasomotor

ABSORPTION FROM THE PERICARDIAL CAVITY
ABSORPTION FROM THE PERICARDIAL CAVITY

... which is seen in the central tendon of the diaphragm after intraperitoneal injections. Such lymph drainage as occurs is through lymphatics in the pericardium around the base of the heart and to a slight extent along lines of fat deposition in the pericardium. The subepicardial lymphatics are entered ...
Print This Information
Print This Information

... through the incision into a large blood vessel in the upper chest and into the heart. Your doctor uses X-rays to place the leads in the heart. Using the same incision, your doctor creates a small pocket under the skin to hold the pacemaker. He or she then attaches the leads to the pacemaker. The pr ...
Gender differences in presenting symptoms, treatment, and outcome
Gender differences in presenting symptoms, treatment, and outcome

... Table 2 Frequencies of Presenting Symptoms of Patients with MI by Gender ...............58 Table 3 Chi-Square Results of Presenting Symptoms of Patients with MI by Gender ............................................................................................................60 Table 4 T-test Res ...
Left Ventricular Assist Device Management in the ICU
Left Ventricular Assist Device Management in the ICU

... function to overall output and valvular function (44). support and persists after heart transplant as well (11, 48). In the immediate postoperative period, hemodynamic Milrinone reduces pulmonary artery pressures and pulmanagement is based on determination of MAP, cardiac monary vascular resistance ...
Cardiac Tissue Structure, Properties, and Performance: A Materials
Cardiac Tissue Structure, Properties, and Performance: A Materials

... yet been identified, sarcomeres isolated from the subendocardium exhibit differences in material properties from those isolated from the sub-epicardium of the ventricular wall.1,8,16 In particular, active and passive tension is greater in sub-endocardial cells,9 which may be due to differences in sarc ...
12 HEART RATE VARIABILITY FOR ASSESSING STRESS IN
12 HEART RATE VARIABILITY FOR ASSESSING STRESS IN

... standard procedure to evaluate stress conditions in farm animals (Mormede et al., 2007). A well-known stimulus of HPA resulting in an increase of circulating cortisol is stress. In our study cortisol levels measured before and after ACTH injections in cows are shown in Figure 1. Administration of AC ...
Table 1 - Diabetes Care
Table 1 - Diabetes Care

... hypoglycemic medications or diet ...
37–1 The Circulatory System
37–1 The Circulatory System

... Diseases of the Circulatory System Cardiovascular diseases are among the leading causes of death and disability in the U.S. Atherosclerosis is a condition in which fatty deposits called plaque build up on the inner walls of the arteries. High blood pressure is defined as a sustained elevated blood p ...
Distribution, Surface Density, and Membrane Area of Diadic
Distribution, Surface Density, and Membrane Area of Diadic

... subjacent SR. Data are given for subepicardial cells from left ventricular free walls of rabbits, rats, and mice, whose mean heart rates per minute may be expected [from tabulated values (Altman and Dittmer, 1971)] to be about 250, 350, and 500, respectively. It is apparent from the table that the f ...
Sleep-Disordered Breathing and Cardiovascular
Sleep-Disordered Breathing and Cardiovascular

... of hypertension in the United States in those over age 55 years is 48%.9 According to the year 2000 census, there are approximately 59 million Americans age 55 or older. If 25–50% of these individuals also have OSA, then 14 –29 million of those people are at increased risk for cardiovascular disease ...
Modified Bruce Protocol: Treadmill Testing for Cardiac Health
Modified Bruce Protocol: Treadmill Testing for Cardiac Health

... segment depression in the lateral leads, it would appear that the "incident" causing the depression is in or around the area of the circumflex artery. Whether the "incident" is partial occlusion, vasospasm or artifact is, of course, unclear. ST segment depression less than 2 mm in depth is considere ...
Acute temperature effects on function of the chick embryonic heart
Acute temperature effects on function of the chick embryonic heart

... decreases heart rate by about 40% and increases atrial and ventricular APD50 by factors 3 and 2 respectively. It shows that the atrial APD is the most severely affected AP parameter by an acute temperature change (Lin et al. 2014) and that this property is conserved among vertebrates. The action pot ...
Reduced incidence of new-onset atrial fibrillation
Reduced incidence of new-onset atrial fibrillation

National Coverage Determination (NCD) for Cardiac PACEMAKERs
National Coverage Determination (NCD) for Cardiac PACEMAKERs

... devices that send electrical stimulation to the heart through one or more implanted leads. They are often classified by the number of chambers of the heart that the devices stimulate (pulse or depolarize). Single chamber pacemakers typically target either the right atrium or right ventricle. Dual ch ...
PDF
PDF

... Multiple factors were considered in the management plan of our patient. The percutaneous treatment of the coronary dissection deemed unnecessary as the patient was stable without signs of ongoing ischemia. A two years follow up coronary CT angiography showed the same extent of the disease with no pr ...
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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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