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... 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 ...
`Hearts and minds`: association, causation and implication of
`Hearts and minds`: association, causation and implication of

... The clinical syndrome of heart failure is one of the leading causes of hospitalisation and mortality in older adults. An association between cognitive impairment and heart failure is well described but our understanding of the relationship between the two conditions remains limited. In this review w ...
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 ...
Co-prevalence of Carotid Stenosis with Coronary Artery Disease in
Co-prevalence of Carotid Stenosis with Coronary Artery Disease in

... Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and accounts for a quarter of ischemic strokes. 1 In addition, AF is associated with multiple symptoms, with significant morbidity and mortality and with decreased quality of life. 2 The mortality rate of AF patients is almost ...
The Effects of Smoking - Prince Mohammad Bin Fahd University
The Effects of Smoking - Prince Mohammad Bin Fahd University

... cigarettes contain more than 4,000 chemical compounds and at least 400 toxic substances. According to net doctor, the message that ‘smoking is bad for you’ is an old one, simply because not every one gives it their full attention. Moreover, people should be aware of the number of deaths smoking caus ...
Use and Outcomes of Triple Therapy Among Older Patients With
Use and Outcomes of Triple Therapy Among Older Patients With

... BACKGROUND Antithrombotic therapy for acute myocardial infarction (MI) with atrial fibrillation (AF) among higher risk older patients treated with percutaneous coronary intervention (PCI) remains unclear. OBJECTIVES This study sought to determine appropriate antithrombotic therapy for acute MI patien ...
Lesson 1 – Circulatory System - Saskatchewan Rivers Public School
Lesson 1 – Circulatory System - Saskatchewan Rivers Public School

... waste materials away from the cells. The liquid part of blood is called plasma. The solid part of blood is made up of different kinds of blood cells. Plasma is 90% water and is beige in color. Plasma contains digested food, chemicals, and waste products. These substances are carried to and from the ...
Post-Op Norwood Pathway - Seattle Children`s Hospital
Post-Op Norwood Pathway - Seattle Children`s Hospital

... the highest risk and costliest group of lesions among the commonly occurring congenital heart defects • No congenital heart defect has undergone a more dramatic change in diagnostic approach, management, and outcomes than hypoplastic left heart syndrome (HLHS) • Outcome data is highly regarded and o ...
Biology C - Lesson 1
Biology C - Lesson 1

... waste materials away from the cells. The liquid part of blood is called plasma. The solid part of blood is made up of different kinds of blood cells. Plasma is 90% water and is beige in color. Plasma contains digested food, chemicals, and waste products. These substances are carried to and from the ...
Evaluation of Subclinical Left Ventricular Systolic Dysfunction Using
Evaluation of Subclinical Left Ventricular Systolic Dysfunction Using

... tolic function at rest, with systolic incompetence under conditions of pharmacological or physical stress.3 The pathogenetic mechanisms that underlie this syndrome include the impairment of beta-adrenergic receptor signalling, cardiomyocyte plasma membrane function, intracellular calcium kinetics, a ...
Congenital heart diseases Single Choice 1. CS. Select the most
Congenital heart diseases Single Choice 1. CS. Select the most

... E. Aortopulmonary window 4. CS. Classification of ventricular septal defects does not include the following type: A. Infundibular B. Muscular C. Infantile D. Atrioventricular (subaortal) septal defect E. Perimembranous 5. CS. Select the optimal age for surgical closing of large ventricular septal de ...
Syncope: Distinguishing the Vanilla Faint From a Sudden Cardiac
Syncope: Distinguishing the Vanilla Faint From a Sudden Cardiac

...  Family history included syncope and respiratory arrest ...
Should everyone with an ejection fraction less than or equal to 30
Should everyone with an ejection fraction less than or equal to 30

... only 22 of those experiencing cardiac arrest after infarction was the EF ⬍35% when measured early after MI. We also can examine the EF in survivors of cardiac arrest. The average value of EF measured in the Antiarrhythmics Versus Implantable Defibrillators trial, the Canadian Implantable Defibrillat ...
Supraventricular tachycardia associated with phentermine use
Supraventricular tachycardia associated with phentermine use

... was discharged after receiving an implantable cardiac ...
Keeping the Beat
Keeping the Beat

... The programmed criteria that third & fourth generation defibrillators (ICD) use to decide when to initiate treatment is: A. Body temperature B. Morphology of the QRS complex C. Level of consciousness D. Heart rate Answer: D ...
Outcomes 2014 - Inova Heart and Vascular Institute
Outcomes 2014 - Inova Heart and Vascular Institute

... heart, so I called 911,” says the 75-year-old from McLean, VA. Paramedics diagnosed an obstructed artery and rushed him to the Inova Fairfax Hospital Emergency Room where a medical team was standing by to perform an angioplasty. But Jafar’s artery was completely blocked – a condition known as chroni ...
Name of presentation
Name of presentation

... – Dogs of different conformation have different ratios of heart size to lung size – Lung field size changes with the breathing cycle – Abdominal fat pushes the diaphragm cranially – Thoracic fat makes lung fields appear smaller ...
The endurance athletes heart: acute stress and chronic adaptation
The endurance athletes heart: acute stress and chronic adaptation

... area of diagnostic uncertainty. Approximately 80% of nontraumatic sudden deaths in young athletes are caused by inherited or congenital cardiac defects of which HCM is the most common pathology associated with sudden cardiac death.29 Superior athletic performance can co-exist with a hereditary cardi ...
Heart Failure Induced by Perinatal Ablation of Cardiac Myosin Light
Heart Failure Induced by Perinatal Ablation of Cardiac Myosin Light

... the University of Florida Institutional Animal Care and Use Committee. ...
Early and long term outcome of the arterial switch
Early and long term outcome of the arterial switch

... larization due to significant stenosis of both coronary arteries [18]. The overall actuarial survival at 1, 3 and 5 years followup resulted to be 98, 93, and 91.5% and the free reoperation actuarial survival was 95, 90.5 and 83% (Fig. 1A). From 117 followed patients, 34 were in Group II. The actuari ...
Exercise and Physical Activity in the Prevention and Treatment of
Exercise and Physical Activity in the Prevention and Treatment of

... that exercise-based cardiac rehabilitation reduces cardiac mortality but does not reduce the risk of recurrent myocardial infarction. In contrast to the prior analyses, however, these recent results suggest that the exercise component is a critical aspect of the rehabilitation process. The reduction ...
Sleep and heart failure M.H. Kryger*
Sleep and heart failure M.H. Kryger*

... with heart failure, Cheyne-Stokes respiration (CSR) remains something of a physiological and medical enigma. Although there have been hundreds of articles written about Cheyne-Stokes respiration, including many models of respiratory control, it is probably fair to state that we currently do not unde ...
The pathobiology of isolated systolic hypertension
The pathobiology of isolated systolic hypertension

... physiologic components of hydraulic load to clinical outcome; single BP components cannot do this. These results have a bearing on the current US guidelines12 that use both SBP and DBP, whichever is higher, for determining BP stage. While these guidelines take into account the importance of increase ...
Reference values for variables of fetal cardiocirculatory
Reference values for variables of fetal cardiocirculatory

... heart function may be difficult in the first trimester, use of certain simple parameters of cardiocirculatory dynamics, such as the fetal heart rate (FHR) and rhythm, time intervals of the different phases of the cardiac cycle, cardiac inflow and outflow blood velocities, and the presence or absence ...
Advances in Genetics - Circulation: Cardiovascular Genetics
Advances in Genetics - Circulation: Cardiovascular Genetics

... 2-fold higher in athletes compared with nonathletes, with ARVC being the most common cause.20 Data from a large study in the United States identified a total of 1866 athletes over a period of 27 years who died suddenly (or were resuscitated) during exercise, equating to an incidence of <100 per year ...
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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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