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Competencies list
Competencies list

... 12. Explain the conduction system as it relates to the ECG 13. Discuss the electrical stimulation of the heart as it relates to the ECG waveform. 14. Identify each part of the ECG waveform. 15. Describe the heart activity that produces the ECG waveform. 16. Describe coronary circulation. 17. Explain ...
Emergency Medicine Echocardiography
Emergency Medicine Echocardiography

... Echo free space around the heart Pericardial effusion  Pleural effusion  Epicardial fat (posterior and/or anterior)  Less common causes: ...
Atrial systole: its role in normal and diseased hearts
Atrial systole: its role in normal and diseased hearts

Heart failure with preserved ejection fraction: Clinical
Heart failure with preserved ejection fraction: Clinical

... hypertension and electrocardiographic left ventricular hypertrophy, than in low-ejection fraction patients. Systolic, diastolic and pulse pressure were also higher in patients with preserved ejection fraction in general and I-PRESERVE in particular. In I-PRESERVE, 88% of patients were reported to ha ...
Medical Management of KS Part 2
Medical Management of KS Part 2

... as well. A Class II pattern occurs when the lower jaw is shorter than the upper which alters the bite on the molars and front teeth. In these children the lower front teeth fit well behind the upper front teeth and commonly these children are said to have an “overbite”. These children have a profile ...
Understanding Arrythmias
Understanding Arrythmias

... This impairs the heart’s ability to efficiently pump blood and increases the risk of developing blood clots which can cause a transient ischemic attack (TIA) or stroke. The electrical signal which causes the heart to beat originates in the SA node - the natural pacemaker of the heart. ...
BLOOD VOLUME IN CONGESTIVE HEART FAILURE` Discussions
BLOOD VOLUME IN CONGESTIVE HEART FAILURE` Discussions

... average interval of eighteen days between the two determinations was not long enough to detect return of red cell volume to normal. It is apparent from our results and from those of other investigators (8, 9) that some patients in advanced heart failure have a normal blood volume and that some patie ...
Cardiac Nurses Current Awareness Newsletter May 2016
Cardiac Nurses Current Awareness Newsletter May 2016

... Preoperative statin therapy does not decrease the risk of perioperative AF (May 2016) Perioperative atrial fibrillation (AF) is common with cardiac surgery. Statins have been prescribed as preventive therapy based on relatively weak evidence. In the STICS trial, 1922 patients in sinus rhythm schedul ...
Sudden Cardiac Death - Essential Facts and the Guidelines
Sudden Cardiac Death - Essential Facts and the Guidelines

... Bardy G. The Sudden Cardiac Death-Heart Failure Trial (SCD-HeFT) in Woosley RL, Singh S. Arrhythmia Treatment and Therapy. Copyright 2000 by ...
Document
Document

... condition which resembles anomalies causing right‐to‐left shunting (1-4). This condition occurs at different ages, although it is most commonly detected in infants and children (2) by a continuous murmur over the chest; this condition is highly mistaken for pate ...
PDF - Circulation: Arrhythmia and Electrophysiology
PDF - Circulation: Arrhythmia and Electrophysiology

... subendocardium. Cardiac catheterization showed no obstructive coronary artery disease or anomalous coronary arteries. What are the diagnostic considerations for this constellation of findings of massive LVH, subendocardial necrosis, and abnormal ECGs? ...
PDF
PDF

... As previously mentioned, these growths may produce sudden death (9 of 27 cases) without giving rise to previous symptoms. Although the tumors are histologically benign, they are liable, by virtue of then- location, to interfere with the conduction system and, therefore, to cause death. They may, how ...
Mitral Valve Disease
Mitral Valve Disease

... stretches in response to the backup of blood, the electrical pathways that keep the heart rhythm stable can become disturbed, and a rapid irregular heartbeat may result, causing palpitations. Other symptoms may include fatigue, chest pain, dizziness, and occasionally coughing up blood. The only effe ...
Sudden cardiac death in chronic kidney disease: epidemiology and prevention
Sudden cardiac death in chronic kidney disease: epidemiology and prevention

... population.1,2 sudden cardiac death might be responsible for 60% of these cardiac deaths in patients undergoing dialysis.4 in those who also have diabetes mellitus, sudden cardiac death has been reported to be the most frequent cause cardiovascular death.4 even in the intermediate stages of chronic ...
Aortic Valve Disease
Aortic Valve Disease

... creates a sonar-like picture of the heart, is a common test used in patients with suspected or known aortic valve disease. Echocardiography can reliably confirm the presence and severity of the aortic valve disease, as well as determine the response of the left ventricle to the extra workload on the ...
Guideline for the Management of Heart Failure Caused
Guideline for the Management of Heart Failure Caused

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia and
Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia and

... Italy2 and for 42% in south-eastern Korea.14 Indeed, in north-eastern Italy it is the most common cause of sudden death in young athletes (22%),15 while in the USA it is a rare cause (3%).16 ARVC is reported to be inherited in more than 50% of cases with two types of transmission: autosomal dominant ...
Surgical Ventricular Restoration
Surgical Ventricular Restoration

... extension, and the presence of mitral regurgitation [1–7]. There is increasing interest in therapeutic strategies aiming to reshape the left ventricle (LV) to rebuild a more physiologic LV chamber and improve pump function. Surgical ventricular restoration (SVR) as described by Dor and colleagues [8 ...
Proportion of Heart Failure Patients who Meet Criteria for
Proportion of Heart Failure Patients who Meet Criteria for

... and bone density as well. Malnutrition and starvation are also thought to be reversible when adequate nutrition is supplied, as cachexia is thought to not be completely reversible.13 A study to determine the prevalence of weight loss in heart failure patients and the impact on patient outcomes ident ...
Cardiac Resynchronisation Therapy: The Optimal QRS Duration
Cardiac Resynchronisation Therapy: The Optimal QRS Duration

Hypertension - clinical features and investigations
Hypertension - clinical features and investigations

... A detailed history should include assessment of overall cardiovascular risk including any history of hypercholesterolaemia, diabetes mellitus and smoking. Aggravating factors for hypertension should be looked for, including alcohol and salt intake and level of physical activity. Symptoms suggestive ...
heart center - Intermountain Healthcare
heart center - Intermountain Healthcare

... Our forward-thinking approach to providing care means that we look to innovation—both with technology and through the development of progressive programs—to better serve our patients. For example: • Our High Risk Program provides closer, more consistent care and follow-up for single ventricle patie ...
Autonomic control of the heart in Boa constrictor
Autonomic control of the heart in Boa constrictor

... suggested to exert an important chronotropic effect (Stinner and Ely, 1993). Studies on other ectothermic vertebrates also point to an important role for the sympathetic nervous system in causing tachycardia during exercise, e.g. (Wahlqvist and Campbell, 1988; Axelsson, 1988; Axelsson et al., 1989). ...
Chapter37_Section01_edit
Chapter37_Section01_edit

... 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 pressure of 140/90 or higher. Slide ...
perioperativeCardiacTamponade
perioperativeCardiacTamponade

...  Effect of transmural pressure  Low CVP and modestly elevated ...
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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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