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Morphologic demonstration of spontaneous and
Morphologic demonstration of spontaneous and

... closed at age 5 years. At age 31 years, he was found to have severe mitral regurgitation and underwent mitral valve replacement with inadvertent left circumflex coronary artery injury, resulting in one-vessel coronary artery bypass grafting. He developed heart failure symptoms at age 47 and underwent ...
How Bloodstain Pattern Analysis Works
How Bloodstain Pattern Analysis Works

Atrial Defects
Atrial Defects

... maternal factors:– maternal rubella infection – chronic alcohol abuse ...
Acute Electrophysiologic Effects of Inhaled Salbutamol in Humans*
Acute Electrophysiologic Effects of Inhaled Salbutamol in Humans*

... severe arrhythmias. The patients were clinically stable during the 4 weeks preceding the intervention, with no upper or lower respiratory tract infections. Oral and inhaled corticosteroids and oral bronchodilators were discontinued for at least 1 month prior to the study. Inhaled short- and long-act ...
Thoracic trauma - Association of Surgical Technologists
Thoracic trauma - Association of Surgical Technologists

... uninjured segment of the lung. Changes within the capillaries leads to extravasation of red blood cells and the accumulation of edema fluid within the interstitium. These processes do not occur simultaneously, but rather in a sequence. The main problem is intra-alveolar hemorrhage and edema followed ...
wimj October.qxd - West Indian Medical Journal
wimj October.qxd - West Indian Medical Journal

... method of development of the fistulous communication between the aorta and the cardiac chambers (1–7). There is a greater likelihood of a ventricular septal defect occurring at the same time (2). The infecting organism in decreasing frequency noted in both necropsy patients and retrospective studies ...
measuring the heart rate
measuring the heart rate

ECG-correlated imaging of the heart with subsecond
ECG-correlated imaging of the heart with subsecond

... Fig. 2. Schematic plot of 180 MCI for the central ray for arbitrary z and c . The solid lines depict the measured spirals, whereas the dashed lines depict the rebinned data obtained from opposite views. The numbers m at the top count the simultaneously measured slices m 1; 1 1 1 ; M . The figure is ...
Arrhythmia Monitoring Arrhythmia Monitoring
Arrhythmia Monitoring Arrhythmia Monitoring

... When attaching a cardiac monitor, assess patient's need for 3 potential goals of monitoring ...
Drugs Affecting the Cardiovascular System
Drugs Affecting the Cardiovascular System

... Nitrates ...
Asplenia in children with congenital heart disease as a cause of
Asplenia in children with congenital heart disease as a cause of

... asplenia detected in a 60-year-old woman with septicaemia by streptococcus pneumonia was also reported [7]. However, some patients may be asymptomatic. These data show the variations in the clinical course among patients, even in members of the same family [1]. Asplenia may be a cause of sudden, une ...
of atrial dysrhythmias - Heart
of atrial dysrhythmias - Heart

... absorbed in the alkaline medium of the small intestine. Using Kinidin Durules, the maximum concentration achieved is significantly lower and the peak quinidine concentration seen after the ordinary form of quinidine bisulphate is replaced by a plateau which develops gradually and then falls off (Fig ...
Caring For Patients With Cardiomyopathy
Caring For Patients With Cardiomyopathy

... Clinical Presentation ...
ST Segment Monitoring - Vanderbilt University Medical Center
ST Segment Monitoring - Vanderbilt University Medical Center

... Many ischemic events are self-limiting and are caused by an increased demand for blood from an artery that is unable to respond. For example, if an episode is caused by increased physical or emotional stress, relieving that stress limits its duration. When an episode remains unrelieved, tissue cells ...
Cardiac MRI: Standardized Right and Left Ventricular Quantification
Cardiac MRI: Standardized Right and Left Ventricular Quantification

... higher reproducibility of RV in comparison to Turbo Gradient Echo. A limitation of our study is that reproducibility was not tested in a different set of patients after the initial coaching. It remains important that the reporting physician checks results of the persons performing quantification. ...
Short-term heart rate variability (HRV) in healthy dogs
Short-term heart rate variability (HRV) in healthy dogs

... in all the dogs using an ALOKA 4000+ ultrasonograph equipped with 7.5 MHz sector probes. Furthermore, electrocardiograms of all the animals were obtained in a right-lateral recumbent position with a BTL SD08 electrocardiograph equipped with filters for power line interference and muscle noise. None ...
Mitral annular plane systolic excursion on
Mitral annular plane systolic excursion on

... Published on behalf of the European Society of Cardiology. All rights reserved. & The Author 2011. For permissions please email: [email protected]. ...
Long-Term Prognosis of Pregnancies
Long-Term Prognosis of Pregnancies

... survives the first trimester, what is the likelihood that the pregnancy will result in a normal neonate?” Our study demonstrates that the prognosis for an embryo with a slow early heart rate who survives the first trimester is good, with a 92.6% likelihood that the pregnancy will result in birth of ...
Inherited cardiac arrhythmia syndromes: What have they taught us
Inherited cardiac arrhythmia syndromes: What have they taught us

... to exercise and hence were more likely to benefit from betareceptor blockade. Drug induced long QT syndrome Many prescription medications are known to increase the risk of cardiac arrhythmias. This was first clearly identified in the Cardiac Arrhythmia Suppression Trial (CAST). In the CAST study, pa ...
Inflow Valve Regurgitation During Left Ventricular Assist Device
Inflow Valve Regurgitation During Left Ventricular Assist Device

... LVADs are paralleled with decreased levels of plasma renin activity, angiotensin II, aldosterone, and other hormones known to be elevated in heart failure patients [21, 22]. Thus, restoration of normal hemodynamics may turn off the effector mechanisms responsible for progression of heart failure [23 ...
Beneficial effects of sauna bathing for heart failure
Beneficial effects of sauna bathing for heart failure

... the cardiovascular system can be reversed by sauna therapy. Sauna bathing can be risky in patients receiving alcohol, beta blockade and nitrates (18). Severe aortic stenosis, unstable angina pectoris and recent MI are contraindications to sauna bathing (19). Decompensated heart failure and cardiac a ...
Cardiac Mortality and Morbidity After Breast Cancer Treatment
Cardiac Mortality and Morbidity After Breast Cancer Treatment

... index (BMI) and setup errors resulting in fields that set up deeper than planned were both associated with significantly higher rates of perfusion defects.12 Higher BMI was believed to be associated with deep setup errors, demonstrating that even when treatment plans are deemed acceptable, accuracy ...
Right Heart Dysfunction After Left Ventricular Assist Device
Right Heart Dysfunction After Left Ventricular Assist Device

Sino-Atrial Exit Block (SA Block):
Sino-Atrial Exit Block (SA Block):

... MI's presenting to emergency rooms evolve to non-Q wave MI's, most having ST segment depression or T wave inversion ...
Implication of right ventricular dysfunction on long
Implication of right ventricular dysfunction on long

... the impact of right ventricular dysfunction on clinical outcome in patients with ischemic cardiomyopathy undergoing coronary artery bypass grafting with or without surgical ventricular reconstruction. Methods: Of 1000 patients in the Surgical Treatment for Ischemic Heart Failure with coronary artery ...
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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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