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Revascularization for Unprotected Left Main Stem Coronary Artery
Revascularization for Unprotected Left Main Stem Coronary Artery

... angiographic assessment of restenosis (only 1 study reassesses all patients [20]), short duration of follow-up (mean of 11 months), and lack of a control group in 4 studies (thereby inviting interpretive biases). Furthermore, with the exception of the Bologna registry (24), for studies of BMS there ...
Value of The Wearable Cardioverter Defibrillator (WCD)
Value of The Wearable Cardioverter Defibrillator (WCD)

... by holding the two response buttons of the WCD. Thus, almost all treated ventricular arrhythmias occur in unconscious patients who generally do not remember the treatment itself. This combination (unconscious, sustained VT/VF) meets the classic definition of sudden cardiac arrest.17 The treatment sh ...
Persistent angina in “no option” patients with
Persistent angina in “no option” patients with

... approaches to degenerative saphenous vein graft using a wide range of distal embolic protection devices, aspiration devices and potentially new generations of stent grafts, make this “no option” inclusion criteria obsolete. The second, is progression of atherosclerosis among those patients who alrea ...
N-terminal pro B-type natriuretic peptide (NT
N-terminal pro B-type natriuretic peptide (NT

... drugs decreased by diuretics, ACE inhibitors, aldosterone antagonists, angiotensin-II receptor inhibitors and nitrates obesity decreases both NTproBNP and BNP but the mechanism is unknown other cardiovascular disease disorders such as myocardial infarction, pulmonary embolism, valvular disease, hype ...
Title: Blood circulation in the tunicate Corella inflata
Title: Blood circulation in the tunicate Corella inflata

... Abstract: The ascidian tunicate Corella inflata is relatively transparent compared to other solitary tunicates and the circulatory system can be visualized by injecting high molecular weight fluorescein labeled dextran into the beating heart or the large vessels at the ends of the heart. In addition ...
PACEMAKER: An Insight Into the Artificial Heart Rhythm
PACEMAKER: An Insight Into the Artificial Heart Rhythm

valves - Anatomy and Physiology
valves - Anatomy and Physiology

A Comparison of Regional Blood Flow and Oxygen
A Comparison of Regional Blood Flow and Oxygen

... arterial oxygen content. In all instances, venous oxygen content varied little over the last 3 min of exercise, and an average value was therefore taken for calculations. Forearm oxygen consumption (ml 0,/min . 100 ml) during the basal state was calculated as the arterial-venous oxygen difference (v ...
Dual LAD – Contemporary Review
Dual LAD – Contemporary Review

... decided to write one. According to the literature, incidence of the coronary artery anomalies in general population is approximately 1% [4]. They are often not associated with clinical signs and symptoms, but some of them can lead to sudden cardiac death. According to the Sudden Death Committee of t ...
Pulse Transition Time in heamodynamic measurement
Pulse Transition Time in heamodynamic measurement

... Today, the most common causes of death are cardiovascular diseases. The basic assumption for the decrease of mortality is their early detection and treatment. The main risk factors are usually high age, smoking, metabolic disorders, hypertension, and diabetes mellitus. It is possible to monitor the ...
2 nd Generation
2 nd Generation

...  Measurements  Surrogates  Short/Long Term ...
Implantable Ventricular Assist Devices and Total
Implantable Ventricular Assist Devices and Total

... Thoratec, Columbia University, and the National Institutes of Health. The randomized trial found that patients with end-stage heart failure who are not candidates for cardiac transplantation have significantly better survival on a VAD compared with treatment by optimal medical therapy. Median surviv ...
Thoraco-Omphalopagus conjoined 284
Thoraco-Omphalopagus conjoined 284

... (min) and 6 at 5 min. The twins shared the thorax and abdomen (Fig. 1). Postnatal echocardiographic examination revealed that the babies shared a four-chamber heart with two ventricles and two atria (Fig. 2). The left ventricle (LV) connected to two aorta (Ao-1, Ao-2) and one pulmonary artery (PA-1) ...
Right Ventricular Involvement in Diabetic
Right Ventricular Involvement in Diabetic

... hamper right ventricular (RV) function. RV involvement in diabetic cardiomyopathy might be of importance because the right ventricle has a substantial contribution to overall myocardial contractility. RV function has proven to be of importance for patient risk stratification in heart failure (8) and ...
Neurogenic atrial fibrillation
Neurogenic atrial fibrillation

... than in women (ratio 4:1).7 The age of onset is usually 30–50 years. It hardly ever occurs in a structurally diseased heart, probably because any cardiac disease tends to shift the vagosympathetic balance towards a sympathetic predominance.3 The usual history is of weekly episodes. The heart rate is ...
398 - PheKB
398 - PheKB

... reduced or preserved). In 2010, HF affected 6.6 million Americans at a cost of 34.4 billion 1, 2. However, the syndromic nature of HF presents challenges in identification of HF cases and controls from EHR data for research given that the diagnosis is clinical. The Electronic Medical Records and Gen ...
Heart Size Evaluation of Indonesian Domestic House Cat by Motion
Heart Size Evaluation of Indonesian Domestic House Cat by Motion

... Indonesian Domestic House Cats (DHC) are prone to various diseases, especially cardiovascular diseases. Physical examination alone is not enough to differentiate cardiac diseases, which is why further screening tests such as heart ultrasonography-echocardiography are needed. Since there has been no ...
Name of presentation
Name of presentation

... • Reverse PDAs are usually large, providing no resistance to blood flow – Ductus is often as large in diameter as the great vessels it connects ...
Improving Medication Adherence in Chronic Cardiovascular Disease
Improving Medication Adherence in Chronic Cardiovascular Disease

... CR, allows consideration for reducing the daily number of pills required. ...
Effects of exercise training on left ventricular structure and function in
Effects of exercise training on left ventricular structure and function in

... 10.4%, r = 0.95. LV mass was indexed dividing LV mass by body surface area (LVMI). Cardiac Size and Function by Echocardiography Standard views were obtained using a Sonos 5500 or 2500 system (Agilent Technologies, Palo Alto, California). Measurements were performed on an Image-Vue analysis system ( ...
Autonomic function in congenital heart defects Alexandra Pintér MD
Autonomic function in congenital heart defects Alexandra Pintér MD

... The sinuatrial node and the electrical cardiac conduction system of the heart are richly innervated by both limbs of the autonomic nervous system. If the activity of parasympathetic fibres that innervate the heart (cardiovagal fibres) increases, it will reduce the heart rate and conduction velocity ...
Normal Sinus Rhythm
Normal Sinus Rhythm

... The most common arrhythmia causing cardiac arrest, but becomes finer as minutes pass and soon becomes indistinguishable with asystole. Patient will require immediate defibrillation (10% reduction in success rate as each minute passes). Most common cause of death in early acute MI. © Hayley Coxon 201 ...
Anemia LECTURE IN INTERNAL MEDICINE FOR IV COURSE
Anemia LECTURE IN INTERNAL MEDICINE FOR IV COURSE

... • Interviewing (complains, history) and physical examination with attention to coronary artery disease or myocardial infarctions, risk factors for coronary artery disease (CAD), and family history of sudden cardiac death are extremely important. • Auscultation may detect an irregular rhythm or prema ...
Recommendations for participation in competitive and leisure sports
Recommendations for participation in competitive and leisure sports

... provides the necessary data and may have advantages if frequent BP measurements are important. The exercise protocol used should be standardized, aiming at exercise duration of between 6 and 10 min [13]. It should give information about maximal oxygen uptake (MVo2), expressed in millilitres per kilo ...
THE EFFECTS OF EPHEDRINE ON THE HEART RATE OF THE EMBRYO
THE EFFECTS OF EPHEDRINE ON THE HEART RATE OF THE EMBRYO

... • Is a biogenic amine, a neurotransmitter of the sympathetic nervous system produced from the amino acid tyrosine, and commonly known as noradreline • Is an amplifier of the sympathic nervous system that effectuates the “fight or flight” response of the body. • Often affect processes within the post ...
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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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