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Preoperative Recommendations / Guidelines
Preoperative Recommendations / Guidelines

... The following recommendations are the product of a multidisciplinary group* charged with coming up with standardized recommendations to guide the preoperative evaluation of patients before surgery. These recommendations are made to help establish systems to aid in appropriate preparation of patients ...
Ch. 19/22 Physiology of the Cardiovascular System
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... The Heart As a Pump • Cardiac cycle (cont.) • Isovolumetric ventricular contraction • Occurs between the start of ventricular systole and the opening of the SL valves • Ventricular volume remains constant as the pressure increases rapidly • Onset of ventricular systole coincides with the R wave of ...
11:35 am Tetralogy of Fallot - Factors Affecting Pulmonary Valve
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BRS Physiology Cases and Problems 2nd Edition
BRS Physiology Cases and Problems 2nd Edition

... normal sequence (i.e., the spread of activation was from the AV node through the bundle of His to the ventricular muscle). 5. Mr. Doucette's ECG showed some P waves that were not followed by QRS complexes. AV nodal conduction was slowed so much that some impulses were not conducted at all from atria ...
Tetralogy of Fallot
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People - University of Kentucky
People - University of Kentucky

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... – Post mortem sectioning shows no signs of internal or structural damage. – This condition is referred to as Commotio cordis ( disturbance of the heart). ...
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Carmat - Edison Investment Research

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High Arteriovenous (AV) Access Flow and Cardiac Complications Hemodialysis
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hypertension
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... treat the disease. Yet although hypertension may not be curable and for some people it may be unavoidable, it can most definitely be, to some degree, prevented and treated. However, that can be a big challenge. In the healthcare community, hypertension has been known informally for years as the dise ...
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... Blood pressure is acknowledged to be a measurement that fluctuates physiologically in response to changes in physical activity, emotion, mood, wakefulness and other demands for greater tissue perfusion. Therefore, pressures under office conditions are sometimes variable. This has engendered skeptici ...
hypertension
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... treat the disease. Yet although hypertension may not be curable and for some people it may be unavoidable, it can most definitely be, to some degree, prevented and treated. However, that can be a big challenge. In the healthcare community, hypertension has been known informally for years as the dise ...
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Approach to infants and children with Cyanotic congenital heart
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... cyanotic heart disease comes from an ancient Egyptian papyrus, 3000 years old which describes a sick child who died – “His lips are ruddy”. Cyanosis can be central or peripheral. In central cyanosis there is definite blue color of tongue and oral mucosa along with skin coloration. Tongue is perhaps ...
Accuracy of pulse oximeters in estimating heart rate
Accuracy of pulse oximeters in estimating heart rate

... haemoglobin oxygen saturation' . Pulse oximeters are often used for estimating heart rate at rest and during exercise. However, at present there are not sufficient data to validate their use as heart rate monitors at rest and during exercise. As accurate measurement of heart rate is becoming increas ...
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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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