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The Functions of Blood
The Functions of Blood

... mature so they can’t reproduce – New RBC must develop (from stem cells) because with no nucleus, RBC can’t accomplish any cellular activities and wear out quickly – Old or damaged RBC are removed from blood and destroyed in the liver and spleen by macrophages in a process called phagocytosis. • Many ...
Transcripts/4_13 1-2 (McNicholas)
Transcripts/4_13 1-2 (McNicholas)

... i. In relation to the L ventricle due to the pressures generated in that chamber d. Lower dotted line is the atrial pressure. Much less than that in the ventricles e. The changes in the volume of blood (lower portion of Y axis) changes throughout the cardiac cycle f. NOTE: the cardiac volume never g ...
ACHD-Pacemakers-and
ACHD-Pacemakers-and

Print - Circulation
Print - Circulation

... detect in the standard limb leads, even when sinus rhythm is present. The skin should be prepared by a liberal application of ECG paste rubbed well in to reduce electrical resistance, and thereby prevent painful skin burns. Great care must be taken to insure that no part of the patient's skin is in ...
A Survey of Data Mining Methods for Automated
A Survey of Data Mining Methods for Automated

... CAN, with prevalence increasing as duration of diabetes increases [21,22]. CAN leads to impaired regulation of blood pressure, heart rate and heart rate variability (HRV). The increased risk of cardiac mortality due to arrhythmias makes screening of people with diabetes for autonomic neuropathy vita ...
Winter `14 LeBonHeartNL9.5x15.indd
Winter `14 LeBonHeartNL9.5x15.indd

... defibrillator devices (ICDs). ...
Heart rate variability indices in the time domain in healthy dogs
Heart rate variability indices in the time domain in healthy dogs

... incorporation of n-3 PUFAs over time in human plasma and blood cells as a biomarker for other cellular membranes (such as myocytes) and determined that one gram per day of supplementation was capable of inducing significant changes in the composition of the polyunsaturated fatty acids in the blood, ...
3 Ventricular Function
3 Ventricular Function

... increased fiber stretch, which in turn causes length activation, thought to be explicable in part by sensitization of the contractile proteins to the prevailing cytosolic calcium concentration. An increased afterload may indirectly, through stimulation of stretch-sensitive channels, increase cytosol ...
Stress - My CCSD
Stress - My CCSD

... Poorer people are more at risk for premature death.  People also tend to die younger in areas where there is greater income inequality.  People at every income level are at greater risk of death if they live in a community with great income inequality. ...
PART 15 - Mike South
PART 15 - Mike South

... pink when he was comfortable. However, when distressed his oxygen demands would increase and he would become more obviously hypoxic, with reduced saturations and clinically apparent cyanosis. An echocardiogram was organized to establish the nature of his heart defect – the commonest problem to prese ...
Medical Policy Microvolt T
Medical Policy Microvolt T

... A 2005 review by Gehi et al. evaluated the predictive value of MTWA in determining risk stratification of ventricular tachyarrhythmic events (VTE) across a variety of subjects. The study found that the presence of significant MTWA predicted nearly a fourfold risk of VTE compared to the absence of MT ...
Assessment of Heart Rate Variabilit in Hypertrophic
Assessment of Heart Rate Variabilit in Hypertrophic

... Methods and Results. To determine the clinical significance of HRV and its relation to markers of electrical and hemodynamic instability in 1CM, the 24-hour Holter recordings of 104 patients in sinus rhythm and off medication were analyzed. Five nonspectral measures of HRV were computed. The frequen ...
pacemakercomp
pacemakercomp

... the patient in use. A number of inventors, including Paul Zoll, made smaller but still bulky external devices in the following years. The pacemakers built in the late 1950s were bulky, relied on external electrodes, and had to be plugged into a wall outlet. External electric shocks were frequently ...
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File - Heart Rhythm Society
File - Heart Rhythm Society

... with a focus on the treatment of patients who had survived a life-threatening arrhythmia that included ventricular tachycardia (VT) or ventricular fibrillation (VF), often referred to as secondary prevention therapy.2– 4 Since the original publication of that medical/scientific statement, multiple t ...
II. Method
II. Method

... For this reason, recent guidelines [5], report that the diagnostic test, which seems to be most useful in the evaluation of patients with HF is the comprehensive 2dimensional echocardiogram coupled with Doppler flow studies to determine whether abnormalities of myocardium, heart valves, or pericardi ...
Sample chapter – 7: Assessment of cardiac output and peripheral
Sample chapter – 7: Assessment of cardiac output and peripheral

... Insert the most appropriate answer from the list below into the following passage. Cardiac output can be estimated in two different ways from the data table, namely by the __________ or more approximately by the __________. Based on the oxygen data, the cardiac output of subject A was __________, wh ...
Summary
Summary

... technique was developed which is able to measure volumes instead of pressures, not influenced by positive pressure ventilation. However, there are some drawbacks of the transpulmonary thermodilution method, inherent to technique. Indeed, in patients with valvular insufficiencies or intrathoracic pat ...
5 HOW TO READ AN EKG
5 HOW TO READ AN EKG

... PR Interval: Atrial and AV node depolarization. Regular duration is 0.12 - 0.20 seconds. The PR interval is measured from the start of the P wave to the start of Q wave. It represents the duration of atria depolarization. Normal duration is from 0.12 to 0.20 seconds. If the PR interval is greater th ...
1 - American College of Radiology
1 - American College of Radiology

... suspected, the area can be quantified using reference measurements from adjacent normal vessel sections. A common practice is to compare luminal diameter that is deemed normal, is within 1 cm proximal, and is distal to the stenosis or dilatation on the longitudinal straightened curved planar images. ...
CHA2DS2VASc Score as a Predictor of
CHA2DS2VASc Score as a Predictor of

... [HTN], age, diabetes, stroke, vascular disease, and female gender) score may be a reliable tool to predict the risk of thromboembolic events in patients without documented atrial fibrillation (AF). Methods: We performed a prospective cohort study of outpatients without AF or flutter, who were not us ...
Influence of Psychological Stress on Systolic
Influence of Psychological Stress on Systolic

... and with heart diseases [1-3]. Heart rate and ventricular repolarization characteristics were reported to be affected by stress in several studies [4, 5]. Increase in heart rate (i.e. decreases in RR interval in ECG), heart rate variability, alteration in QT interval (i.e. ventricular repolarization ...
Artificial Hearts and Ventricular Assist Devices
Artificial Hearts and Ventricular Assist Devices

... IMPORTANT REMINDER: The health plan’s Medicare Advantage Medical Policies are developed to provide guidance for members and providers regarding coverage in accordance with the member Evidence of Coverage (EOC) booklet. Benefit determinations are based in all cases on any applicable EOC language and ...
Cumulative risk of cardiovascular events after orthotopic liver
Cumulative risk of cardiovascular events after orthotopic liver

... The study was approved by the instituitional review board. Patients deemed to have a high risk of vascular complications were excluded from transplantation and thus were not included in this study. At our institution, we consider transplantation to be contraindicated for patients with the following ...
National Diabetes Education Program. Changing the way diabetes
National Diabetes Education Program. Changing the way diabetes

... • Diabetes is a key risk factor for CVD • Rigorous control of blood glucose, blood pressure, and cholesterol helps prevent CVD and other diabetes ...
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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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