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PDF - Circulation
PDF - Circulation

... segment) with normal T wave width and only minor if any abnormalities in T wave morphology. This finding is characteristic of long QT syndrome type 3 in contrast to LQT types 1 and 2, where T wave width (eg, broad based in LQT1) and morphology are altered.1,2 Other laboratory studies were all normal ...
Answers to Cardiac Diagnostics Case Study
Answers to Cardiac Diagnostics Case Study

... function and impair myocardial contractility. High calcium can increase the risk for heart block and sudden death from V-fib. Low magnesium predisposes the client to atrial or ventricular tachycardias. High magnesium levels depress contractility and excitability of the myocardium, causing heart bloc ...
Cardiac function assessed by systolic time intervals
Cardiac function assessed by systolic time intervals

... All patients were studied one day before operation and again at one week after operation. Fifteen patients were restudied one to two months after operation. Most of the patients were studied in the fasting state in the early morning. Where this was not possible, pre- and postoperative studies were d ...
Editorials Original Articles
Editorials Original Articles

... CIRCULATION: ARRHYTHMIA AND ELECTROPHYSIOLOGY (ISSN 1941-3084) is published monthly online-only by Wolters Kluwer Health, Inc. at 14700 Citicorp Drive, Bldg 3, Hagerstown, MD 21742. Business offices are located at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103. Production offices ar ...
Contemporary management of acute right ventricular failure: a
Contemporary management of acute right ventricular failure: a

... of either pressure overload or volume overload (Figure 1, Table 1). Failure may also result from a primary reduction of myocardial contractility owing to ischaemia, cardiomyopathy, or arrhythmia. The right ventricle is not built to handle large or rapid increases in pulmonary artery pressure. Howeve ...
European Cardiac Resynchronization Therapy Survey II
European Cardiac Resynchronization Therapy Survey II

... importance of QRS duration and morphology, clinical status, and also provide new indications for CRT in patients requiring upgrades to CRT, patients with atrial fibrillation and in those who need permanent ventricular pacing due to high degree atrioventricular block.15 Most of the current informatio ...
Contemporary management of acute right ventricular failure: a
Contemporary management of acute right ventricular failure: a

... haemodynamics and lack of conclusive evidence regarding RV-specific treatment approaches. ...
Diastolic mitral regurgitation: a borderline case in cardiovascular
Diastolic mitral regurgitation: a borderline case in cardiovascular

... and coronary engorgement contribute to myocardial stiffness/elasticity in late diastole13-16; 20-23. The heart is continuously liable to a series of autonomic and neurohormonal stimuli, in order to warrant an output meeting body needs24-33. Heart cycle duration/velocity is influenced by different fa ...
The Effect of Cardiac Resynchronization on Morbidity and Mortality
The Effect of Cardiac Resynchronization on Morbidity and Mortality

... mode and cause.11 Other secondary end points included a composite of death from any cause and unplanned hospitalization with heart failure and, at 90 days, the NYHA class and the quality of life as assessed by the patient with the use of the Minnesota Living with Heart Failure questionnaire (scores ...
Update in the Approach to and Management of Heart Failure
Update in the Approach to and Management of Heart Failure

... pg/mL had a 96% negative predictive value for HF.17 In this population, BNP was more accurate in determining the cause of dyspnea than any other history, examination or laboratory finding.17 In addition to diagnosing acutely symptomatic HF, BNP levels have been used to guide HF therapy.18 BNP levels ...
HISTOLOGY OF THE CIRCULATORY SYSTEM
HISTOLOGY OF THE CIRCULATORY SYSTEM

... the capillary wall is continuous. Lateral cell surfaces of cells are characterized by zonula occludens (tight junctions), so materials move across cells via pinocytosis or diffusion. These capillaries occur in most organs. b. Fenestrated (type II) capillaries (Figure 13.18) have extremely thin cytop ...
this PDF file - The Tamil Nadu Dr. MGR Medical
this PDF file - The Tamil Nadu Dr. MGR Medical

... HCM is characterized by a thickened but non dilated left ventricle, in the absence of other cardiac or systemic conditions (e.g., aortic valve ...
Valsalva Maneuver and Strain
Valsalva Maneuver and Strain

... Conclusions: The VM caused time and voltage changes in some ECG waves during the strain phase. Alterations in heart or lung volume, electrode-related alterations, and autonomic tone may cause these changes. Keywords: Valsalva Maneuver; Straining; Electrocardiogram ...
A Brief History of Drug-Eluting Stents
A Brief History of Drug-Eluting Stents

... benefits of one DES over another are less clear-cut, although a number of studies have shown that the so-called ‘second generation’ DES are superior to ‘original’ DES in terms of preventing further cardiovascular complications or the need for a repeat stenting procedure, as with Xience® versus Cyphe ...
Rasha Ageeb Hassan Aly_Rasha
Rasha Ageeb Hassan Aly_Rasha

... than the chambers of the right side of the heart. This is because the left ventricle has to produce enough pressure to pump blood throughout the entire body, while the right ventricle only has to produce enough pressure to pump blood to the lungs. In the case of a large ASD (>9mm), which may result ...
Pericardium 2 - Brown University
Pericardium 2 - Brown University

... • Ewart's sign: Compression of lung leading to an area of consolidation in the left infrascapular region (atalectasis, detected as dullness to percussion and bronchial breathing) ...
Extract ESC Guidelines
Extract ESC Guidelines

... Although routine use of rotational atherectomy did not improve outcomes after DES,698 such a device might technically be required in cases of tight and calcified lesions, to allow subsequent passage of balloons and stents. There is a resurgence in the use of rotational atherectomy for the purpose of ...
Heart
Heart

... this tracing, the ratio of P waves to QRS waves is mostly 2:1. Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings ...
Depression in Heart Failure patients
Depression in Heart Failure patients

Effect of Suryanamaskar on resting heart rate of school girls
Effect of Suryanamaskar on resting heart rate of school girls

... exercises program is cardiovascular conditioning. There are many benefits of cardiovascular workout like increase physical work capacity at all ages, control blood pressure, control all the problems associated with obesity, decrease the risk of coronary artery disease and stroke, decrease risk of di ...
Hypertension - Bradford VTS
Hypertension - Bradford VTS

... •Through the wider use of antihypertensive therapies more older people would be able to maintain a healthy and active lifestyle. •Through the wider use of antihypertensive therapies more older people would be able to maintain a healthy and active lifestyle. •For first-line agents there is strong evi ...
in Frail Elderly Detected Through a Near-Home Target
in Frail Elderly Detected Through a Near-Home Target

... that of HF between 3% and 13%—these proportions are suspected to be even higher in frail elderly.4,5 Other diseases or precipitating factors that may simultaneously cause these symptoms should also be considered, such as anemia, atrial fibrillation, valvular disease, (persisting) asthma, thyroid diso ...
Treatment of Atrial Fibrillation in 2017
Treatment of Atrial Fibrillation in 2017

... Go AS. et al, Heart Disease and Stroke Statistics—2013 Update: A Report From the American Heart Association. Circulation. 2013; 127: e6-e245. Holmes DR, Atrial Fibrillation and Stroke Management: Present and Future, Seminars in Neurology 2010;30:528–536. January, CT. et al. 2014 AHA/ACC/HRS Guidelin ...
How We Perform Delayed Enhancement Imaging
How We Perform Delayed Enhancement Imaging

... Although areas of infarction will have high image intensity, the relative contrast between infarcted and normal myocardium will be reduced. In principle, the optimal TI at which normal myocardium is nulled must be determined by imaging iteratively with different inversion times. In practice, however ...
General Year 11 sample assessment tasks - SCSA
General Year 11 sample assessment tasks - SCSA

... 1. Complete the following table with information from the advertisements you researched Anti-smoking advert Type of advert (print, radio, TV) ...
< 1 ... 211 212 213 214 215 216 217 218 219 ... 562 >

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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