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Abnormalities Caused by Left Bundle Branch Block - e
Abnormalities Caused by Left Bundle Branch Block - e

... polarization and contraction of the heart chambers. As reviewed in the earlier segment of this department on right bundle branch block (RBBB), the process begins with a stimulus from the sinoatrial (SA) node. The stimulus is then slowed in the atrioventricular (AV) node, allowing complete contractio ...
CASE REPORT Dual (type IV) left anterior descending artery
CASE REPORT Dual (type IV) left anterior descending artery

... The dual LAD is classified as a congenital course anomaly of the coronary artery. Dual LAD has been classified into four types by Spindola-Franko et al. (Fig 2).[1] The incidence of dual LAD in otherwise normal hearts has been reported to range from 0.13%[2] to about 1.38%. [1,3] This anomaly is see ...
Recommendations for participation in leisure
Recommendations for participation in leisure

... document from the European Study Group on Sports Cardiology recommended the routine addition of an electrocardiogram (ECG), given its key role in the identification of cardiovascular diseases [10]. This section gives a brief summary of the diagnostic evaluation from an arrhythmic perspective, applyi ...
Objectives ACLS Medications
Objectives ACLS Medications

... Another patient arrives into the ER and has no pulse. After an EKG is obtained, it is determined that this patient is in asystole. Which of the following would be the appropriate action according to the 2015 ACLS guidelines? ...
Valvular Replacement for Patients with Aortic Stenosis and Severe
Valvular Replacement for Patients with Aortic Stenosis and Severe

... with congestive heart failure is only 1.5 years.20 Unfortunately, the surgical risk of AVR increases significantly in the presence of LV dysfunction. 21,22 The decision of AVR for patients with severe AS and LV dysfunction has been a medical dilemma. The high proportion of severe heart failure sympt ...
PEDIATRIC CARDIAC RHYTHM DISTURBANCES
PEDIATRIC CARDIAC RHYTHM DISTURBANCES

Changing Views: Safety and Efficacy of Implantable Cardioverter
Changing Views: Safety and Efficacy of Implantable Cardioverter

... cardiac patients. Conventional advice given to patients with ICD is to avoid physical activity more strenuous than playing golf or bowling. This recommendation is given due to a theoretical risk of arrhythmia precipitation, and thus increased risk of death due to failure to defibrillate, injury resu ...
click here - British Cardiovascular Society
click here - British Cardiovascular Society

Scholars Journal of Medical Case Reports Pulmonary Atresia with
Scholars Journal of Medical Case Reports Pulmonary Atresia with

... collaterals(MAPCAs) is a extreme form of tetralogy of Fallot (TOF) with complex pulmonary architecture with abnormal size and distribution of pulmonary arteries and Systemic collaterals that supply all or part of lung[1].It’s the most severe form of TOF also known as Tetralogy of Fallot (TOF) with p ...
PDF
PDF

... Pacemaker design has evolved very rapidly over the last several years. There has been a great deal of work in enhancing the programmability of pacemakers, to enable them to be programmed to work with different selected operating parameters, and indeed to work in different modes. In Taiwan, about 70% ...
Ductal dependent systemic blood flow
Ductal dependent systemic blood flow

... • Patients with HLHS, and other lesions with similar physiology, are at the highest risk, and are the costliest group among those with congenital heart disease. • No congenital heart defect has undergone a more dramatic change in diagnostic approach, management, and outcomes than hypoplastic left he ...
Final coupling paper
Final coupling paper

... diastolic time and augmented aortic compliance, as have been documented to occur in response to exercise training23-25, allow for improved coronary perfusion and a larger value of SEVR26. This is because coronary perfusion must occur in diastole due to the mechanical compression of the myocardium in ...
Heart Rhythm Coherence Feedback
Heart Rhythm Coherence Feedback

... used by neurofeedback practitioners to calm clients and stabilize the nervous system before sessions; this preparation often allows for a shorter and more effective session. Many clinicians have found heart rhythm coherence feedback to be an effective addition to treatment programs for chronic condi ...
Aschoff bodies
Aschoff bodies

... frequently of a previously normal heart valve, with a highly virulent organism, that leads to death within days to weeks of more than 50% of patients despite antibiotics and surgery. • In contrast, organisms of low virulence can cause infection in a previously abnormal heart, particularly on deforme ...
The-structure-and-function
The-structure-and-function

... environment and the atmosphere, Ibn Sina proposed that the lungs also prepare and serve the air to the heart (Bakhtiar, 1999). The air from lungs will help to moderate the animal’s heart beat and driving the vital energy (Bakhtiar, 1999). Avicenna also opined that the lungs help to cool the heart by ...
29 - Weebly
29 - Weebly

... The hormones epinephrine (adrenaline) and thyroxine increase heart rate; acetylcholine (Ach) decreases HR ...
Cardiopulmonary resuscitation dr. Horáček
Cardiopulmonary resuscitation dr. Horáček

... each minute of delay before defi reduces probability of survival by 10-12%, with concomittant CPR by 3-4% ...
Relationship of Mitral Annular Plane Systolic Excursion
Relationship of Mitral Annular Plane Systolic Excursion

... problems, acute myocardial infarction, atrial fibrillation/flutter, severe systolic dysfunction, severe arterial hypertension, valvular disease, and/or mechanical valves. Results: Mean patient age was 58.1±12.7 years and 69% were men. Mean LV EF was 39.1±6.4%, while mean value of average MAPSE was 9 ...
Longitudinal Hemodynamic Measurements in Swine System
Longitudinal Hemodynamic Measurements in Swine System

... study of cardiovascular physiology, pathogenesis, pharmacology and treatment modalities. Although many methods have been used to perform these measurements, the animals are typically under anesthesia where the normal physiological regulation may be affected [23]. It is desirable to obtain these vita ...
Low blood pressure in the very old, a consequence of imminent
Low blood pressure in the very old, a consequence of imminent

... In our sample, the average stroke volume index and the E/A ratio were low; these findings together indicate a high prevalence of diastolic dysfunction,28 especially as significant valvular lesions were excluded. Hence, older people may have a stiff left ventricle with an impaired diastolic filling, ...
applying the finite speed thermodynamics (fst) to the human
applying the finite speed thermodynamics (fst) to the human

... some differential equations which take into account losses through various irreversibilities. These schemes are very sophisticated and sometimes treat the processes three-dimensionally. After many computations (numerical integration), they find „a certain point” in which the machine works with certa ...
PowerPoint-presentatie - pace
PowerPoint-presentatie - pace

... • Many of the symptoms of HF are non-specific. HF severity can be classified based on structure and damage to heart (ACC/AHA) or based on symptoms or physical activity (NYHA). HF is a silently progressive condition. • HFrEF and HFpEF may present similarly within the clinical syndrome of HF. Half of ...
Analysis of kidney dysfunction in orthopaedic
Analysis of kidney dysfunction in orthopaedic

... potential preoperative risk factors for postoperative KD and showed that cardiac risk factors appeared predictive of postoperative renal failure. In our study, heart failure was a potential risk factor for the development of postoperative KD, but it was not correlated with the recovery of kidney fun ...
Cardiac Pacing and Sleep- Disordered Breathing
Cardiac Pacing and Sleep- Disordered Breathing

... vagal activity can reduce muscle tone in the upper airway thereby allowing for upper airway collapse. Artificial pacing may counteract sleep disordered-breathing through its action on the vagus nerve1. By restoring steady contractions, artificial pacing counteracts improper heart chamber filling and ...
Problem Solving Exercises in Cardiovascular
Problem Solving Exercises in Cardiovascular

... instant marked by brackets the heart stopped. Lack of electrical activity for 2 seconds is defined clinically as electrical asystole. This individual lost consciousness as soon as his heart stopped and regained consciousness 30 seconds later upon achieving recumbency. The bottomline is that if cardi ...
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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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