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Coronary Artery Bypass Grafting in Patients With Low Ejection Fraction
Coronary Artery Bypass Grafting in Patients With Low Ejection Fraction

... cohort include intensive medical therapy, surgical revascularization, ventricular remodeling, and heart transplantation. Medical treatment alone is problematic because of limited long-term survival.1–5 Heart transplantation offers excellent results with a 65.6% 5-year survival rate; however, the sca ...
SAED Guide revised Jan 2008 - Grampians Region Health
SAED Guide revised Jan 2008 - Grampians Region Health

... Approximately the size of a person’s fist, the heart weighs between 250 and 300grams. It sits within the mediastinum and extends from the second rib to the fifth intercostal space. It assumes an oblique position in the thorax; approximately two-thirds of its mass is left of the midsternal line with ...
PDF - Circulation: Arrhythmia and Electrophysiology
PDF - Circulation: Arrhythmia and Electrophysiology

... in the overall ICAVB group was significantly worse than that of the age- and sex-specific Olmsted County, Minn, population rates. This difference was, however, attributable to the development of HF and ventricular dysfunction in those who had tested positive for antinuclear antibody (ANA) during adu ...
Сardiac arrhythmias 1. The consequences of continued attack of
Сardiac arrhythmias 1. The consequences of continued attack of

... a) extend the time of diastolic filling of the heart, significant stretching of muscle fibers at the end of diastole by large amount of blood, intensive work of the heart to expel excess blood volume and, as a consequence, hypertrophy and dilatation of the ventricles; + b) short diastole with reduce ...
Left Bundle Branch Block and Left Ventricular
Left Bundle Branch Block and Left Ventricular

... 6les with a diagnosis of LBBB were reviewed to determine whether criteria for this diagnosis as defined by the New York Heart Association7 were present and if an adequate necropsy had been performed. Pathologic data included recorded heart weight, left and right ventricular wall thickness and adequa ...
Click to presentation - IO
Click to presentation - IO

Ch18B
Ch18B

... ____________________________ is abnormally fast heart rate (>____________ bpm), and if persistent, may ...
Transitional Care Interventions to Prevent Readmissions for Patients
Transitional Care Interventions to Prevent Readmissions for Patients

... and primarily educational interventions did not affect mortality rates. Because few studies report any individual outcome, there was insufficient evidence to determine the effect of educational interventions and nurse-led heart failure clinics on heart failure–specific readmission rates. The stronge ...
Special Offers : Viagra Tablets For Women
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Coronary Vessel Development - Vanderbilt University Medical Center
Coronary Vessel Development - Vanderbilt University Medical Center

... Figure 1. Key stages in coronary vasculogenesis. (A) Formation of the proepicardium (PE). The PE (blue) forms adjacent to the SV and opposite the AV groove of the developing heart tube (orange) by embryonic day (ED) 9.0 in the mouse and stage 15 in the chick. (B) PE transfer and attachment to the m ...
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Phys Chapter 9 [4-20

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The Cardiovascular System

... Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings ...
Fluvastatin for Prevention of Cardiac Events Following Successful
Fluvastatin for Prevention of Cardiac Events Following Successful

... target lesion without evidence of myocardial necrosis, need for repeat PCI or CABG, or death before hospital discharge. Any type of PCI was allowed and included balloon angioplasty with or without stent placement, rotational or directional atherectomy, laser ablation, transluminal extraction cathete ...
Left Bundle Branch Block and Left Ventricular Hypertrophy
Left Bundle Branch Block and Left Ventricular Hypertrophy

... 6les with a diagnosis of LBBB were reviewed to determine whether criteria for this diagnosis as defined by the New York Heart Association7 were present and if an adequate necropsy had been performed. Pathologic data included recorded heart weight, left and right ventricular wall thickness and adequa ...
Heart failure traffic lights
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... delivering heart failure, recognising that patients will move between the different sectors at different stages of their journey. The Heart Failure traffic light classification differs from the APC classification but is to be used in conjunction with NICE (2010) guidelines. ...
Electrocardiogram changes and heart rate
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... This study was conducted by monitoring and recording ECG in a “DYNATRAC” during moderate exercise on a treadmill test system in study subjects (chronic alcoholic persons) and controls (nonalcoholic persons), residing in and around Hubli city, Karnataka, India. The study was conducted in the Departme ...
Pulse Pressure and Aortic Pulse Wave Are Markers of
Pulse Pressure and Aortic Pulse Wave Are Markers of

... ncreased brachial pulse pressure (PP) is an independent marker of cardiovascular (CV) risk, mainly for myocardial infarction, congestive heart failure, and CV deaths.1– 6 The predictive value of PP is influenced both by an increase of systolic blood pressure (SBP) and a decrease of diastolic blood p ...
ONLINE APPENDIX Supplemental Table 1. Participating centers
ONLINE APPENDIX Supplemental Table 1. Participating centers

... Any prior true anaphylactic reaction to contrast agents; defined as known anaphylactic or other non-anaphylactic allergic reactions to contrast agents that cannot be adequately pre-medicated prior to the index procedure Pregnant or lactating; or female of childbearing potential with a positive pregn ...
APPLICATIONS OF IMPLANTABLE MEDICAL SENSORS FOR HEART FALIURE: A REVIEW
APPLICATIONS OF IMPLANTABLE MEDICAL SENSORS FOR HEART FALIURE: A REVIEW

... The basic principle by which a biosensor works similar to that of electronic sensors. Their performance criteria is based upon sensitivity, selectivity, accuracy, precision, repeatability and noise tolerance. Like other sensors, biosensors transduce‟ or translate one kind of energy into another and ...
Ligation of the Outflow Graft of the Left Ventricular
Ligation of the Outflow Graft of the Left Ventricular

ppt by Dr. J
ppt by Dr. J

... NSTEMI: also known as SUBENDOCARDIAL OR NON Q-WAVE MI In Acute Coronary Syndrome (ACS), in which the ECG does not show ST elevation, NSTEMI (SUBENDOCARDIAL MI) is suspected if: • ST Depression (A) • T wave inversion with or without ST depression (B) • Q wave and ST elevation will never happen ...
Wave intensity analysis in the ventricles, carotid and coronary arteries
Wave intensity analysis in the ventricles, carotid and coronary arteries

... and microvascular decompression, and thereby undermine the wave that primarily drives diastolic coronary flow22. Also during cardiac catheterisation, patients post non-ST elevation myocardial infarction presented after revascularisation a strong inverse correlation between the BEWcor measured in the ...
Trisomy 18 Facts
Trisomy 18 Facts

... Trisomy 18 syndrome is a disorder of human chromosomes which occurs in approximately 1 in 7,000 live born infants. Trisomy refers to three copies of a chromosome instead of the normal two and in trisomy 18 there is a presence of an extra #18 chromosome. Over 90% of infants with Trisomy 18 syndrome w ...
CARDIAC PHARMACOLOGY OF THE CLADOCERAN, DAPHNIA
CARDIAC PHARMACOLOGY OF THE CLADOCERAN, DAPHNIA

... the heart beat did not return to its normal rate but remained low for many hours, after which the animals died. Experiments on the antagonism of acetylcholine by atropine, such as was observed by Obreshkove, were thus impossible to perform. These results do not agree with those obtained by Pickering ...
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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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