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Anaesthetic management of a patient with severe aortic stenosis for
Anaesthetic management of a patient with severe aortic stenosis for

... oral cuffed endotracheal tube and ventilated. The ventilator settings were adjusted to maintain normocapnia. Anaesthesia was maintained with oxygen/air mixture (50:50), isoflurane (0.4-0.6%) and atracurium. After delivery of the baby, oxytocin 20 units infusion was started and two doses of inj. carb ...
Mark E. Silverman, Daniel Grove and Charles B. Upshaw, Jr Why
Mark E. Silverman, Daniel Grove and Charles B. Upshaw, Jr Why

... The late 1860s brought great governmental and societal change to Japan. Japan had been dominated by an isolationist regime until modernization opened the door to Western thought in 1867. Medical education was affected as the new Japanese government adopted a German-influenced system attracting profe ...
Cardiac Diagnosis from Examination of Arteries and Veins
Cardiac Diagnosis from Examination of Arteries and Veins

... jugular veins should be examined in detail. The external jugular veins, which are often distended abnormally in patients with congestive heart failure, may at times be invisible because of increased venous tone. As a result failure to appreciate the degree of distention and the level of pulsation in ...
WMC_Cardio_1011Final_REV1.indd - New York Center for Aortic
WMC_Cardio_1011Final_REV1.indd - New York Center for Aortic

... • use tobacco • have high blood pressure • have atherosclerosis (buildup of plaque in your arteries) • are male (but women are at higher risk for rupture) • have a family history of the condition • suffer chest trauma • have a bicuspid aortic valve • have marfan’s syndrome or ehlers-danlos ...
Cardiomyopathy - The Heart Foundation
Cardiomyopathy - The Heart Foundation

... heart failure (a serious condition that needs special treatment).* Most people are only mildly affected by cardiomyopathy and can lead relatively normal lives. However, people who have severe heart failure may need a heart transplant.† Cardiomyopathy is different to a heart attack. Heart attacks als ...
ACLS Drug Therapy
ACLS Drug Therapy

... ‰ Tenectaplase (TNKase) ...
Case Study - Zephyr™ Performance Systems
Case Study - Zephyr™ Performance Systems

... The second phase built upon the progress made in the first two weeks. In this dangerous and complicated phase, the miners were pushed to train in the anaerobic-threshold range so as to retard the onset of the threshold; thus lowering their heart rate in response to physical activity. The risks prese ...
results
results

... Considering the plasma half-life of N-BNP, these results suggest that diving acts as a mechanical strain on a healthy myocardium with a persistent endocrine activity, even when the pressure and the volumetric strech due to the immersion and ventilatory loads have stopped. The peripheral vasoconstric ...
TREATMENT OF CONGESTIVE HEART FAILURE
TREATMENT OF CONGESTIVE HEART FAILURE

... Note: There is some interest in the use spironolactone at sub-diuretic doses (one quarter normal dose) as part of the treatment medications to minimise/reduce myocardial fibrosis. ...
Full Text  - Res Cardiovasc Med
Full Text - Res Cardiovasc Med

... an established therapy for patients with systolic heart failure (HF), low ejection fraction (EF) and prolonged QRS duration and who had received optimal drug treatment (1, 2). CRT improves left ventricular function, clinical status, quality of life and reduces hospitalization and mortality (3). Atri ...
Vasorelaxation in Space
Vasorelaxation in Space

... Downloaded from http://hyper.ahajournals.org/ by guest on June 18, 2017 ...
patient clinical summary
patient clinical summary

... the Micra clinical study). Traditional systems typically see 11/1,000 patients for these types of events. ...
Spatio-Temporal Shape Parameterization of the Human Ventricles
Spatio-Temporal Shape Parameterization of the Human Ventricles

... requested data, so they have to predict these values using computational models. Many physiological deficiencies are related to the geometry of heart. These geometric alterations are reflected in the modified values of several medical parameters, thus obtained medical parameters are not always suita ...
A criss-cross heart
A criss-cross heart

... anomaly characterized by crossing of the inflow streams of the two ventricles and almost always associated with other severe cardiac diseases. In this article, a total of seven patients with criss-cross morphology were identified from the hospital records and clinical characteristics of these patien ...
Lecture 1- The Heart..
Lecture 1- The Heart..

... 1.In the interior of right ventricle : a. It has crista terminalis. b. Its wall is thicker than the left one. c. It has rough infundibulum toward the pulmonary trunk. e. It has 3 papillary muscles. 2.Which one of the following vessels open into the base of the Heart ? a.The left pulmonary artery. b ...
reactive hyperemia
reactive hyperemia

... (tiny "hump" at end of T wave) that represents repolarization of the papillary muscle may appear on ECG as well (Figure ...
Nursing Care Plan of Aortic Aneurysm - An
Nursing Care Plan of Aortic Aneurysm - An

... drainage every 4 hours or if bleeding is suspected (i.e., drainage has dark, coffeeground appearance or is ...
26 Heart Rate Exercise
26 Heart Rate Exercise

... point, the heart rates and time values are displayed to the right of the graph. b. Tap the highest point on the graph and record the time (in seconds) and the heart rate (to the nearest whole bpm) displayed for this point. 11. Determine the time when the subject’s standing heart rate returned to wit ...
a prolonged, dose-dependent effect on blood pressure
a prolonged, dose-dependent effect on blood pressure

... considerable morbidity and mortality. Chronically elevated blood pressure can lead to hypertensive heart disease, a constellation of abnormalities that include left ventricular hypertrophy (LVH) and systolic and diastolic dysfunction resulting in symptomatic heart failure. Vasoactive intestinal pept ...
Note the Atrioventricular valves are ALWAYS attached/associated
Note the Atrioventricular valves are ALWAYS attached/associated

... Dextro-Transposition of the great arteries (D-TGA) Dextro-Transposition of the great vessels has the aorta arising from the right ventricle (RV) and the pulmonary artery (PA) arising from the left ventricle (LV). This is referred to as ventriculoarterial discordance. D-TGA is the most common form of ...
Atrioventricular Septal Defects
Atrioventricular Septal Defects

Ernest Henry Starling, His Predecessors, and the - SVT ac
Ernest Henry Starling, His Predecessors, and the - SVT ac

... Physiologists seem pretty generally to agree in holding that the ventricle, in the normal condition, expels at each contraction the whole, or very nearly the whole, of its contents. If this be so, and there is every reason to believe in the truth of the generally accepted opinion (italics added), it ...
Auscultation of the heart
Auscultation of the heart

... • occurs at the beginning/middle of diastole • occurs when the left ventricle is not very compliant, and at the beginning of diastole the rush of blood into the left ventricle causes vibration of the valve leaflets and the chordae tendinae. • It is heard best at the apex in the left lateral position ...
stabilization of the congestive heart failure patient in the er
stabilization of the congestive heart failure patient in the er

... disease such as the presence or absence of CHF, serious arrhythmia or ATE and the size of the left atrium. It is also the author’s opinion that many cats originally documented to have HCM will have their heart disease progress to having a degree of left ventricular dilation with reduced contractile ...
MADIT-I and MADIT-II
MADIT-I and MADIT-II

... ICD. This study was reviewed by the Food and Drug Administration (FDA) in 1996, and the ICD was quickly approved for a MADIT-I indication. Because of the small sample size of the study and the limited number on mortality events, only a few secondary substudies were possible. One important secondary ...
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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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