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Right Ventricular Failure in Idiopathic Pulmonary Arterial - VU-dare
Right Ventricular Failure in Idiopathic Pulmonary Arterial - VU-dare

... improvement of mechanical efficiency–ratio of power output to MVO2. In IPAH with overt RV failure, however, there is evidence that O2 supply (perfusion) reserve is reduced, leaving only increase in either O2 extraction or mechanical efficiency as compensatory mechanisms. We related RV mechanical eff ...
pericardial_effusion
pericardial_effusion

...  Fluid buildup between the heart and the sac surrounding the heart (pericardial effusion) with resulting compression of the heart (cardiac tamponade) warrants immediate tapping and draining of the space between the heart and the sac surrounding the heart (pericardiocentesis)  Fluid buildup between ...
Heart Center 2011 Annual report covers
Heart Center 2011 Annual report covers

... the cutting-edge belief that patients can go from ambulance to the catheterization lab in minutes if ST-elevation exists, saving myocardium and leading to survival rates not thought imaginable 10 years ago. A strong heart failure team has enrolled more than 1,000 patients. Our goal is to combine the ...
Cardiac Function Curve
Cardiac Function Curve

... 1. Effect of preload. Initially (A), the left atrial pressure (~5 mm Hg) sets EDV (140 ml). Upon excitation, the heart contracts isovolumetrically until (B), when the aortic valve opens. Ejection of blood occurs, and ventricular volume falls (B − C). Note, ventricular pressure is not really constant ...
From Incidental, Mechanically-Induced Arrhythmias to Reflex
From Incidental, Mechanically-Induced Arrhythmias to Reflex

... which is stated in textbook manuals analyzing reflex regulation of various organ systems including muscular or cardiovascular one.17, 37,38 The cardiovascular system is subject to precise regulation so that an appropriate supply of oxygenated blood can be reliably provided to different body tissues ...
Pulse PPT
Pulse PPT

... – Pulse deficit – heart condition in which heart is weak and does not pump enough to blood to produce a pulse or heart beats too fast and there is not enough time for the heart to fill with blood • The heart does not produce a pulse during each beat • Apical pulse rate is higher than the pulse rate ...
Surgical treatment of cor triatriatum in a geriatric patient: A rare
Surgical treatment of cor triatriatum in a geriatric patient: A rare

... respiratory symptoms caused by functional pulmonary vein obstruction, but in some cases it doesn’t appear until the later.2 The most common symptoms present in adults are similar to those of mitral stenosis; dyspnea, orthopnea and hemoptysis. Diagnosis of the abnormality has also been reported in as ...
Vital Signs
Vital Signs

... • Systolic pressure- occurs in the walls of the arteries when the left ventricle of the heart is contracting and pushing blood in the arteries • Diastolic pressure- the constant pressure in the walls of the arteries when the left ventricle of the heart is at rest, or between contractions ...
Ch. 9: Homeostasis (9.1) Humans (thin skin, warm
Ch. 9: Homeostasis (9.1) Humans (thin skin, warm

... Circulatory System Disorders (p. 324-326) High blood pressure is called hypertension and the most common cause is a disease called atherosclerosis or “hardening of the arteries”. Cholesterol and fats build up on the inner walls of the arteries and narrow them making it harder for blood to flow and ...
Institute of Cardio-Vascular Diseases
Institute of Cardio-Vascular Diseases

... bilateral pedal oedema and ascites. Jugular venous pressure was elevated with prominent V wave, X and Y descents and Kussmaul sign was present. Pericardial knock was heard on cardiac auscultation. She had been suffering from rheumatoid arthritis since 25 years. Chest X-ray and ECG showed features of ...
85 Study of Left Ventricular Diastolic Function in
85 Study of Left Ventricular Diastolic Function in

... towards these two variables but demonstrated no significant statistical value. Early detection of LVDD may have important diagnostic, prognostic and therapeutic implications Limitations of the study Beside DM, there are several other factors which can affect left ventricular diastolic function. We h ...
apimanu-guglipid
apimanu-guglipid

... cholesterol has been shown to protect against heart disease caused by atherosclerosis or hardening of the arteries. Research indicated Guglipid itself appears to help reduce atherosclerotic plaques.Guglipid has been shown to improve the heart’s metabolism and act as an antioxidant, protecting the he ...
Calculating Heart Rate Poster
Calculating Heart Rate Poster

... REASON: Electrical interference from adjacent wiring or appliances. REMEDY: Check that electrodes are secured according to instructions. Try a second lead position or re-position patient cable away from possible interference source. ...
PDF Version
PDF Version

... use of ECG is not fool-proof. There are certain conditions that cannot be identified with ECG (e.g. coronary artery anomalies), and some athletes may die of acquired disorders such as myocarditis which may not have been present during the PPS. Therefore, measures should be taken to protect all athle ...
systolic pressure
systolic pressure

... Capillaries of the digestive tract empty into the superior mesenteric and the splenic veins Superior mesenteric and splenic vein join to form the hepatic portal vein Gastric veins empty into the hepatic portal vein Nutrients and wastes diffuse into liver cells The hepatic veins drain the liver and e ...
Atrial Fibrillation - St. Joseph`s Healthcare Hamilton
Atrial Fibrillation - St. Joseph`s Healthcare Hamilton

... normal or sinus rhythm. This is a safe procedure carried out in hospital in a monitored setting with sedation. 3. Atrial fibrillation ablation ...
ethical and medical considerations in heart transplantation in children
ethical and medical considerations in heart transplantation in children

... children with CMD, and which team would be capable enough to identify and solve the ethical considerations that appear around this disease, with a great risk of a premature death without a transplant? [17] The reality that heart transplant in children with heart failure, due to the unfavorable evolu ...
Protocol for the management of atrial fibrillation in primary care
Protocol for the management of atrial fibrillation in primary care

... Antithrombotic therapy for persistent AF ·  Before cardioversion, maintain patients on therapeutic anticoagulation with warfarin  (INR 2.5, range 2.0 to 3.0) for at least 3 weeks. ·  After successful cardioversion, maintain patients on therapeutic anticoagulation with  warfarin (INR 2.5, range 2.0 t ...
Guidelines(Draft) - Liverpool Gastroenterology
Guidelines(Draft) - Liverpool Gastroenterology

... This guidance and process is based on guidelines published in 2008 by the British Society of Gastroenterology [http://www.bsg.org.uk/clinicalguidelines/endoscopy/anticoagulant-antiplatelet-therapy.html] and further information is available from the American Society of Gastroenterology [http://www.as ...
How A Coronary Stenosis Progresses
How A Coronary Stenosis Progresses

... vessels," Hayward said. "And it's been postulated that left-sided vessels have more shear stresses and a different flow pattern compared with the right coronary artery." The difference could be related to the more forceful myocardial mechanics and hemodynamics on the left side. "So I guess it's poss ...
The Basic Cardiac Exam
The Basic Cardiac Exam

... • Aortic arch and isthmus diameter measurements • End-diastolic ventricular diameter just inferior to the AV valve • Thickness of the ventricular free-wall and interventricular septum just inferior to the AV valves • Systolic dimensions of the ventricles • Transverse dimensions of the atria • Diamet ...
1 EXPERIMENT 1 ELECTROCARDIOGRAPHY The purpose of this
1 EXPERIMENT 1 ELECTROCARDIOGRAPHY The purpose of this

... Each student should record the ECG of one of the members of the lab group and have their own ECG recorded. The subject should be supine and relaxed at all times. Attach the four limb leads to the appropriate limbs as marked on each lead (RA = right arm; LL = left leg, etc.). Also attach the six ches ...
130228-jf-FINAL-Surgical Ablation Booklet
130228-jf-FINAL-Surgical Ablation Booklet

... medical therapy and are at risk of complications from medications or strokes. Recent advances in surgical therapy have changed this. Criteria for selection have changed a lot in recent years, and surgical ablation is now established as a first or second line therapy. Unfortunately, since this is a re ...
Making A Heart Behave
Making A Heart Behave

... He was taken to a hospital and there had several convulsive seizures. His heart rate had dropped to between twenty-four and thirty. This and other signs, including the electrocardiographic tracing, showed that Barker was suffering from the condition known as heart block. The heartbeat signal from h ...
The novel in vitro reanimation of isolated human and large
The novel in vitro reanimation of isolated human and large

... cross-clamp depending upon the logistics of transportation. The human heart-lung specimens were considered as non-viable for transplantation, i.e., due to unknown cardiac arrest periods, significant cardiac disease, and/or other complications. An analogous procedure was performed on swine hearts in ...
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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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