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ANNUAL OUTCOMES - Florida Hospital
ANNUAL OUTCOMES - Florida Hospital

... catheter system that allows physicians to more accurately map the location of the arrhythmia to be ablated, reducing the procedural time while greatly increasing accuracy and safety A single ablation procedure for paroxysmal atrial fibrillation is highly successful in maintaining sinus rhythm after ...
Cardiac Arrythmias
Cardiac Arrythmias

... symptomatic patients. (to revert chronic refractory atrial flutter that has not responded to other approaches) ...
www.hik-consulting.pl
www.hik-consulting.pl

... The first heart sound (Lub Part) is a low pitch sound. It has a frequency in the range of 30 to 45 Hz. This heart sound occurs at the termination of atrial contraction and at the onset of ventricular contraction. The initial movement of blood from the ventricles, closure of the atrioventricular valv ...
Preoperative Evaluation of the Patient With Hypertension
Preoperative Evaluation of the Patient With Hypertension

... for left ventricular hypertrophy and STsegment depression of more than 0.5 mm on preoperative electrocardiograms were both significantly associated with postoperative MI or cardiac death (odds ratio, 4.2 and 4.7; P=.001 and P⬍.001, respectively).17 Hollenberg et al18 studied a consecutive sample of ...
click - Uplift North Hills Prep
click - Uplift North Hills Prep

... b. Inferior vena cava – You will find the inferior vena cava just inferior and to the left of the superior vena cava. Stick a probe through the inferior vena cava; you should be able to feel the probe inside the right atrium. c. Pulmonary vein – The pulmonary vein is next to the left auricle. Stick ...
Smoking - it`s not just lung cancer
Smoking - it`s not just lung cancer

... and blood pressure, which raises the body’s demand for oxygen, but at the same time, deprives the body of oxygen through the effects of carbon monoxide, one of the main components of cigarette smoke. Smoking one to four cigarettes per day can double or triple the risk of cardiovascular diseases. The ...
Issue: # 14 January-February, 2012 From the Physicians and caring
Issue: # 14 January-February, 2012 From the Physicians and caring

... February is a month of Valentine's cards, chocolates, and sharing tokens of affections. It's also the month that is set aside to allow the heart to take center stage while we focus on how important heart health is to our general health and well being. The risk is serious. Heart disease and strokes k ...
Basic Dysrhythmia Interpretation
Basic Dysrhythmia Interpretation

... rapid rate that P waves are in a sawtooth pattern Av node (gatekeepers) cannot depolarize fast enough to keep up, many impulses never get through to ventricles. Conduction ratio is variable-2:1block, 3:1 block or 4:1 block. Slow ventricular responseVR of <60pm; rapid VR >100-150bpm) Causes-acute MI, ...
19th Annual Meeting and Symposium
19th Annual Meeting and Symposium

Full Article - College of Intensive Care Medicine
Full Article - College of Intensive Care Medicine

... Ischaemic hepatitis is not an uncommon complication of cardiac failure and is believed to be due to elevated systemic venous pressure causing hepatic congestion associated with a reduction in hepatic arterial blood flow. The hepatic injury is characterised by centrilobular necrosis in the absence of ...
Coronary Circulation in Dog`s Heart
Coronary Circulation in Dog`s Heart

... illaries in the myocardium of the dog, whether occurring singularly or in groups, are identical with those found in the media of the larger vessels. The question might be raised as to why these structures which have been demonstrated in other tissues have not been demonstrated heretofore in the myoc ...
Chest Pain due to Atherosclerotic Coronary Artery
Chest Pain due to Atherosclerotic Coronary Artery

... artery, particularly during exercise leading to SCD or MI [4,9]. Roughly 15% of patients with a SCA might develop ischemia in those arteries due to this anatomic location relative to the pulmonary artery and the aorta, without having stenosis itself [10]. Therefore, in such cases surgery would be in ...
Circulatory System
Circulatory System

... cells, and several types of white blood cells: •Platelets : Cell fragments that minimize blood loss from ruptured blood vessels by releasing material that assists in the formation of clots •White blood cells: which are part of the ...
hemodynamics
hemodynamics

... • The fourth heart sound occurs when the atria contracts and propel blood into the ventricles. This sound with very low amplitude and low frequency is not audible, but may be recorded by the phonocardiography (PCG). ...
Prevalence and variables predictive of depressive symptoms in
Prevalence and variables predictive of depressive symptoms in

... that a composite measure of medical illness severity independently predicted DS in patients with HF, whereas others reported that patients with greater HF symptoms were more likely to be depressed [9, 32–35]. A link between DS and NYHA classification (but not ejection fraction) may explain why some ...
Physiology of BP
Physiology of BP

... • More than 90% of cases of hypertension do not have a clear cause. • Hypertension clusters in families and results from a complex interaction of genetic and environmental factors. • The hypertension-related genes identified to date regulate renal salt and water handling. • Major pathophysiologic me ...
Chapter 25 - ToolboxPRO V2
Chapter 25 - ToolboxPRO V2

... Are measured to detect changes in normal body function Tell about responses to treatment Often signal life-threatening events Are part of the assessment step in the nursing process ...
Congenital Heart Diseases
Congenital Heart Diseases

... • Arrythmias and SCD (sudden cardiac death) – More difficult issue than in normal heart – Risk stratification, investigation, and choice of treatment are often different from those applied to the normally formed heart (drugs poorly tolerated, side effects) – EP and ablation is prefer – Onset of arrh ...
congenital_heart_diseases
congenital_heart_diseases

... • Arrythmias and SCD (sudden cardiac death) – More difficult issue than in normal heart – Risk stratification, investigation, and choice of treatment are often different from those applied to the normally formed heart (drugs poorly tolerated, side effects) – EP and ablation is prefer – Onset of arrh ...
Red blood cells Fibrin
Red blood cells Fibrin

... spontaneously, but the rate at which they do so can be modulated: 1) Epinephrine and norepinephrine increase the production of cAMP, which keeps cardiac pacemaker channels open. a) Called HCN channels – hyperpolarizationactivated cyclic nucleotide-gated channels b) Speeds heart rate due to Na+ inflo ...
An Uncommon Presentation for Cardiac Melanoma
An Uncommon Presentation for Cardiac Melanoma

... Primary cardiac neoplasms are rare, occurring at a frequency of 0.0017-0.33%.1 Cardiac metastases are 30- to 40-fold more common than primary cardiac tumors.2,3 Perhaps due to a propensity for hematogenous spread, malignant melanoma has one of the highest cardiac metastatic rates (27%), followed by ...
HEALTH AND SAFETY CODE TITLE 2. HEALTH SUBTITLE B
HEALTH AND SAFETY CODE TITLE 2. HEALTH SUBTITLE B

... CHAPTER 39. CHILDREN'S OUTREACH HEART PROGRAM ...
The P-Wave - Journal of the Advanced Practitioner in Oncology
The P-Wave - Journal of the Advanced Practitioner in Oncology

... problems with conduction and heart function (e.g., bundle branch blocks, ischemia/ infarction, electrolyte abnormalities) Requires placement of 4 limb leads and 6 precordial leads Multidimensional: 12 views ...
chapt13_lecture
chapt13_lecture

... spontaneously, but the rate at which they do so can be modulated: 1) Epinephrine and norepinephrine increase the production of cAMP, which keeps cardiac pacemaker channels open. a) Called HCN channels – hyperpolarizationactivated cyclic nucleotide-gated channels b) Speeds heart rate due to Na+ inflo ...
Giant Pulmonary Artery Aneurysm
Giant Pulmonary Artery Aneurysm

... normal left ventricular function. There was no echocardiographic evidence of congenital or valvular heart disease. In order to evaluate the lesions of the pulmonary vasculature, 64-slice computed tomographic angiography was performed; it confirmed the aneurysm, which affected the main PA (4.8 cm) an ...
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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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