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The Heart韦素丽课件
The Heart韦素丽课件

... from the lower half of the body Orifice of coronary sinus 冠状窦口-- returns blood to the heart from the cardiac muscle ...
Abstract 14479: Association Between Chest Compressions and
Abstract 14479: Association Between Chest Compressions and

... in a shockable rhythm, only those with both good ECG tracings and good quality audio recordings (160) were included in the analysis. VFr was defined as related to CC when the onset of VFr occurred during the actual CC artifact or immediately after. Otherwise, it was defined as spontaneous. The condu ...
Brevibloc*?(Esmolol HCl)
Brevibloc*?(Esmolol HCl)

... • Total Body Clearance: 20 L/kg/Hr --- greater than cardiac output --- not limited or affected metabolism by hepatic or renal flow ...
File
File

... If ST elevations & Qs at same time, STEMI evolving from injury to necrosis ...
Challenges of Postoperative Management, ICU Care
Challenges of Postoperative Management, ICU Care

... access site bleeding leading to retroperitoneal hemorrhage. The cannula used for TEVAR are large and may cause vessel injury, although the absolute risk of this complication is considered rare. Patients with difficult arterial anatomy may require a retroperitoneal approach which is associated with a ...
DHO 6:8 and 6:9
DHO 6:8 and 6:9

... a watch with a second hand (or look at the clocks above each door!). ...
Fetal Heart Assessment Brochure Landscape
Fetal Heart Assessment Brochure Landscape

... Assessment of the fetal heart is difficult, but it need not be arduous. Sometimes ideal views of the anatomy cannot be obtained due to adverse fetal lie or unfavorable maternal acoustic characteristics. In most of these cases, it is still possible to carry out a thorough investigation of all compone ...
circulation regulation
circulation regulation

... 1. each vascular bed responds only to its own needs; no coordination with the needs of other vascular beds 2. the compensation cannot return the pressures and cardiac output to normal Also, in cases like the example of left ventricular failure 3. all systemic vascular beds that do not participate in ...
Dysrhythmias of the AV Node and Ventricles notes
Dysrhythmias of the AV Node and Ventricles notes

... pockets in the subclavian or abdominal regions. Pacing Leads  Types o Temporary with external box or pulse generator o Permanent with internal pulse generator  Pacing leads can be placed in o Right ventricle o Right atrium Demand Pacing  The pacemaker senses the client’s own heart beat and fires ...
(TGA)? - University of Maryland School of Medicine
(TGA)? - University of Maryland School of Medicine

... something to monitor with echocardiograms. Sometimes these narrowed areas can be fixed by using a balloon or a stent in the cardiac catheterization laboratory. Other times, repeat surgery may be needed. What is the long term outcome for children with TGA? The long term outcome for TGA is very good. ...
Public Access Defibrillation Programs: Improving Outcomes Worldwide
Public Access Defibrillation Programs: Improving Outcomes Worldwide

... with improved survival with minimal neurological compromise. When comparing the initial year of implementation of the PAD program with the last 5 years of the study, once full implementation had occurred, survival increased. Their study highlighted areas in need of improvement and showed that it is ...
electrical conduction in the heart
electrical conduction in the heart

... – Atrial contraction can aid filling of the ventricles in stenosis of the AV valves. – The force of atrial contraction can also push blood back into the vein. This can be observed by the pulse in jugular vein of a normal person lying w/ the head and chest elevated about 30 degrees. If there is an ob ...
MENNONITE COLLEGE OF NURSING AT ILLINOIS STATE
MENNONITE COLLEGE OF NURSING AT ILLINOIS STATE

... The cardiac cycle occurs because of electrically active tissue which forms the conduction system of the heart. Every cell of the conduction system (and muscles) has a sodium-potassium pump which pumps sodium and potassium ions in and out. When the resting electrical gradient is disturbed, a cell con ...
Self-Evaluation Process 2009 Update in Hospital
Self-Evaluation Process 2009 Update in Hospital

... Background: Recommendations against this use of β-blockers are based on animal studies, small human experiments, and anecdote. Methods Retrospective cohort study of consecutive patients admitted to the San Francisco General Hospital, San Francisco, California, with chest pain and urine toxicologic t ...
hypertension, aortic disease, and other medical illnesses with
hypertension, aortic disease, and other medical illnesses with

Technosphere QT Study
Technosphere QT Study

... randomly assigned a sequence in a crossover trial to receive one of the four treatment regimens: Technosphere (FDKP) 20mg, Technosphere (FDKP) 40 mg, placebo and moxifloxacin (positive control) 400 mg. A centralized, independent ECG reading lab was used to read the ECGs with interpretation by a high ...
PACKAGE LEAFLET: INFORMATION FOR THE USER DILZEM SR
PACKAGE LEAFLET: INFORMATION FOR THE USER DILZEM SR

... - are pregnant, think you may be pregnant or are breast-feeding (see “Pregnancy, breastfeeding and fertility”) - are currently in shock (reduced blood flow to vital organs) - suffer from any serious heart problems such as heart failure with shortness of breath and abnormal heart rhythm, which may re ...
pulmonary venous return via the superior vena cava
pulmonary venous return via the superior vena cava

... pulmonary resistance, due to bronchitis, instead of increasing it caused a diminution. The heart murmurs are difficult to explain. The apparent reduplication of the first apical sound which was heard on admission may have been due to asynchronous ventricular contraction, but this is not supported by ...
Understanding Patent Ductus Arteriosus
Understanding Patent Ductus Arteriosus

... The pulmonary artery carries blood without oxygen from the right side of the heart to the lungs, where it picks up oxygen. Blood with oxygen travels back to the left side of the heart. From here, it is pumped through the aorta to the rest of the body. ...
Diapositiva 1
Diapositiva 1

... remission – no disease activity or symptoms at all. Evidence shows that early diagnosis and aggressive treatment to put the disease into remission is the best means of avoiding joint destruction, organ damage and disability. ...
Cardiovascular notes File
Cardiovascular notes File

... pulmonary veins (drain blood from the lungs)  Ventricles -provide force necessary (contraction of myocardium) to push blood out of heart, into body, into vessels -left ventricle contains thickest wall necessary to push blood through all vessels of body, except those supplying lungs -trabeculae carn ...
The Function of an ECG in Diagnosing Heart Conditions
The Function of an ECG in Diagnosing Heart Conditions

... often dramatized in TV shows or movies. That waveform that is displayed on the machine’s screen is a typical readout from an ECG machine. This document will inform patients who are going to receive an ECG test about how the ECG produces the waveform and what different waveforms in the readout mean. ...
View/Open - SUST Repository
View/Open - SUST Repository

... vibrations set up by the inrush of blood. A fourth sound can sometimes be heard immediately before the first sound when atrial pressure is high or the ventricle is stiff in conditions such as ventricular hypertrophy. It is due to .ventricular filling and is rarely heard in normal adults The first so ...
Chapter 13 Review
Chapter 13 Review

... the A-V bundle results in: a. failure of the ventricles to contract b. adequate time for the ventricles to fill c. delayed opening of the A-V valves d. a decrease in the rate of blood flow from the atria to the ventricles ...
Click here for handout
Click here for handout

... • Only one moving part and a low priming volume (7.5 cc). • No valves, bearings, seals or other sources of friction, which may reduce the level of hemolysis. • No regions of stasis, heat generation, wear, or mechanical malfunction, which may make it less prone to thrombus formation. • Does not have ...
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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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