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Slide 1
Slide 1

... cardiovascular health care physicians to a prevention and rehabilitation programme as a standard (not optional) policy that is held in the same regard as the prescribing of cardioprotective medications. Tighter control of service audit (e.g. through NACR), not only to ensure these standards and cor ...
heart sounds
heart sounds

heart sounds practical section
heart sounds practical section

Important Safety Information
Important Safety Information

... chemotherapy for malignancy, major bleeding diathesis, immobility, AIDS, severe dementia, high risk of aspiration, internal mammary artery (IMA) at high risk of injury, etc. n Evaluable data regarding safety or effectiveness is not available for prohibitive risk DMR patients with an LVEF < 20% or an ...
2008 ACC/AHA/HRS Guidelines for Implantable
2008 ACC/AHA/HRS Guidelines for Implantable

... Potential complications include, but are not limited to, rejection phenomena, erosion through the skin, muscle or nerve stimulation, oversensing, failure to detect and/or terminate tachyarrhythmia episodes, acceleration of ventricular tachycardia, and surgical complications such as hematoma, infecti ...
“Can You Feel It”?
“Can You Feel It”?

... brain’s blood supply is interrupted for a very brief time. This is often called a mini-stroke. It is an episode where some brain function is temporary lost due to a short lived disruption in the blood supply to the brain. With a TIA, part of your brain goes without oxygen for just a few minutes.  ...
PowerPoint
PowerPoint

... – arterial blood pressure must be high enough for blood to reach head – giraffes - long vertical neck • high arterial BP • venous values prevent backflow when head brought to ground level ...
Circulation Circulatory System Function Types of Circulation Types
Circulation Circulatory System Function Types of Circulation Types

CONGENITAL HEART DISEASE MANAGEMENT IN NEWBORNS
CONGENITAL HEART DISEASE MANAGEMENT IN NEWBORNS

...  small PDA(no significant hemodynamic consequences); ...
Document
Document

... Coronary artery disease (CAD) is a type of atherosclerosis that occurs when the arteries supplying blood to the heart muscle (coronary arteries) become hardened and narrowed. This hardening and narrowing is caused by plaque buildup. As the plaque increases in size, the insides of the coronary arteri ...
Impact of Aortic Valve Design, component materials and
Impact of Aortic Valve Design, component materials and

... * Multiple events in same patients = data not cumulative † Includes deaths where cause is not known ...
Why Dissect?
Why Dissect?

... of the heart. On one side of the heart you will see a diagonal line of blood vessels that divide the heart. • The half that includes all of the apex (pointed end) of the heart is the left side. • Confirm this by squeezing each half of the heart. The left half will feel much firmer and more muscular ...
File
File

... forcing blood into the aorta • 2. Closed, ventricles are relaxed and refilling, so pressure is higher in the pulmonary artery and aorta forcing SL valves close • 3. The ventricles are contracting, reducing the volume of the chamber • 4. 60/0.8 = 75 beats per minute 11 of 24 ...
TABLE OF CONTENTS
TABLE OF CONTENTS

... adopted the herein policy in providing management, administrative and other services to HIP Health Plan of New York, HIP Insurance Company of New York, Group Health Incorporated and GHI HMO Select, related to health benefit plans offered by these entities. All of the aforementioned entities are affi ...
blood vessels
blood vessels

... – Coronary artery(ies) become completely blocked No Oxygen can reach the heart muscle • Heart muscle begins to die and eventually stops beating • Symptoms – Nausea, Shortness of breath, Severe chest pain, sweating, dizziness, fatigue IMMEDIATE MEDICAL ATTENTION NECESSARY ...
Aortic Aneurysms - Richard Bowman MD
Aortic Aneurysms - Richard Bowman MD

... leaks into that space it can cause a variety of severe conditions including a heart attack or stroke. There are 2 types of aortic dissections: acute and subacute. Acute dissections involve sudden, severe symptoms and may require emergency surgery. Subacute aortic dissections involve more gradual and ...
Referring patients for LVAD Therapy
Referring patients for LVAD Therapy

... 4) Color Doppler showed moderate TR. Systolic PA pressure was estimated to be 55-60 mmHg. ...
Questions for Sections D and E
Questions for Sections D and E

... neurotransmitters and hormones are involved? What is the effect on TPR? 22. How is venoconstriction brought about during the response to hemorrhage? By what sequence of steps is cardiac output increased by venoconstriction? 23. What are the components of the negative feedback loop that are responsib ...
Evaluation of Cardiac Function
Evaluation of Cardiac Function

... field inhomogeneity and the resulting characteristic “dark-band” artifacts; therefore, while the SSFP technique was originally described in 1986 [5], it did not become practical until the advent of fast gradient hardware in the late 1990’s. The very short TR of SSFP also results in higher scan effic ...
Neonatal cardiac emergencies
Neonatal cardiac emergencies

... erythematosus or other connective tissue diseases (which are often asymptomatic in the mother). Less commonly, cases may be isolated or associated with CHD. ...
PREOPERATIVE STATUS OF DIABETIC AND NON
PREOPERATIVE STATUS OF DIABETIC AND NON

... Mortality Risk) [6]. Furthermore, according to Arozullah et al. [10], the score index of respiratory failure indicates an increased surgical risk of respiratory failure, from 0.5% for class 1 to 26.6% for class 5 [10]. The revised Goldman Cardiac Risk Index [10] regarding the rate of sudden death, m ...
rat_cow
rat_cow

... (a) Return to the heart in the thoracic cavity. The heart lies in the posterior center of the thoracic cavity and is surrounded by membranes that together make up the pericardial cavity. The heart consists of 4 chambers: the right atrium, the left atrium, the right ventricle and the left ventricle. ...
Extent of the Problem - Miami
Extent of the Problem - Miami

... Know your local EMS number Give the location of call Telephone number The nature of the emergency Advise that AED is on the scene Don’t hang up until dispatcher advises ...
Hemodynamic Compromise Associated with Air
Hemodynamic Compromise Associated with Air

... and comprodue to adjacent clot with inadequate are prominent ...
Pimobendan in Chronic Right Heart Failure in a Left Ventricular
Pimobendan in Chronic Right Heart Failure in a Left Ventricular

... Recompensation was achieved through intravenous furosemide and inotropic therapy (dobutamine). Yet, successful catecholamine weaning was possible not before repeated intravenous levosimendan loading. At that point, all conservative medical heart failure medication including phosphodiesterase inhibit ...
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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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