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S. Kulandavelu, D. Qu, N. Sunn, J. Mu, M.Y. Rennie, K.J. Whiteley
S. Kulandavelu, D. Qu, N. Sunn, J. Mu, M.Y. Rennie, K.J. Whiteley

... temperature (e.g., see Table 2) and ventilation and oxygenation (Tobita et al. 2002) is critically important for maintaining normal maternal and embryonic cardiovascular function. The same procedure is used for newborns, except that we induce anesthesia by holding the newborn’s face in the anestheti ...
Total Artificial Hearts And Implantable Ventricular Assist Devices
Total Artificial Hearts And Implantable Ventricular Assist Devices

... refer to FEP Medical Policy Manual MP-7.03.11, Total Artificial Hearts and Implantable Ventricular Assist Devices. The FEP Medical Policy Manual can be found at: www.fepblue.org. ** Regarding artificial hearts - implants of artificial organs including those implanted as a bridge to transplant and/or ...
JEPonline Physiological Responses to Dangling and Standing in
JEPonline Physiological Responses to Dangling and Standing in

... with the legs hanging over the edge of the bed (35). It is a common nursing intervention used to assess and promote a patient’s physiologic tolerance to getting out of the bed (22,28,33). The patient may dangle or more typically, stand, pivot, and sit in a chair. Despite nurses' routine use of dangl ...
Dobutamine Increases Cardiac Output
Dobutamine Increases Cardiac Output

studies on the comparative actions of carbamylcholine
studies on the comparative actions of carbamylcholine

... had· to be tubed to prevent suffocation. Figures with regard to salivary flow were obtained from two goats. The animals were anaesthetised with chloral hydrate and the parotid ducts catheterised. The amount of saliva secreted per five minutes was then measured before and after injection of the drugs ...
Peptidergic innervation of the excurrent ostia of two Orthopteroid
Peptidergic innervation of the excurrent ostia of two Orthopteroid

... staining), and also be a site of release for proctolin. Very little is known about these unique structures. Nutting [3] has described their presence in Orthopteroid insects (9 orders, 5 suborders, 48 families) and shown that they are ovate openings in the dorsal vessel wall that appear as opaque whi ...
Development of left/right handedness in the chick heart
Development of left/right handedness in the chick heart

... The development of left/right asymmetry has recently been reviewed by Brown and Wolpert (1990). They propose a mechanism for the conversion of asymmetries at a molecular level to the formation of right and left structures by specific tissues. This three-step mechanism involves the process of ‘conver ...
Leaflet Adrenaline ampoules
Leaflet Adrenaline ampoules

... Half doses of adrenaline may be safer for patients who are taking amitriptyline, ipramine or a beta blocker. Children: The following doses of adrenaline 1/1,000 are recommended: Age Over 12 years ...
AHA/ACC Scientific Statement on the Evaluation of Syncope
AHA/ACC Scientific Statement on the Evaluation of Syncope

Depolarization and Repolarization
Depolarization and Repolarization

... of >1mm and longer than 80 milliseconds following the Jpoint. This measure has a false positive rate of 15-20% (which is slightly higher in women than men) and a false negative rate of 20-30%. • ST depression may be associated with hypokalemia or digitalis toxicity. ...
- The Journal of Thoracic and Cardiovascular Surgery
- The Journal of Thoracic and Cardiovascular Surgery

... life. The mitotic activity and the potential for hyperplasia of myocytes are probably lost between 3 and 6 months of age, and the cardiac growth remains only because of hypertrophy. In the neonatal heart, a pressure overload induces myocyte hyperplasia, hypertrophy, and capillary proliferation. In a ...
Safe Right Bundle Branch Block Pattern During Permanent Right
Safe Right Bundle Branch Block Pattern During Permanent Right

... pacing (7). In our patient, the frontal axis was around -900 and precordial transition by V3. Applying the criteria of Coman and Klein, we considered that such a borderline frontal axis calculation, and the fact that the R wave could not be eliminated by moving leads V1 and V2 as described, did not, ...
Detection of Trabeculae and Papillary Muscles in Cardiac MR Images
Detection of Trabeculae and Papillary Muscles in Cardiac MR Images

... in all patients. Because no set of symptoms is 100% discriminant to the disease, ARVD is very hard to diagnose. Diagnosis to this date is based on a set diagnostic criteria described by McKenna et al. [8]. Unfortunately these criteria require intensive and invasive testing of subjects which includes ...
A UML-based Automated Environment for
A UML-based Automated Environment for

... diagrams. This risk assessment approach is entirely analytical, in contrast with our previous work [1], [42] which was based on simulations of execution profiles. ii) We introduce the notions of scenario/ use case risk factors than enable an analyst to focus on highrisk scenarios and/or use cases. ...
Syncope Iowa State University
Syncope Iowa State University

... occur during syncope.6 A syncopal episode must occur during monitoring to make a definite diagnosis. Although arrhythmias without clinical signs often occur in both animals and people, not all arrhythmias cause enough hemodynamic compromise to induce syncope. 5, 6, 14, 20-23 Holter studies reportedl ...
The Prognostic Value of Ventilatory Efficiency with
The Prognostic Value of Ventilatory Efficiency with

... to improve outcomes among patients with heart failure (HF). The impact this pharmacological approach has on the prognostic information gained from cardiopulmonary exercise testing (CPX) is, however, unclear. Methods: Four hundred seventeen subjects diagnosed with HF underwent CPX. The numbers of sub ...
2.02 Understand the functions and disorders of the circulatory system
2.02 Understand the functions and disorders of the circulatory system

... silen sTh t kille r” ...
Section 3 :Physiology Experiments Experiment 1 Recording of the
Section 3 :Physiology Experiments Experiment 1 Recording of the

... (1) Destroy the brain and spinal cord of toad completely. (2) Remove the skin off the leg. (3) Wash the surgical instruments and your hands. (4) Cut the sample into two parts along the middle line of spinal column and pelvis. Put one part on the frog board for next step and the other part into Ringe ...
ASE 2017 - ASE Scientific Sessions
ASE 2017 - ASE Scientific Sessions

... Howard M. Leong-Poi, MD, FASE, Head of the Division of Cardiology at St. Michael’s Hospital and Associate Professor of Medicine at the University of Toronto, will deliver the 18 th Annual Feigenbaum Lecture on Monday afternoon during the 2017 Arthur E. Weyman Young Investigator’s Award competition. ...
The normal variations in heart rate and QRS complex
The normal variations in heart rate and QRS complex

Controlled Trial Chronic Heart Failure: HF
Controlled Trial Chronic Heart Failure: HF

... Context Guidelines recommend that exercise training be considered for medically stable outpatients with heart failure. Previous studies have not had adequate statistical power to measure the effects of exercise training on clinical outcomes. Objective To test the efficacy and safety of exercise trai ...
PDF file - Kardiologia Polska
PDF file - Kardiologia Polska

... need for risk factor determination before the procedure. Although previous studies have reported several RAS associated factors, radial artery pulse grading has not been investigated yet [7–10]. We hypothesised that radial artery pulse grading may predict RAS. In this study, our aim was to investiga ...
Dispersion of Ventricular Depolarization-Repolarization
Dispersion of Ventricular Depolarization-Repolarization

... However, these ECG markers have never been evaluated in patients who died suddenly with ARVC proven at autopsy. The present study was designed to investigate the value of clinical and ECG findings as well as QT-QRS dispersion in predicting the risk of sudden death in a large group of ARVC patients. ...
Congenital Heart Defects – A Review
Congenital Heart Defects – A Review

... pulmonary valve obstruction (Figure 2) (Rao 1991b, Vogelpoel & Schriere 1960). The loudness of the ejection systolic murmur does not indicate the severity of obstruction but rather its duration and time of peaking; the longer the murmur and the later it peaks, the more severe is the PS. Similarly, t ...
Tachyarrhythmias
Tachyarrhythmias

... creating physiologic “interference” and block. Under the right conditions, some anterograde impulses may slip through. This phenomenon is not equivalent to third degree AV block ...
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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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