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Three-Dimensional Transthoracic Echocardiography
Three-Dimensional Transthoracic Echocardiography

... 79-year-old man in New York Heart Association functional class II was referred for evaluation because of right-sided heart failure, progressive lowerextremity edema, hepatic congestion, and abdominal ascites. His medical history included mitral valve repair to treat severe mitral regurgitation and a ...
Influence of Type 2 Diabetes and the Sex on the
Influence of Type 2 Diabetes and the Sex on the

... and continuous). The echocardiographic test was done with the standard overview: the subject was lying on his left side. At all participants in the study a complete M-mode, D-dimensional, Doppler-echocardiographic study was done. The dimension of the left ventricle, atrium and the fat of the walls w ...
Application of mechanical circulatory support in
Application of mechanical circulatory support in

... Application of mechanical circulatory support in the body in spite of the adequate oxygen supply after ECMO support. Compared to the lactate level before the mechanical circulatory support, the dynamic change in the level after the establishment of the effective circulatory support may be a more se ...
EKG Recognition for EMT’s
EKG Recognition for EMT’s

... • An early firing of atria, causes ventricles to contract • Identified by: • An early complex (irregular rhythm) • P wave looks different than rhythm • If it is really early P wave may be hidden in previous T wave ...
Screening for - Gundersen Health Plan
Screening for - Gundersen Health Plan

... In 2009, CHD attributed to 386,324 deaths (16% of all deaths) and an associated morbidity cost greater than $312.6 billion annually, in this country alone.1 Every year, over 635,000 Americans will suffer a new coronary attack and an addition 280,000 will have a recurrent attack. 1 In the last 30 yea ...


... cardiomyopathy, aortic stenosis, pulmonic stenosis, pulmonary hypertension), coronary artery anomalies, cardiomyopathies, and mitral valve prolapse. The diagnosis can often be made with a thorough history and physical examination performed as close to the time of the syncopal episode as possible. Ca ...
Delayed diagnosis of an isolated partial anomalous pulmonary
Delayed diagnosis of an isolated partial anomalous pulmonary

... extremely unusual for patients with single pulmonary vein anomaly. We think that our patient have significant shunting despite of single pulmonary vein anomaly because he is symptomatic (fatigue and dyspnoea on physical exertion, palpitations) and has signs of right heart dilatation and volume overl ...
Clinical significance of positive inotropic action of - Heart
Clinical significance of positive inotropic action of - Heart

... in the onset of the action of digoxin is due to its uptake by myocardium rather than to its absorption from the gut, a conclusion supported by experimental work (Deutscher, Harrison, and Goldman, I972). Although the reduction in QA1 interval occurring after digoxin was statistically significant, its ...
The Role of Sex Hormones in the Cardiovascular System
The Role of Sex Hormones in the Cardiovascular System

... receptor blockers, which attenuate left ventricular remodeling; and aldosterone blockers, which blunt myocardial fibrosis. Several studies have shown that more than ¼ of men is affected with chronic heart failure are deficient in testosterone. Thus testosterone is directly or indirectly involved in ...
Recommendations for Quantification Methods
Recommendations for Quantification Methods

... utility, accuracy, and reproducibility in children,145 and the best method for routine 2D measurement of RV volume remains controversial. RV EF can be calculated using these volume estimation methods and is regarded as a load-dependent index of RV systolic function. However, this approach has correl ...
Systolic and Diastolic Abnormalities Reduce the Cardiac Response
Systolic and Diastolic Abnormalities Reduce the Cardiac Response

... had shorter diastolic duration and an increased reliance on late diastolic filling that accompanied smaller end-diastolic and stroke volumes. However, resting measurements may be misleading because they do not represent the loading conditions during exercise, when left ventricular pressure gradients ...
Haemodynamic Alterations Induced By Cardiac Pacing: Is Clinical
Haemodynamic Alterations Induced By Cardiac Pacing: Is Clinical

... multipolar pacing leads for placement in the coronary venous system can be regarded as one of the most important advancements of the last years. These leads have been evaluated in various clinical studies. An improved haemodynamic response associated with higher responder rates of biventricular paci ...
Living with Cholesterol - Heart and Stroke Foundation of Canada
Living with Cholesterol - Heart and Stroke Foundation of Canada

... important to remember there is no “ideal” level for any type of cholesterol. Test results should be considered together with your risk factors, medical history and present health. For example, test results that are normal for a healthy young adult might indicate a health risk for an older adult with ...
Utility of Right Ventricular Strain Imaging in Predicting Pulmonary
Utility of Right Ventricular Strain Imaging in Predicting Pulmonary

... elevated pulmonary vascular resistance (PVR) caused by the remodeling of the resistance pulmonary arteries. A large number of studies have clearly demonstrated that it is cardiac function that determines prognosis and exercise capacity.1 In particular, it is worth noting that pulmonary arterial pres ...
clinically applicable alternative to Emax
clinically applicable alternative to Emax

... aortic valve calcification mitral valve calcification ...
Nandrolone and resistance training induce heart remodeling: Role
Nandrolone and resistance training induce heart remodeling: Role

... cardiac effects of nandrolone administration and resistance training in the same experimental protocol. Therefore, the aim of this study was to investigate under highly controlled conditions the isolated and combined effects of high-dose nandrolone administration and resistance training on cardiac f ...
Assessment of Mechanical Cardiac Function in Elite Athletes
Assessment of Mechanical Cardiac Function in Elite Athletes

... further evaluation of the 12-lead ECG (Fig. 1) by a cardiologist was performed and the subject was then referred for extensive cardiac analysis by a cardiac consultant (Echo, cardiac MRI, haematology, stress exercise test) as standard medical procedure. The comprehensive cardiac follow-up assessment ...
Congenital Heart Disease
Congenital Heart Disease

... Worst ones don’t survive to term Those who do usually have only discrete regions of the heart affected e.g. septal defect or valvular defect ...
Ventricular Conduction Disturbances: Bundle Branch Blocks and
Ventricular Conduction Disturbances: Bundle Branch Blocks and

... patients with long-standing hypertensive heart disease, a valvular lesion (e.g., calcification of the mitral annulus, aortic stenosis, or aortic regurgitation), or different types of cardiomyopathy (see Chapter 11). It is also seen in patients with coronary artery disease and often correlates with i ...
Cardiovascular Response to Exercise: Static v/s Dynamic.
Cardiovascular Response to Exercise: Static v/s Dynamic.

... exercise in older adult. So in our study we compared the responses to static and dynamic exercise in older adults to find out and support the inclusion of resistance exercise as a part of fitness program designed for healthy subjects of older age group. Aims & Objective: The purpose of this study wa ...
Chapter 36: Cardiac Disorders Linton: Introduction to Medical
Chapter 36: Cardiac Disorders Linton: Introduction to Medical

... MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation 10. What do fibrous plaques of atherosclerosis serve as when they are laid down in the vessels? a. Stent to keep the vessel open b. Trap to which other substances adhere c. Threat to the integrity of the vessel wall d. Embolus ANS: B ...
Echo-Doppler assessment of diastole: flow, function and
Echo-Doppler assessment of diastole: flow, function and

... a ventricle, pressure rises more in a diseased ventricle, which is stiffer or less compliant. These scientists also focused on the dynamics of myocardial relaxation and evaluated the speed of this process by fitting an exponential relation to LV pressure fall, and by calculating the time constant of ...
Intermediate-Signal-Intensity Late Gadolinium
Intermediate-Signal-Intensity Late Gadolinium

... without these arrhythmias. In HCM patients with either nonsustained ventricular tachycardia, couplets, or premature ventricular contractions, the extent of intermediate LGE-SI exceeded that of high LGE-SI (17⫾7 versus 15⫾6 g, 16⫾10 versus 14⫾9 g, and 13⫾8 versus 12⫾7 g, respectively; P⫽0.01– 0.04). ...
Bulking Up: The Dangers of Steroids
Bulking Up: The Dangers of Steroids

... testosterone can cause early fusion of the long bones and premature stoppage of growth.) 6. What risks to internal organs may result from taking steroids? (Abnormalities of the hormonal system; abnormal liver function; heart disease; a greater risk of liver cancer, and testicular and prostate cance ...
Volume 3, Number 7, September 2015
Volume 3, Number 7, September 2015

... mortality. Some reduction in the combined endpoint (secondary point of its value) was accompanied by a significant increase in the risk of bleeding. Therefore, the results of the data meta-analysis, which was carried out by independent experts, point on the expediency of finding other ways to improv ...
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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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