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Fetal echocardiography at 1113 weeks by transabdominal
Fetal echocardiography at 1113 weeks by transabdominal

... the cardiologist, but in seven (7%) cases the latter identified additional features to those reported by the obstetrician. In four (4%) cases there was agreement on the fact that the heart was abnormal, but the obstetrician’s diagnosis was different from the one made by the cardiologist. ...
EKG Flash Chart
EKG Flash Chart

... Contractions (PAC) ...
Post-transcriptional modifications of VEGF-A mRNA in non
Post-transcriptional modifications of VEGF-A mRNA in non

... endothelial growth factor (VEGF-A). VEGF actually refers to a whole family of glycoprotein growth factors (VEGF-A, VEGF-B, VEGF-C, VEGF-D, VEGF-E and placenta growth factor – PlGF), which have structural homology, but significant differences in their biological activities [1-5]. VEGF-A is the most c ...
A Patient Guide To Electrophysiology Study And Catheter Ablation
A Patient Guide To Electrophysiology Study And Catheter Ablation

... these beats to reach the ventricles. In patients with WPW and an extra pathway, however, it is possible for up to 300-350 of the electrical impulses to travel from the upper to the lower chambers each minute. If the rate of the lower chambers reaches 300-350 beats per minute, the heart's ability to ...
Effects of acute intravenous iloprost on right ventricular
Effects of acute intravenous iloprost on right ventricular

... protocols. Older studies involving isolated atrial and ventricular cardiomyocytes have suggested a positive inotropic effect of prostacyclins, thought to be related to alterations in cAMP metabolism.25,26 In general, in vivo results have been mixed. Studies involving dogs12 and pigs20,22 with acute ...
Triage strategy for urgent management of cardiac tamponade: a
Triage strategy for urgent management of cardiac tamponade: a

... Urgent pericardiocentesis or drainage of pericardial effusion is indicated for each patient with established diagnosis of cardiac tamponade and haemodynamic shock. The decision to drain an effusion and to do it immediately, urgently, or schedule the procedure electively must take into account the cl ...
Triage strategy for urgent management of cardiac
Triage strategy for urgent management of cardiac

... management of cardiac tamponade Immediate drainage of pericardial effusion in cardiac tamponade: indications, contraindications, and the scoring system Urgent pericardiocentesis or drainage of pericardial effusion is indicated for each patient with established diagnosis of cardiac tamponade and haem ...
Title of Presentation
Title of Presentation

... constriction and hence decreases glomerular capillary pressure which may preserve renal function longterm • This may result in a 10-20% increase in creatinine, but over the long term renal function is preserved ...
ATRIAL FIBRILLATION IN CHILDHOOD WITH FAMILIAL
ATRIAL FIBRILLATION IN CHILDHOOD WITH FAMILIAL

... been replete with documented genes e.g. LMNA and SCNRA, and chromosomes, which can be autosomal dominant e.g. 10q22-24, and autosomal recessive e.g. 5p13, and ways that hyperthyroid states may affect the heart. These data point to multifactorial reasons, indicating the need for more chromosomal and ...
Exercise Management
Exercise Management

... – significant symptoms of cardiovascular compromise at rest and during exercise. ...
hypertension - University of Western States
hypertension - University of Western States

... delay a diagnosis especially in an environment where patients see their PCP infrequently. A 2011 study, however, suggested that it may take at least 10 measurements to classify that a patient is normotensive or hypertensive with 80% or more certainty—compared to 5 home measurements. (Asayama 2013) ...
Pacemaker Emergencies - Calgary Emergency Medicine
Pacemaker Emergencies - Calgary Emergency Medicine

... Pocket Complications Hematomas  Occur after implantation-venous or arterial bleeder (check for anticoagulation)  If the size of your palm - needs surgery ...
KDOQI US Commentary on the 2013 KDIGO Clinical Practice
KDOQI US Commentary on the 2013 KDIGO Clinical Practice

... treatment initiation. However, prior studies have shown that individuals with CKD who are older than 50 years have on average a predicted risk $ 7.5%.6-9 The discrepancy between the ACC/AHA risk calculator and the observed risk in CKD may reflect decreased accuracy of the calculators in patients with ...
Changes in heart rate during obstructive sleep apnoea
Changes in heart rate during obstructive sleep apnoea

... a negative correlation between the AHI and the internal pharyngeal circumference [20]. In our study, patients with a higher AH1 demonstrated a pronounced decrease in heart rate during apnoea. This might reflect a marked collapse of the pharynx and stimulation of receptors in patients with a naiTowed ...
Indications for Cardiac Resynchronization Therapy: 2011
Indications for Cardiac Resynchronization Therapy: 2011

... added to an ICD and optimal evidence-based pharmacologic therapy would decrease mortality and hospitalization for heart failure compared with ICD and optimal pharmacologic therapy alone.14 Initially, patients with NYHA functional class II or III symptoms were eligible, but the protocol was modified ...
Differential responses of the right ventricle to
Differential responses of the right ventricle to

... (Shunt) had severe RV dilatation (Figure 1C), with increased RV SV and output (Table 1). Shunt mice had a decreased RV EF (Table 1). In PAB mice, LV volumes and LV output did not change. In Shunt mice, LV EDV and ESV were increased (Table 1). There were no significant differences in heart rate durin ...
Left ventricular ejection time
Left ventricular ejection time

Normal and Variant Coronary Arterial and Venous Anatomy
Normal and Variant Coronary Arterial and Venous Anatomy

... interventricular sulcus, alongside the PDA. Between the two, there is a variable posterolateral vein (Fig. 7C) draining the lateral wall of the LV. The coronary sinus (Figs. 7A, 7C, 16A, and 16B) is the wide vein that courses in the posterior AV groove accompanying the LCx artery and the AV groove a ...
Fetal heart rate in chromosomally abnormal fetuses
Fetal heart rate in chromosomally abnormal fetuses

... or ventricular septal defects, valvular abnormalities and either narrowing of the isthmus or truncus arteriosus. Turner syndrome is associated with severe narrowing of the aortic arch. In both trisomy 13 and Turner syndrome, narrowing of the isthmus is accompanied by narrowing of the ascending aorta ...
Influence of Temperature on Development of Rigor Mortis in Dog
Influence of Temperature on Development of Rigor Mortis in Dog

... the ventricular muscle that might affect the time course of rigor mortis development. This possibility was pointed out by Mosso and Pagliani7 in objection to Rothberger's work.s Since in the present experiments the onset of rigor was the same irrespective of the A'entricular volume, the stretching a ...
Hereditary ATTR Thr60Ala Amyloidosis
Hereditary ATTR Thr60Ala Amyloidosis

... causes, such as high blood pressure or ischaemic heart disease. Recent development of new, sophisticated heart scans has helped doctors to diagnose amyloid cardiomyopathy and manage patients appropriately. The new types of scans are called cardiac MRI and DPD scans. They are discussed in Appendix 2 ...
A Genetic Variant of the Atrial Natriuretic Peptide Gene Is
A Genetic Variant of the Atrial Natriuretic Peptide Gene Is

... With regard to cardiovascular diseases in a model adjusted for age and sex, the regression analysis showed that fewer minor allele carriers of rs5068 had a history of myocardial infarction (adjusted odds ratio: 0.29, p ⫽ 0.042), whereas in a model adjusted also for BMI, the result was slightly atten ...
HYPERTENSION
HYPERTENSION

... (may need to decrease further if still symptomatic) • The goal is to achieve BP levels bellow the 95th (at the 50th) percentile for age and to prevent long term effects • Lower BP slower in patients with chronic rather than acute hypertension (look at EKG/ECHO) ...
V3ch02a2 - SchultzMedic
V3ch02a2 - SchultzMedic

... Single ectopic impulse resulting from an irritable focus in either ventricle Myocardial ischemia, increased sympathetic tone, hypoxia, idiopathic causes, acid-base disturbances, electrolyte imbalances, or as a normal variation of the ECG May occur in patterns Bigeminy, trigeminy, or quadrigeminy  C ...
Form and Function in Reptilian Circulations1
Form and Function in Reptilian Circulations1

... The pulmonary outflow tract of the ventricle is an additional site for regulation of pulmonary resistance, and thus for regulation of the intracardiac shunt. In chelonians a smooth muscle sphincter underlying the bulbus cordis (March, 1961; Burggren, 1977a) is adrenergically dilated and cholinergica ...
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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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