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Marfan syndrome in adulthood: a case report
Marfan syndrome in adulthood: a case report

... 3. Cardiovascular system: dilated ascending aorta with severe aortic regurgitation (presence of major criterion). 4. Ocular system: lens subluxation (presence of major criterion. By clinically excluding Ehlers-Danlos and LoeysDietz syndromes, and considering that there was no family history of the d ...
Exercise testing in pulmonary arterial hypertension and in chronic
Exercise testing in pulmonary arterial hypertension and in chronic

... approved by the Ethical Committee of Erasme University Hospital. Nineteen patients, 11 females and eight males, aged 23–66 yrs (mean 49 yrs), presented with PAH, defined by an increase in pulmonary artery pressures, normal pulmonary artery wedge pressure, no identifiable cardiac or pulmonary cause [ ...
Document
Document

... .intracerebral pressure and sometimes in headache -3.The nitrates dilate vessels in the skin resulting in flushing )2( They relax bronchial and biliary tract smooth muscle with the latter action )3( .resulting in a reduction of biliary pressure Route of administration a. Nitroglycerin is usually giv ...
- American Journal of Kidney Diseases
- American Journal of Kidney Diseases

... the human body, albumin has great appeal as a resuscitative fluid. Albumin was a staple for volume resuscitation until a meta-analysis in 1998 showed that it was associated with increased mortality. Opinions changed again after publication of the SAFE (Saline Versus Albumin Fluid Evaluation) trial in ...
Evaluation of R Wave Amplitude Changes versus ST
Evaluation of R Wave Amplitude Changes versus ST

... with a mean of 30. Their history and physical examination revealed no evidence or symptoms of heart disease. These patients were volunteers, with no known risk factors for coronary artery disease, in a Long Beach Heart Association study of risk factors and had not undergone angiography.4 Patients wi ...
Opposite Predictive Value of Pulse Pressure and
Opposite Predictive Value of Pulse Pressure and

... Study Design and Patient Populations The design and main results of the EPHESUS trial have been reported previously.14 EPHESUS enrolled patients with HF in the setting of acute myocardial infarction complicated by left ventricular systolic dysfunction (ejection fraction ≤40%). HF had to be documente ...
Anticoagulation for Emergency Department Patients With Atrial
Anticoagulation for Emergency Department Patients With Atrial

... and has difficulty accessing the health care system? Should that encourage the emergency physician to initiate warfarin or one of the alternative approved anticoagulants? There are now 5 primary options for thromboembolism prevention. Do emergency physicians need to be experts in selecting the best ...
Disclaimer
Disclaimer

... fluctuations in both parasympathetic and sympathetic tone. Their conclusion that LFP is mediated at least in part via vagal activity is supported by their finding that both HFP and LFP were higher during the day than during the night. Consistent with our study, LFP was reduced in the CABG patients c ...
Structure and Function of the Developing Zebrafish Heart
Structure and Function of the Developing Zebrafish Heart

... organism (Burggren and Pinder, 1991; Pelster and Burggren, 1996). As such, during the course of embryogenesis, the heart is the first definitive organ to develop and become functional, as any later survival depends on its proper function (Clark, 1990). However, there is a period when the heart is al ...
PDF - Herbert Publications
PDF - Herbert Publications

... SA nodal reentrant tachycardia or SANRT is an uncommon arrhythmia, that usually occurs in patients with structural heart disease [1]. In patients referred for electrophysiologic studies due to Electrocardiogram (EKG) showing a supraventricular tachycardia (SVT), SANRT comprises from 2 to 17 percent ...
Analysis of left ventricular diastolic function using magnetic
Analysis of left ventricular diastolic function using magnetic

... The heart function depends substantially on a pump mechanism where blood is received at low pressure during diastole and is ejected at high pressure during systole. A patient has congestive heart failure, which implies that the cardiac output is low and the ejection fraction (EF) is reduced.1 Howeve ...
CHRONOBIOLOGICAL  RHYTHMS  IN  ONSET H
CHRONOBIOLOGICAL RHYTHMS IN ONSET H

... Acute massive PE is a rare disease4 with a high risk of death in the first hours of onset because of right ventricle failure5. It is obvious that primary embolectomy or thrombolytic therapy can be lifesaving approaches in treatment of massive PE6 and survival from this disease depends on rapid reduc ...
What is a pacemaker or Defibrillator
What is a pacemaker or Defibrillator

... cardiac arrhythmia's in order to: • Determine the source of arrhythmia symptoms • evaluate the effectiveness of certain medications in controlling the heart rhythm disorder • predict the risk of a future cardiac event, such as Sudden Cardiac Death • assess the need for an implantable device (ICD or ...
Brief Communication Direct Detection of Free Radicals in the
Brief Communication Direct Detection of Free Radicals in the

... species such as superoxide or hydroxyl free radicals are generated. The most probable sources of these oxygen radicals are the xanthine oxidase pathway, the electron transport chain and catecholamine oxidation. Leukocytes are unlikely to represent a significant source since there are virtually no wh ...
Increased heart rate as a risk factor for cardiovascular disease
Increased heart rate as a risk factor for cardiovascular disease

... 40 beats/min, the total mortality more than doubled over this period. The details are summarized in Fig. 2. The rapid heart rate that the individuals had was not related to pre-existing illness but appeared to be an independent risk factor for cardiovascular death in those with hypertension. Thus, t ...
Cardiac patients undergoing non
Cardiac patients undergoing non

... appears appropriate prior to surgery. In patients with systolic LV dysfunction ACE-inhibitors are recommended prior to surgery. In patients with one or more cardiac risk factors a preoperative baseline ECG is recommended to monitor changes during the perioperative period. Statin therapy and a titrat ...
Jugular Venous Pulse: Window into the Right Heart
Jugular Venous Pulse: Window into the Right Heart

... rounding soft tissues to the surface of the skin are seen. After identifying the highest point of pulsation, the vertical distance between this pulsation and the sternal angle is measured. If the venous pulsation is not observed initially, it may be either too high or too low. The position of the ne ...
Haemodynamic response to dynamic exercise after heart-lung transplantation
Haemodynamic response to dynamic exercise after heart-lung transplantation

... ABSTRACT: The purpose of this study was to investigate the haemodynamic response to dynamic exercise after heart-lung transplantation (HLT). Nine stable HLT recipients (6 males) were studied 12±55 months after transplantation. While sitting on a cycle ergometer, they first underwent a maximal sympto ...
state of michigan michigan administrative hearing system
state of michigan michigan administrative hearing system

... lower lobe nodule measuring 1.4 cm, consistent with “developing atelectasis.” Under therapy with intravenous diuretic therapy for congestive heart failure, his eGFR was 74% on admission and declined to 48%, consistent with acute renal failure, and as such diuretic therapy was temporarily withheld an ...
Utilizing Biostatistics in Diagnosis, Screening, and Prevention
Utilizing Biostatistics in Diagnosis, Screening, and Prevention

... • Test characteristics (i.e. likelihood ratios) should be considered before ordering a test to help determine whether a given test would significantly alter your pre-test probability (and thus affect management) Ex. if you estimate a patient’s pretest probability to be 10% but the LR of a diagnostic ...
Right ventricular dysfunction in chronic heart failure patients
Right ventricular dysfunction in chronic heart failure patients

... The study included 155 patients with left ventricular (LV) systolic dysfunction, defined as an ejection fraction (EF) below 40%. All patients had symptomatic chronic heart failure NYHA class II–IV. The inclusion criteria were as follows: (a) good quality echocardiographic imaging of tricuspid annula ...
Assess Ventricular Systolic and Diastolic Function
Assess Ventricular Systolic and Diastolic Function

... – Beware - Atrial fibrillation and mitral valve stenosis or regurgitation can also cause dilation ...
Utilizing Biostatistics in Diagnosis, Screening, and Prevention
Utilizing Biostatistics in Diagnosis, Screening, and Prevention

... • Test characteristics (i.e. likelihood ratios) should be considered before ordering a test to help determine whether a given test would significantly alter your pre-test probability (and thus affect management) Ex. if you estimate a patient’s pretest probability to be 10% but the LR of a diagnostic ...
Ch 15: Blood Flow and the Control of Blood Pressure
Ch 15: Blood Flow and the Control of Blood Pressure

... Phase 1 Partial Repolarization; loss of Na+ conductance, & transient influx of Clions and outflow K+ ions. Phase 2 Plateau; due to the slow inward flow of Ca++ ions through slow channels (i.e. increased Ca++ conductance) (also some inward movement of Na+ through slow channels and outward movement of ...
Cardiac Pacemaker System
Cardiac Pacemaker System

... – developments in the field of microprocessor technology will most likely lead to greater flexibility in the self-adjustment of rate, output, and the overall sensitivity of pacemakers. – The continued innovation of programmability and telemetry will increase the diagnostic capabilities of pacemakers ...
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Jatene procedure

The Jatene procedure, or arterial switch, is an open heart surgical procedure used to correct dextro-transposition of the great arteries (d-TGA); its development was pioneered by Canadian cardiac surgeon William Mustard and it was named for Brazilian cardiac surgeon Adib Jatene, who was the first to use it successfully. It was the first method of d-TGA repair to be attempted, but the last to be put into regular use because of technological limitations at the time of its conception. Use of the arterial switch is historically preceded by two atrial switch methods: the Senning and Mustard procedures.This surgery may be used in combination with other procedures for treatment of certain cases of double outlet right ventricle (DORV) in which the great arteries are dextro-transposed.
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