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Summer 2011  - Cardiovascular Division
Summer 2011 - Cardiovascular Division

... Daniel Cooper, MD, former chief medical resident at the School of Medicine and Barnes-Jewish Hospital, has joined the electrophysiology group, as has Luciano Amado, MD, a recent graduate of Johns Hopkins University. Ari Cedars, MD, another superb former fellow, brings his talents to our adult congen ...
Avoiding Allogeneic Transfusion: A Case Study
Avoiding Allogeneic Transfusion: A Case Study

... • Usually requires 10 minutes / unit • Proper labeling • Blood typically remains at room temperature in O.R. prior to reinfusion • Generally re-administered in reverse order of collection – most hemodiluted given first – unit with most clotting factors last ...
Status Epilepticus
Status Epilepticus

... Seizure can be due to lack of glucose or oxygen to the brain, as well as to the irritable focus we associate with epilepsy. Hypoxia from transient dysrhythmia or cardiac arrest (particularly in younger patients) may cause seizure and should be treated promptly. Don’t forget to check for a pulse once ...
Basic Dysrhythmia Interpretation
Basic Dysrhythmia Interpretation

... Causes- atria becomes hyper and fire early caused by medications, caffeine, tobacco, hypoxia or heart disease Adverse effects-if frequent can be a sign of impending heart failure or atrial tachycardia or fibrillation Treatment-O2, omit caffeine, tobacco or other stimulants. Give digitalis or quinidi ...
Document
Document

... passed H.R. 6331: the Medicare Improvements for Patients and Providers Act of 2008, now Public Law 110-275. This law creates a specific benefit category under XVIII and XIX of the Social Security Act. The new law addresses Cardiac and Pulmonary Rehabilitation and takes effect on January 1, 2010. The ...
Sinus Tachycardia
Sinus Tachycardia

... depolarization or changing the threshold potential.  Abnormal automaticity can occur in virtually all cardiac tissues and may initiate arrhythmias.  Such changes are thought to produce: sinus tachycardia, escape rhythms and accelerated AV nodal (junctional) rhythms. ...
Dual Chamber Pacing - Scope
Dual Chamber Pacing - Scope

... The most common causes of cardiac arrhythmia are heart disease, coronary artery disease, heart valve disorders and heart failure. Arrhythmias may also be caused by congenital anatomical heart defects, thyroid disease and age related changes in the impulse generation and conduction of the heart. If u ...
CV 4 Cardiac Output
CV 4 Cardiac Output

... – i.e. increased SNS activity in one tissue and reduced activity in another will redirect blood flow ...
Acute decompensation of chronic valve disease.
Acute decompensation of chronic valve disease.

... should be considered in acute heart failure • All medical resources should be used in patients with aortic stenosis and acute heart failure • Short-term prognosis of medically treated patients is poor • Surgery carries a high operative mortality but late results favour intervention in most cases as ...
Comparing Organs PDF
Comparing Organs PDF

... Student responses will not be an exact imitation of the responses below. These are given only as examples. A. The difference between the amphibian and reptile hearts is that the reptile has a partially divided ventricle. Because of the partial partition in the reptile heart, there is less mixing of ...
CHAPTER e31 Cardiac Manifestations of Systemic Disease
CHAPTER e31 Cardiac Manifestations of Systemic Disease

... occur in the presence of an adequate protein and caloric intake, particularly in the Far East, where polished rice deficient in thiamine may be a major dietary component. In Western nations where the use of thiamine-enriched flour is widespread, clinical thiamine deficiency is limited primarily to a ...
Introduction
Introduction

... It is known that the immune response differs between different types of wound injury. This is especially true for burn injuries, as they induce a severe immunological response and if not treated can lead to systematic infection causing death. The acute phase proteins complement and C-reactive protei ...
日本における経皮的冠動脈インターベンション( PCI )および
日本における経皮的冠動脈インターベンション( PCI )および

... always effective in low risk population such as Japanese. We previously conducted the CREDO-Kyoto registry cohort-1 that enrolled consecutive patients undergoing first coronary revascularization either with PCI or with CABG from January 2000 to December 2002. This registry was the first large-scale ...
Venous Return and Cardiac Output
Venous Return and Cardiac Output

... make this too elaborate on the boards. c. The point where the 2 curves intersect is the value for normal CO and venous return. (because of course you know they’re equal at ~5L/min) d. In the event of increase contractility, i. cardiac function improves and the curve shift upward ii. CO, SV, and Veno ...
Congestive Heart Failure
Congestive Heart Failure

... even common for patients who are well medically managed to have a markedly reduced ejection fraction (EF) yet be capable of most normal activities. This handout pertains primarily to LEFT ventricular failure. Although RIGHT ventricular failure occurs, it is less common and not the focus of this hand ...
Four Cardiac Myxomas Diagnosed Three Times in One Patient
Four Cardiac Myxomas Diagnosed Three Times in One Patient

... examination revealed a mitral regurgitation murmur. The suspected mitral valve insufficiency (grades II/ IV) was confirmed by echocardiography but in addition, two tumours were detected, one inserted on the atrial side of the anterior leaflet of the mitral valve with prolapse through the mitral valve an ...
Brugada`s Syndrome
Brugada`s Syndrome

... This is a disorder characterized by an EKG pattern which has an incomplete right bundle branch block & ST-segment elevations in the anterior precordial leads (Dizon & Zanif, 2014) This EKG abnormality is known as the type -1 Brugada syndrome EKG & combined with an absence of heart abnormalities will ...
Ventricular Fibrillation (2)
Ventricular Fibrillation (2)

... Amiodarone If VF/VT persists after CPR, ventilation, shock, and one dose of epinephrine, rescuers are dealing with refractory or persistent VF. In addition, minutes have passed during which the patient has likely received only modest blood flow (10% to 30% of normal) from conventional closed-chest C ...
The healthy heart - Blackwell Publishing
The healthy heart - Blackwell Publishing

... the body nourish its organs with life-giving oxygen and to remove waste products in the form of carbon dioxide from the body. Simple animals, such as insects, have an open circulatory system, in which the heart pumps blood through the body cavity, washing the organs directly. More complex animals, i ...
Echocardiographic longitudinal systolic displacement indices of right
Echocardiographic longitudinal systolic displacement indices of right

... ™ Fractional area change (FAC): measured in apical 4 chamber view becomes a systemic single ventricle. Right ventricular function is an important determinant of clinical status  in HLH patients. Unfortunately, a proportion of patients with HLHS will develop clinically significant RV  dysfunction ove ...
Echocardiogram Stress Test
Echocardiogram Stress Test

... heart rhythm during the exam. A blood pressure cuff will be kept your arm. The Sonographer will then place a small ultrasound probe with gel on your chest to obtain the resting images of your heart in many different angles. Following the resting images, you will then begin to exercise by walking on ...
Antiarrythmic drugs
Antiarrythmic drugs

... history of palpitations, intermittent shortness of breath, and fatigue. She has a history of hypertension. An ECG shows atrial fibrillation with a ventricular response of 122 bpm and signs of left ventricular hypertrophy. She is anticoagulated with warfarin and started on sustainedrelease propranolo ...
Infective Endocarditis
Infective Endocarditis

... IE- infectious endocarditis ASD- atrial septal defect VSD- ventricular septal defect PDA- patent ductus arteriosus AoV- aortic valve MVP- mitral valve prolapse TEE- transesophageal echocardiography ...
ACLS Drug Overview
ACLS Drug Overview

... Short half-life (<10 seconds). Slows A-V node conduction. First drug for most forms of narrow complex PSVT. Does not convert atrial fibrillation, flutter or MAT. Dose: 6mg rapid IV push, followed by 20ml NS push, may repeat twice after 1-2 min at 12mg IVP. See precautions/contraindications in ECC Ha ...
The Cardiovascular System: Blood Vessels and Hemodynamics
The Cardiovascular System: Blood Vessels and Hemodynamics

... diameter artery – tunica media less muscle – lack external & internal elastic lamina • Still adaptable to variations in volume & pressure • Valves are thin folds of tunica interna designed to prevent backflow • Venous sinus has no muscle at all – coronary sinus or dural venous sinuses Anastomoses • ...
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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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