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Invasive Hemodynamic Characteristics of Low Gradient
Invasive Hemodynamic Characteristics of Low Gradient

... where SAP is systolic arterial pressure, ⌬pmn is mean systolic transaortic gradient, and SVI is stroke volume index. Interobserver variability (expressed as coefficient of variation, standard deviation between measurements divided by average of measurements) in our laboratory for Doppler velocity me ...
Xanthine Derivatives in the Heart: Blessed or Cursed?
Xanthine Derivatives in the Heart: Blessed or Cursed?

... adenosine receptor subtype-specific xanthine antagonists are also the subject of this paper. Based on the adenosine receptor-antagonistic activity of these compounds, it can be raised that xanthine derivatives might inhibit the cardioprotective action of endogenous adenosine on various subtypes (A1, ...
Therapeutic Hypothermia
Therapeutic Hypothermia

... cerebral ischaemia. Cerebral ischemia may also result from other conditions like birth asphyxia, stroke, and traumatic brain injury resulting in neurological injury. The main reason for use of therapeutic hypothermia [TH] is to protect the brain against irreversible hypoxic damage and hence, to achi ...
Endogenous Endothelin-1 Depresses Left Ventricular Systolic and
Endogenous Endothelin-1 Depresses Left Ventricular Systolic and

... After all parameters returned to their baseline levels, ET-1 (600 ng/kg i.v.) was administered. When the arterial pressure had reached a stable level, steady-state and caval occlusion data at rest were again collected. To assess the interactions of ET-1 with autonomic reflexes, the same protocol was ...
Catheter Ablation as Treatment for Atrial Fibrillation
Catheter Ablation as Treatment for Atrial Fibrillation

... through modifying the arrhythmia triggers and/or the myocardial substrate that maintains the aberrant rhythm. The maze procedure, an open surgical procedure often combined with other cardiac surgeries (e.g., valve repair), is an ablative treatment that involves sequential atriotomy incisions designe ...
Hypophosphorylation of the Stiff N2B Titin Isoform Raises Cardiomyocyte
Hypophosphorylation of the Stiff N2B Titin Isoform Raises Cardiomyocyte

... cardiomyocytes. In left ventricular biopsies of heart failure (HF) patients, aortic stenosis (AS) patients, and controls (CON), we therefore related Fpassive of isolated cardiomyocytes to expression of titin isoforms and to phosphorylation of titin and titin isoforms. Biopsies were procured by trans ...
Dreaded Heart Blocks
Dreaded Heart Blocks

... Third degree heart block/ complete heart block 3rd degree heart block indicates complete absence of conduction between atria and ventricles  3rd degree heart block is characterized by a complete dissociation between P waves and ...
2012 ACCF/AHA/HRS Focused Update of the 2008 Guidelines for
2012 ACCF/AHA/HRS Focused Update of the 2008 Guidelines for

... The ACCF/AHA practice guidelines are intended to assist healthcare providers in clinical decision making by describing a range of generally acceptable approaches to the diagnosis, management, and prevention of specific diseases or conditions. The guidelines attempt to define practices that meet the ...
ultrasound coding and reimbursement document 2009
ultrasound coding and reimbursement document 2009

... procedure codes with ICD-9 diagnosis codes are termed “edits” and are used by payers to make an initial determination of medically necessity. Further, screening ultrasound examinations, i.e. in the absence of abnormal signs, symptoms, laboratory tests or pathologic diagnosis, may not be reimbursable ...
2014 AHA/ACC/HRS Guideline for the Management of Patients With
2014 AHA/ACC/HRS Guideline for the Management of Patients With

... HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol 2014;64:e1–76. This article is copublished in Circulation. Copies: This do ...
2014 AHA/ACC/HRS Guideline for the Management of Patients With
2014 AHA/ACC/HRS Guideline for the Management of Patients With

... HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol 2014;64:e1–76. This article is copublished in Circulation. Copies: This do ...
AHA/ACC/HR Guideline for the Management of Patients with Atrial
AHA/ACC/HR Guideline for the Management of Patients with Atrial

... guidelines that assist clinicians in selecting the best management strategy for an individual patient. Moreover, clinical practice guidelines can provide a foundation for other applications, such as performance measures, appropriate use criteria, and both quality improvement and clinical decision su ...
DOI: 10.1161/CIRCULATIONAHA.109.192230 published online Mar
DOI: 10.1161/CIRCULATIONAHA.109.192230 published online Mar

... Because the development of expert consensus documents depends on the knowledge and experience of experts and investigators in the field, many of whom have relationships with industry (RWI), the policy addressing writing committee members’ RWI must be realistic, workable, and implemented in a way tha ...
Secundum atrial septal defect in the adult. Clinical
Secundum atrial septal defect in the adult. Clinical

... the pulmonary pressure levels. A normal-sized right ventricle and atrium was found in 82% and 72% respectively one year after ASD closure. Before closure the left ventricle was undersized but became normal after ASD closure, while left atrial size remained unchanged. The changes that occurred came e ...
EACVI position paper:multimodality imaging in pericardial disease
EACVI position paper:multimodality imaging in pericardial disease

... Transthoracic Doppler echocardiography is considered as the firstline imaging modality in almost all types of pericardial diseases because it is simple and quick to perform, widely available and safe.2 However, two-dimensional (2D) echocardiography has several weaknesses, mainly related to its depen ...
M elatonin: a novel protective agent against oxidative injury of the
M elatonin: a novel protective agent against oxidative injury of the

... 1. Introduction In the United States and other economically well-developed countries of the world, cardiovascular disease is a major cause of disability and mortality [1]. In these countries, conditions relating to the heart and adnexa account for almost half the deaths that occur each year. Further ...
Recurrent Cough Syncope Due to Pertussis in Adults
Recurrent Cough Syncope Due to Pertussis in Adults

... of Internal Medicine during a short period while in the rest of the world only five cases were reported until yet is due to our awareness on pertussis in adults, and reflects the lack of awareness on adult pertussis in most of the world. In conclusion, although pertussis is increasingly reported as ...
Secundum atrial septal defect in the adult. Clinical
Secundum atrial septal defect in the adult. Clinical

... the pulmonary pressure levels. A normal-sized right ventricle and atrium was found in 82% and 72% respectively one year after ASD closure. Before closure the left ventricle was undersized but became normal after ASD closure, while left atrial size remained unchanged. The changes that occurred came e ...
Mechanisms of Activation of Cardiac Glycogen Phosphorylase in
Mechanisms of Activation of Cardiac Glycogen Phosphorylase in

... phosphorylase kinase activity ratio (pH 6.8:8.2), and myocardial contractility (left ventricular dP/dt) were studied in an open-chest rat heart preparation. Ischemia produced by termination of coronary blood flow increased cyclic AMP from 0.55 to 0.77 yu.moles/kg in 5 seconds and phosphorylase from ...
Chapter 34
Chapter 34

... • Incidence has decreased with the use of antibiotics, but there has been a resurgence of the problem in intravenous drug abusers • Patients with valvular disease also at risk ...
Effect of High (200 μg/kg per Minute)
Effect of High (200 μg/kg per Minute)

... significant (≥0.05 difference of max Pd/Pa minus min Pd/Pa) variations in Pd/Pa from 15 s post Pd/Pa dip and until the end of a 3-minute adenosine (140 lg/kg per minute) infusion. Thirty patients agreed to participate in a post 5-minute repeat fractional flow reserve assessment using 200 lg/kg per min ...
Three-dimensional transmural organization of perimysial collagen in
Three-dimensional transmural organization of perimysial collagen in

... the entire muscle; endomysium, surrounding and interconnecting individual myocytes and capillaries; and perimysium, surrounding and interconnecting groups of myocytes. It is the latter component that we have focused on in this work as it defines the three-dimensional (3-D) organization of cardiac my ...
Crawford Current Cardiology Edition 2
Crawford Current Cardiology Edition 2

... The pain is deep, visceral, and intense; it makes the patient pay attention but is not excruciating. Many patients describe it as a pressure-like sensation. The duration of the pain is minutes, not seconds. The pain tends to be precipitated by exercise or emotional stress. The pain is relieved by re ...
Overexpression of microRNA-1 impairs cardiac
Overexpression of microRNA-1 impairs cardiac

... the effects of up-regulation of miR-1 on adult heart. However, despite the fact that miR-1 has been found up-regulated in diverse cardiac conditions, including those associated with prominent changes of cardiac contractility, the consequences of up-regulation are poorly studied with our current unde ...
The role of altered fatty acid metabolism in cardiomyopathy and
The role of altered fatty acid metabolism in cardiomyopathy and

... The heart pumps blood to supply oxygen and nutrients to the tissues in our body. The importance of the heart was first recognized in the 4 th century BC, by the Greek philosopher Aristotle from his observation in chick embryos that the heart was formed first before the rest of the internal organs. H ...
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Cardiac surgery



Cardiovascular (heart) surgery is surgery on the heart or great vessels performed by cardiac surgeons. Frequently, it is done to treat complications of ischemic heart disease (for example, coronary artery bypass grafting), correct congenital heart disease, or treat valvular heart disease from various causes including endocarditis, rheumatic heart disease and atherosclerosis. It also includes heart transplantation.
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