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Ejection Fraction (EF)
Ejection Fraction (EF)

... failure. This is a condition where the heart doesn't pump enough blood to the rest of the body. With treatment, many people live well with heart failure. So if you have a low EF, it is important that you recognize the signs of heart failure. They may include: fatigue, shortness of breath, and swelli ...
Physiology of congenital heart disease
Physiology of congenital heart disease

... enlarged right heart chambers (fig 1). Cardiac These patients are typically pink with pul- catheterisation is not required unless there is concern about the pulmonary vascular resistmonary plethora on chest radiography. A communication between the systemic and ance, which rises only very slowly. How ...
ECG INTRODUCTION (Lecture 1)
ECG INTRODUCTION (Lecture 1)

... period when No current is flowing and the recording returns to the Isoelectric line. The deflection produced by Ventricular Repolarization is termed a T wave. Cardiac Repolarization spreads relatively Slowly through the muscle mass, Outside the conducting system. Hence, the T wave is considerably Lo ...
ICD 10 and Nephrology
ICD 10 and Nephrology

... Fluid & Lytes Other ...
A Glucagon-Like Peptide-1 Analog Reverses the
A Glucagon-Like Peptide-1 Analog Reverses the

... resistance. This peptide and its analogs also exert cytoprotective actions,12 with GLP-1 receptor (GLP-1R) activation resulting in reduced inflammation in atherosclerotic lesions,13 brain,14 and pancreatic β-cells.15 Of particular interest, GLP-1R agonists also induce moderate weight loss through mu ...
Left Ventricular Systolic Function is Sensitive to Cycle
Left Ventricular Systolic Function is Sensitive to Cycle

... atrioventricular block, mitral stenosis, cardiac tamponade or constrictive pericarditis were excluded. No patient was excluded based on gender, age, degree of hemodynamic impairment or history of cardiac surgery. Upon enrollment, patients provided their clinical histories and baseline characteristic ...
Therapeutic dimensions of ACE inhibitors- A review of literature Review Article
Therapeutic dimensions of ACE inhibitors- A review of literature Review Article

... beneficial for patients with high-renin hypertension. This gave rise to the development of ACE inhibitors. Surprisingly, the ACE inhibitors proved to be effective not only in patients with high renin hypertension, but also in many patients with normal levels of plasma renin activity. At present ACE ...
Ottawa Heart Conferences 2016 - University of Ottawa Heart Institute
Ottawa Heart Conferences 2016 - University of Ottawa Heart Institute

... University of Ottawa Heart Institute; Mid-Career Investigator, Heart and Stroke Foundation; Associate Professor, Division of Cardiology, Department of Medicine University of Ottawa Dr. David Birnie received his medical degree (MB ChB) from Glasgow University in 1990. After completion of Internal Med ...
guide to atrial fibrillation - Massachusetts General Hospital
guide to atrial fibrillation - Massachusetts General Hospital

... If a blood clot were to break loose, it could result in a stroke or a heart attack. Without treatment, AF can also cause the ventricles (the lower chambers of the heart) to beat too fast. This can weaken the heart muscle over time and lead to heart failure. AF is the most common type of arrhythmia. ...
Consensus Paper on Out-of-Hospital Cardiac Arrest in England Date: 16
Consensus Paper on Out-of-Hospital Cardiac Arrest in England Date: 16

... compressions they should do so as this remains the recommended treatment. If not, it is better to deliver ‘hands-only CPR’ (i.e. chest compressions) immediately and without interruption, rather than doing nothing or attempting ‘rescue breathing’ ineffectively. Q. Would every cardiac arrest victim su ...
Underuse of Oral Anticoagulation for Individuals with Atrial
Underuse of Oral Anticoagulation for Individuals with Atrial

... with AF events (hazard ratio = 2.14) includes death from cardiac and noncardiac causes.2 The most devastating consequence of AF is thromboembolic stroke. The average risk of stroke is 5% per year with nonvalvular AF.3 Risk of stroke has been shown to be five times as high in individuals with AF.4 In ...
Constrictive
Constrictive

... (ETIOLOGY) ...
16 Myocardial Disease
16 Myocardial Disease

... increased venous return. This is dependent on constriction in non-exercising venous capacitance beds, which compensates for the vasodilation occurring in exercising muscle. The importance of this mechanism may be greater with HCM and diastolic dysfunction, which precludes adequate ventricular fillin ...
2nd Announcement - Istituto di Medicina e Scienza dello Sport
2nd Announcement - Istituto di Medicina e Scienza dello Sport

... recognize the «Cardiostim style» by the principles that made it a success: a strong presence outside the EU, especially North Americans, a large emphasis placed on innovation and education, a forum for industry. You will find just as much of the scientific and academic EHRA hand, and all activities ...
Slide 1
Slide 1

... many planes). Type IV defects are not easily visualized or repaired. ...


... APromising New Test for Heart Fail re ...
Differentiation of myoendocrine cardiac cells from presumptive heart
Differentiation of myoendocrine cardiac cells from presumptive heart

... During development, ANPs appear to be some of the first hormones produced from mesodermal derivatives (Scott and Jennes, 1988), In mammals, ANPs immunoreactive cells are evident from the eleventh day of gestation (Thompson et al., 1986; Scott and Jennes, 1988). In amphibia, immunocytochemical analys ...
Differential Diagnosis and Treatment of Wide Complex
Differential Diagnosis and Treatment of Wide Complex

... • Any SVT with antegrade conduction down an accessory pathway (WPW syndrome) will produce a wide QRS. – Slow myocyte-to-myocyte conduction arising from the ventricular insertion of the pathway – QRS morphology during tachycardia will look a lot like VT! ...
acute rheumatic fever and rheumatic heart disease
acute rheumatic fever and rheumatic heart disease

... or repeat episodes of ARF. Without antibiotic prophylaxis, more than 60 percent of ARF patients develop RHD within 10 years of their first episode of ARF5. People who have had ARF previously are much more likely than the general community to have subsequent episodes in the absence of preventive meas ...
cardiac pressure-volume loops cardiac terminology afterload
cardiac pressure-volume loops cardiac terminology afterload

... Healthy ventricles typically have ejection fractions greater than 0.55. However, EF is also dependent on loading  conditions and inferior to hemodynamic parameters defined by the PV plane.  Physiologic relevance  Myocardial infarction or cardiomyopathy causes damage to the myocardium, which impairs  ...
Heart rate variability as measurement of heart
Heart rate variability as measurement of heart

... function from where is usually easier to identify the contribution of each one of the spectral bands of interest. Depending on the length of the R-R signal (preferentially the NN intervals), several spectral components have been defined which are supposed to be associated with individual or interact ...
Aging-related Changes in Cardiac Extracellular Matrix: Implications
Aging-related Changes in Cardiac Extracellular Matrix: Implications

... trend has persisted despite steady progress in HF therapies that are recommended in the management guidelines and updates published by the American Heart Association (AHA), American College of Cardiology (ACC), and European society of Cardiology (ESC) [1-5,7]. Left unchecked, this alarming upward tr ...
Prognostic value of heart rate and systemic systolic blood pressure
Prognostic value of heart rate and systemic systolic blood pressure

... mortality and hospitalization. The predictive value of vital signs at the first follow-up visit was similar to the predictive value of enrollment vital signs, which we have previously presented.3 Thus, the presence of hypotension and or tachycardia at any time predicts a worse clinical outcome. • H ...
Intracardiac Echocardiography-Guided Interventions
Intracardiac Echocardiography-Guided Interventions

... very comparable to those reported with TEE-guided ...
Cardiology - Oxford Society of Paediatrics
Cardiology - Oxford Society of Paediatrics

... • Conservative if asymptomatic. Many close spontaneously before 2 years of age • Large: diuretics, captopril, calories so ready for surgical closure at 3-5/12 ...
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Coronary artery disease



Coronary artery disease (CAD), also known as ischemic heart disease (IHD), atherosclerotic heart disease, atherosclerotic cardiovascular disease, and coronary heart disease, is a group of diseases that includes: stable angina, unstable angina, myocardial infarction, and sudden coronary death. It is within the group of cardiovascular diseases of which it is the most common type. A common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Occasionally it may feel like heartburn. Usually symptoms occur with exercise or emotional stress, last less than a few minutes, and gets better with rest. Shortness of breath may also occur and sometimes no symptoms are present. The first sign is occasionally a heart attack. Other complications include heart failure or an irregular heartbeat.Risk factors include: high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol, among others. Other risks include depression. The underlying mechanism involves atherosclerosis of the arteries of the heart. A number of tests may help with diagnoses including: electrocardiogram, cardiac stress testing, coronary computed tomographic angiography, and coronary angiogram, among others.Prevention is by eating a healthy diet, regular exercise, maintaining a healthy weight and not smoking. Sometimes medication for diabetes, high cholesterol, or high blood pressure are also used. There is limited evidence for screening people who are at low risk and do not have symptoms. Treatment involves the same measures as prevention. Additional medications such as antiplatelets including aspirin, beta blockers, or nitroglycerin may be recommended. Procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) may be used in severe disease. In those with stable CAD it is unclear if PCI or CABG in addition to the other treatments improve life expectancy or decreases heart attack risk.In 2013 CAD was the most common cause of death globally, resulting in 8.14 million deaths (16.8%) up from 5.74 million deaths (12%) in 1990. The risk of death from CAD for a given age has decreased between 1980 and 2010 especially in the developed world. The number of cases of CAD for a given age has also decreased between 1990 and 2010. In the United States in 2010 about 20% of those over 65 had CAD, while it was present in 7% of those 45 to 64, and 1.3% of those 18 to 45. Rates are higher among men than women of a given age.
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