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VF / Pulseless VT
VF / Pulseless VT

... • What drugs? Lidocaine, Epinephrine, Atropine, Naloxone, and Vasopressin. • Results in lower blood concentrations than the same dose given intravascularly. • The optimal endotracheal dose of most drugs is unknown, but typically 2 to 2.5 times recommended IV dose. • should dilute recommended dose in ...
Reduced incidence of new-onset atrial fibrillation
Reduced incidence of new-onset atrial fibrillation

... 65 years in the general population [1]. On a population basis, hypertension is the most important risk factor for AF. In hypertensive individuals, age, left atrial chamber diameter and left ventricular mass have been identified as independent risk factors for the development of AF [2]. The risk of c ...
Atrial Fibrillation in Europe: How AWARE are you?
Atrial Fibrillation in Europe: How AWARE are you?

... Diabetes mellitus Having an overactive thyroid gland ...
Congenital abnormalities of aortic artery. Assessment in neonates
Congenital abnormalities of aortic artery. Assessment in neonates

... Between 1 and 1.5 ml/kg of non ionic intravenous contrast (Iopamiron 370®, Schering) were injected under anesthesia and cardiac monitoring, with a 1.5 to 2.5 ml/sec flow injection pump (Medrad , Stellant). Three-dimension reconstructions were performed in a workstation (Vitrea, Vital Images). All pa ...
Diastolic Dysfunction - UCSF | Department of Medicine
Diastolic Dysfunction - UCSF | Department of Medicine

... - Extrinsic compression (tumor) Clinical definition: 35-40% of men with CHF, 65-75% of women with CHF o Cardiac dysfunction with normal EF (>50%) or with findings of diastolic dysfunction on echo/cath o Difficulties: timing of echo in relation to treatment, mixed etiologies o Asymptomatic diastolic ...
Polymyositis
Polymyositis

... Corticosteroids. These medications suppress immune system, limiting the production of antibodies and reducing muscle inflammation. Corticosteroids, especially prednisone, are usually the first choice in treating inflammatory myopathies, such as polymyositis. doctor may begin with a very high dose th ...
Congenital heart disease in cats - Acapulco-Vet
Congenital heart disease in cats - Acapulco-Vet

... hypertension due to pulmonary overperfusion develops (so there is an inverse relationship between murmur grade and severity). ...
Cardiac Resynchronization Therapy for€Mild Heart Failure
Cardiac Resynchronization Therapy for€Mild Heart Failure

... RAFT enrolled patients with more advanced (NYHA functional class III) heart failure (3). Despite important ...
Chapter Cardiovascular diseases and Physical Activity
Chapter Cardiovascular diseases and Physical Activity

... that the risk of first heart attack was related inversely to the level of energy expenditure during leisure time. A sharp reduction in fatal and non-fatal heart attacks rates with increase in weekly energy expenditure was noted at the energy expenditure of 2,000 kcal per week. Those who expended les ...
• ECG paper: small box = 0.04 seconds • Normal PR interval = 0.12
• ECG paper: small box = 0.04 seconds • Normal PR interval = 0.12

... Ventricular Tachycardia deteriorating into Ventricular Fibrillation ...
Fetal Pig Dissection
Fetal Pig Dissection

... View the prepared slide Fundic Stomach, section. This section shows the gastric pits that fold in from the outer tissue layers. Lining those pits are the chief cells (look like fried eggs) and the parietal cells. These cells produce specific gastric chemicals and enzymes to aid in the breakdown of f ...
Influence of Left Ventricular Diastolic Function on Exercise
Influence of Left Ventricular Diastolic Function on Exercise

... influence of LV diastolic function on EIPH in patients with systemic sclerosis (SSc). Methods: The study included 222 SSc patients (age 58.9 ± 13.1 years, 85% female) and 30 controls with similar age distribution. In all patients, systolic pulmonary artery pressure (SPAP) and the ratio of early dias ...
Table of Contents for Year Two Physical Diagnosis Section
Table of Contents for Year Two Physical Diagnosis Section

... i. Measuring the blood pressure in infants and children is often omitted because it has erroneously been judged to be too difficult to do with an active child. When the procedure is explained and demonstrated before hand, however, most children 3 years of age and older are fascinated by sphygmomanom ...
Cardiovascular 7 – Basic Disturbances in Rhythm
Cardiovascular 7 – Basic Disturbances in Rhythm

... (9) Determine the position of ST segment. - ST should be on the isoelectric line. - If below the isoelectric line, then it is “ST depression”. This can be due to drugs, myocardial ischaemia or ventricular hypertrophy. (exercise is used to test for if it is myocardial ischaemia or ventricular hypertr ...
EKG
EKG

... attack in the past • Many people who have had a prior MI will have an ECG that appears normal. There may however be typical features of previous MI, and the most conspicuous of these is Q waves. A simplistic explanation of these prominent Q waves is that an appropriately placed lead "sees through" t ...
From basic mechanisms to clinical applications in heart protection
From basic mechanisms to clinical applications in heart protection

... as hypertension, hyper-lipidemia, diabetes, and their comedications, interfere with most of the known cardioprotective mechanisms [23]. Moreover, cardiovascular comorbidities as well as the available conditioning procedures affect the global myocardial gene expression profile at the transcriptional ...
Cardiac Muscle Tissue
Cardiac Muscle Tissue

... blood into the vessels of the circulatory system. Similar to skeletal muscle, cardiac muscle is striated and organized into sarcomeres, possessing the same banding organization as skeletal muscle (Figure 1 (Cardiac Muscle Tissue )). However, cardiac muscle bers are shorter than skeletal muscle ber ...
Lipoma of the right atrium
Lipoma of the right atrium

... the interatrial septum), and the remaining 25% have a pericardial origin.5 Although they may be asymptomatic for years, they may present with cardiac symptoms and signs from intracardiac obstruction, which depend on the size and location of the tumors. Complications include arrthythmia, dyspnea, emb ...
Heart Functions: the MEA and the Frank Starling Law of the heart 2/14
Heart Functions: the MEA and the Frank Starling Law of the heart 2/14

... • MEA if you have emphysema (hard to drive blood through lung): – RightVentricle must work much harder – Pulm arterial pressure 20/480/30 – Right side gets more muscular Mass increasesECG Changes ...
Systolic ventricular function – h t th l ft t i l how to assess the left
Systolic ventricular function – h t th l ft t i l how to assess the left

... Isovolumic acceleration is relatively load independent ...
Heart Functions: the MEA and the Frank Starling Law of the heart 2/14
Heart Functions: the MEA and the Frank Starling Law of the heart 2/14

... • ECG Changes: Large R-wave becomes a small R-wave • ECG leads can identify exact spot on heart where infarct or clot is located with out cutting you open to look. • MEA if aortic BP is 180/130: – Left Ventricle works harder so it gets larger – MEA shifts to Left Side= Left Shift • MEA if you have e ...
on the circulation has been studied, however, in two patients. The
on the circulation has been studied, however, in two patients. The

... need not be confined to the upper half of the body alone, that there may often be general increase in arteriolar tone throughout the body, and that, under these circumstances in so far as the distribution of peripheral arteriolar resistance is concerned, the arterial hypertension in coarctation of t ...
Heart sounds Lecture (2012).
Heart sounds Lecture (2012).

...  2nd component occurs due to the closure of the A-V valves  3rd component is produced when semi-lunar valves open  4th component produced due to turbulent blood flow into large arteries  The mitral component heard at the apex beat area [left 5th intercostal ...
Cardiac Mortality and Morbidity After Breast Cancer Treatment
Cardiac Mortality and Morbidity After Breast Cancer Treatment

... Comparative mortality risks attributable to irradiation are available from randomized trials of surgery alone vs surgery with breast or chest wall irradiation. A number of these trials have reported increased rates of cardiac death in irradiated groups. While these studies are primarily in the postm ...
Emergency Cardiac Ultrasound: “Questions”
Emergency Cardiac Ultrasound: “Questions”

... 100% Sensitivity (Plummer, 1992) Reduced time to Dx & Disposition 42.4 min vs. 15.5 min Improved survival 57.1 % vs. 100% Randazzo MR et al. Accuracy of emergency physician assessment of LV ejection fraction and central venous pressure using echocardiography. Acad Emerg Med 10:973-977, 2003 ...
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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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