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Cardiology Questions 2017_2_ANSWERS
Cardiology Questions 2017_2_ANSWERS

... His chest pain worsens and you decide to send him for a CT Aortagram c) List 2 drugs that you will choose to lower his BP assuming that this study is positive for aortic dissection. List them in the order you will chose to give them (4 marks) 1st - Beta blockade –Esmolol (loading 0.5 mg/kg over 2–5 ...
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 ...
-Blockers and Diuretics Precludes Their Use for First-Line Risk/Benefit Assessment of β
-Blockers and Diuretics Precludes Their Use for First-Line Risk/Benefit Assessment of β

... called thiazides) or, to a lesser extent, a ␤-adrenergic blocker (termed ␤-blockers). With few exceptions, these trials, especially those with high statistical power and thiazide-based regimens, showed benefit for CVD outcomes.3– 8 This evidence, which provided a basis for recommending thiazides or ...
Heart and Circulation of the African Lungfish
Heart and Circulation of the African Lungfish

... • The African lungfish (Protopterus aethiopicus) is a surviving relic of the Devonian period. It possesses a primitive pair of lungs which originates from the floor of the pharynx and extends for virtually the entire length of the body. Ordinarily, while living free in an African lake, it alternates ...
achd.suvival_27.03.2015 - Imperial Spiral
achd.suvival_27.03.2015 - Imperial Spiral

... It is not surprising that survival prospects of ACHD patients are inferior to those observed in the general population. However, Figure 2 illustrates that especially Fontan, Eisenmenger syndrome and complex CHD patients have greatly increased mortality rates. In contrast, simple defects were not fou ...
Corrected Transposition of the Great Vessels without Associated
Corrected Transposition of the Great Vessels without Associated

... systemic pump for long periods, even in the presence of valvular incompetence. However, these cases may indeed be the exception. Lieberson and associates"' in reviewing previously reported cases of corrected transposition, could find only six persons who had survived to age 40. Of the reported cases ...
Chapter 20
Chapter 20

... the walls of the blood vessels, factors: size of the lumen, blood viscosity, total blood vessel length 21. Which type of blood vessel exerts the most control over systemic vascular resistance, and how does it achieve this? Ans: pg. 738 – arteriole, by different diameters in different arterioles 22. ...
Arrhythmogenic right ventricular cardiomyopathy
Arrhythmogenic right ventricular cardiomyopathy

... to ARVC, for instance resulting in perforation of the thin RV wall. Moreover, progressive and extensive fibro-fatty myocardial degeneration may compromise effectiveness of ICD interventions. Although antiarrhythmic medications (sotalol, amiodarone), and radiofrequency (RF) ablation can decrease the ...
Unit 2 06
Unit 2 06

... collect a sample of venous blood from any convenient vein. 44. In a normal recumbent adult, at end left ventricular diastole ...
Welcome to the Cardiology Department - Dr Mark Dayer
Welcome to the Cardiology Department - Dr Mark Dayer

... is the forum where information is exchanged, strategic direction ratified and governance standards set, acted upon, delivered and responsibility taken for. The MDT is led by the Lead Clinician but to be at its most effective it requires contributions from all members of the Team, secretaries to cons ...
the Cardiac Surgery Family Handbook
the Cardiac Surgery Family Handbook

... Adult CHD Survivors of Cincinnati Adult CHD Survivors of Cincinnati is a collaboration effort to provide Adult Congenital Heart Disease (ACHD) patients, family and friends with a support and educational program. We provide one-onone support, community outreach/fundraising opportunities, educational ...
Heart - Westinghouse College Prep
Heart - Westinghouse College Prep

... • The Left Ventricle – Holds same volume as right ventricle – Is larger; muscle is thicker and more powerful – Similar internally to right ventricle but does not have moderator band – Systemic circulation: • Blood leaves left ventricle through aortic valve into ascending aorta • Ascending aorta turn ...
Congenitally Corrected Transposition of the Great Arteries
Congenitally Corrected Transposition of the Great Arteries

... ccTGA and mild or no additional intracardiac anomalies may be overlooked by routine ultrasound screening. Distinct features notable on prenatal ultrasound that may improve detection of ccTGA are parallel course of the great arteries in combination with dextrocardia, abnormal insertion of the papilla ...
reactive hyperemia
reactive hyperemia

... • Cardiac output (CO): determined by stroke volume and heart rate • Stroke volume (SV): volume pumped per heartbeat • CO (volume/min) = SV (volume/beat)  Heart rate (beats/min) • In practice, CO is computed by Fick’s formula • Heart rate and SV determine CO, so anything that changes either also ten ...
Novel Techniques for Characterizing Myocardial Structure and
Novel Techniques for Characterizing Myocardial Structure and

... 2D echocardiography. Its superiority to 2D echocardiographic imaging is largely due to the fact that no geometrical assumptions and no extrapolation of the endocardial border for the regions in between scanning planes are necessary. Assessment of regional ventricular function: The volume enclosed in ...
Circulatory System and Blood
Circulatory System and Blood

... adult. Outline their function in the fetal circulatory system and explain why they are unnecessary in the adult. (5 marks) b) What effect will the foramen ovale (oval opening) not closing after birth have on the normal body functions in humans? (2 marks) Describe the structure of each one of the fol ...
Mitral valve prolapse by Ronald Hoffman, M.D., CNS May 1996
Mitral valve prolapse by Ronald Hoffman, M.D., CNS May 1996

... It may seem odd that all of these symptoms should be somehow related to a heart abnormality. In fact, it's not that the mitral valve abnormality causes these other symptoms, but it is a physical trait that is a marker of the underlying condition. The valve abnormality was spotted first, and is the n ...
Betaloc ZOK 25mg Composition Pharmaceutical form Indications
Betaloc ZOK 25mg Composition Pharmaceutical form Indications

... Betaloc ZOK is completely absorbed after oral administration. Owing to an extensive first-pass effect, the systemic bioavailability of metoprolol from a single oral dose is approximately 50%. The bioavailability is reduced by about 20-30% for the controlled release preparation compared with a conven ...
Purkinje-related ventricular fibrillation associated with a
Purkinje-related ventricular fibrillation associated with a

... total of 10 000 monomorphic PVCs per 24 h, were recorded on Holter ECG (Figure 1A). Recurrent nocturnal torsades de pointe tachycardia initiated by PVCs with the same QRS morphology, without QT prolongation during sinus rhythm, led to almost daily ICD shocks despite DDDR-70 pacing and continued bis ...
The Heart of the Matter: Cardiac Imaging of Sarcoidosis
The Heart of the Matter: Cardiac Imaging of Sarcoidosis

... 5. Greulich S, Deluigi CC, Gloekler S, et al. CMR imaging predicts death and other adverse events in suspected cardiac sarcoidosis. JACC Cardiovasc Imaging. 2013;6:501–511. 6. Blankstein R, Osborne M, Naya M, et al. Cardiac positron emission tomography enhances prognostic assessments of patients wit ...
Fontan Procedure Part 2 By Dr. Madhusudan Raikar
Fontan Procedure Part 2 By Dr. Madhusudan Raikar

... Actuarial event-free survival rates at 1, 10, 15, 20, and 25 years were 80.1%, 74.8%, 72.2%, 68.3%, and 53.6% ...
A New Twist on Mitral Regurgitation
A New Twist on Mitral Regurgitation

... better recovery of function following treatment of the ...
Drugs for Dysrhythmias Expanded Key Concepts
Drugs for Dysrhythmias Expanded Key Concepts

... Persistent or severe dysrhythmias may be lethal. Some dysrhythmias produce no symptoms and are harmless, while others are life threatening. The frequency of dysrhythmias is difficult to predict, although it is thought to be quite common, particularly in the geriatric population. 23.2 Dysrhythmias ar ...
Instructor`s Guide
Instructor`s Guide

... can be broken down into the pulmonary circuit, the systemic circuit, and the coronary circuit. In some classifications, the circulatory system is composed of the cardiovascular system (which distributes blood) and the lymphatic system (which distributes lymph). conducting cells: Also called Purkinje ...
Blood Flow in Dogs
Blood Flow in Dogs

... blood flow as measured by the rubidium coincidence technique. Contrary to the commonly expressed view, however, the rubidium coincidence method does not evaluate nutritional flow, but estimates total coronary blood flow (CBFT). An equation is derived that does evaluate nutritional flow (CBFN), allow ...
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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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