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...  Systolic Heart Failure  Poor systolic performance of the heart resulting in decreased cardiac output and increased venous pressures  Typically occurs in association with impaired left ventricular systolic function due to any number of causes  Left ventricular ejection fraction (LVEF) of <40%  ...
Metabolic aspects of cardiac arrhythmias
Metabolic aspects of cardiac arrhythmias

... increased wall stress to maintain normal hemodynamics. In the pre-pacemaker era this was a condition with a very high mortality mostly due to sudden death and progressive HF. The most common sustained arrhythmia, atrial fibrillation causes significant morbidity and is associated with stroke, HF and ...
Vascular impedance
Vascular impedance

... systemic measurements. However, that the arterial pulse differs slightly between brachial artery and aorta, a difference that likely influenced the correlation between noninvasive and invasive data. ...
Arrhythmia: Tests, Devices, Physiologists
Arrhythmia: Tests, Devices, Physiologists

... exercise-induced arrhythmia Echocardiography (structural causes for arrhythmia) Tilt-testing (pre-syncope / syncope) Electrophysiology Study (EPS) for accessory pathways and circular or re-entry arrhythmias potentially suitable for ablation ...
Unrecognized Volume Overload in Congestive Heart Failure
Unrecognized Volume Overload in Congestive Heart Failure

... status was categorized by a direct measurement of blood volume by a radioisotope technique.1 Despite on-going treatment with high doses of loop diuretics and few physical signs of congestion, 65% of the subjects in this cohort were found to have large increases in blood volume. Those patients that w ...
Cardiac arrhythmias in acute coronary syndromes
Cardiac arrhythmias in acute coronary syndromes

... in which arrhythmias are most relevant have changed to include the cardiac catheterization laboratory, since the preferred management of early acute ACS is generally interventional in nature. However, a large proportion of patients are still managed medically. Both atrial and ventricular arrhythmias ...
Preventing Heart Disease: Watch Your Cholesterol
Preventing Heart Disease: Watch Your Cholesterol

... In many people, cholesterol levels are a reflection of lifestyle. In some cases, however, lifestyle may not account for the level of cholesterol in a person's blood, since that level is often influenced by "internal" factors such as genetics, liver disease or other conditions, or hormones. If you're ...
Heart Rate and Exercise - Ursinus College Student, Faculty and
Heart Rate and Exercise - Ursinus College Student, Faculty and

... 3. Recovery time has been shown to correlate with degree of physical fitness. How does the subject’s recovery rate compare to that of your classmates? Is this what you expected? ...
Preventing Heart Disease: Watch Your Cholesterol
Preventing Heart Disease: Watch Your Cholesterol

... In many people, cholesterol levels are a reflection of lifestyle. In some cases, however, lifestyle may not account for the level of cholesterol in a person's blood, since that level is often influenced by "internal" factors such as genetics, liver disease or other conditions, or hormones. If you're ...
Curriculum based assessment tool for basic training in
Curriculum based assessment tool for basic training in

...  You should also keep a log-book of 500 cases. Of these, 250 should be collected in a period of 12 months to qualify for BSE adult accreditation (for details, see the BSE website)  The theory component will be self-taught. Your department should have ...
Repolarisation Descriptors and Heart Rate Variability in
Repolarisation Descriptors and Heart Rate Variability in

... descriptors of repolarisation aberration are HR dependent (Smetana et al. 2004) it is not known whether and if yes, by which mechanisms autonomic system affects repolarisation heterogeneity independent of HR changes. At the cellular level, it is difficult to differentiate the pure chronotropic effec ...
Chapter 23 Lecture Outline
Chapter 23 Lecture Outline

... Review: Dietary influence (Module 21.24) and the influence of smoking (Module 22.6) on cardiovascular fitness. B. Such clogs occur if blood clots back up behind constrictions (due to lipid buildup) in these arteries. C. Cardiac muscle cells do not regenerate but leave noncontracting scar tissue. D. ...
PFO Patient Brochure
PFO Patient Brochure

... W. L. Gore & Associates has spent more than three decades making products for nearly every field of medicine, often using technology to advance the way procedures are performed. Today, more than 35 million Gore medical devices have been implanted worldwide. ...
Non-invasive methods for assessing pulmonary exercise
Non-invasive methods for assessing pulmonary exercise

... Bioimpedance relies on the variation in impedance to a high frequency alternating current across the chest with changes in stroke volume. It is also an interesting non-invasive measure but there is less data either in normals or patients with PH and almost none on exercise. Most interest in non-inv ...
Stroke_submission_31_08_16_final
Stroke_submission_31_08_16_final

... Rheumatic valvular heart disease is the most common form of acquired heart disease in children and young adults in many parts of the world. In a 2005 summary report commissioned by the World Health Organisation, the overall global burden of this disease was estimated to be 15.6 million prevalent cas ...
Regular physical activity
Regular physical activity

... prevented or improved through regular physical activity. • About 64 percent of • About 61 million people Americans age 20 years live with cardiovascular and older are overweight disease including high and more than 44 million blood pressure, coronary are obese. heart disease, stroke, and congestive ...
PRINCIPLES OF NUCLEAR CARDIOLOGY.ppsx
PRINCIPLES OF NUCLEAR CARDIOLOGY.ppsx

... • High risk: (reversible defects) more than one territory, LAD (most important coronary artery), post-stress LV (left ventricular) dysfunction (LV dilatation, abnormal wall motion, decreased LVEF, lung uptake) ...
Have Your Heart in the Right Place
Have Your Heart in the Right Place

... and processed foods can have serious effects on the mother and on their child as well (Newell). A high diet in fat especially from fats and Trans fats can cause heart problems. These processed and canned foods have good and bad cholesterol in them (Newell). LDL cholesterol can cause plaque buildup i ...
MANAGEMENT OF HEART FAILURE
MANAGEMENT OF HEART FAILURE

... Heart failure (HF) is the end stage of most diseases of the heart. The prevalence of HF varies between 3 – 20 per 1000 population, although in persons over the age of 65 years, it could be as high as 100 per 1000 population1. The prognosis for HF is poor, far worse than some of the common cancers2. ...
Intracardiac Fistulae: A Rare Complication of Infective
Intracardiac Fistulae: A Rare Complication of Infective

... A definitive diagnosis from imaging is therefore necessary. TEE is a superior method of investigation for detecting endocarditis vegetations. The literature generally reports sensitivity values ranging from 85% to 100% [Shapiro 1994; Reynolds 2003; Lester 2007]; however, the specificity of TEE evaluat ...
Heart Failure in the Setting of Ischemic Heart Disease
Heart Failure in the Setting of Ischemic Heart Disease

... Pharmacologic Therapy: Substitutes for ACEI It is recommended that other therapy be substituted for ACE inhibitors in the following circumstances:  In patients who cannot tolerate ACE inhibitors due to cough, ARBs are recommended. Strength of Evidence = A  The combination of hydralazine and an ora ...
The Heart Part Two
The Heart Part Two

... (c) Second-degree heart block. (d) Ventricular fibrillation. These chaotic, grossly irregular ECG Some P waves are not conducted deflections are seen in acute through the AV node; hence more heart attack and electrical shock. P than QRS waves are seen. In this tracing, the ratio of P waves to QRS wa ...
Ventricular Tachycardias - e
Ventricular Tachycardias - e

... Some patients with ventricular tachycardia have no symptoms, while others experience palpitations, syncope, and sudden death. Symptoms depend on how well the tachycardia is perfusing the vital organs, including the brain. ...
Left Ventricular Mechanical Support with the Impella during
Left Ventricular Mechanical Support with the Impella during

... directly unloading the left heart, which causes an elevated left ventricular (LV) pressure. The aim of the present study was to investigate the adjunctive application of the Impella device for LV unloading in patients during ECMO. Methods: This retrospective cohort study included patients who receiv ...
About the heart - Cardiomyopathy UK
About the heart - Cardiomyopathy UK

... • Visceral (or smooth) muscle is found in areas of the body that are hollow - such as your digestive tract, respiratory system and blood vessels. It is automatically controlled (works without having to think about it). An example of visceral muscle at work is your intestines moving your food through ...
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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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