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Summer 2015, Volume XXV, No. 2
Summer 2015, Volume XXV, No. 2

... challenges on a regular basis: •D  etermining whether the heart of an asymptomatic athlete is healthy enough to withstand the stresses of a sport •D  iagnosing the underlying cause of symptoms in an athlete with heart disease In both cases, the athlete’s future — and sometimes life — depends on th ...
Cases for Heart Failure Pathophysiology Seminar
Cases for Heart Failure Pathophysiology Seminar

... She has a history of diabetes mellitus and a known heart murmur for years. She has had a progressive decline in her functional capacity, such that she has difficulty with her ADLs (activity of daily living). She underwent an echocardiogram which revealed the following: Echcocardiogram: Normal left v ...
Early Diagnosis, Prompt Treatment - ScholarlyCommons
Early Diagnosis, Prompt Treatment - ScholarlyCommons

... In dogs with MVD or DCM, physical examination typically reveals a systolic heart murmur over the left apex. Heart rate is usually elevated and arrhythmias may be detected. Auscultation of the lung fields reveals increased bronchovesicular sounds or in some cases crackles. Pulmonary crackles are not ...
Irregular Heart Beats/Palpitations
Irregular Heart Beats/Palpitations

... BrS Typically Presents in Men 30-40 Years of Age ...
Sudden cardiac death in the young: causes and prevention
Sudden cardiac death in the young: causes and prevention

... length of their QTc interval, with longer QTc values indicating higher risk. ...
Tachycardia-induced cardiomyopathy in a cat
Tachycardia-induced cardiomyopathy in a cat

... The cat was re-evaluated 12 months after the initial exam and had continued to do well with similar telemetric electrocardiographic and echocardiographic findings compared to previous studies with fast runs of narrow complex tachycardia and frequent single VPCs still present. As the cat was not clin ...
Human Anatomy, First Edition McKinley&O'Loughlin
Human Anatomy, First Edition McKinley&O'Loughlin

... An important anastomosis of arteries around the sella turcica. Formed from posterior cerebral arteries and posterior communicating arteries (branches of the posterior cerebral arteries), internal carotid arteries, anterior cerebral arteries, and anterior communicating arteries (which connect the two ...
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Transmyocardial Laser Revascularization

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Training of Physiology Lesson5-1
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... • Glucagon, also released from the pancreas, stimulates an almost immediate release of glucose from the liver.  Facilitates an increase in blood glucose levels in response to low levels (negative feedback loop)  This reaction takes effect as exercise progresses and glycogen stores deplete. ...
Low risk - The Cardiology Report
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... two of the following risk factors: heart failure or moderate/severe left ventricular dysfunction (ejection fraction < 40%), diabetes mellitus, hypertension, age 65–74 years, female gender, vascular disease ...
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... abnormal lipid levels is a significant risk factor. Having a total cholesterol level of less than 200 is desirable, but elevated LDL levels are the primary target of therapy. Having an LDL level below 100 is optimal and the higher it rises the greater the risk. An HDL level of less than 40 is a risk ...
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... accident can change the outcome in some of the patients. Exact data about the onset of the anginal symptoms were not available for all our patients, especially if more than 12 h had passed since the beginning of the symptoms. Early admission of patients with chest pain to cardiac unit, rapid diagnos ...
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... at a given preload – Dependent upon ...
Valvular heart disease - pathophysiology and management
Valvular heart disease - pathophysiology and management

... durability. Mechanical valves are more durable than biological valves and may last 20–30 years, but patients with these valves require life-long anticoagulation. They are used in young patients, patients with a life expectancy of greater than 10–15 years and those already on warfarin. Biological val ...
Pulmonary Atresia with Ventricular Septal Defect and Major
Pulmonary Atresia with Ventricular Septal Defect and Major

... would not guarantee its durability, and it was also difficult to establish a systemic-to-pulmonary artery shunt due to the uncertainty of the exact extent of the ductal tissue. Stent implantation through the catheter intervention could resolve these issues. Although tight narrowing occurred in the u ...
Unit 14 - Home - Fremont RE
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... • pressures > 140 mm Hg (systolic) • pressures > 90 mm Hg (diastolic) Common Causes: • Stress • Anxiety • Obesity • High-salt intake • Aging • Kidney disease • Thyroid deficiency • Vascular conditions (arteriosclerosis) * If not treated, can lead to CVA, kidney disease, and/or heart disease ...
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... Capillary walls are extremely thin and 'porous'- 1 cell-layer thick. • Serve as area of exchange of materials between blood and tissues. Form capillary beds or networks that are very extensive. • No cell in the body is more than 3 cell distances from a capillary. • Total volume of capillaries is so ...
The changing face of respiratory physiology: 20 years
The changing face of respiratory physiology: 20 years

... ranges from one to two cases per 1,000 persons and is strongly age dependent, as the incidence rises to nearly 1% per year in those aged .75 yrs. A recent epidemiological study confirmed that venous thromboembolic disease is a major public-health burden with an estimated 370,000 related deaths in 20 ...
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...  Family history. A family history of heart disease increases your risk of coronary artery disease, especially if a ...
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Rhythms & Cardiac Emergencies

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Electrocardiographic changes and intracranial pathology

... Pharmacologic treatment Pharmacological therapy involves the use of sympathetic blocking agents. Alpha blockers may be employed to prevent peripheral and cerebral arterial spasm. Beta-adrenergic blockade can be used to prevent or treat ventricular tachyarrhythmias which are produced by excessive sym ...
VT IN ABSENCE OF STRUCTURAL HEART DISEASE BY DR
VT IN ABSENCE OF STRUCTURAL HEART DISEASE BY DR

... Documented ventricular fibrillation. Polymorphic ventricular tachycardia (VT). Family h/o sudden cardiac death at less than 45 years of age. Family h/o of type 1 Brugada pattern ECG changes. Inducible VT during electrophysiology study. Unexplained syncope. ...
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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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