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Management of cardiovascular system
Management of cardiovascular system

... • Left anterior descending artery: anterior wall of left ventricle and part of interventricularseptum ...
1 : A 60-year-old male patient on aspirin, nitrates, and a beta blocker
1 : A 60-year-old male patient on aspirin, nitrates, and a beta blocker

... returns to your office very concerned about low-grade fever and pleuritic chest pain. There is no associated shortness of breath. Lungs are clear to auscultation and heart exam is free of significant murmurs, gallops, or rubs. ECG is unchanged from the last one in the hospital. The most effective th ...
Heart failure
Heart failure

... able to stimulate collateral blood flow from other major epicardial vessels → protection against MI even in the setting of a complete vascular ...
The coronarography HISTORICAL REVIEW Abuelenin Ahmed Kotb
The coronarography HISTORICAL REVIEW Abuelenin Ahmed Kotb

... presence of cardiac disease that cannot be evaluated adequately by noninvasive techniques. Because the risk of a major complication from cardiac catheterization is less than 1% with mortality of less than 0.08%, many doctors can perform the catheterization safely now. We must talk about X-rays, at f ...
Recurrent MI
Recurrent MI

... Homocysteine- An amino acid found to be elevated in MI pts. Both of these are used as detectors of MI to find who is a high risk pts. Used for primary prevention. ...
Inside the Operating Room: Exploring Top Causes of Death in the
Inside the Operating Room: Exploring Top Causes of Death in the

... Symptomatic patients with blockages of 70% or more benefit greatly  Less than 50% narrowing of the carotid do not seem to benefit from surgery  CEA works better than treatment with medicine alone in preventing stroke ...
“Good Cholesterol”: High Density Lipoproteins
“Good Cholesterol”: High Density Lipoproteins

... nutrients is consumed – fats and refined carbohydrates Consumption of excess fats and refined carbs causes individuals to become overweight. ...
Sudden Cardiac Death
Sudden Cardiac Death

... Sudden cardiac arrest occurs when the electrical system to the heart malfunctions and suddenly becomes very irregular. The heart beats dangerously fast. The ventricles may flutter or quiver (ventricular fibrillation), and blood is not delivered to the body. In the first few minutes, the greatest con ...
Practice Guidelines and Principles: Guidelines and
Practice Guidelines and Principles: Guidelines and

... whereas, African-American females are 33% more likely to die from heart disease than white females. • The prevalence of several risk factors for coronary artery disease such as hypertension and diabetes are higher in certain ethnic groups. • Although there are many factors including but not limited ...
Left main coronary artery arising from right sinus of Valsalva: a rare
Left main coronary artery arising from right sinus of Valsalva: a rare

... course has been considered a benign anomaly [1–3]. We report a case where a patient with this anomaly presented with evidence of myocardial ischaemia which was partly attributable to coronary artery vasospasm. CASE REPORT A 50 year-old female patient was admitted to our outpatient clinic with a two ...
DRUGS USED FOR ANGINA PECTORIS
DRUGS USED FOR ANGINA PECTORIS

...  NOT HABIT FORMING  TEACH PATIENTS TO USE PROPHYLACTICALLY e.g. Before exerting  VIRTUALLY INEFFECTIVE IF SWALLOWED DUE TO EXTENSIVE FIRST PASS METABOLISM IN THE LIVER CONTINUOUS USE CAUSES PHARMACOLOGICAL TOLERANCE THERFORE ATTEMPT TO INCLUDE A ‘NITRATE-FREE’ PERIOD OF 6-8 HOURS A DAY ...
Ischemic Heart Disease
Ischemic Heart Disease

... • Cigarette smoking accelerates coronary atherosclerosis and increases the risk of thrombosis, plaque instability, myocardial infarction, and death . By increasing myocardial oxygen needs and reducing oxygen supply, it aggravates angina. • Hypertension is associated with an increased risk of adverse ...
Cardiac A&P
Cardiac A&P

... • Systole—ventricular contraction—corresponds to “lub” sound which is closure of AV valves. This is the S1 part of cycle. • Diastole—relaxation phase and atrial contraction-corresponds to “dub” sound which is closure of semilunar valves. This is the S2 part of cycle. • S3 is aortic valve closing jus ...
Cardiovascular II Part 2
Cardiovascular II Part 2

... • Characterized by ischemia of cardiac tissue • Area of infarction is determined by the coronary artery that is affected and by its distribution of blood flow – 40-50% of time – LAD • Influences CO, BP, and likelihood of survival or death – 30-40% of time – RCA • Will see blocks on the EKG due to SA ...
Non-Infectious Diseases
Non-Infectious Diseases

... Disrupts blood flow to brain  No oxygen to brain  Brain cells die  Caused by fatty deposits, blood clots, or burst arteries  Aneurysm ...
INTEGRATED PATHOPHYSIOLOGY BTECH TEST 1 MARCH 2007
INTEGRATED PATHOPHYSIOLOGY BTECH TEST 1 MARCH 2007

... 3.2 A 44-year-old woman dies as a consequence of a "stroke". At autopsy, she is found to have a large right basal ganglia hemorrhage. She has an enlarged 550 gm heart with predominantly left ventricular hypertrophy. Her kidneys are small, about 80 gm each, with cortical scarring, and microscopicall ...
Coronary CTA
Coronary CTA

... are not eligible for cardiac CTA. However, the majority of patients in the emergency departments do not have clear cut signs of acute coronary symptoms.2 Cardiac CT, commonly referred to as the ‘‘triple rule out scan’’ in this context, is in the process of being evaluated and ...
Noninvasive Diagnosis of Coronary Artery Disease
Noninvasive Diagnosis of Coronary Artery Disease

... extremities in 2004. The lifestyle of the patient did not include smoking or other known heath conditions, although poor diet and hyperlipidemia was a known factor. The initial tests for heart abnormalities included a chest x-ray, EKG, and labs. All were within normal limits. The patient started to ...
The normal ECG Cardiac cycle and cardiac sounds/ Pressure
The normal ECG Cardiac cycle and cardiac sounds/ Pressure

... b) Pathophysiology of chronic stable angina c) Pathophysiology of unstable angina/NSTEMI d) Pathophysiology of STEMI e) Pathophysiology of perioperative myocardial infarction References: a) Choose a standard medical textbook for basic pathophysiology. I advise: Harrison’s Principles of Internal Medi ...
Anomalous origin of the left anterior descending coronary artery
Anomalous origin of the left anterior descending coronary artery

... (Type IV dual LAD) is a very rare coronary artery anomaly. In this report, we describe a 49 year old woman presenting with unstable angina and positive for myocardial ischemia exercise tolerance test who subsequently was found to have this coronary anomaly.The diagnosis was made with coronary angiog ...
Cardiovascular Review
Cardiovascular Review

... 18. Know which artery supplies blood where a. b. c. d. ...
Heart and circulation question loop
Heart and circulation question loop

... Tissue fluid ...
Contrast-Enhanced Computed Tomographic Angiography (CTA) for
Contrast-Enhanced Computed Tomographic Angiography (CTA) for

... (cardiac CTA and coronary magnetic resonance imaging [MRI]). Functional testing involves inducing ischemia by exercise or pharmacologic stress and detecting its consequences. However, not all patients are candidates. For example, obesity or obstructive lung disease can Page 1 of 10 ...
Heart
Heart

... Human Heart : Mammal : 4 Chambers Arteries : carry blood away from the heart Veins: carry blood to the heart ...
Document
Document

... The events required to produce a single heart-beat is referred to as the atrial diastole Perkinje fiber cardiac cycle defibrillator ...
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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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