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Anticoagulation Therapy for Prosthetic Valves
Anticoagulation Therapy for Prosthetic Valves

... Patients on warfarin sodium have to monitor their anticoagulant status by periodically estimating the prothrombin time and the INR. As discussed earlier various types of valves and their positions in the heart require different levels of anticoagulation and accordingly have to be maintained on corre ...
Treatment of Congestive Heart failure
Treatment of Congestive Heart failure

... The skin contains a cholesterol derivative, 7-dehydrocholesterol (provitamin D), which is converted to vitamin D when exposed to sunlight. Vitamin D is converted in the liver to 25hydroxyvitamin D [25(OH)D] which in turn is converted, mostly in the kidneys, to the active hormone 1,25(OH)2D or calcit ...
antibiotic use in animals - North American Meat Institute
antibiotic use in animals - North American Meat Institute

... The Center for Disease Control and Prevention (CDC) 2013 report Antibiotic Resistant Threats in the United States 2013 said that the number one contributing factor to the development of antimicrobial resistance is overuse in humans, though CDC emphasized the need for good antibiotic stewardship amon ...
Antibiotics in Livestock and Poultry Production
Antibiotics in Livestock and Poultry Production

... production – but never in meat production. Antibiotics are sometimes used to ensure livestock and poultry health. Media stories sometimes say “Antibiotics in meat” or “antibiotics in meat production.” Antibiotics are not used to produce meat. They are used, at times, to ensure the livestock and poul ...
Trisomy 18 Facts
Trisomy 18 Facts

... some role in this but are usually not the only cause of this increased mortality. Important and common birth defects seen in Trisomy 18:  Congenital heart defects 90% ...
Ideal Management of Acute Heart Failure Syndromes in
Ideal Management of Acute Heart Failure Syndromes in

... of heart failure than any historical factors, physical findings, or laboratory values.1,2 In fact, BNP was more accurate than emergency physician estimates of the likelihood of heart failure. The BNP levels were much higher in patients who were subsequently diagnosed with heart failure than in those ...
Antibiotic Prophylaxis Clinical Practice Guideline
Antibiotic Prophylaxis Clinical Practice Guideline

... Although there are few reported cases of endocarditis after gastrointestinal procedures, it is appropriate  to assess which patients are at increased risk and to determine whether certain bacteremias are more  dangerous than others. Just how endocarditis develops from transient bacteremia is not und ...
Print - Circulation Research
Print - Circulation Research

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Heartworm: The Parasite - Richardson Humane Society
Heartworm: The Parasite - Richardson Humane Society

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Transplantation Immunology
Transplantation Immunology

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2013 HF Guidelines: Focus on Rehabilitation, Exercise and Surgical
2013 HF Guidelines: Focus on Rehabilitation, Exercise and Surgical

... We recommend that performance of coronary Strong Recommendation revascularization procedures in patients with Low Quality Evidence chronic heart failure and reduced left ventricular ejection fraction be undertaken with a medicalsurgical team approach with experience and expertise in high risk interv ...
Phospho-specific antibodies Cat. No. A060
Phospho-specific antibodies Cat. No. A060

... Phospho-specific antibodies Cat. No. A060  Package  Preimmune serum  Aliquot of the raw serum as backup  Affinity purified anti-phospho antibodies (non-phosphopeptide depleted)  Phosphopeptide  Non-phosphopeptide ...
Cardiac Development
Cardiac Development

... The primary heart field, secondary heart field, cardiac neural crest, and proepicardium are the four major embryonic regions involved in the process of vertebrate heart development (Fig. 1). They each make an important contribution to overall cardiac development, which occurs with complex developmen ...
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Temporal Trends in Hospitalisations for Heart Failure
Temporal Trends in Hospitalisations for Heart Failure

... data from the Irish HeartWatch Programme which reported an absolute increase in prescribing ACE inhibitors of 7%, 4% in beta-blockers and 11% in statin therapy over the first two years of the programme. In addition it has been reported that 8% of the reduction in CHD mortality between 1985 and 2006 ...
Internet use in an adolescent rheumatology population
Internet use in an adolescent rheumatology population

... • Addressing the psychosocial aspects of disease and providing adequate patient education are integral parts of chronic disease management, especially in rheumatic illnesses, and improving areas like patient self-efficacy and coping skills have direct effects on disease management. • Studies in adul ...
Autonomic Abnormality in Chronic Heart Failure
Autonomic Abnormality in Chronic Heart Failure

... The therapeutic approaches to this syndrome, have been also' evaluated in relation to their capability to partially reverse the autonomic abnormalities, assessed by HRV. Flapan 1211 investigating the effect of with angiotensinconverting enzyme inhibitors (captopril) therapy, reported an increase in ...
Images in Paediatric Cardiology
Images in Paediatric Cardiology

... pacemaker implantation, and it should be recognized that this may be either a sudden presentation or simply limited exercise capability. In addition, the presence of significant structural congenital heart disease is felt to be an indication to pace a patient with congenital heart block. Significant ...
Respiratory System
Respiratory System

... Which of the following disorders is characterized by distended alveoli that have lost their elasticity? Emphysema ...
ventricular_tachycardia - Milliken Animal Clinic
ventricular_tachycardia - Milliken Animal Clinic

... recordings transmitted to a centralized monitor using radio waves) can be used—not as useful as Holter monitoring because abnormal beats that begin in the ventricle and causes the heart muscle to contract too quickly (ventricular premature contractions) and intermittent rapid ventricular heart rate ...
Respiratory System PPT
Respiratory System PPT

... Which of the following disorders is characterized by distended alveoli that have lost their elasticity? Emphysema ...
ventricular_tachycardia
ventricular_tachycardia

... recordings transmitted to a centralized monitor using radio waves) can be used—not as useful as Holter monitoring because abnormal beats that begin in the ventricle and causes the heart muscle to contract too quickly (ventricular premature contractions) and intermittent rapid ventricular heart rate ...
Sudden unexpected death in heart failure may be preceded by short
Sudden unexpected death in heart failure may be preceded by short

... why a link between heart rate variability and SUD was more detectable in the present longitudinal study with frequent heart rate variability monitoring than in UK-HEART. A key question is whether intraindividual increases in ‘‘inflammation’’ and intraindividual worsening in heart rate variability ma ...
presentation, diagnosis, and management
presentation, diagnosis, and management

... There is some evidence that the use of leucocyte interferonalpha controls the secretion of tumour products. It stimulates T lymphocytes and can produce a notable reduction in tumour size with evidence of survival benefit. Interferonalpha can be used in conjunction with somatostatin antagonists. Unfo ...
Lessons from the management of chronic heart failure - Heart
Lessons from the management of chronic heart failure - Heart

... nurse intervention was fairly intensive, and involved education of the patient about their disease and its treatment, including training in how to adjust diuretic dosages, home visiting, telephone contact, extensive monitoring of the patient with blood tests, and up-titration of medication by the nu ...
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Rheumatic fever



Rheumatic fever, also known as acute rheumatic fever (ARF), is an inflammatory disease that can involve the heart, joints, skin, and brain. The disease typically develops two to four weeks after a throat infection. Signs and symptoms include fever, multiple painful joints, involuntary muscle movements, and a characteristic but uncommon non itchy rash known as erythema marginatum. The heart is involved in about half of cases. Permanent damage to the heart valves, known as rheumatic heart disease (RHD), usually only occurs after multiple attacks but may occasionally occur after a single case of ARF. The damaged valves may result in heart failure. The abnormal valves also increase the risk of the person developing atrial fibrillation and infection of the valves.Acute rheumatic fever may occur following an infection of the throat by the bacteria Streptococcus pyogenes. If it is untreated ARF occurs in up to three percent of people. The underlying mechanism is believed to involve the production of antibodies against a person's own tissues. Some people due to their genetics are more likely to get the disease when exposed to the bacteria than others. Other risk factors include malnutrition and poverty. Diagnosis of ARF is often based on the presence of signs and symptoms in combination with evidence of a recent streptococcal infection.Treating people who have strep throat with antibiotics, such as penicillin, decreases their risk of getting ARF. This often involves testing people with sore throats for the infection, which may not be available in the developing world. Other preventative measures include improved sanitation. In those with ARF and RHD prolonged periods of antibiotics are sometimes recommended. Gradual return to normal activities may occur following an attack. Once RHD develops, treatment is more difficult. Occasionally valve replacement surgery or repair is required. Otherwise complications are treated as per normal.Acute rheumatic fever occurs in about 325,000 children each year and about 18 million people currently have rheumatic heart disease. Those who get ARF are most often between the ages of 5 and 14, with 20% of first-time attacks occurring in adults. The disease is most common in the developing world and among indigenous peoples in the developed world. In 2013 it resulted in 275,000 deaths down from 374,000 deaths in 1990. Most deaths occur in the developing world where as many as 12.5% of people affected may die each year. Descriptions of the condition are believed to date back to at least the 5th century BCE in the writings of Hippocrates. The disease is so named because its symptoms are similar to those of some rheumatic disorders.
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