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High-Output Heart Failure Due to an iliac Arterio
High-Output Heart Failure Due to an iliac Arterio

... and the duration of the shunt and include increased pulse pressure, blood volume and cardiac output. These changes, if left untreated, can result in high out put heart failure. Large AVF usually results in progressive heart failure.8 Alternatively, heart failure may never occur or be delayed for yea ...
Transcatheter Aortic Valve Replacement
Transcatheter Aortic Valve Replacement

... Property of EmblemHealth. All rights reserved. The treating physician or primary care provider must submit to EmblemHealth the clinical evidence that the patient meets the criteria for the treatment or surgical procedure. Without this documentation and information, EmblemHealth will not be able to p ...
Lesson Plan: Circulatory and Lymphatic System Pathology
Lesson Plan: Circulatory and Lymphatic System Pathology

... Circulatory System Pathology Heart failure Progressive loss of cardiac function resulting in the heart not being able to keep up with the needs of the body. Risks   Most heart failure clients have a history of cardiovascular problems that contribute to their problems.   Any massage that requires ...
Inflammation: A Common Denominator of Disease
Inflammation: A Common Denominator of Disease

... cakes, soft drinks, candy, etc. In addition, sugar and white flour cause inflammation and disease by forming AGEs. AGEs are produced when a protein reacts with sugar, resulting in damaged, cross-linked proteins. As the body tries to protect you by breaking these AGEs apart, immune cells secrete larg ...
Common Respiratory Tract Infections
Common Respiratory Tract Infections

... Legionella spp. Mycoplasma spp. C. pneumoniae ...
LionHeart LVAS - Penn State Hershey Medical Center
LionHeart LVAS - Penn State Hershey Medical Center

... Purpose…. to determine the safety and performance of the LionHeart LVAS to serve as a permanent method of circulatory support for patients with endstage heart failure who are ineligible for heart transplantation ...
Review Article Myocardial energetics and the role of micronutrients
Review Article Myocardial energetics and the role of micronutrients

... oxygen consumption for every beat of the heart. Beta-blockers are generally considered to be energy sparing in myocardial energetics, however with certain limitations. The study of Hawkins and colleagues [27] showed that metoprolol has a beneficial effect on cardiac efficiency of subjects on mild ex ...
How to best to counteract the enemies? By blocking neurohormonal activation
How to best to counteract the enemies? By blocking neurohormonal activation

... occurs in many different contexts, including ischaemia/ reperfusion, hypertrophy and regression of hypertrophy, cardiomyopathy, xenograft rejection and heart failure[5–7]. ...
Heart Failure With Improved Ejection Fraction: Clinical
Heart Failure With Improved Ejection Fraction: Clinical

... Background—Heart failure with recovered or improved ejection fraction (HFiEF) has been proposed as a new category of HF. Whether HFiEF is clinically distinct from HF with persistently reduced ejection fraction remains to be validated. Methods and Results—Of the 5010 subjects enrolled in the Valsarta ...
Features of Carcinoid Heart Disease Identified by 2
Features of Carcinoid Heart Disease Identified by 2

... The purpose of this study is to describe the echocardiographic features of carcinoid heart disease identifying features of both early and advanced disease and to ascertain the value of advanced echocardiographic techniques and other imaging modalities. ...
French Aedes albopictus are able to transmit yellow fever virus
French Aedes albopictus are able to transmit yellow fever virus

... stimulate YFV vaccine production and accelerate vaccination campaigns, and human cases continue to be recorded annually. Moreover, during the past 20 years, at least one annual YF outbreak has been reported in Africa, mainly in West Africa (East and Central African countries are usually less affecte ...
V1_Antibiotics
V1_Antibiotics

... Antibiotics are strong medicines used to treat infections, including life-threatening contagious diseases. But antibiotics can cause more harm than good when they aren't used the right way. You can protect yourself and your family by knowing when you should use antibiotics and when you should not. A ...
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Whooping Cough (Pertussis) Information Leaflet for Patients What is

... Whooping Cough is most contagious 2 to 4 days before the cough starts so the most effective prevention is through immunization. Vaccine is given to babies at 2, 4, 6 months of age and later at 45 year preschool children. A booster dose is recommended at 11-14 years. Doctor may prescribe antibiotics ...
HIV and autoimmunity
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... The association of immune dysfunction in patients with human immunodeficiency virus (HIV) infection and AIDS and the development of autoimmune diseases is intriguing. Yet, the spectrum of reported autoimmune phenomena in these patients is increasing. An infectious trigger for immune activation is on ...
Aortic Valve Pathology and Treatment
Aortic Valve Pathology and Treatment

... Symptoms begin: 60-80 yrs. of age ...
CARCINOID HEART DISEASE Atrial Myxoma
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...  Carcinoid heart disease is rare form of heart disease characterized by plaque like deposits of fibrous tissue frequently affecting right side heart valves and endocardium  Most commonly tricuspid regurgitation occurs ...
Assessment of heart murmurs in childhood
Assessment of heart murmurs in childhood

... (excluding premature infants). The most common are acyanotic heart diseases and, therefore, those that are less symptomatic and present a more difficult diagnosis, unless they are associated with other cardiovascular malformations, which are frequent in cases of ventricular septal defect, atrial sep ...
A New Twist on Mitral Regurgitation
A New Twist on Mitral Regurgitation

... extending from the PA to the Ao. (F) Schematic representation of normal relative fiber orientations of the epicardial and endocardial fibers (þ60 and 60 ). (G) In heart failure, with LV dilation, the angle between fiber angles in the 2 layers is reduced, which contributes to LV dysfunction reflected ...
Pregnancy and heart disease - International Journal of
Pregnancy and heart disease - International Journal of

... and symptomatic worsening and prophylactic antibiotic treatment to prevent streptococcal infection and recurrence.1,2 Hemodynamic monitoring is strongly recommended from the onset of labor to approximately 24 hours postpartum in any patient who experiences symptoms of heart failure during pregnancy ...
Conducting tissue of the heart in kwashiorkor
Conducting tissue of the heart in kwashiorkor

... conducting tissue in these cases of kwashiorkor is the wasting and disintegration of conducting fibres. The term myocytolysis is used to describe the latter process which is similar to the change of myolysis described by Chauhan, Nayak, and Ramalingaswami (I965) in protein deficient rhesus monkeys. ...
Conducting tissue of the heart in kwashiorkor - Heart
Conducting tissue of the heart in kwashiorkor - Heart

... conducting tissue in these cases of kwashiorkor is the wasting and disintegration of conducting fibres. The term myocytolysis is used to describe the latter process which is similar to the change of myolysis described by Chauhan, Nayak, and Ramalingaswami (I965) in protein deficient rhesus monkeys. ...
Congenital Heart Disease
Congenital Heart Disease

... • Adults with CHD should have disability assessment made in specialized centers for adults with congenital heart disease. • Bethesda 32 already recommends that significant testing, e.g. catheterization, MRI, be done in such centers • Possible cost benefit to such recommendation – Finding individuals ...
July 2015: Ticks and Tick Bites
July 2015: Ticks and Tick Bites

... If part of the tick’s head remains embedded in the skin, do not try to remove it. Your body will eventually expel it. It is helpful to identify the type of tick especially if it is an engorged deer tick since they can transmit Lyme disease. The other ticks and conditions mentioned below are less com ...
Ampignious Choroiditis – Dr. Henry Kaplan
Ampignious Choroiditis – Dr. Henry Kaplan

... – Prolong relapsing course: 6 months to 5 years – Different complications • Present: Subretinal fibrosis and ERM • Absent: optic disc swelling, CNV, SRF ...
Appendix 1 - BioMed Central
Appendix 1 - BioMed Central

... ICD-9 codes used for selection of sepsis and bacteraemia cases To select our cases of sepsis and bacteraemia we used the ICD-9 classification. We selected admissions with the following discharge codes and subcodes: ...
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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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