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Acute Heart Failure
Acute Heart Failure

... health care expenditure in European countries,8,9 with around 75% relating to inpatient care. Advanced heart failure and related acute decompensation have become the single most costly medical syndrome in cardiology.10,11 Patients with AHF have a very poor prognosis. Mortality is particularly high i ...
1443 Final Protocol - Medical Services Advisory Committee
1443 Final Protocol - Medical Services Advisory Committee

... What is the implication of detecting atrial fibrillation in cryptogenic stroke? The implications of detecting AF in CS are significant because it alters the treatment strategy. In the absence of AF, the standard treatment for secondary prevention of stroke is antiplatelet therapy. When AF is presen ...
Learning About Mitral Regurgitation (MR)
Learning About Mitral Regurgitation (MR)

... Mitral valve repair or replacement typically involves open-heart surgery, and some patients cannot have surgery due to their risk of death and complications. ...
Nutrition Guideline Cardiovascular Care Heart Failure
Nutrition Guideline Cardiovascular Care Heart Failure

... cachexia should be seen by a dietitian for close monitoring and intensive nutritional support. Close monitoring of blood electrolytes and kidney function is recommended for patients on HF medications as they can lead to nutritional implications such as high and low serum potassium levels (hyperkalem ...
Clinical cardiac electrophysiology
Clinical cardiac electrophysiology

Prolonged temporary cardiac pacing using subcutaneous
Prolonged temporary cardiac pacing using subcutaneous

... Martin and colleagues have described the use of an activefixation permanent lead for temporary pacing,3 but there are no prior reports on the utility of this approach to achieve temporary pacing over extended periods. Subcutaneous tunnelling is widely used for haemodialysis or other long term vascul ...
Atrial Fibrillation-Related Stroke across the Asia
Atrial Fibrillation-Related Stroke across the Asia

Stress Echocardiography Boot Camp Review
Stress Echocardiography Boot Camp Review

... Helps to discern the endocardium during stress echocardiography Allows for visualization in patients who might otherwise not have adequate images Several studies have shown significant improvement in the assessment of left ventricular function and volumes with the use of contrast when compared to MR ...
2. Model of care for Chronic Cardiac Patients
2. Model of care for Chronic Cardiac Patients

... clinic. The nurse was available by telephone during office hours and was able to see patients at short notice. There was only one prescheduled visit by the nurse at eight months after discharge. Patients were encouraged to contact the study nurse if: their diuretic adjustments did not ameliorate sym ...
left main coronary artery disease in patients with atrial septal defects
left main coronary artery disease in patients with atrial septal defects

... in the genesis of angina, left ventricular dysfunction, arrhythmias and/or sudden death in patients with pulmonary arterial hypertension. The natural history of this disease and its proper treatment, however, remain unclear.7 Bijl et al reported a patient with extrinsic LMCA compression suffered a n ...
Acute Mitral Regurgitation: Another Great Masquerader?
Acute Mitral Regurgitation: Another Great Masquerader?

... no wall motion abnormalities, hyperdynamic LV with EF 80%, MV prolapse of the anterior leaflet without regurgitation, grade 2 diastolic dysfunction, normal RV size and function, and PASP of 40 mmHg.  A follow-up TEE showed severe MR directed eccentrically (which explained the lack of TTE findings) ...
Fontan Procedure Part 2 By Dr. Madhusudan Raikar
Fontan Procedure Part 2 By Dr. Madhusudan Raikar

...  Lab – CBC, LFTs, PT/INR  ECG  ECHO with color and tissue doppler  ETT  Holter monitoring  Cardiac MRI – best modality  Cardiac catheterization ...
2 Cirie` (Turin), Italy 1National Institute of Cardiology
2 Cirie` (Turin), Italy 1National Institute of Cardiology

... implanted in 12 pts, of whom showed correct VT recurrence in 9/12 after implant. Arrhythmia freedom and survival did not differ between selective and aselective resection. The 5 year cumulative freedom of VT, sudden arrhythmic death and adequate ICD discharge was 55%. Conclusions: Surgical resection ...
Transmitral Flow Changes during DipyridamoleInduced lschemia*
Transmitral Flow Changes during DipyridamoleInduced lschemia*

... in man by Doppler technique, is an index of left ventricular (LV) diastolic function in resting conditions.4#{176}Alterations are associated with ation ...
Disappearance of myocardial bridging of the left anterior
Disappearance of myocardial bridging of the left anterior

... 3, Video 2a, b*). Stent deployment following balloon angioplasty was done for RCA, and 100% patency of the RCA was achieved after percutaneous coronary intervention (Figure 4, Video 3a, b*). His chest pain was relieved. CA was performed three months later. The RCA was open, and there was no MB in th ...
to know more about my own HEART story - Heart
to know more about my own HEART story - Heart

... On 3/10/1994 I was discharged from Santokba Hospital. Dr. Ashok jain from Jaipur gave a note to Dr. Rajiv Karnik in Mumbai, I took appointment of Dr. Rajiv Karnik he gave me Imdur, Amlo, Ramiprll, Nikoran/K-lon, ex- and he admitted me on 15/12/1994 in Bombay Hospital and my Angiography was done the ...
Beneficial Neurohormonal Profile of Spironolactone in
Beneficial Neurohormonal Profile of Spironolactone in

... reduction in interstitial fibrosis and reorganization of the collagen matrix (15–17). Thus, the reduction of BNP and N-proANF levels could be related to an improvement of left ventricular diastolic properties and/or filling pressures. Spironolactone may prevent myocardial fibrosis by blocking the al ...
Electroanatomical Mapping Systems and Cardiac Arrhythmias
Electroanatomical Mapping Systems and Cardiac Arrhythmias

... the lung, followed by bone marrow and breast [17]. They concluded that the increased risk of malignancy after a single RFA procedure in children is low. Recently Tomà et al. pointed up that proper balance between risks and benefits is crucial for an optimal outcome and that radiation exposure during ...
CBT for PFO - 25% ME Group
CBT for PFO - 25% ME Group

... somehow imagined: “That debate raged for 20 years, and now it’s over”. As reported on 3rd November 2006 by United Press International, there are over 3,000 research papers that have established (ME)CFS as a valid physiological illness, with evidence of inflammation, reduced blood flow and impaired c ...
Comorbidities and Physical and Cognitive Impairments in Elderly
Comorbidities and Physical and Cognitive Impairments in Elderly

... The comorbidities frequently seen in elderly patients with HF contribute greatly to their poor outcomes including rates of hospitalizations, rehospitalizations, and mortality. Braunstein et al. reported that risk of hospitalization, potentially preventable hospitalization, and death strongly increa ...
Heart Failure and Transplantation
Heart Failure and Transplantation

... Chakko S, Woska D, Martinez H, et al. Clinical, radiographic, and hemodynamic correlations in chronic congestive heart failure: conflicting results may lead to inappropriate care. Am J Med. 1991;90:353-9. Pagley PR, Beller GA, Watson DD, et al. Improved outcome after coronary bypass surgery in patie ...
Advanced
Advanced

... ability to interpret hemodynamic and angiographic data and to use these data to select cases for surgical and catheterization-based therapeutic procedures. Trainees must also have a basic understanding of and formal training in radiation physics, radiation safety, fluoroscopy and radiologic anatomy, ...
Shot Through the Heart and I`m OK : Procainamide Cardioversion of
Shot Through the Heart and I`m OK : Procainamide Cardioversion of

... All patients were managed by ED physicians using the Ottawa Aggressive Protocol (see Figure 6) • Rate control was often omitted per protocol unless highly symptomatic • Pharmacological cardioversion with procainamide infusion 1g IV over 60 minutes ◦◦ Not used if patient is unstable or previous vis ...
Implications of Coronary Artery Disease in Heart Failure With
Implications of Coronary Artery Disease in Heart Failure With

... Approximately one-half of all patients with heart failure (HF) have heart failure with preserved ejection fraction (HFpEF) (1). In contrast to heart failure with reduced ejection fraction (HFrEF), there is no proven effective treatment for HFpEF (2). Accordingly, current studies and guidelines endor ...
Comparative Definitions for Moderate
Comparative Definitions for Moderate

... for stress nuclear imaging and echo-cardiography as effective tools for diagnosis of coronary artery disease (CAD) and risk stratification is extensive, and there is growing evidence supporting the role of stress cardiac magnetic resonance (CMR). However, the optimal evaluation and treatment algorit ...
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