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The pathophysiology of acute heart failure—Is it
The pathophysiology of acute heart failure—Is it

... troponin increase was a strong predictor of adverse outcome. 26 More data exist on the occurrence of AHF during admission for ACS. Khot et al 27 reported on the incidence and outcome of clinical HF (by Killip class) in a large cohort of patients (n N 20 000) with non–STelevation ACS enrolled in the ...
as a PDF
as a PDF

... Background and Purpose—Left ventricular hypertrophy (LVH) is a risk factor for cardiovascular events, but its effect on ischemic stroke risk is established mainly in whites. The effect of LV geometry on stroke risk has not been defined. The aim of the present study was to evaluate whether LVH and LV ...
Management of Chronic Heart Failure
Management of Chronic Heart Failure

... may delay disease progression and improve survival. After the initial diagnosis and implementation of standard medical therapy, outpatient management of heart failure focuses on stabilising the patient. Patient education, which includes promotion of compliance and smoking cessation among others, may ...
Evaluation of Palpitations: Etiology and Diagnostic
Evaluation of Palpitations: Etiology and Diagnostic

... risk factors for ischemic heart disease. Exercise stress testing may be particularly useful for certain patients deemed to be at high risk for ischemic heart disease by global risk assessment.17 ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... Of total 155 patients, Complete Heart Block (CHB) was found to be the commonest indication (in 94 cases, 60.6%) for permanent pacemaker implantation followed by Sick Sinus Syndrome (SSS) in 20 cases (12.9%). In the USA, sinus-node dysfunction is the primary indication for pacemaker implantation in o ...
Biventricular heart failure secondary to calcified
Biventricular heart failure secondary to calcified

... layed hypersensitivity response, stimulating the releasing of cytokines by lymphocytes, which activate macrophages and lead to granuloma formation. This hypersensitivity reaction is orchestrated by TH-1 lymphocytes. The histological pattern seems to be affected by the immune status of the patient, w ...
Cardiac Resynchronisation Therapy: The Optimal QRS Duration
Cardiac Resynchronisation Therapy: The Optimal QRS Duration

... pacing by atrial-synchronised pacing of the right ventricle and left ventricle via the coronary sinus to the basal or midventricular left ventricle region accomplishes reverse remodelling of the left ventricle, and this mode of therapy is now recommended by both European and US guidelines. Still, ho ...
Temporary right ventricular support following left ventricle assist
Temporary right ventricular support following left ventricle assist

... Aetiology of heart failure was ischaemic in 12 (67%) and dilated cardiomyopathy in 6 (33%) patients. The preimplant RV risk score averaged 5.1 ± 0.59. Ten patients were treated using a femorofemoral venoarterial extracorporeal life support (ECLS) and 8 patients were treated using extracorporeal memb ...
Hemodynamics after Surgical Repair with Right Ventricle to
Hemodynamics after Surgical Repair with Right Ventricle to

... All conduits were inserted using the same surgical technique. A portion of the right ventricular free wall was excised and the bevelled end of the proximal end of the conduit was anastomosed to the right ventricle. The distal end of the conduit was also bevelled and anastomosed in an end-to-side man ...
Comparison of Hemodynamic Effects of Inhaled Milrinone and Inhaled Prostacyclin
Comparison of Hemodynamic Effects of Inhaled Milrinone and Inhaled Prostacyclin

... in this prospective, randomized non-blind study. The patients were randomly allocated to one of 2 groups, GroupI: Received inhaled milrinone which was administered through endotracheal tube by inhalation preceding the initiation of CPB.5milligrams (1mg/ml) was administered, resulting in a dose rangi ...
Incidence, predictors and prognostic implications of
Incidence, predictors and prognostic implications of

... fibrinolytic drugs for treatment of patients with acute coronary syndromes (ACS), coupled with the use of invasive procedures, has considerably reduced rates of recurrent ischemic events and death. However, the uses of multiple antiplatelet agents and anticoagulants have increased the risk of bleedi ...
Noncardiothoracic nonobstetric surgery in mild-to-moderate pulmonary hypertension
Noncardiothoracic nonobstetric surgery in mild-to-moderate pulmonary hypertension

... [4]. Survival remains poor, with a 15% mortality rate at 1 yr despite modern treatment [5]; however, increasingly, more types of therapy are available. Although PAH remains a rare disease, the most recent prevalence is increased, ...
National Medical Policy
National Medical Policy

... cardioembolic source, such as a patent foramen ovale or AF. When potential cardiovascular etiologies have been ruled out during an initial workup consisting of various imaging studies and ECGs, then it's considered to be a ‘Cryptogenic’ stroke. Studies on Implantable Cardiac Monitors with Suspected ...
Adult Cardiology Advanced Training Curriculum
Adult Cardiology Advanced Training Curriculum

... society resulting from lost productivity, health care costs and costs of care for people disabled by cardiovascular disease consumes up to twenty five per cent of the health budget. ...
Change in end-tidal carbon dioxide outperforms other surrogates for
Change in end-tidal carbon dioxide outperforms other surrogates for

... [0.65–0.96], respectively)27 28 indicated the need for a larger study. Furthermore, the former study suffers from the use of a CO determination method (bioreactance) of questioned reliability.9 Our findings are in line with the results of the latter study, undertaken in the specific setting of the o ...
Prognostic Role of Pericardial Fluid Cytology in Cardiac Tamponade
Prognostic Role of Pericardial Fluid Cytology in Cardiac Tamponade

... radiotherapy ⬎ 3,000 rad 1 to 61 months before the occurrence of tamponade. The survival time was calculated from the first day of pericardial fluid drained for relieving tamponade symptoms to the date of death. The relationship between survival and treatment strategies was also analyzed. Because th ...
Dobutamine stress echocardiography: A sensitive indicator of
Dobutamine stress echocardiography: A sensitive indicator of

... Ascending aortic flow was measured and computed by the method of Locher et al. (30) with an average of 9943 cycles reported. Angular correction was not used because alignment with flow in all planes was possible. Statistical analysts . Data for the study group were compared with those for the contro ...
Long-Term Outcome of Alcohol Septal Ablation in Patients With
Long-Term Outcome of Alcohol Septal Ablation in Patients With

... points were noncardiac death and other nonfatal complications. Outcomes of ASA patients were compared with 40 patients with hypertrophic cardiomyopathy who underwent septal myectomy. During 5.4⫾2.5 years, primary and/or secondary end points were seen in 35 (38%) ASA patients of whom 19 (21%) patient ...
15604-54726-1
15604-54726-1

... a lack of anatomical support of the aortic valve [6,7]. Open-heart surgery has been advocated as the gold treatment of sub-arterial VSD. The introduction of echocardiography has made it possible to diagnose the location and presence of VSD and aortic valve deformity noninvasively [8]. RCSA is often ...
Factors influencing graft potency in patients who underwent CABG
Factors influencing graft potency in patients who underwent CABG

... 17). Angina pectoris is soft event which appears in the first two years after the operation in about 3-4% of patients, and its appearance threw the following years progressively rises. It is a result of progression of the disease, more often is present in patients with uncontrolled risk factors, esp ...
Association of different electrocardiographic patterns
Association of different electrocardiographic patterns

... This situation leads to left ventricle filling reduction and, consequently, to hypotension and higher SI 11. The presence of S-wave in the aVL lead is associated with the right ventricle diastolic diameter and right ventricle systolic pressure. We found the mentioned pattern in 62 (47.7%) of the pat ...
Post-exercise heart rate recovery: an index of cardiovascular fitness
Post-exercise heart rate recovery: an index of cardiovascular fitness

... Endurance capacity is an individual’s ability to perform exercise at both submaximal and maximal intensities as demonstrated either by the ability to exercise longer at a similar workload or by increasing the workload attained at a given heart rate (1). Increased endurance capacity has been shown to ...
Acute heart failure
Acute heart failure

... mortality rates and higher post-discharge mortality and re-admission rates. The best treatment for this combination of problems is unknown. However, theoretical and experimental evidence indicates that low-dose dopamine may improve renal blood flow, as well as enhance sodium and water excretion. Cli ...
Recurrence of Left Ventricular Dysfunction in Patients With Restored
Recurrence of Left Ventricular Dysfunction in Patients With Restored

... In the present study, patients with recurrent HF had a larger LVEDD than those without recurrent HF at initial presentation. At initial presentation, larger LV size might intensify the disruption of myocardial ultrastructure. Although it was not confirmed by myocardial biopsy, the initial myocardial ...
Atherosclerotic Heart Disease, Conduction Disturbances, and
Atherosclerotic Heart Disease, Conduction Disturbances, and

... Olmstead county; first episode AF < age 60 with no heart disease or hypertension. Followed up 25.2 + 9.5 years Of 3,623 with AF 76 had lone atrial fibrillation (34 paroxysmal, 37 persistent, and 5 permanent) with mean age of 44 Of 71 without permanent AF 22 progressed to permanent AF, most often old ...
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