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Elective PCI Without On-Site Cardiac Surgery: Standard of Care?
Elective PCI Without On-Site Cardiac Surgery: Standard of Care?

... expanded, and the safety and outcomes of the procedure have steadily improved. During the early days of balloon angioplasty, procedure mortality was 1% to 2.5%, and up to 5% of patients required urgent coronary artery bypass graft (CABG) surgery.1,2 In comparison, inlab mortality at high-volume cent ...
Acute Myocardial Infarction due to Coronary Artery Embolism
Acute Myocardial Infarction due to Coronary Artery Embolism

... of bioprosthetic heart valves (Class I, level of evidence C).32 The fact that our patient was not using an antiplatelet agent may have played a role in development of the AVR thrombus and subsequent coronary artery embolism. We report the case of a man presenting with a STEMI resulting from acute co ...
030501 Nitroprusside in Critically Ill Patients with Left Ventricular
030501 Nitroprusside in Critically Ill Patients with Left Ventricular

... dysfunction in the setting of severe aortic stenosis are associated with a high mortality rate. Although Ross and Braunwald noted a median survival of 1.5 to 2.0 years in patients with severe aortic stenosis and symptomatic congestive heart failure,1 more recent studies have indicated that patients ...
PHYSICAL ACTIVITY AND EXERCISE AS A BASIC PREVENTIVE
PHYSICAL ACTIVITY AND EXERCISE AS A BASIC PREVENTIVE

... A large meta-analysis demonstrated a positive association between regular physical activity of coronary patients and a 26% reduction of mortality (19). Several mechanisms potentially involved in the above finding were considered such as improved endothelial function, slowed progression of coronary l ...
Aortic stenosis and role of multi-detector row computed tomography
Aortic stenosis and role of multi-detector row computed tomography

... ate reformatted images in any plane desirable (27). Contrast-enhanced MDCT is feasible in most cases and allows for reliable diagnosis: quant-detector row CT is superior to unenhanced multi-detector row CT for the characterization of abnormal valve anatomy, routinely providing excellent visualizatio ...
Heart Failure with Preserved Ejection Fraction
Heart Failure with Preserved Ejection Fraction

... exercise such as poor effort, deconditioning, and Individually or in a meta-analysis, three randompulmonary disease. Pulmonary-artery catheteriza- ized trials of angiotensin antagonists (angiotensintion with or without exercise may be needed to converting–enzyme [ACE] inhibitors or angioestablish th ...
Congential Heart Defect, Repair Devices
Congential Heart Defect, Repair Devices

... In contrast to patent foramen ovale, which represents the postnatal persistence of normal fetal cardiovascular physiology, atrial septal defects (ASDs) represent an abnormality in the development of the heart that results in free communication between the atria. ASDs are categorized according to the ...
Latest data from Secondary Prevention Implantable Cardioverter
Latest data from Secondary Prevention Implantable Cardioverter

... trended (p=0.072) towards overall improvement in survival by 19.6% compared to amiodarone after three years of follow-up. The results are confounded by the high-crossover rate of this population since many of the ICD patients took concomitant beta-blockers (four times greater than the amiodarone gro ...
Subaortic Stenosis - Adult Congenital Heart Association
Subaortic Stenosis - Adult Congenital Heart Association

... will show the level and severity of the obstruction. It will also show if the left ventricle is thickened or enlarged. A magnetic resonance imaging (MRI) study or cardiac catheterization may also be done. These will help confirm the diagnosis and assess the severity. What are the long term outcomes ...
Understanding Atrial Fibrillation/ Atrial Flutter (AF/AFL)
Understanding Atrial Fibrillation/ Atrial Flutter (AF/AFL)

... If these clots travel to the brain or the lungs, they can stop the flow of blood. This can cause a stroke in the brain. This can also lead to a blood clot stuck in the lungs (pulmonary embolism). Either of these may lead to death ...
Heart Failure with Preserved Ejection Fraction
Heart Failure with Preserved Ejection Fraction

... exercise such as poor effort, deconditioning, and Individually or in a meta-analysis, three randompulmonary disease. Pulmonary-artery catheteriza- ized trials of angiotensin antagonists (angiotensintion with or without exercise may be needed to converting–enzyme [ACE] inhibitors or angioestablish th ...
Cardiac Sciences Program Learning Module PFO/ASD
Cardiac Sciences Program Learning Module PFO/ASD

... How does the body react to a permanent implant? The materials used in the occluders have a proven long-term safety history and have been widely used in heart surgery procedures. It is not likely that the body will have a negative reaction to these devices. Within a few days, the body’s own tissue wi ...
Benefits of Beating Heart Surgery
Benefits of Beating Heart Surgery

... The first recorded successful heart surgery performed on a living human being was in 1896, when a Frankfurt physician sutured a heart wound of a young German soldier. Great strides were then made in this field of surgery with the removal of shell fragments from the hearts of American soldiers in Wor ...
Myocardial Performance Index or Tei Index
Myocardial Performance Index or Tei Index

... used. The “isovolumic index” of Mancini et al3 (isovolumic contraction plus relaxation time divided by left ventricular ejection time) was considered more reliable than Weissler’s “systolic time interval” since it included both isovolumic contraction and relaxation. However, in patients with disturb ...
(PSD) March 2016 PBAC Meeting
(PSD) March 2016 PBAC Meeting

... Overall, approximately 80% of patients who enrolled in the first run-in period were randomised into the double-blind treatment period (the full analysis set). Patients who were randomised had less severe disease than those enrolled, as demonstrated by a lower proportion of NYHA class III or IV failu ...
Dyssynchrony and the Risk of Ventricular Arrhythmias
Dyssynchrony and the Risk of Ventricular Arrhythmias

... cardioverter-defibrillator (CRT-D) reduces heart failure or death in mildly symptomatic or asymptomatic heart failure patients with severe left ventricular dysfunction and a prolonged QRS (9). The MADITCRT and the RAFT (ResynchronizationDefibrillation for Ambulatory Heart Failure Trial) studies show ...
Heart Restarts Teachers` notes - School
Heart Restarts Teachers` notes - School

... When Hannah’s body started to reject the donor heart the surgeons decided to try and restart her original heart. This surgery was the first of its kind for this purpose in the UK. Now she does not have to take the strong anti-rejection drugs that prevented her body rejecting the donor heart. These d ...
Is L-Carnitine Effective in Reducing Mortality After an Acute
Is L-Carnitine Effective in Reducing Mortality After an Acute

... In the study by Colonna et al, there seems to be minimal benefit to using L-carnitine. The mortality rate during hospitalization was 4.7% when treated with L-carnitine compared to 5.9% when treated with the placebo. Also, the mortality rates after discharge to one year follow up period were 4.3% for ...
Understanding cardiac output
Understanding cardiac output

... being too tired to push on the pedals, but being able to keep up speed because of a smooth downward sloping road. Deleterious effects of inotropic therapy As the long-distance cyclist will know, prolonged strenuous exercise can lead to high tissue oxygen demands, which can later result in impaired m ...
Supraventricular Arrhythmias
Supraventricular Arrhythmias

... Surgeries with high risk AF ...
Regional patterns of cardiac sympathetic denervation in patients
Regional patterns of cardiac sympathetic denervation in patients

... using positron emission tomography (PET) and its relationship to standard autonomic function tests (AFT). Methods: We studied 12 diabetic patients (7M, 5F) (mean age 62±8), and 5 healthy controls (2M, 3F) (mean age 59±10). All patients underwent AFT and cardiac PET imaging with oxygen-15 labeled wat ...
Coronary Heart Disease
Coronary Heart Disease

... chronic stable angina in the past 6 months, together with evidence of ischemia at stress test; and (2) complete surgical revascularization within 7 days. The exclusion criteria were as follows: (1) evidence of previous myocardial infarct or pathological Q waves on the 12-lead ECG; (2) hospitalizatio ...
Heart Rate Variability in Time Domain after Acute Myocardial Infarction
Heart Rate Variability in Time Domain after Acute Myocardial Infarction

... patients, even when the calculation for relative risk was adjusted for five other risk predictors age, New York Hcart Association functional class, pulmonary rales in the coronary care unit, left ventricular ejection fraction and frequency of ventricular arrhythmias in Holter recordings (Tab. 2). In ...
Subclinical left ventricle dysfunction revealed by echocardiography
Subclinical left ventricle dysfunction revealed by echocardiography

... As regards treatment, an early surgical approach is usually avoided with the use of supportive treatment for heart failure (digoxin, diuretics) combined with propranolol. It was LeauteLabreze et al. in 2008 who first described the efficacy of β-blockers for the treatment of infantile hemangiomas and ...
cardiovascular complications of scorpion stings and the effects of
cardiovascular complications of scorpion stings and the effects of

... complications.9 We did not encounter any patients during the prospective study period with serious neurologic complications who did not have some cardiovascular manifestations. The spectrum of cardiovascular complications that we encountered included electrocardiographic features simulating myocardi ...
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