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Primary Prevention
Primary Prevention

... Sudden cardiac death(SCD) Pathophysiology • The vast majority of cases of SCD are due to ventricular arrhythmias • Ventricular tachycardia (VT) or ventricular fibrillation (VF) account for the majority of episodes • This almost always occurs in the setting of underlying myocardial disease • More th ...
heart failure
heart failure

... • It occurs in chronic lung disease, pulmonary valve stenosis. There is reduction of RV output and back pressure on right atrium ( Increased JVP, Liver enlargement, peripheral edema ). 3. Biventricular failure • It affects both ventricle and occurs in dilated Cardiomyopathy, ischemic heart disease, ...
Heart failure associated with sunitinib malate
Heart failure associated with sunitinib malate

... Questions about the cardiac safety of sunitinib emerged from early clinical trials of the drug. In 1 study of patients with gastrointestinal stromal tumor, 11% of patients experienced treatment-related left ventricular dysfunction (LVD) compared with 3% treated with placebo.3 Similarly, a study in p ...
Low to High Frequency Ratio of Heart Rate Variability Spectra Fails
Low to High Frequency Ratio of Heart Rate Variability Spectra Fails

... furthermore; it could not be expected from »vagal predominance« to trigger sudden cardiac death. Different modalities of HRV spectra are poorly explained. For patients with advanced stages of cardiac disease and sympathetic overactivity, whose »paradoxically« decreased LF/HF ratio mimics vagal predo ...
Intermittent Left Anterior Hemiblock during Treadmill Exercise Test*
Intermittent Left Anterior Hemiblock during Treadmill Exercise Test*

... first patient to stress testing until comparable heart rates were achieved, and the absence of any defect of intraventricular conduction after surgery seems to indicate that the left anterior hemiblock was a manifestation of septal ischemia, rather than a raterelated phenomenon. Standard limb leads ...
PDF - Medical Express
PDF - Medical Express

... The revascularization procedure began by anastomosis of the anterior descending and diagonal arteries using small cardiac rotation. After that, cardiac rotation increased to access lateral posterior wall of left ventricle. During this procedure, the administration of HS or SS was initiated according ...
Shortening of paced QRS complex and clinical improvement
Shortening of paced QRS complex and clinical improvement

... subgroups: in the first (ten patients), the cardiac pacing system was changed to BFP, whereas in the second (24 patients), BVP was performed. Over a 12-month period, the following changes were studied: NYHA classification, brain natriuretic peptide levels (BNP), distance covered in a six-minute walk ...
heart failure - WordPress.com
heart failure - WordPress.com

... • It occurs in chronic lung disease, pulmonary valve stenosis. There is reduction of RV output and back pressure on right atrium ( Increased JVP, Liver enlargement, peripheral edema ). 3. Biventricular failure • It affects both ventricle and occurs in dilated Cardiomyopathy, ischemic heart disease, ...
LEFT-TO-RIGHT CARDIAC SHUNT: PERIOPERATIVE
LEFT-TO-RIGHT CARDIAC SHUNT: PERIOPERATIVE

... relaxation induced by the left-to-right shunt-associated endothelial dysfunction and its associated biochemical changes. The support for this theory is the study of MacLean with experimental pulmonary hypertension associated with left-to-right shunt. This study revealed that intracellular cAMP was r ...
Stents - Oregon Institute of Technology
Stents - Oregon Institute of Technology

... Alterative Procedures and Devices • Coronary Artery Bypass Graft (CABG) • Creates new routes around narrowed and blocked arteries • Saphenous vein, sewn to the coronary artery beyond the narrowing or blockage, other end is attached to aorta • Advantage: • Multiple narrowings in multiple coronary ar ...
Erectile Dysfunction: A Marker of Early Coronary Heart Disease
Erectile Dysfunction: A Marker of Early Coronary Heart Disease

Clinical characteristics of adult uncorrected secundum atrial septal
Clinical characteristics of adult uncorrected secundum atrial septal

... years of follow up.6 In our cohorts, despite developing PH, around 6% of patients come in later life (sixth decade). The long period of asymptomatic or mild symptom may be associated with small ASD. Large ASD (i.e. defect >2cm) are at risk to develop Eisenmenger syndrome, which prevalence approximat ...
Differential left ventricular remodelling and longitudinal function
Differential left ventricular remodelling and longitudinal function

... variables were compared with the one-way analysis of variance test with post hoc comparisons made with the Scheffe test. Categorical variables were compared with the Chi-square test. A P-value , 0.05 was considered statistically significant. Kaplan– Meier analysis was performed to depict overall sur ...
Features of alagille syndrome in 92 patients
Features of alagille syndrome in 92 patients

... pruritus was a cause of significant morbidity (approximately 45% of children) during the first decade of life, but typically improved with time thereafter. Four patients at a median of 3 years of age underwent biliary diversion procedures for intractable pruritus.13 These patients are presently 4, 8 ...
Left Ventricular Noncompaction Syndrome
Left Ventricular Noncompaction Syndrome

... non-standardized criteria to diagnose LVNC by echocardiography. In our case report, echocardiography exhibited a severely trabeculated apex and low EF of 25%. The diagnosis was then confirmed by cardiac MRI which showed LV myocardial trabeculation with a noncompacted to compacted ratio of 3.2/1. A r ...
Hypertension from Framingham to ALLHAT: Translating clinical trials
Hypertension from Framingham to ALLHAT: Translating clinical trials

... diuretic or a compelling indication for another drug class exists. This patient has neither, so a diuretic would be a reasonable choice. However, the goal is to bring her blood pressure below 140/90 mm Hg, and her current systolic blood pressure is more than 20 mm Hg above that goal. The JNC 7 repor ...
Complete Heart Block and Pregnancy Outcome: An Analysis from
Complete Heart Block and Pregnancy Outcome: An Analysis from

... first trimester and fixed rate of pacing, which may be detrimental if demand during pregnancy increases more than it. However above literatures have suggested that pacing is safe with minimum fluoroscopic and radiation exposure. This has been taken care of nowadays, by improved implantation techniqu ...
Study of Osteopontin in Diabetic Patients as Indicator for Myocardial
Study of Osteopontin in Diabetic Patients as Indicator for Myocardial

... haemoglobin (HbA1c %), lipid profile (LDL, TG, HDL, vLDL, atherogenic Index), serum Osteoppontin (OPN). The results showed a significant increase (P<0.05) in FBS of DM and DMMI groups. A significant increase (P<0.05) in the percentage of HbA1c in all patients (DM, MI, and DMMI groups) compared with ...
file
file

... yet fully understood. Though the efficacy of sevoflurane upon reducing myocardial infarction during the ischemia-reperfusion process is well-validated in some animal models, clinical studies are partially inconsistent with this, and the cardioprotective effect is yet to be translated into an equivoc ...
Prolonged P wave dispersion in pre−diabetic patients
Prolonged P wave dispersion in pre−diabetic patients

... Background: It is known that overt diabetes as well as chronic hyperglycaemia can lead to atrial fibrillation. A P wave dispersion (PWD) represents heterogeneity in atrial refractoriness. Aim: To investigate PWDs in patients with pre-diabetes. Method: Based on the results of examinations, 84 pre-dia ...
EECP Articles
EECP Articles

... significantly increases directly measured coronary flow velocity and pressure accompanied by left ventricular systolic unloading.[27] Objective evidence of improved myocardial perfusion has been documented in patients after EECP,[17-19,28] and this may be due in part to improved collateral circulati ...
AANA Journal Course 3: Aortic stenosis: A review
AANA Journal Course 3: Aortic stenosis: A review

... AVR and need temporary improvement.15 The search for other less invasive procedures has persisted. In 2002, the first human case of a percutaneous aortic valve replacement was reported.25 This experimental procedure is performed under local anesthesia and mild sedation. This new technology is being ...
Tumor Necrosis Factor - National Psoriasis Foundation
Tumor Necrosis Factor - National Psoriasis Foundation

... mortality or hospitalizations after treatment with etanercept.58 With regard to infliximab, a monoclonal antibody that binds to human TNF-␣, Chung et al.59 showed higher rates of mortality and hospitalization in 150 patients with symptomatic heart failure and LVEF ⬍35% after infliximab treatment. Th ...
Diagnosis and Treatment of Constrictive Pericarditis
Diagnosis and Treatment of Constrictive Pericarditis

... Constrictive pericarditis (CP) represents the final stages in the progression of an inflammatory process resulting from a wide range of possible pathologies affecting the pericardium (e.g., idiopathic, postsurgical/trauma, infectious, autoimmune disorders, irradiation, uremia, neoplastic, sarcoid, m ...
Pericardial Disease
Pericardial Disease

... ECG differential diagnosis - MI  What leads is the ST elevation in?  What shape is the elevation? ...
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