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... There are two types of heart failure patient’s exercise performance methods: subjective and objective. The subjective methods include NYHA classification, various activity scales, and quality of life specific questionnaires. The objective methods include various modes of exercise testing to document ...
Premature discontinuation of patients: a potential bias in COPD clinical trials
Premature discontinuation of patients: a potential bias in COPD clinical trials

... determine the precision of the estimate [13]. IRs and RRs were calculated for serious and fatal adverse events (total, cardiac and lower respiratory), as well as for COPD exacerbations in the tiotropium and placebo groups using the time-frames as follows. 1) Entire trial period (0–ET): all events oc ...
Review of Important ECG Findings in Patients with Syncope
Review of Important ECG Findings in Patients with Syncope

... abnormal finding, and, to the author’s knowledge, this has not been quantified. Although the number is surely small overall, for those affected it is obviously very important. Such “lowincidence, high-stakes” situations are common in acute care practice, and the basic principle of minimizing morbidi ...
- STRESS ECHO 2020
- STRESS ECHO 2020

...  Stress-echo 2020 will help the Italian SE community in tailoring the right stress to the right patient with the right technology, used by the right (properly trained and certified) cardiologist.  SE has today an unprecedented advantage of economic sustainability, lack of radiation, portability an ...
QRS fragmentation: Diagnostic and prognostic significance
QRS fragmentation: Diagnostic and prognostic significance

... Contemporary definition of the fQRS was defined by Das et al. [8], as presence of an additional R wave (R’) or notching in the nadir of the S wave, or the presence of > 1 R’ in 2 contiguous leads, corresponding to a major coronary artery territory on the resting 12-lead ECG with filter range 0.16– – ...
Reduction of QRS duration following pulmonary valve replacement
Reduction of QRS duration following pulmonary valve replacement

... Tetralogy of Fallot is the commonest form of cyanotic congenital heart disease, and early outcomes following surgical repair are steadily improving. Nonetheless, these patients remain at risk for late-onset arrhythmias as well as sudden death.1,2 Increased QRS duration and right ventricular (RV) dil ...
10 Graded Exercise Testing
10 Graded Exercise Testing

... easy. Last, hemodynamic information (e.g., heart rate and blood pressure) derived from a non exercise stress test (e.g., Adenosine or Dobutamine stress test) is not useful for developing an exercise prescription. In some patients, the baseline ECG precludes clinically meaningful assessment of repola ...
Inotropes in cardiothoracic surgery
Inotropes in cardiothoracic surgery

... (especially troponine-T) to intracellular calcium. Proarrhythmic activity less common. Induce peripheral, pulmonary and coronary vasodilatation, via ATP-sensitive potassium channels Dose : is 6 to 12 µg/kg loading dose over 10 minutes followed by 0.05 to 0.2 µg/kg/min as a continuous infusion. ...
Automatic Global and Regional Phase Analysis from Gated
Automatic Global and Regional Phase Analysis from Gated

... Although many patients with heart failure benefit from cardiac resynchronization therapy (CRT), predicting which patients will respond to CRT remains challenging. Recent evidence suggests that the analysis of mechanical dyssynchrony using gated myocardial perfusion SPECT (MPS) may be an effective to ...
Procoralan Article-20 procedure - EMA
Procoralan Article-20 procedure - EMA

... If the combination appears necessary, close cardiac monitoring is needed (see section 4.4). Concomitant use with precaution Potassium-depleting diuretics (thiazide diuretics and loop diuretics): hypokalemia can increase the risk of arrhythmia. As ivabradine may cause bradycardia, the resulting combi ...
Surgical Repair Is the Treatment of Choice for Native Aortic
Surgical Repair Is the Treatment of Choice for Native Aortic

... LV compliance impaired even before EFE develops? Lesions with coarctation/arch hypoplasia with antegrade aortic flow and without EFE (coarctation with nonapex forming LVs, hypoplastic left heart complex) have preserved neonatal adaptation. ...
Know What AFibFeels Like - HRS
Know What AFibFeels Like - HRS

... Atrial fibrillation is diagnosed based on your medical and family histories, a physical exam, and the results from tests and procedures. Sometimes AFib doesn’t cause signs or symptoms. Thus, it may be found during a physical exam or ECG (electrocardiogram) test done for another purpose. If you have ...
High Arteriovenous (AV) Access Flow and Cardiac Complications Hemodialysis
High Arteriovenous (AV) Access Flow and Cardiac Complications Hemodialysis

... Ye et al’s 2013 study from Beijing’s PUMC hospital, confirmed a 2 L/min threshold for treatment.19 Ye collected data from 50 non-diabetic AV fistula hemodialysis patients. AVF flow (Qa), stroke volume (SV), cardiac output (CO), cardiac index (CI) central blood volume (CBV) and peripheral resistance ...
Left Atrial Volume Mortality PE
Left Atrial Volume Mortality PE

Effects of Epoprostenol on Right Ventricular Hypertrophy and
Effects of Epoprostenol on Right Ventricular Hypertrophy and

... antennas locally applied on the anterior chest wall, and two on the posterior chest wall. RVSV was quantified by MRI velocity mapping in the main pulmonary artery. An image plane was positioned perpendicular to the main pulmonary artery. A twodimensional, gradient-echo pulse sequence was used with e ...
ACC/AHA Guideline Update for Perioperative Cardiovascular
ACC/AHA Guideline Update for Perioperative Cardiovascular

... the preoperative, operative, and postoperative care of patients undergoing noncardiac surgery. They provide a framework for considering cardiac risk of noncardiac surgery in a variety of patient and surgical situations. The overriding theme of these guidelines is that preoperative intervention is ra ...
Role of Atrio-Ventricular Junction Ablation in Symptomatic Atrial
Role of Atrio-Ventricular Junction Ablation in Symptomatic Atrial

... Featured Review considered definitive. Importantly, the evidence supporting use of CRT after AVJ ablation in patients with normal LV ejection fraction is sparse, even though the benefit of CRT was seen irrespective of LV ejection fraction or NYHA class in one study.52 Therefore, a randomized clinica ...
Arrhythmias and Dysrhythmias - American Academy of Family
Arrhythmias and Dysrhythmias - American Academy of Family

... and stratify for risk patients who have, or are at risk for, ventricular arrhythmias. ...
With Third-Degree Atrioventricular Block Rate and
With Third-Degree Atrioventricular Block Rate and

... who were in functional class II or III of the New York Heart Association classification. None of the patients had experienced Adams-Stokes attacks. Interventions: These patients were given cilostazol orally at a dose of 200 mg daily for at least 1 week. Measurements and results: Before and after tre ...
2014 Slide Set - American College of Cardiology
2014 Slide Set - American College of Cardiology

... †The concomitant use of P-glycoprotein inducers or inhibitors with dabigatran or the concomitant use of dual P-glycoprotein and strong CYP3A4 inducers or inhibitors with either rivaroxaban or apixaban, particularly in the setting of CKD, may require dosing adjustment or avoidance of concomitant drug ...
RADIONUCLIDE VENTRICULOGRAPY Vs CHEST X-RAY
RADIONUCLIDE VENTRICULOGRAPY Vs CHEST X-RAY

... Despite their frequent use these systems have rarely been tested with regard to reproducibility or against a suitable reference. ...
Chest pain and left bundle branch block
Chest pain and left bundle branch block

... emergency department complaining of intermittent chest and left arm pain for 6 days. An electrocardiogram (ECG) showed left bundle branch block (LBBB) that was atypical because T waves in the limb leads were concordant in direction with the QRS complexes instead of being discordant (Figure 1). Thus, ...
Lung Ultrasound-Implemented Diagnosis of Acute Decompensated
Lung Ultrasound-Implemented Diagnosis of Acute Decompensated

... heart failure (ADHF) in the ED is associated with prolonged hospital stay, higher rates of ICU admission, higher mortality, and increased costs.1-3 However, although the worldwide incidence of heart failure is reaching epidemic proportions,4 the initial diagnostic workup of ADHF has remained fundame ...
Causes of Stroke - MCE Conferences
Causes of Stroke - MCE Conferences

... Patients with TIA or stroke with normal cholesterol levels will benefit from statin therapy Low HDL may be treated with gemfibrozil or niacin Sacco RL, et al. Guidelines for prevention of stroke. Stroke ...
evaluation and family history in the pre
evaluation and family history in the pre

... Their study revealed 27% of surviving relatives had one or more cardiac symptoms (palpitations 12%, presyncope 6%, syncope 8%, chest discomfort 8% and dyspnoea 7%). There was a 22% incidence of unexpected premature sudden death in addition to the proband in any relative, with a 6% incidence of sudde ...
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Remote ischemic conditioning

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