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A criss-cross heart
A criss-cross heart

... criss-cross heart with superior-inferior relation of the ventricles, juxtaposition of the atrial appendages, VSD, severe sub-aortic (discrete sub-aortic membrane), and mild pulmonary stenosis creating a pressure gradient of 106 and 30 mmHg, respectively. Corrective biventricular repair including the ...
Predictors of Appropriate Implantable Cardioverter
Predictors of Appropriate Implantable Cardioverter

... tricular function as independent predictors of appropriate ICD therapy, whereas the extent of coronary disease was not predictive. Impaired renal function was also associated with a higher rate of appropriate ICD therapies, just reaching statistical significance in multivariate analysis. Among patie ...
Document
Document

... 14 patients had a high LV lead pacing threshold (.5 V) and 2 patients had dissection of the coronary sinus without further clinical complications. These 16 patients received conventional dual-chamber pacing and were not included for randomization 2 patients in the BiV pacing group experienced diaphr ...
Understanding your child`s heart Atrial septal defect
Understanding your child`s heart Atrial septal defect

... pulmonary artery (the blood vessel that takes blood to the lungs). The left ventricle pumps blood – red in the illustration – into the aorta (the blood vessel that takes blood to the rest of the body). Blood flows from the right side of the heart, through the pulmonary valve into the pulmonary arter ...
A novel ECG-index for prediction of ventricular - DUO
A novel ECG-index for prediction of ventricular - DUO

... risk marker should provide reliable information with adequate specificity and sensitivity. Furthermore, a marker should also be economically affordable, safe to obtain, simple to interpret and easily accessible in healthcare 24. Currently, no single marker for predicting arrhythmias exists and a com ...
utmj submission template - University of Toronto Medical Journal
utmj submission template - University of Toronto Medical Journal

... common analgesic medication, also has an antiplatelet effect by inhibiting the production of thromboxane, a protein that binds platelet molecules together.14 Together with clopidogrel, another antiplatelet medication, aspirin forms the basis of many antiplatelet combinations used as anticoagulant tr ...
CCN Cardiac and Vascular Terminology Reference Guide
CCN Cardiac and Vascular Terminology Reference Guide

... esophagus (transesophageal echo) to create moving images of the heart and examine its function. This is considered a diagnostic test. Ejection Fraction (EF) - is a measure of how well the heart pumps blood with each heartbeat. It is expressed as the percentage of blood that the heart ejects in one ...
Accuracy of manual QRS duration assessment
Accuracy of manual QRS duration assessment

... further risk stratification investigations is critically dependent on the ECG interpretation. If QRSd is ,120 ms, this may include Holter monitoring and electrophysiological testing.17 Thus, inaccurate QRSd classification may increase costs by exposing patients to otherwise unnecessary invasive proc ...
- European Medical Journal
- European Medical Journal

... Approximately 10-15% of ST-segment elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PCI) are found to have a chronic total occlusion (CTO) in a non-infarct related artery (IRA). The presence of a coronary CTO in a non-IRA in STEMI patients is as ...
(MPP Narrow QRS trial): study protocol for a pil
(MPP Narrow QRS trial): study protocol for a pil

... Background: Despite an intensive search for predictors of the response to cardiac resynchronization therapy (CRT), the QRS duration remains the simplest and most robust predictor of a positive response. QRS duration of ≥ 130 ms is considered to be a prerequisite for CRT; however, some studies have s ...
Clinical applications of cardiovascular magnetic resonance imaging
Clinical applications of cardiovascular magnetic resonance imaging

... can demonstrate aortic valve regurgitation; Gd-PCM angiography is helpful in delineating the dissection flap and branchvessel involvement. MRI is useful in the follow-up after surgery for aortic dissection or aneurysm and in the diagnosis of aortic coarctation, and it is the method of choice for eva ...
Innovative devices for advanced heart failure
Innovative devices for advanced heart failure

... inserted either percutaneously or with a minimally invasive surgery are currently at various stages of clinical development. All, however, have shown promising clinical results in preclinical and early clinical studies. Summary Novel device therapies for advanced heart failure continue to show promi ...
Nurses Guide to Commonly asked Questions about Heart Failure
Nurses Guide to Commonly asked Questions about Heart Failure

... What is Heart Failure (HF)? In medical terms, HF is a complex clinical syndrome in which the abnormality of the cardiac function is responsible for an inability of the heart to pump blood throughout the circulatory system, therefore failing to meet the peripheral demands of the metabolizing tissues. ...
Prophylactic Implantation of a Defibrillator in Patients with
Prophylactic Implantation of a Defibrillator in Patients with

... The primary end point was death from any cause. Analysis was performed according to the intention-to-treat principle. The trial was designed to have 95 percent power to detect a 38 percent reduction in the two-year mortality rate among the patients in the defibrillator group, given a postulated two- ...
MitraClip Percutaneous Mitral Valve Repair Introduction to the
MitraClip Percutaneous Mitral Valve Repair Introduction to the

Iatrogenic Fistula from the Aorta to the Left Marginal Coronary Vein*
Iatrogenic Fistula from the Aorta to the Left Marginal Coronary Vein*

... A @-year-oldman with recurrent pain in the chest had a history of and triplemyocardial infarction. a Vineberg prvcedure in lW, vessel coronary bypass surgery at another hospital in hlay 1982.0 1 1 physical examination, there was a short, soft systolic mllrmur at the upper left sternal border, but no ...
Preoperative Recommendations / Guidelines
Preoperative Recommendations / Guidelines

... Patients on chronic beta-blocker therapy should continue taking their beta-blocker medication up to and including the day of surgery. Beta-Blockers are recommended to be started for patients who have DM, HTN, IVD, (cerebrovascular disease, CAD, PVD) AF, CHF for intermediate and high risk surgeries. ...
Document
Document

... by the Food and Drug Administration. PCME does not recommend the use of any agent outside of the labeled indications. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications and warnings. The opinions expressed are those of the ...
The preoperative assessment of patients with valvular heart disease
The preoperative assessment of patients with valvular heart disease

... degree of left ventricular dysfunction than with the degree of aortic insufficiency. According to the recommendations of the European Society of Cardiology18 in patients with insignificant aortic or mitral regurgitation, elective non cardiac surgery can be performed with low risk. Asymptomatic patie ...
Optimal Dosage of Insulin and Glucose in Glucose
Optimal Dosage of Insulin and Glucose in Glucose

... summary of the topic of glucose-insulin-potassium (GIK) therapy. Their comments reflect the current understanding of the metabolic benefit of GIK therapy in acute myocardial infarction (AMI). The spirit of their letter is that dose-finding studies should be performed before a large-scale follow-up t ...
Prediction of Arrhythmic Events in Ischemic and Dilated
Prediction of Arrhythmic Events in Ischemic and Dilated

... (N=6), chemotherapy-induced cardiomyopathy (N=3), and arrhythmogenic right ventricular cardiomyopathy (ARVC) with LV involvement (N=1). All other baseline clinical characteristics are presented in Table 1. Of all patients enrolled, 79 (64%) underwent ICD implantation, 41 with ICM, and 38 with DCM. O ...
Effect of personalized nutritional counseling in maintenance
Effect of personalized nutritional counseling in maintenance

... HD patients are characterized by catabolic processes that modify their body composition, such as inflammation, muscle wasting and declined visceral protein stores.8–10 It is well recognized that a low protein intake can predispose these patients to protein energy wasting, and losses of amino acids d ...
Low cardiac output predicts development of hepatorenal
Low cardiac output predicts development of hepatorenal

... the patients based on CI was pragmatically chosen to be 1.5 l/ min/m2, though supported by a study in heart failure that linked CI below 1.5 to liver function abnormalities.23 CI is used because cardiac output increases in proportion with body surface area and individual values indexed by body surfa ...
2010 Focused Update of ESC Guidelines on
2010 Focused Update of ESC Guidelines on

... regimen, in NYHA function class I or II and SR, whose LVEF was ≤40%, QRS duration ≥120 ms, and LV end-diastolic diameter ≥55 mm.21 All patients had a history of HF symptoms. They underwent implantation of a CRT-D or CRT-P, according to the investigator’s recommendations, though, ultimately, only 15% ...
Heart failure with preserved ejection fraction
Heart failure with preserved ejection fraction

... (HFrEF, systolic heart failure) but is less well understood. • HFpEF is an emerging epidemic, due to the increasing age of the population as well as the increasing incidence of common risk factors such as obesity and hypertension. • Recognition of the typical signs and symptoms of heart failure in ...
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