Anesthesia for the patient with congenital heart disease
... all of these articles make excellent points that can help guide the perioperative care of these delicate patients [20–24]. Controversy exists over the safety of performing laparoscopic procedures on patients with CHD and especially those with hypoplastic left heart syndrome (HLHS) after the Norwood ...
... all of these articles make excellent points that can help guide the perioperative care of these delicate patients [20–24]. Controversy exists over the safety of performing laparoscopic procedures on patients with CHD and especially those with hypoplastic left heart syndrome (HLHS) after the Norwood ...
CARDIOVASCULAR COMPLICATIONS Cardiovascular disease
... Compared to people without diabetes, those with diabetes have a higher prevalence of CVD and are more likely to have myocardial infarctions or silent myocardial ischemia. Diabetes is an independent risk factor for CVD, but also acts synergistically with other cardiovascular risk factors (hypertensio ...
... Compared to people without diabetes, those with diabetes have a higher prevalence of CVD and are more likely to have myocardial infarctions or silent myocardial ischemia. Diabetes is an independent risk factor for CVD, but also acts synergistically with other cardiovascular risk factors (hypertensio ...
rival
... (interaction p=0·025;) • In patients with STEMI, there was a benefit with radial access for the composite of death, myocardial infarction,and stroke (interaction p=0·011), and death (interaction p=0·001; ...
... (interaction p=0·025;) • In patients with STEMI, there was a benefit with radial access for the composite of death, myocardial infarction,and stroke (interaction p=0·011), and death (interaction p=0·001; ...
"Broken Heart" Syndrome - Hellenic Journal of Cardiology
... a lack of estrogen in the postmenopausal phase seems to play a pathogenetic role. A stressful emotional or physical event seems to be the precipitant in about two thirds of the cases reported. Although the myocardial dysfunction typically follows an acute psychological trigger (unexpected loss of a ...
... a lack of estrogen in the postmenopausal phase seems to play a pathogenetic role. A stressful emotional or physical event seems to be the precipitant in about two thirds of the cases reported. Although the myocardial dysfunction typically follows an acute psychological trigger (unexpected loss of a ...
Nursing Diagnosis - Faculty Sites
... • Risk factors: same as for CAD • Pathophysiology: AMI-over 4-6 hrs ischemia injury and infarction develop. Ischemia=lack of 02 to heart muscle, if not relieved=injury. After 20 min of ischemia=infarction • Main S/S: chest pain and accompanying S/S ...
... • Risk factors: same as for CAD • Pathophysiology: AMI-over 4-6 hrs ischemia injury and infarction develop. Ischemia=lack of 02 to heart muscle, if not relieved=injury. After 20 min of ischemia=infarction • Main S/S: chest pain and accompanying S/S ...
Third and fourth heart sounds had low sensitivity but moderate to
... While the importance of these physical exam findings has been taught for decades, no study has determined their sensitivity and specificity using reproducible methods. Most studies rely on human detection, which is often variable and usually in the context of highly experienced physicians. Several s ...
... While the importance of these physical exam findings has been taught for decades, no study has determined their sensitivity and specificity using reproducible methods. Most studies rely on human detection, which is often variable and usually in the context of highly experienced physicians. Several s ...
Acute Myocardial Infarction with Simultaneous Involvement of Right
... leads II, III, aVF, and V2-5 correlated with both anterior and inferior territory involvement. A combination therapy of judicious medical treatment, efficient primary PCI and early mechanical support devices is crucial to improving the survival rate of this high mortality rate disease [7]. Most logi ...
... leads II, III, aVF, and V2-5 correlated with both anterior and inferior territory involvement. A combination therapy of judicious medical treatment, efficient primary PCI and early mechanical support devices is crucial to improving the survival rate of this high mortality rate disease [7]. Most logi ...
The New England Journal of Medicine
... Background and Methods Aldosterone is important in the pathophysiology of heart failure. In a doubleblind study, we enrolled 1663 patients who had severe heart failure and a left ventricular ejection fraction of no more than 35 percent and who were being treated with an angiotensin-converting–enzyme ...
... Background and Methods Aldosterone is important in the pathophysiology of heart failure. In a doubleblind study, we enrolled 1663 patients who had severe heart failure and a left ventricular ejection fraction of no more than 35 percent and who were being treated with an angiotensin-converting–enzyme ...
Noninvasive Diagnosis of Coronary Artery Disease
... CT scanning, MRI and even percutaneous intervention). Prevention and counseling may be the clinician's single most important tool in long-term follow up (p. 68). When prevention is not enough, Singh (2012) discusses two invasive options for long-term treatment, both with associated risks and statist ...
... CT scanning, MRI and even percutaneous intervention). Prevention and counseling may be the clinician's single most important tool in long-term follow up (p. 68). When prevention is not enough, Singh (2012) discusses two invasive options for long-term treatment, both with associated risks and statist ...
ANESTHESIA AND CONGESTIVE HEART FAILURE: PATHOLOGY, MEDICAL, AND SURGICAL MANAGEMENT C
... the patients who developed CHF had coronary disease6. In addition to gender predisposition, ethnic variation also exists for CHF. National statistics indicate that African Americans are disproportionately affected by CHF. They have increased mortality and hospitalizations resulting from heart failur ...
... the patients who developed CHF had coronary disease6. In addition to gender predisposition, ethnic variation also exists for CHF. National statistics indicate that African Americans are disproportionately affected by CHF. They have increased mortality and hospitalizations resulting from heart failur ...
Are Clinical Heart Failure and Ejection Fraction Always Connected?
... LVEDR=Left Ventricular End Diastolic Radius (measured at the ventricle’s midpoint); h=thickness of the ventricle. This calculation is based on the law of Laplace. ...
... LVEDR=Left Ventricular End Diastolic Radius (measured at the ventricle’s midpoint); h=thickness of the ventricle. This calculation is based on the law of Laplace. ...
Heart failure outcomes with empagliflozin in patients with type 2
... more intensive vs. less intensive glucose control.4 Furthermore, specific glucose-lowering medications have not been shown to improve heart failure outcomes and some may actually have deleterious effects.5 – 8 Empagliflozin is a potent and selective inhibitor of the sodium glucose cotransporter 2 (S ...
... more intensive vs. less intensive glucose control.4 Furthermore, specific glucose-lowering medications have not been shown to improve heart failure outcomes and some may actually have deleterious effects.5 – 8 Empagliflozin is a potent and selective inhibitor of the sodium glucose cotransporter 2 (S ...
ТАШКЕНТСКАЯ МЕДИЦИНСКАЯ АКАДЕМИЯ
... Manifestations and conditions of these states are similar, so they usually do not share. Bradycardia at SSS is often accompanied by arrhythmias resulting from activation of the lower parts of the vascular system of the heart, which no longer controlled by the pulses of the sinus node. Causes of sinu ...
... Manifestations and conditions of these states are similar, so they usually do not share. Bradycardia at SSS is often accompanied by arrhythmias resulting from activation of the lower parts of the vascular system of the heart, which no longer controlled by the pulses of the sinus node. Causes of sinu ...
Drug-induced heart failure
... toxicity is characterized by sarcotubular dilation and myofibrillar loss of actin and myosin. Long-term myocardial damage has also been identified in patients who had received doses of only 45 mg/m2 (15). Therefore, all patients exposed to anthracyclines should be considered at risk for the developm ...
... toxicity is characterized by sarcotubular dilation and myofibrillar loss of actin and myosin. Long-term myocardial damage has also been identified in patients who had received doses of only 45 mg/m2 (15). Therefore, all patients exposed to anthracyclines should be considered at risk for the developm ...
T-wave change
... Some causes for STEMIs not recognized in the emergency department • Sometimes the primary ischemic change (=ST-elevation) may be less evident than the secondary (reciprocal) ST depressions • ST-elevations may be mild and appear in only 1 lead (Birnbaum Y et al. Eur Heart J ...
... Some causes for STEMIs not recognized in the emergency department • Sometimes the primary ischemic change (=ST-elevation) may be less evident than the secondary (reciprocal) ST depressions • ST-elevations may be mild and appear in only 1 lead (Birnbaum Y et al. Eur Heart J ...
Myocardial Hypoxia in Dilated Cardiomyopathy: Is it Just a Matter of
... presence of other causes for DCM such familial-genetic, autoimmune, postviral, or alcohol-induced that might show variable oxygenation patterns is unknown. Moreover, prevalence of comorbidities that can impair vasodilator function and oxygenation, such as hypertension and diabetes mellitus, is uncle ...
... presence of other causes for DCM such familial-genetic, autoimmune, postviral, or alcohol-induced that might show variable oxygenation patterns is unknown. Moreover, prevalence of comorbidities that can impair vasodilator function and oxygenation, such as hypertension and diabetes mellitus, is uncle ...
Heart rhythm 101
... heart needs “electricity’ to start the pump The heart is made of specialized muscle tissue to ...
... heart needs “electricity’ to start the pump The heart is made of specialized muscle tissue to ...
Distribution of left ventricular ejection fraction in angina patients with
... at relieving anginal symptoms and preventing further cardiovascular events. The classic anti-anginal medications used are nitrates, beta-blockers and calcium channel blockers. Recently, ranolazine was added to the anti-anginal armamentarium. Ranolazine is thought to work by reducing intra-myocyte ca ...
... at relieving anginal symptoms and preventing further cardiovascular events. The classic anti-anginal medications used are nitrates, beta-blockers and calcium channel blockers. Recently, ranolazine was added to the anti-anginal armamentarium. Ranolazine is thought to work by reducing intra-myocyte ca ...
Zapril - Medsafe
... planning pregnancy should be changed to alternative antihypertensive treatments which have an established safety profile for use in pregnancy. When pregnancy is diagnosed, treatment with ACE inhibitors should be stopped immediately, and, if appropriate, alternative therapy should be started. Exposur ...
... planning pregnancy should be changed to alternative antihypertensive treatments which have an established safety profile for use in pregnancy. When pregnancy is diagnosed, treatment with ACE inhibitors should be stopped immediately, and, if appropriate, alternative therapy should be started. Exposur ...
Heart failure
... demands are greater than normal, or in severe anemia where tissues require a greater volume of blood to supply normal metabolic need. The heart increases its work to match the high tissue need, but finally fails. The aim of therapy in this condition is to treat the cause. Low output failure (congest ...
... demands are greater than normal, or in severe anemia where tissues require a greater volume of blood to supply normal metabolic need. The heart increases its work to match the high tissue need, but finally fails. The aim of therapy in this condition is to treat the cause. Low output failure (congest ...
PAC 11 Cardiovascular Diseases II
... 3. Compare the epidemiology, risk factors and clinical manifestations of each of the following causes of syncope to include: a. Vasovagal syncope b. Cardiogenic syncope: structural vs. conduction disturbances c. Orthostatic hypotension d. Metabolic diseases: endocrine disease, electrolyte disturban ...
... 3. Compare the epidemiology, risk factors and clinical manifestations of each of the following causes of syncope to include: a. Vasovagal syncope b. Cardiogenic syncope: structural vs. conduction disturbances c. Orthostatic hypotension d. Metabolic diseases: endocrine disease, electrolyte disturban ...
The Influence of Acute Kidney Injury on Acute Cardiovascular Disease
... relationship between prognosis and AKIN scores obtained at pre-ECMO support (AKIN0-hour), at postECMO support 24 hours (AKIN24-hour), and at postECMO support 48 hours (AKIN48-hour) (Table 2).28 The overall mortality rate was 57.8%, and the AKIN0-hour, AKIN24-hour, and AKIN48-hour scoring systems exh ...
... relationship between prognosis and AKIN scores obtained at pre-ECMO support (AKIN0-hour), at postECMO support 24 hours (AKIN24-hour), and at postECMO support 48 hours (AKIN48-hour) (Table 2).28 The overall mortality rate was 57.8%, and the AKIN0-hour, AKIN24-hour, and AKIN48-hour scoring systems exh ...
Stroke Prevention in Patients With Atrial Fibrillation
... leading to severe permanent neurologic deficit or death.13 Results from population-based studies12,14 indicate that the presence of AF in patients with ischemic stroke is associated with high- ...
... leading to severe permanent neurologic deficit or death.13 Results from population-based studies12,14 indicate that the presence of AF in patients with ischemic stroke is associated with high- ...
Investigation of a novel algorithm for synchronized left
... http://dx.doi.org/10.1016/j.hrthm.2012.07.009 ...
... http://dx.doi.org/10.1016/j.hrthm.2012.07.009 ...
The patient with a heart murmur
... (TEE), the heart and large vessels are imaged Attenhofer Jost and colleagues26 suggested that after a small ultrasound probe is introduced into all patients who have a systolic murmur assothe esophagus and stomach (Figure 1). It is conciated with dyspnea, chest pain or lowersidered an invasive proce ...
... (TEE), the heart and large vessels are imaged Attenhofer Jost and colleagues26 suggested that after a small ultrasound probe is introduced into all patients who have a systolic murmur assothe esophagus and stomach (Figure 1). It is conciated with dyspnea, chest pain or lowersidered an invasive proce ...