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Bradyarrhythmias - patient information
Bradyarrhythmias - patient information

... in athletes or during a state of deep relaxation. It can also occur in patients with heart disease or in response to different medications. The severity and treatment required of the bradycardia depends on the area of the heart affected. In many cases, a temporarily slow heartbeat is not medically i ...
Cardiac Replacement with a Total Artificial Heart as a Bridge to
Cardiac Replacement with a Total Artificial Heart as a Bridge to

... failure, the final common pathway of myocardial dysfunction in most forms of cardiac disease, has increased by a factor of five in the past three decades and is currently increasing at a rate of 550,000 new cases per year. The nearly 5 million Americans who have heart failure generate annual health ...
Transcatheter Mitral Valve Repair, MitraClip, in a Nonagenarian
Transcatheter Mitral Valve Repair, MitraClip, in a Nonagenarian

... repair or replacement). At the end of 48 months of follow-up, mortality was similar in both groups of patients: 17.4% in the MitraClip and 17.8% in the surgery (p=0.91). There was no significant difference between the groups regarding the percentage of severe residual mitral regurgitation: 21.0% in ...
Distribution and Risk Profile of Paroxysmal
Distribution and Risk Profile of Paroxysmal

... Background—There is a paucity of international data on the various types of atrial fibrillation (AF) outside the highly selected populations from randomized trials. This study aimed to describe patient characteristics, risk factors, comorbidities, symptoms, management strategy, and control of differ ...
Pro_ ACE Inhibitors Should Be Continued Perioperatively and Prior
Pro_ ACE Inhibitors Should Be Continued Perioperatively and Prior

... suffered a myocardial infarction with ejection fractions of 40% or less and without heart failure symptoms to receive treatment with either placebo or captopril within 3 to 16 days after their myocardial infarction.5 All-cause mortality was reduced by 19% in the captopril group. Furthermore, they fo ...
Treatment time and outcome of thrombolytic therapy with strepto
Treatment time and outcome of thrombolytic therapy with strepto

... patients in whom thrombolysis has failed for Rescue PCI. 5,6 In addition those who develop recurrent ischaemia or re-occlusion and/or heart failure also require immediate transfer. A pharmaco-invasive strategy is required for those transferred for early angiography and angioplasty within 3 to 24 hou ...
Isolated Perfused Heart Models in Rats and Mice
Isolated Perfused Heart Models in Rats and Mice

... contractile force, heart rate, coronary resistance and other parameters of the heart under known physiological conditions without the neural and hormonal complications of an in vivo, whole animal experiment. In the Langendorff heart preparation, the heart is isolated from the animal, a cannula is in ...
Clinical Management of the Patient with Atrial Fibrillation
Clinical Management of the Patient with Atrial Fibrillation

... a post hoc analysis of the AFFIRM trial, after correction for any mismatch of baseline characteristics, demonstrated that being in sinus rhythm was an advantage but the use of AAD was associated with an increased risk of death.18 The AF-CHF trial14 included 1376 NYHA class II –IV heart failure patie ...
T400-Series Surgical Protocol
T400-Series Surgical Protocol

... the role of coronary circulation to deliver nutrient and oxygen rich blood to the heart and, importantly, that cardiac mechanical function is affected by changes in the coronary circulation. Langendorff Method This in vitro isolated organ technique allows the study of contractile force, heart rate, ...
Reliable Identification of “Truly Low” Thromboembolic Risk in
Reliable Identification of “Truly Low” Thromboembolic Risk in

... patients with so-called “lone” AF (defined as patients aged ⱕ60 years with AF and no evidence of associated cardiopulmonary or other disease, including hypertension). In general, lone AF patients are considered to be at low risk of AF complications, including thromboembolism, and currently no thromb ...
Clinical application of the 22 lead derived electrocardiogram and a
Clinical application of the 22 lead derived electrocardiogram and a

... Clinical application of the 22 lead derived electrocardiogram and a new cardiac electrical biomarker Purpose: The cardiac electrical field is a dipolar 3 lead-vector space but there are 22 leads used in clinical practice including the 12-lead ECG, 3 right heart leads V3R-V6R, 3 posterior leads V7-V9 ...
Congestive Heart Failure
Congestive Heart Failure

... of heart failure rises, as well as other conditions that complicate its treatment • Even when symptoms are absent or controlled, impaired heart function implies a reduced duration of survival ...
Exercise Management
Exercise Management

... • heart rate is higher (including maximal heart rate) at any level of exercise to compensate for the diminished stroke volume and cardiac output in Atrial Fibrillation (AF). • exercise tolerance is reduced (20%) in AF relative to normal sinus patients. • because of the variability in the diastolic f ...
Different effect of exercise on left ventricular diastolic time and
Different effect of exercise on left ventricular diastolic time and

... Principally, alterations of the two principal components of the entire systolic phase may have contributed to its prolongation. LV ejection time was generally found to be unchanged or rather reduced in severe systolic heart failure (2,9). However, a few exceptions were noted. During exercise a progr ...
Ischaemic Heart Disease - Council for Medical Schemes
Ischaemic Heart Disease - Council for Medical Schemes

... Time from onset of symptoms to pharmacological reperfusions is an important predictor of clinical outcomes. The beneficial effect of pharmacological reperfusion is substantially higher in patients presenting within 2 hours after symptom onset compared to those presenting later (Boersman et al), but ...
Cost of heart failure management in Turkey: results
Cost of heart failure management in Turkey: results

... Heidenreich et al. (9) stated that by 2030, one of every 33 Americans, more than eight million individuals, will have HF and that total costs for HF in the 18–44 age group will increase from $1.51 billion to $2.48 billion, while the costs for the 65–79 age group will increase from $11.50 billion to ...
Hypoplastic left heart syndrome
Hypoplastic left heart syndrome

... the Fontan circulation, where pulmonary blood flow is supplied by passive systemic venous return, and the right ventricle is the single systemic ventricle. Right ventricular dysfunction is common, with myocardial ischaemia, chronic overload and the decreased ability of the morphological right ventri ...
HOPE - New England Journal of Medicine
HOPE - New England Journal of Medicine

... the study if they had a history of coronary artery disease, stroke, peripheral vascular disease, or diabetes plus at least one other cardiovascular risk factor (hypertension, elevated total cholesterol levels, low high-density lipoprotein cholesterol levels, cigarette smoking, or documented microalb ...
Free PDF - European Review for Medical and
Free PDF - European Review for Medical and

... apoptosis21, thus we assume that HF decompensation may be prompted as galectin-3 levels increases. BNP and NT-proBNP are most widely used in diagnosis and evaluation of severity of HF currently. However, aside from myocardial stretch, other mechanisms, such as inflammation or pathways regulating car ...
18 - FacultyWeb Support Center
18 - FacultyWeb Support Center

... • Positive inotropic agents increase contractility • Increased Ca2+ influx due to sympathetic stimulation • Hormones (thyroxine, glucagon, and epinephrine) ...
Cardiac Transplantation for Congenitally Corrected Transposition of
Cardiac Transplantation for Congenitally Corrected Transposition of

... feasible. Preservation of the aortic arch of the donor’s heart may be necessary to achieve a good anatomic correction. The long-term results of such an operation are as good as other HTx procedures. ...
Pulmonary Injury After Cardiopulmonary Bypass
Pulmonary Injury After Cardiopulmonary Bypass

... CHEST and other journals.1– 4 The clinical features of this syndrome include pulmonary injury with increased pulmonary vascular resistance; increased alveolar-arterial oxygen gradient with a pulmonary edema pattern shown on chest radiography; as well as decreased peripheral vascular resistance, with ...
Infective endocarditis in chronic haemodialysis patients: an increasing clinical challenge Review
Infective endocarditis in chronic haemodialysis patients: an increasing clinical challenge Review

... respectively), whereas Spies et al.23 found that the perioperative mortality among HD patients requiring heart valve surgery was even higher (73%, 11/15). Moreover, survival rate of HD patients with IE have changed little in the past two decades, despite the improvement in medical and surgical thera ...
Lorna LVNC
Lorna LVNC

... IV. Awareness that prevalence is higher than previously thought & prevalence has increased with the improvement of cardiac imaging (echocardiography & cardiac MRI and CT). ...
Does asymptomatic patients with very frequent ventricular ectopy
Does asymptomatic patients with very frequent ventricular ectopy

... Incidence of PVC-CMP • Definition: LVEF of ≤50% in the absence of any detectable underlying heart disease and improvement of LVEF≥15% following effective treatment of index ventricular • Incidence: 6.8% in patients with idiopathic ventricular arrhythmias • Predictors: gender, absence of symptoms, P ...
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