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The Language of Medicine - Respiratory Therapy Files
The Language of Medicine - Respiratory Therapy Files

... • P wave = spread of excitation wave over the atria just before contraction; • QRS wave = spread of excitation wave over the ventricles as the ventricles contract; • T wave = electrical recovery and relaxation of ventricles. • A heart attack (myocardial infarction or MI) can be recognized by an elev ...
Electrical storm in patients with an implantable defibrillator
Electrical storm in patients with an implantable defibrillator

... analyse the recurrence of ES. The strata in this model were the following: beta-blocker usage, LVEF (40 or .40%), and ICD ‘type’ (existing ICD or new ICD) at the time of randomization. This model produces a robust variance for the estimated parameter (treatment effect) and thus adjusting for the co ...
Effects of oxygen on autonomic nervous system dysfunction in
Effects of oxygen on autonomic nervous system dysfunction in

... autonomic nervous system (ANS). In patients with chronic obstructive pulmonary disease (COPD), chronic hypoxaemia is associated with increased mortality and only long-term oxygen therapy is able to improve their survival. Normoxaemic COPD patients have been shown to suffer from abnormalities in ANS ...
Unrecognized Volume Overload in Congestive Heart Failure
Unrecognized Volume Overload in Congestive Heart Failure

... with congestive heart failure, in whom clinical volume status was categorized by a direct measurement of blood volume by a radioisotope technique.1 Despite on-going treatment with high doses of loop diuretics and few physical signs of congestion, 65% of the subjects in this cohort were found to have ...
Effect of Erythropoietin on Exercise Capacity in Patients With
Effect of Erythropoietin on Exercise Capacity in Patients With

... potentially lead to activation of neurohormones and cytokines. In turn, cytokines can exacerbate the anemia,3 leading to a vicious cycle, the recently coined cardio-renal-anemia syndrome.16 Normalization of Hb concentration in patients with CHF may interrupt this cycle. The mean serum EPO level in o ...
Heartbeat: Is biologic age best defined by exercise capacity?
Heartbeat: Is biologic age best defined by exercise capacity?

... (without known coronary artery disease or heart failure) who underwent exercise stress testing at a single institution over an 18 year period (see page 431). Although exercise capacity decreased with age as expected, higher exercise capacity was associated with greater survival in all age groups bas ...
Heart Failure Fact Sheet
Heart Failure Fact Sheet

... smoking, losing or maintaining weight, eating a heart healthy diet, being physically active, managing stress and getting adequate rest.  Regular Monitoring: It is very important for patients with heart failure to monitor their symptoms and report any changes to their healthcare team. This may invol ...
Heart Failure Fact Sheet
Heart Failure Fact Sheet

... smoking, losing or maintaining weight, eating a heart healthy diet, being physically active, managing stress and getting adequate rest.  Regular Monitoring: It is very important for patients with heart failure to monitor their symptoms and report any changes to their healthcare team. This may invol ...
Mitral valve surgery in heart failure
Mitral valve surgery in heart failure

... CorCap cardiac support device (Acorn Cardiovascular, St Paul, Minn) in patients with New York Heart Association Class II to IV heart failure. Background: Although mitral valve surgery has been performed successfully in patients with heart failure, the safety and long-term efficacy have not been esta ...
Needs to Know - Preventive Cardiovascular Nurses Association
Needs to Know - Preventive Cardiovascular Nurses Association

Ischaemic Heart Disease
Ischaemic Heart Disease

...  Gross: gray depressed infarct progresses from border to core of infarct, Light microscopy: granulation tissue with neovascularisation + collage deposition, decreased cellularity.  > 2 mths:  Gross: white scar, Light microscopy: dense collagenous scar What is reperfusion, and what happens if this ...
The intensive care management of patients following heart
The intensive care management of patients following heart

... bony thorax are monitored. Thoracic X-ray examinations every 24 hours are necessary after heart transplantation. Arterial, central-venous and mixed-venous blood is closely monitored; the parameters measured are listed in Table 1. Arterial blood gas analysis is generally carried out every 2 hours. Mi ...
chapter-4-hypertension-lecture
chapter-4-hypertension-lecture

... Annals of Internal Medicine. 2007;147:783. Kaplan NM, et al. Overview of hypertension in adults. http://www.uptodate.com/home. Accessed March 19, 2015. Egan BM. Treatment of hypertension in blacks. http://www.uptodate.com/home. Accessed March 19, 2015. Kaplan NM. Obesity and weight reduction in hype ...
HEART FAILURE
HEART FAILURE

Position of the Heart and Associated Structures Coronary trivia
Position of the Heart and Associated Structures Coronary trivia

... Cardiac Output (CO) • CO = volume of blood ejected from the left ventricle into the aorta each ...
Identification of Microvascular Obstruction Christopher M. Kramer
Identification of Microvascular Obstruction Christopher M. Kramer

... Regional[6] and global[5] left ventricular function is worse in regions and patients with MO after MI. Animal studies have shown that the extent of MO is better at predicting LV remodeling or an increase in LV volumes than overall infarct size[8]. Regions with MO are those that are truly nonviable. ...
Interventional Cardiology Certification exam blueprint
Interventional Cardiology Certification exam blueprint

... describing patient scenarios. Questions ask about the work done (that is, tasks performed) by physicians in the course of practice: ...
Anesthesia for Minimally Invasive Cardiac Surgery
Anesthesia for Minimally Invasive Cardiac Surgery

... Anesthesia for Minimally Invasive Cardiac Surgery: MID-CABG I guess the first question should be what to call this new operation. It is minimally invasive CABG or minimal access CABG. Maximally difficult CABG. I don't know. A little cabbage is commonly known as a brussel sprout. Unfortunately, my af ...
Effect of Elective Percutaneous Coronary Intervention on Left
Effect of Elective Percutaneous Coronary Intervention on Left

... Silva et al. have shown that late recanalization, 12 hours to 14 days post anterior MI improved LV EF and myocardial contractility (7). Buszman et al. revealed that LVEF was increased %6± 7.2 after PCI (10). Improvement of LVEF was seen in two other studies by Nechvatal et al. (11) and Ioannidis et ...
Hyperglycemia Increases New-Onset Atrial Fibrillation in Patients
Hyperglycemia Increases New-Onset Atrial Fibrillation in Patients

... after the myocardial infarction, and the recording was further confirmed by the CCU doctor. All of the 12-lead ECGs acquired during the hospitalization were confirmed by the cardiologists. Patients who had AF episodes in the past were excluded from the study. The serum lipids, including the total ch ...
Trimetazidine and left ventricular ischaemic dysfunction: an
Trimetazidine and left ventricular ischaemic dysfunction: an

... greater ejection fraction and improved functional status, as well as preserve residual viability of ‘chronically’ ischaemic, potentially hibernating myocardium. The positive response to low-dose dobutamine exhibited by patients with low ejection fraction treated with trimetazidine lends support to t ...
Dronedarone for the control of ventricular rate in
Dronedarone for the control of ventricular rate in

... likely to reflect limitations in the efficacy, safety, and/or tolerability of some of the older rhythm-control agents used in these studies. However, despite its palliative use, optimal rate control is not achieved in a significant proportion of patients, either because the targeted heart rate (HR) ...
Right atrial dyssynchrony and atrial fibrillation after
Right atrial dyssynchrony and atrial fibrillation after

... but also in other conditions that predispose patients to AF. The aim of this study was finding relationship between right atrial (RA) dyssynchrony and post-CABG AF occurrence. Methods: One hundred patients who were candidates for CABG and they had sinus rhythm was evaluated. We measured RA dyssynchr ...
Cardiomyopathy
Cardiomyopathy

... HCM: Surgical Treatment For severe symptoms with large outflow gradient (>50mmHg) Does not prevent Sudden Cardiac Death Myomyectomy removal of small portion of upper IV septum +/- mitral valve replacement 5 year symptomatic benefit in ~ 70% of patients Dual Camber (DDD pacemaker) pacing decreases L ...
Here
Here

... †Estimated median: carvedilol=8.0 years (95% CI, 7.3 to 8.7); metoprolol tartrate=6.6 years (95% CI, 6.1 to 7.1). Rates for the composite endpoint of mortality or all-cause hospital admission were 74% (carvedilol) and 76% (metoprolol), RR 6% (95% CI, -2% to 14%, P=.122). Metoprolol mean dose: 85 mg ...
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