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Diagnosing primary diastolic heart failure
Diagnosing primary diastolic heart failure

... ventricular systolic function; (3) evidence of abnormal left ventricular relaxation, filling, diastolic distensibility or diastolic stiffness. Using echocardiographic examination in patients with dyspnoea but no apparent left ventricular systolic dysfunction, Caruana et al. observed a prevalence of p ...
Anomaly of the Conus Artery Arising from the Right Coronary Artery
Anomaly of the Conus Artery Arising from the Right Coronary Artery

... ischemia, infarction and sudden cardiac death. 6 The conus artery may arise from the RCA (64%), in proximity with the RCA ostium (22%) or from the anterior aortic sinus (12%).7 The conus artery normally supplies coronary blood flow to the conus, the right ventricular outflow tract and a large portio ...
Aortic stiffness and valvular calcifications in patients with end
Aortic stiffness and valvular calcifications in patients with end

... aorta and other large vessels was reduced as compared to 90 healthy subjects. Blacher et al. [15] showed that in patients on hemodialysis aortic stiffness increases the risk of total and cardiovascular mortality. It results in the rise of arterial blood pressure, which is the direct cause for increa ...
Resistant Hypertension: A Review of Diagnosis and Management
Resistant Hypertension: A Review of Diagnosis and Management

... rates of cardiovascular events compared with patients with wellcontrolled hypertension.10,17 However, the prognosis of hypertensive patients with white coat syndrome is worse than that of the general normotensive population.18 Continued home blood pressure or repeated ambulatory blood pressure monit ...
Resistant Hypertension A Review of Diagnosis and Management
Resistant Hypertension A Review of Diagnosis and Management

... rates of cardiovascular events compared with patients with wellcontrolled hypertension.10,17 However, the prognosis of hypertensive patients with white coat syndrome is worse than that of the general normotensive population.18 Continued home blood pressure or repeated ambulatory blood pressure monit ...
Standards for Physical Activity and Exercise In the Cardiac
Standards for Physical Activity and Exercise In the Cardiac

... component of any programme that aims to either reduce the incidence of, or prevent further disease progression in ―at risk‖ individuals with and without established CVD. CR exercise performed that follows the recommended standards and guidelines is safe. Supervised CR has demonstrated one fatal even ...
Pulmonary Congestion (White Lungs) on VA ECMO
Pulmonary Congestion (White Lungs) on VA ECMO

... result in left ventricular distention and pulmonary congestion. Creating a retrograde aortic flow, ECMO can increase left ventricular end diastolic pressure and therefore precipitate left ventricular failure, manifesting as pulmonary congestion/edema. The phenomenon analyzed in this paper is referre ...
BLSEKGLP
BLSEKGLP

... proven to save lives. The findings of the work group were published in a report in 2008 and revealed that less than 50% of heart attacks were receiving percutaneous coronary intervention (PCI) and less than 3% of ischemic strokes were getting tPA to break up the blood clot (while 10-20% are eligible ...
Management of cardiogenic shock complicating acute myocardial
Management of cardiogenic shock complicating acute myocardial

... Among the 128 patients receiving emergency revascularization, PCI and CABG were performed in 63% and 37% of the cases, respectively.37 There was a similar mortality at 30 days, one year and six years for CABG compared with PCI in patients with cardiogenic shock, despite a longer time from symptom on ...
Effects of Sauna Alone and Postexercise Sauna Baths on Blood
Effects of Sauna Alone and Postexercise Sauna Baths on Blood

... When hypertension diagnosis is confirmed, nonpharmacologic treatments should be instituted as first-line therapy, whenever appropriate, according to North American1 and European2 guidelines. In order to lower blood pressure (BP), but also to control other cardiovascular risk factors, nonpharmacologi ...
Ticagrelor Protects the Heart Against Reperfusion Injury and
Ticagrelor Protects the Heart Against Reperfusion Injury and

... pretreatment with ticagrelor limits infarct size. We explored the acute effects of ticagrelor and clopidogrel on infarct size and potential long-term effects on heart function. Approach and Results—Rats underwent 30-minute ischemia per 24-hour reperfusion. (1) Ticagrelor (10 or 30 mg/kg) or clopidog ...
Cardiac Catheterization History and Current Practice Standards
Cardiac Catheterization History and Current Practice Standards

... The basic principle is that cardiac catheterization is recommended to confirm the presence of a clinically suspected condition, define its anatomic and physiologic severity, and determine the presence or absence of associated conditions when a therapeutic intervention is planned in a symptomatic patie ...
Article - Johns Hopkins Medicine
Article - Johns Hopkins Medicine

... a history of supraventricular tachycardia, and the other (30) excluded patients taking amiodarone. Appendix Table 1 and Appendix Table 2 (available at www.annals.org) describe the cohorts of each study in greater detail. Compared with placebo, amiodarone decreased the incidence of atrial fibrillatio ...
Progression of mitral regurgitation
Progression of mitral regurgitation

... determined using estimated end-systolic pressure (28) and echocardiographic measurement of LV geometry and wall thickness (29). Left atrial volume was measured with orthogonal apical views using the biplane area-length method (30). Cardiac index was measured using aortic stroke volume. Systolic pulm ...
Subacute cardiac perforations associated with active
Subacute cardiac perforations associated with active

... pacing leads, and the latter three cases were associated with ventricular pacing/defibrillation leads (Table 2). There were no perforations related to left ventricular leads implantation. Although only four types of leads were associated with the perforations, the risk of their use was not statistic ...
2013 STEMI Guideline - American Heart Association
2013 STEMI Guideline - American Heart Association

... that may influence the choice of tests or therapies are considered. When available, information from studies on cost is considered, but data on efficacy and outcomes constitute the primary basis for the recommendations contained herein. In analyzing the data and developing recommendations and suppor ...
Which Is The Appropriate Arrhythmia Burden To Offer RF
Which Is The Appropriate Arrhythmia Burden To Offer RF

... independently associated with a reversible cardiomyopathy. Another study published 2011 demonstrated that patients with PVC-induced cardiomyopathy had64 broader QRS complexes than those without cardiomyopathy. A reasonable explanation for this phenomenon could be that a wider QRS duration leads to a ...
Using the Lower Limit of Normal Instead of the
Using the Lower Limit of Normal Instead of the

... nary function in addition to (previously undiagnosed) underlying pulmonary disease and confounding influences, such as smoking, coronary artery bypass grafting, and obesity.4-7,13 However, results are not consistent among the studies. For example, although smoking and a history of coronary artery by ...
CARDIAC IMAGING GUIDELINES
CARDIAC IMAGING GUIDELINES

... EECP®) is a therapy aimed at stimulating the formation of collateral circulation to the myocardium in patients with chronic stable angina who are not candidates for invasive methods of revascularization such as coronary bypass surgery or angioplasty/stenting. o A course of ECP generally consists of ...
- The Annals of Thoracic Surgery
- The Annals of Thoracic Surgery

... the low or nontransfusion groups (all p < 0.001). In a multivariable Cox proportional hazards model, both the low transfusion group (adjusted hazard ratio [HR] 0.80, 95% confidence interval [CI]: 0.66 to 0.97, p ⴝ 0.02) and high transfusion group (adjusted HR 0.66, 95% CI: 0.53 to 0.82, p < 0.001) w ...
Comparison of estimations versus measured resting oxygen
Comparison of estimations versus measured resting oxygen

... HF, with annual healthcare cost estimations reaching $39 billion in 2010 when the cost of hospitalizations, medications and loss of productivity are considered (Bui et al., 2011). Cardiac output (while supine at rest) is an important measure in the determination of HF severity and in assessment of ...
Improving risk stratification in non-ST
Improving risk stratification in non-ST

... of incremental value have been proposed, which examine the extent to which a model reclassifies subjects, such as the net reclassification index (NRI) and the integrated discrimination improvement (IDI) [12]. The NRI method, described by Pencina et al. [13], states that a positive and significant ...
Variations in Individual Organ Release of Noradrenaline Measured
Variations in Individual Organ Release of Noradrenaline Measured

... further assumption is that the escape of noradrenaline from synaptic clefts into the bloodstream is uniform in different organs. An opportunity to test these assumptions was provided in the present study by the measurement of the arteriovenous (A-V) difference of noradrenaline across several organs ...
ACC/AHA Clinical Practice Guideline
ACC/AHA Clinical Practice Guideline

... impact the sense or strength of related recommendations. The GWC develops recommendations on the basis of the systematic review and denotes them with superscripted “SR” (ie, SR) to emphasize support derived from formal systematic review. Guideline-Directed Medical Therapy—Recognizing ad­­ vances in ...
ACE Inhibition as a Cornerstone of Hypertension Treatment
ACE Inhibition as a Cornerstone of Hypertension Treatment

... Normalization Excess sTiffness (DAPHNET) study in hypertensive patients with type 2 diabetes showed that a 6-month treatment with perindopril 8 mg increased carotid distensibility to a greater extent than perindopril 4 mg, for a similar reduction in ambulatory BP.5 In hypertensives, a 1-year treatme ...
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