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Effects of Increasing Left Ventricular Filling Pressure in Patients with
Effects of Increasing Left Ventricular Filling Pressure in Patients with

... necessary to calculate stroke work when only left ventricular pressure was available. The standard deviation of the mean from the factor of 0.90 was 0.009 (21). ...
AFib Management and the Role of Catheter Ablation
AFib Management and the Role of Catheter Ablation

... Although the initial cost of ablation is high, after ablation, utilization of healthcare resources is significantly reduced ...
Transcatheter Pulmonary Valve Implantation - 1/16
Transcatheter Pulmonary Valve Implantation - 1/16

... (RVOT) obstruction. Patients with prior CHD repair are at risk of needing repeated reconstruction procedures. TPVI has been proposed as a less invasive alternative to open surgical pulmonary valve replacement or reconstruction for RVOT obstruction. The evidence for TPVI with an FDA-approved device a ...
Left Ventricular Assist Devices - Ether
Left Ventricular Assist Devices - Ether

... In 1990 the age-adjusted death rate from congestive heart failure was 106.4 per 100,000,5 more than that from breast cancer and the acquired immunodeficiency syndrome combined.6,7 The median survival after diagnosis is 1.7 years in men and 3.2 years in women, with a 5-year survival rate of less than ...
Pro: An Incidental PFO Should Be Repaired When Discovered
Pro: An Incidental PFO Should Be Repaired When Discovered

... closure of the PFO. Conversely, there may be a shortened longevity associated with PFO, thereby making the incidence lower in the elderly. The size of a PFO increases with age, secondary to stretching of the fossa ovalis (causing greater separation of the ostium secundum). PFO--WHY DO WE CARE? PFO c ...
2014 ACC/AHA Guideline on Perioperative Cardiovascular
2014 ACC/AHA Guideline on Perioperative Cardiovascular

... This document was approved by the American College of Cardiology Board of Trustees and the American Heart Association Science Advisory and Coordinating Committee in July 2014. The American College of Cardiology requests that this document be cited as follows: Fleisher LA, Fleischmann KE, Auerbach AD ...
Regional Venous Drainage of the Human Heart*
Regional Venous Drainage of the Human Heart*

... ventricular myocardium. It is believed by many investigators that coronary sinus blood in man is composed almost entirely of left ventricular efflux. That this is true in the canine heart is firmly established (Rayford et al., 1959). This principle has been widely accepted in the many studies which ...
risks of exercise
risks of exercise

... Recent epidemiologic studies have shown that each 1-MET increase in exercise capacity confers an 8% to 17% reduction in cardiovascular and all-cause mortality (Franklin 2007). One possible mechanism by which regular physical activity, improved aerobic fitness, or both, may provide cardioprotective b ...
CHANGES IN AUTONOMIC TONE RESULTING FROM CIRCUMFERENTIAL PULMONARY VEIN ISOLATION by GEOFFREY SEABORN
CHANGES IN AUTONOMIC TONE RESULTING FROM CIRCUMFERENTIAL PULMONARY VEIN ISOLATION by GEOFFREY SEABORN

... which are to prevent circulatory instability and stroke. While the risk of stroke can be reduced using anticoagulatory medication such as Heparin, Warfarin, and Dabigatran, circulatory instability necessitates medication for controlling heart rate. A number of ‘rate control’ medications are well-sui ...
percutaneous coronary intervention in patients with atrial
percutaneous coronary intervention in patients with atrial

... risk of major bleeding (I). Uninterrupted warfarin treatment did not increase perioperative complications and seemed to decrease bleeding complications compared to heparin bridging (II). Already mild renal impairment (eGFR 60– 90mL/min) was associated with a 2.3‐fol ...
Left Ventricular Systolic Dysfunction in Asymptomatic Black
Left Ventricular Systolic Dysfunction in Asymptomatic Black

... Aortic diameter (cm) ...
Upregulation of eNOS and unchanged energy metabolism in
Upregulation of eNOS and unchanged energy metabolism in

... and greater mortality after myocardial infarction than nondiabetic patients (64). Clinical studies and experimental animal models have shown that diabetes mellitus is associated with a specific cardiomyopathy independent of hypertension, coronary artery disease, or hyperlipidemia. The underlying mec ...
Biventricular Pacemakers (Cardiac
Biventricular Pacemakers (Cardiac

... There are numerous cardiac resynchronization therapy (CRT) devices, combined implantable cardiac defibrillator (ICD) plus CRT devices (CRT-D), and combined CRT plus fluid monitoring devices. Some devices are discussed here. For example, in 2001, the InSync® Biventricular Pacing System (Medtronic), a ...
Myocardial metabolism in experimental infarction and heart failure
Myocardial metabolism in experimental infarction and heart failure

... neurohormones such as catecholamines, angiotensin-II, cytokines and probably many others are thought to play a major role in change of the myocardial phenotype by altering gene expression via activation of second messenger systems37-39. At the organ level, the remodeling process results in increased ...
Improvement of left ventricular contractile function by
Improvement of left ventricular contractile function by

... program consisted of endurance exercise of progressively increasing intensity, frequency, and duration. During the last 3 months the patients were running an average of 18 miles/week, or doing an equivalent amount of exercise on a cycle ergometer. Maximal attainable V02 increased 37% (p < .001). Of ...
Obstructive Sleep Apnea and Cardiovascular Disease
Obstructive Sleep Apnea and Cardiovascular Disease

... coefficients. Data from Peppard et al. (25). ...
The emerging role of cardiovascular magnetic resonance imaging
The emerging role of cardiovascular magnetic resonance imaging

... affected by subclinical or mild BMD. The clinical presentation is usually characterized by early right ventricular dysfunction and is later associated with LV impairment. In mild BMD, myocardial damage may develop because the patients, who are unaware of a possible cardiac disease, can still perform ...
Device Closure for Ventricular Septal Defect After Myocardial Infarction
Device Closure for Ventricular Septal Defect After Myocardial Infarction

... the defect and measured at the volume at which shunting is eliminated on Doppler echocardiography (not to the point of waist formation). Finally, an Amplatzer sizing balloon (AGA Medical Corporation) may be inflated across the defect and the stretched defect diameter measured as the balloon waist si ...
Right ventricular failure in patients with the HeartMate
Right ventricular failure in patients with the HeartMate

... and pulmonary pressures.3,4 However, these mechanisms were derived mostly from the study of pulsatile LVADs, and there is a question about whether these precepts are still applicable for continuous-flow pumps. The development of RVF in patients with an LVAD has a direct effect on mortality and is as ...
letters to the editor
letters to the editor

... patients with congenital heart disease should be examined carefully for noncardiac features, infants with a 22q11 deletion are at risk for known anomalies that are best managed by early identification and intervention. It is also important to identify the infant with a 22q11 deletion for family coun ...
Ablation vs. drug use for atrial fibrillation
Ablation vs. drug use for atrial fibrillation

Understanding Heart Failure
Understanding Heart Failure

... (ICD) systems Dangerously fast abnormal heart rhythms can cause sudden cardiac arrest. This can lead to sudden cardiac death within a few minutes if not treated. ICDs prevent sudden cardiac death by treating the dangerously fast abnormal rhythms. A person with heart failure is 6 to 9 times more like ...
SYMPOSIUM ON CONGESTIVE HEART FAILURE
SYMPOSIUM ON CONGESTIVE HEART FAILURE

... group. For example, the behavior of endocardial fibroelastosis in a given ease may classify it in any of the first 3 groups. Functional derangements of the heart or eirculatioln (vaso-vagal syncope, rapid heart action, cardiac arrest) also may result in circulatory failure in the absence of myocardi ...
The importance of long axis function
The importance of long axis function

... found beneficial acute hemodynamic effects in patients with CHF during WWI. The myocardial band The architectural organisation of the heart muscle are twofold, both complex, but also very simple and elegantly constructed. The heart is represented by a single ventricular myocardial band [37]. By unfo ...
AFA Australia Atrial Flutter FACT sheet
AFA Australia Atrial Flutter FACT sheet

... becoming fast and often regular. A person may not feel any symptoms when the heart rhythm changes from normal rhythm to Atrial Flutter – it may only be detected during a visit to a doctor for other reasons. However, some people may present with palpitation (being able to feel the heart beating), sho ...
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