Cardiology Core Curriculum A problem-based approach - part 7 ppt

... 1·0, partial Valvular disease and infective endocarditis 3 97 2. What anatomic features made this patient an ideal candidate for mitral valve repair versus mitral valve replacement? What features may ... be accompanied by a third heart sound (S 3 ). The physical examination of a patient with mitral regurgitation may reveal an apical holosystolic murmur that radiates to the axilla. There...

Ngày tải lên: 10/08/2014, 15:20

... Texas, USA Cardiology Core Curriculum viii Christina Karaviotis, Lotika Singha and Andy Baker of BMJ Books for their advice, support, and the rapid response to trans-Atlantic emails and attachments. ... end-organ damage. In patients with diabetes mellitus (an important cardiovascular risk factor) retinopathy may develop. Increased capillary permeability leads to capillary closure and di...

Ngày tải lên: 10/08/2014, 15:20

... intimal flap seen by echocardiography and magnetic resonance imaging was indicative of what? 7. What additional information was provided by magnetic resonance imaging that was unavailable by transthoracic ... in particular following revascularization techniques such as percutaneous transluminal coronary angioplasty or coronary artery bypass grafting • risk stratification after acute myocardi...

Ngày tải lên: 10/08/2014, 15:20

... hypertension have abnormal nitric oxide mediated vasodilatation. The absence of appropriate nitric oxide mediated vasodilatation may lead to abnormal vascular remodeling and promote vascular damage, predisposing ... agent, and has the advantage of providing additional cardiac protection for patients with ischemia. Intra-arterial monitoring of therapy is advisable in the patient population who...

Ngày tải lên: 10/08/2014, 15:20

... coronary revascularization. Cardiac palpation Abnormalities of cardiac palpation such as left ventricular heave or lift, which are characterized by sustained outward movement of an area that is larger than the normal apex, ... fibrinolytic agents currently available are plasminogen activators. Reteplase (recombinant plasminogen activator [rPA]) and tenecteplase have a prolonged half-life an...

Ngày tải lên: 10/08/2014, 15:20

... emergency cardiac care: changes in the management of cardiac arrest. JAMA 2001;285:12 67 9. 15 Takata TA, Page RL, Joglar JA. Automated external defibrillators: technical considerations and clinical promise. ... transplantation, 55% have an etiology of end-stage ischemic heart disease. A diligent search Heart failure and cardiac transplantation 279 Table 10.1 Annual mortality risks associ...

Ngày tải lên: 10/08/2014, 15:20

... 10–15%. (C) 30%. (D) 70 %. Heart failure and cardiac transplantation 3 17 The 1 year survival for heart–lung transplantation is approximately 50%. A heart transplantation alone does not solve the ... This patient has several contraindications to cardiac transplantation in view of her advanced age and renal insufficiency. She has not yet had an appropriate trial of medical therapy that mig...

Ngày tải lên: 10/08/2014, 15:20

... and therapy is generally palliative. In rare cases, cardiac invasion Pericardial disease, disease of the aorta, and heart tumors 441 Cardiology Core Curriculum 470 aVRIV 1 V 4 aVLII V 2 V 5 aVF 25 ... breast, melanoma, leukemia, and lymphoma. Metastases arising from Kaposi’s sarcoma have been found in patients with AIDS. Metastatic cardiac tumors may invade the heart via the blood stre...

Ngày tải lên: 10/08/2014, 15:20

... Flecainide has good efficacy and safety for patients with paroxysmal supraventricular tachycardia and paroxysmal atrial fibrillation, particularly in patients with no structural heart disease. Ventricular ... acute coronary syndromes (acute non-ST-segment elevation myocardial infarction, unstable angina), aspirin decreases rates of non-fatal reinfarction and cardiovascular death. 3 It has a...

Ngày tải lên: 10/08/2014, 15:20