Cardiology Core Curriculum A problem-based approach - part 3 pot

... 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

... occlusive disease, aortic dissection, or coarctation). The radial and femoral arteries should be palpated simultaneously during the cardiovascular examination. A significant radial–femoral delay (the appearance ... against the stenosis as the attached balloon is inflated against the opposite wall Cardiology Core Curriculum 116 Examination. Physical examination: the patient appeared no...

Ngày tải lên: 11/08/2014, 11:22

... 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 ... pain despite negative non-invasive tests Dilated cardiomyopathy Sudden cardiac death Intolerant of medications Limiting angina despite adequate drug therapy Unstable angina Postmyocardia...

Ngày tải lên: 10/08/2014, 15:20

... 1998 ;33 9: 436 – 43. 16 Antman EM, Cohen M, Radley D, et al. Assessment of the treatment effect of enoxaparin for unstable angina/non-Q-wave myocardial infarction. TIMI 11B- ESSENCE meta-analysis. ... 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...

Ngày tải lên: 10/08/2014, 15:20

... for cardiopulmonary resuscitation and emergency cardiac care: changes in the management of cardiac arrest. JAMA 2001;285:1267–9. 15 Takata TA, Page RL, Joglar JA. Automated external defibrillators: ... tachycardia Supraventricular tachycardia: abberancy; fixed intraventricular delay/bundle branch block Pre-excited supraventricular tachycardia Patients with ventricular tachycardia are usually...

Ngày tải lên: 10/08/2014, 15:20

... Chest x ray: markedly enlarged cardiac shadow; blunted costophrenic angles; enlarged pulmonary arteries; diffuse Heart failure and cardiac transplantation 31 3 cardiac catheterization. Pulmonary pressures ... 70%. Heart failure and cardiac transplantation 31 7 The 1 year survival for heart–lung transplantation is approximately 50%. A heart transplantation alone does not solve the problem...

Ngày tải lên: 10/08/2014, 15:20

... 1·0, partial Valvular disease and infective endocarditis 39 7 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. Ther...

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 strea...

Ngày tải lên: 10/08/2014, 15:20

... 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 similar effect ... Flecainide has good efficacy and safety for patients with paroxysmal supraventricular tachycardia and paroxysmal atrial fibrillation, particularly in patients with no structural heart dis...

Ngày tải lên: 10/08/2014, 15:20