Cardiology Core Curriculum A problem-based approach - part 4 pps

... 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, ... 1998;339: 43 6 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...

Ngày tải lên: 10/08/2014, 15:20

... attention was drawn to the substantial need for repeat revascularization after PTCA. Treatment of chronic stable angina General measures General measures include: • an attempt to attain ideal body ... coronary artery, and moderate disease of the circumflex and right coronary arteries associated with Cardiology Core Curriculum 226 integrated, both to arrive at a diagnosis and to estima...

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 ... in particular following revascularization techniques such as percutaneous transluminal coronary angioplasty or coronary artery bypass grafting • risk stratification after acute myocardia...

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

... tachycardia (AVRT) and atrioventricular nodal re-entrant tachycardia (AVNRT). Atrial tachycardia, sinus tachycardia, or sinus nodal re-entrant tachycardia are less likely because the P wave is closer ... 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 defibrill...

Ngày tải lên: 10/08/2014, 15:20

... 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 might ... 70%. Heart failure and cardiac transplantation 317 The 1 year survival for heart–lung transplantation is approximately 50%. A heart transplantation alone does not solve the problem with pulmonary...

Ngày tải lên: 10/08/2014, 15:20

... International Normalized Ratio 1·0, partial Valvular disease and infective endocarditis 397 2. What anatomic features made this patient an ideal candidate for mitral valve repair versus mitral valve ... 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 ar...

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 44 1 Cardiology Core Curriculum 47 0 aVRIV 1 V 4 aVLII V 2 V 5 aVF 25 ... pulmonary embolus is almost always anatomically small and hemodynamically inconsequential. Cardiology Core Curriculum 45 0 clear trade-offs with any of these non-invasive tech...

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