Cardiology Core Curriculum A problem-based approach - part 9 potx

... 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

... levels. Indications —Supraventricular tachyarrhythmia. Flecainide has good efficacy and safety for patients with paroxysmal supraventricular tachycardia and paroxysmal atrial fibrillation, particularly in patients with ... did not change with handgrip or Valsalva. Chest examination: bilateral basal rales. Abdominal examination: soft abdomen, no tenderness and no masses. Normal liver span. Mod...

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

... left anterior descending artery, with normal left circumflex and right coronary arteries. Cardiology Core Curriculum 72 radiopharmaceutical agent. An example of a radiopharmaceutical is Tc -9 9 m ... 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...

Ngày tải lên: 10/08/2014, 15:20

... increases with age and varies by race. African-American and Hispanic patients are more likely to have hypertension before age 40 years than are Caucasian patients. Genetic abnormalities may be ... 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,...

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, ... Med 199 8;3 39: 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....

Ngày tải lên: 10/08/2014, 15:20

... Priori SG, Barhanin J, Hauer RNW, et al. Genetic and molecular basis of cardiac arrhythmias: impact on clinical management parts I and II. Circulation 199 9 ;99 :518–28. 13 American Heart Association. ... 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: technical considerations and...

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 ... phosphodiesterase. Heart failure and cardiac transplantation 3 09 Case 10.3 A 6 9- year-old woman with a longstanding history of essential hypertension presents to the primary care clinic for...

Ngày tải lên: 10/08/2014, 15:20

... 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 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

... 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