EDUCATION IN HEART VOL 3 - PART 3 pot

... factors in uencing the time interval required for reduction in INR x Resuming heparin 6–12 hours postsurgery and maintaining until INR > 2.5 EDUCATION IN HEART 126 • A study demonstrating the ... coronary artery. EDUCATION IN HEART 130 Major surgical procedures require lowering of the INR to < 1.5. In these cases anticoagula- tion needs to be maintained with heparin. H...

Ngày tải lên: 13/08/2014, 14:20

... function tests 237 –8 thyroxine 234 , 236 –7 ticlopidine 18, 46, 49, 50 TIMI IIb 19 TIMI IIIb 20, 202, 242 TIMI -3 30 TIMI-14 31 tirofiban 18, 50 tissue plasminogen activator (t-PA) 29, 30 , 31 , 32 tomographs, ... 169 intravascular ultrasound 5, 6, 46 iodine 238 ion channels 152 ISAR 49 ischaemic heart disease 128 33 , 236 ischaemic mitral regurgitation 73, 132 3 ISIS-2 29, 231...

Ngày tải lên: 13/08/2014, 14:21

... matrix protein turnover by producing specific metalloproteinases that de- grade matrix proteins in the cap 4 and proin- flammatory cytokines, in particular interferon  (INF ), that inhibit VSMC ... also expression of chemokines, in particu- lar monocyte chemoattractant proteins-1 (MCP-1). Chemokines are proinflammatory cytokines that function in leucocyte chemoat- traction and activati...

Ngày tải lên: 13/08/2014, 14:20

... robust than in the presence of aspirin. Maintaining accurate anti- thrombin control with unfractionated heparin is unpredictable because of plasma proteins binding, including that induced by acute ... (because the finding of intralumi- nal thrombus is unusual in definite non- coronary death). In the remaining 25% infarc- tion was unlikely because plaque fissuring is quite common in peopl...

Ngày tải lên: 13/08/2014, 14:20

... other proinflam- matory cytokines such as interleukin 6 have been interpreted as epiphenomena of heart failure, but it is increasingly thought that cytokines may promote heart failure progres- sion. ... and left ventricular involvement. 4 By exam- ining 42 aVected whole hearts, including those removed at transplant, and correlating patho- logic findings with the patient’s clinical history,...

Ngày tải lên: 13/08/2014, 14:20

... carcinoid syn- drome, involving endocardial fibrosis. It has been reported that chronic ingestion of methysergide or ergotamine can induce endo- cardial thickening that results in valve dysfunc- tion. 14 The ... prostheses 2.5 3. 5 Aortic position 2.5 3. 0 2.0 3. 0* Mitral position 3. 0 3. 5 2.5 3. 5 Bioprostheses sinus rhythm Aortic position 2.5 3. 0 Aspirin 80–100 mg Mitral position 3. 0...

Ngày tải lên: 13/08/2014, 14:20

... Surg 1988;46: 232 –5. EDUCATION IN HEART 164 For example, it is increasingly recognised that altered intracellular calcium homeostasis may play an important role in arrhythmias in settings such as heart ... block- ers, angiotensin converting enzyme (ACE) in- hibitors, HMG-CoA reductase inhibitors (statins), and aspirin. Drug interactions Because antiarrhythmic drugs often have n...

Ngày tải lên: 13/08/2014, 14:21

... to non-insulin dependent diabetes and insulin concentrations in men aged 50–60 years. BMJ 1996 ;31 2:406–10. • This study involved 133 3 men born in 1920–24 and resident in Uppsala, Sweden, in 1970. ... growth potential in utero and adult obesity in relation to blood pressure in 50 year old Swedish men. BMJ 1996 ;31 2:401–6. • This study involved 133 3 men born during 1920–24 an...

Ngày tải lên: 13/08/2014, 14:21

... patients attending a heart failure clinic 3 Pain 78 ( 63) 41 Breathlessness 61 (51) 83 Mental disturbance Low mood 59 41 Insomnia 45 Anxiety 30 Anorexia 43 21 Constipation 37 12 Nausea/vomiting 32 17 Tiredness ... transplantation. Am Heart J 1998; 135 :221–9. 20 Opasich C, Pinna GD, Mazza A, et al . Six-minute walking performance in patients with moderate-to-severe heart failu...

Ngày tải lên: 13/08/2014, 14:22

... allowing the assessment of the intramural struc- tures of the vessel wall. However, non-invasive imaging modalities, in particular multi-slice computed tomography and magnetic resonance imaging, ... development for clinical coronary artery imaging. 20 These non-invasive tech- niques have particular appeal in a setting of prevention, where the invasive nature of IVUS is a distinct disadvan...

Ngày tải lên: 13/08/2014, 15:20