hypertension in acute decompensated heart failure

... Page of 15 Table Baseline characteristics of 171 patients admitted with acute decompensated heart failure (Continued) Etiology of heart failure, number (percentage) Ischemic heart disease 41 (24) ... AP: The integration of BNP and NT-proBNP into clinical medicine Swiss Med Wkly 2007, 137:4-12 Maisel A: B-type natriuretic peptide measurements in diagnosing congestive heart failure in the dyspneic ... natriuretic peptide and amino terminal proBNP predict one-year mortality in short of breath patients independently of the baseline diagnosis of acute destabilized heart failure Clin Chim Acta 2006,...

Ngày tải lên: 14/08/2014, 07:21

... TH è Braunwalds heart disease 10th 2015 F 5L ầ ụ Page 11 ACUTE DECOMPENSATED HEART FAILURE Điều trị cụ thể Chỉ dẫn chung điều trị ADHF F Page 12 6T ACUTE DECOMPENSATED HEART FAILURE Rối loạn ... ACUTE DECOMPENSATED HEART FAILURE ACUTE DECOMPENSATED HEART FAILURE STRATERGIES FOR MANAGEMENT - DR THOAI DHF D H F BN 65 DHF ... ụ ụ ự ổ ầ ứ ẽ ự C ổ - Dobutamin + Nitroglycerin : suy tim - Dobutamin + Nitropr - D T ụ +D : – : ứ ứ ã T ứ - N Page 10 +D é : ụ TTM NMCT ACUTE DECOMPENSATED HEART FAILURE - N +N : TH è ổ ụ - L...

Ngày tải lên: 17/03/2015, 00:47

... medians (interquartile ranges) Creatinine, norm 70 to 105 μmol/L Troponin T, norm

Ngày tải lên: 13/08/2014, 18:22

... Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology Eur Heart J 2005, 26:384-416 Shure ... a part of routine management for conditions other than right heart failure, disorders causing abnormalities of pulmonary arterial pressure, and congenital heart disease Competing interests CRP ... dysfunction in acute heart failure and septic patients: an observational study Crit Care 2009, 13:R133 Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D Catheterization of the heart in man...

Ngày tải lên: 13/08/2014, 19:20

... Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the Task Force on Acute Heart Failure of the European Society of Cardiology Eur Heart J 2005, 26:384-416 Shure ... a part of routine management for conditions other than right heart failure, disorders causing abnormalities of pulmonary arterial pressure, and congenital heart disease Competing interests CRP ... dysfunction in acute heart failure and septic patients: an observational study Crit Care 2009, 13:R133 Swan HJ, Ganz W, Forrester J, Marcus H, Diamond G, Chonette D Catheterization of the heart in man...

Ngày tải lên: 13/08/2014, 19:20

... ACE: angiotensin-converting enzyme; ADHF: acute decompensated heart failure; BNP: brain natriuretic peptide; CI: confidence interval; ED: emergency department; HF: heart failure; IQR: interquartile ... ACE inhibitors to 51.0%; angiotensin II receptor blockers, (accordingly to ADHF guidelines) in all centres [6], and digoxin and spironolactone in selected cases; and oxygen delivery to maintain ... confidence interval (CI) 3.49 to 10.97, P < 0.001) In multivariate analysis including both predictors and their interaction, the interaction term was not significant (P = 0.874) For an analysis including...

Ngày tải lên: 13/08/2014, 20:22

... capnometry, N-terminal pro-brain natriuretic peptide, and clinical assessment in differentiating acute heart filure from pulmonary disease as cause of acute dyspnea in prehospital emergency setting: study ... NT-proBNP in differentiating HF-related acute dyspnea from COPD/ asthma-related acute dyspnea in prehospital settings Conclusions Ultrasound examination of the lungs alone or in combination with ... natriuretic peptide (BNP) and N-terminal pro-brain natriuretic peptide (NTproBNP), help in determining the cause of acute dyspnea in the prehospital setting [2,7] Point-of-care bedside lung ultrasound...

Ngày tải lên: 14/08/2014, 08:21

... lack of increase in LV dyssynchrony during dobutamine stress in patients with wide QRS duration (20) In contrast, Kurita et al reported on an increased mechanical dyssynchrony during pacing–induced ... pacing–induced tachycardia in patients with normal QRS duration (21) A remarkable increase in intra-LV dyssynchrony was also demonstrated during pharmacological stress in systolic heart failure patients ... rest or during exercise or the exercise-related increase in EDVI and the corresponding LDT values were found in both IDCM subgroups Results Systolic and diastolic time intervals The clinical characteristics...

Ngày tải lên: 05/11/2012, 11:32

... much insight regarding inotrope use in the setting of more routine decompensated heart failure, and the effect milrinone in ischemic subset of patients deserves further investigation Conclusion Initiation ... of the attending physician, including inotrope administration and dosing It is well recognized that heart failure leads to increased circulating levels of pro-inflammatory cytokines, such as ... studies examining natriuretic peptide levels and/or inflammatory markers during inotrope administration with inconsistent results [8-11] Adding complexity to this picture is data indicating that...

Ngày tải lên: 18/06/2014, 15:20

... cells in ischemic heart failure Proc Natl Acad Sci USA 2005, 102:8692-8697 Fedak PW: Paracrine effects of cell transplantation: Modifying ventricular remodeling in the failing heart Semin Thorac ... into new, functioning cardiomyocytes improving cardiac performance is inferential Whether this therapy can achieve reverse remodelling and improve LVEF in the chronically ischemic heart remains ... http://www.translational-medicine.com/content/9/1/12 Figure Intraoperative view showing clinical application of stem cells into the failing heart with multiple targeted injections following device insertion Note the outflow graft (1) connected...

Ngày tải lên: 18/06/2014, 16:20

... interleukins and 6, TNF-a, matrix metalloproteinases, neuroepinephrine, renin, galectin-3 [16-18], some of which are also important tools in the diagnosis and pathogenesis of heart failure, in the ... disease to heart failure still need further investigation The identification of the cytokines associated with chronic heart failure is not only important to get deeper insights into the inflammatory ... modulated in CHF Grey ovals: genes found to be regulated in CHF in the present study Endothelin-1 (ET-1), Galectin (GAL3), Norepinephrine (NOR), Tumor necrosis factor (TNF) a, Interferon (IFN)- g, Interleukin...

Ngày tải lên: 18/06/2014, 19:20

... interleukins and 6, TNF-a, matrix metalloproteinases, neuroepinephrine, renin, galectin-3 [16-18], some of which are also important tools in the diagnosis and pathogenesis of heart failure, in the ... disease to heart failure still need further investigation The identification of the cytokines associated with chronic heart failure is not only important to get deeper insights into the inflammatory ... modulated in CHF Grey ovals: genes found to be regulated in CHF in the present study Endothelin-1 (ET-1), Galectin (GAL3), Norepinephrine (NOR), Tumor necrosis factor (TNF) a, Interferon (IFN)- g, Interleukin...

Ngày tải lên: 20/06/2014, 03:20

... is a 50-point scale that was applied to quantify impairment in activities of daily living such as grooming, walking, transferring, hygiene and voiding (50 points meaning completely independent ... (24%) reported problems washing or dressing themselves [16] This finding indicates that CHF patients still possess a feeling of independence despite significant impairment in daily activities This ... patients in our study showed complaints in these same domains Conversely, the CHF group demonstrated significant complaints in mobility and usual activities but no significant impact in self-care...

Ngày tải lên: 20/06/2014, 15:20

... myocardial infarction Table Event Rate and Cumulative Incidence of Events during Follow-up.* Time after Myocardial Infarction No at Risk at Beginning of Interval No Who Died of Any Cause during Interval ... reduced heart- rate variability.10 Indeed, in that trial, a decrease in the rate of death from arrhythmia was offset by an increase in the rate of death from other causes.19 The DINAMIT findings ... back in the operating room, a heart was beating in a body with no future The recovery was routine — and yet extraordinary An army of coordinators had been on the telephone for hours to bring together...

Ngày tải lên: 27/06/2014, 00:20

... Digoxin, sử dụng điều trị suy tim sung huyết mãn tính, có vai trò điều trị phù phổi cấp - Các thuốc có tác dụng hướng (inotropics) cần thiết gồm có dobutamine, dopamine milrinone Dobutamine dopamine ... tiểu (furosemide) giảm afterload beta-blockers (metoprolol), ACE inhibitors (captopril) digoxin - Angiotensin-converting enzyme (ACE) inhibitors thuốc chủ yếu điều trị lâu dài suy tim sung huyết, ... tim, renin-angiotensin system hoạt hóa Một suy tim phát triển vài chế thần kinh- hormone bù trừ xảy Sự giảm cung lượng tim (cardiac output) dẫn đến gia tăng kích thích trục renin-angiotensin-aldosterone...

Ngày tải lên: 13/07/2014, 20:20

... catecholamines [4] Pheochromocytoma may present as acute heart failure and pulmonary edema, Table Postoperative 24-h urinary catecholamines values Epinephrine 217.80 nmol/day (0.0 - 123) Norephrine ... useful in patients with tachyarrhythmias Additional preoperative measures include increasing salt and fluid intake (to reduce the risk of orthostatic and postoperative hypotension), maintaining ... intravenous ephedrine If ephedrine infusion is ineffective, vasopressin might be used The risk of hypoglycemia is related to rebound hyperinsulinemia due to the recovery of insulin release after tumor...

Ngày tải lên: 09/08/2014, 01:24

... Conclusion In conclusion, when a patient with a history of chronic hepatic disease presents with symptoms of right heart failure one must be cautious and should bear in mind that right heart involvement ... histology examination of the right atrial tumor Metastatic disease as the initial presentation of HCC appears in less than 5% of cases [5] In addition histological investigation defines whether ... position [6] Extracardiac tumours involving inferior vena cava and right atrium include renal cell tumour (4-10%) [7], thyroid carcinoma, testicular tumours and HCC In most cases of advanced HCC...

Ngày tải lên: 10/08/2014, 09:22

... approach disseminating research findings into routine care The CAS framework suggests that local contexts and local interactions between individuals are critical considerations in designing interventions, ... pattern of interactions, including non-verbal communication, among agents • Introducing new agents into the system • Letters to patients • Nurse-led heart failure group clinic • Clinical reminders ... Mancini DM, Hopton LA, Orav EJ, Loh E, WHARF Investigators: Randomized trial of a daily electronic home monitoring system in patients with advanced heart failure: the Weight Monitoring in Heart Failure...

Ngày tải lên: 10/08/2014, 10:23

... is worth mentioning that the variation in our outcome ‘disease monitoring’ was mainly related to varying levels of creatinine testing, i.e., monitoring of kidney functioning Clinical research ... this in both diabetes patients and CHF patients In diabetes, testing for creatinine is important in identifying affected kidney functioning due to damaged blood vessels and nerves, resulting in ... Monitoring in % (N) Treatment in % (N) overestimation of connections when more than two health professionals of a discipline are involved in a practice Reporting contact with that discipline will...

Ngày tải lên: 10/08/2014, 11:20

... domain Purified recombinant GST-RELA peptides (amino terminus, DNA binding domain; carboxyl terminus, transactivation domain; in the left panel, the arrow indicates the GST-RELA 428-551 amino ... of RELA because a purified recombinant GST fusion protein of the RELA carboxy-terminal domain, but not the amino terminus DNA binding domain, was sufficient to interact with p53 (Additional file ... and p53 in vivo (Figure 3a) Once again, NFI disrupted the GIS-p53 association, indicating that p53 binding required RELA (Figure 3b) To determine whether RELA and p53 co-exist in a single molecular...

Ngày tải lên: 11/08/2014, 12:20