The document shows line graphs of death rates from coronary heart disease (CHD) and stroke for men aged 0-64 years in Bulgaria, France, Hungary, Kazakhstan, Russia, and the UK from 1980 to 2010. The death rates from CHD and stroke generally decreased over time for all countries shown, with Bulgaria typically having the highest rates and France typically having the lowest rates.
The document shows line graphs of death rates from coronary heart disease (CHD) and stroke for men aged 0-64 years in Bulgaria, France, Hungary, Kazakhstan, Russia, and the UK from 1980 to 2010. The death rates from CHD and stroke generally decreased over time for all countries shown, with Bulgaria typically having the highest rates and France typically having the lowest rates.
Report of the Working Groups and Councils Meeting 5 march 2014escardio
The document provides an overview of the European Society of Cardiology (ESC) structure and activities. Some key points:
- The ESC was founded in 1950 and now has over 84,000 members across 56 national cardiac societies.
- It is headquartered at the European Heart House which employs 146 staff members.
- The ESC structure includes 4 Councils, 16 Working Groups, and 6 Associations that work to advance cardiovascular research and reduce disease burden.
- Activities include organizing the annual ESC Congress program, developing clinical practice guidelines, publishing journals and textbooks, providing education and certification, and conducting surveys and registries.
- Support is available to constituent bodies for submitting sessions to the Congress,
Aortic stenosis and indication for non-cardiac surgery escardio
This document discusses the case of an 84-year-old woman with severe aortic stenosis who needs left colectomy surgery for colon cancer. After evaluating her cardiac condition and risks of the non-cardiac surgery, the team decides to perform the colectomy without prior treatment of the aortic stenosis due to her being asymptomatic and the surgery being of intermediate risk. She undergoes the colectomy with close cardiac monitoring and has an uneventful postoperative recovery. The key lessons are that risk stratification should consider symptoms, surgery indication and risks, and risks of treating aortic stenosis; and intermediate-risk non-cardiac surgery can be done safely in asymptomatic patients with careful anesthesia management.
A pregnant women with valvular heart diseaseescardio
This document presents the case of a 28-year-old pregnant woman with known but uninvestigated valvular heart disease. Echocardiography revealed severe mitral regurgitation with mild mitral stenosis and mild aortic regurgitation. Close monitoring during pregnancy showed the condition was well tolerated without treatment. A multidisciplinary team recommended vaginal delivery with monitoring due to the risks of cardiac surgery during pregnancy. Delivery was successful at term with a healthy baby. The key messages were that regurgitant valve disease can be tolerated in pregnancy if left ventricular function is normal, cardiac surgery should be avoided, and multidisciplinary management including delivery planning is important.
An unusual heart coping with a dysfunctional prosthetic valve (at least once ...escardio
A 45-year-old female presented with severe shortness of breath and was found to have a dysfunctional mechanical mitral valve prosthesis implanted 10 years ago. Transesophageal echocardiography revealed the monoleaflet valve was only opening intermittently every two or three beats due to limited motion. Surgery found pannus tissue extending from the valve annulus obstructing leaflet opening. Pannus is fibroelastic tissue ingrowth from the annulus that can obstruct prosthetic valves. Differentiating pannus and thrombus is important for determining appropriate treatment as pannus requires surgery while thrombus may be treated with thrombolysis.
Assessment of Aortic Regurgitation with Cardiovascular Magnetic Resonance escardio
Cardiovascular magnetic resonance (CMR) imaging was used to assess aortic regurgitation severity in a patient where transthoracic echocardiography findings were inconclusive. CMR revealed a dilated left ventricle with impaired systolic function consistent with severe aortic regurgitation from a bicuspid aortic valve. Quantification of regurgitant volume and fraction from phase contrast imaging supported a diagnosis of severe aortic regurgitation. Due to symptoms, the patient was referred for surgical intervention as recommended by guidelines for management of severe aortic regurgitation.
Assessment of Aortic Regurgitation with Cardiovascular Magnetic Resonance escardio
This document discusses the use of cardiovascular magnetic resonance (CMR) to assess aortic regurgitation in a 43-year-old male patient. CMR showed a dilated left ventricle with impaired function, a bicuspid aortic valve, and severe aortic regurgitation based on quantified regurgitant volume and fraction as well as halodiastolic flow reversal in the descending aorta. Guidelines support using CMR when echocardiography is inconclusive or has poor image quality. CMR provides accurate assessment of ventricular volumes, valve structure, aortic dimensions, and regurgitation severity to guide management, in this case recommending the patient for surgery.
A heart coping with a dysfunctional prosthetic valveescardio
A heart coping with a dysfunctional prosthetic valve (at least once in every few beats…)
http://www.escardio.org/communities/Working-Groups/valvular/Pages/welcome.aspx
Shortness of breath in a 51 year old womanescardio
This document describes the case of a 51-year-old woman presenting with progressive shortness of breath on exertion for 2 years. Echocardiography revealed features consistent with rheumatic mitral stenosis, including restricted leaflet motion and a mitral valve area of 1.1 cm2 by planimetry and 0.64 cm2 by pressure half-time. Due to favorable clinical factors but unfavorable anatomy, the patient underwent percutaneous mitral commissurotomy (PMC), which was successful in increasing her mitral valve area to 1.6 cm2 with only mild residual mitral regurgitation. She was discharged the next day on anticoagulation and maintained improved exercise capacity at 1
Aortic Regurgitation secondary to RCC prolapseescardio
A 38-year-old man was referred for evaluation of dyspnea. Echocardiography revealed severe aortic regurgitation due to prolapse of the right coronary cusp. Transoesophageal echocardiography confirmed moderate to severe left ventricular dilation with mildly impaired systolic function and prolapse of the right coronary cusp causing an eccentric regurgitant jet. The patient underwent aortic valve replacement with a mechanical prosthesis due to failure to correct the prolapse with repair.
An Unusual Cause of Left Ventricular Volume Overload after Aortic Valve Repla...escardio
A 67-year-old female presented with syncope and was found to have left ventricular volume overload. Transthoracic echocardiography revealed a patent ductus arteriosus causing a left-to-right shunt, elevating pulmonary pressures and resulting in functional mitral and tricuspid regurgitation. While the PDA may have been an incidental finding, it was thought to be the primary cause of left ventricular volume overload. The patient was referred for percutaneous closure of the PDA to treat her symptoms.
This document discusses a case of a 76-year-old female patient who underwent bioprosthetic aortic valve replacement in 2007 and is now experiencing fatigue, chest pain, dizziness, and dyspnea. Transthoracic echocardiography showed thickened aortic valve cusps, increased transvalvular gradients, and reduced effective orifice area compared to her post-op echocardiogram, indicating potential bioprosthetic valve degeneration. Transesophageal echocardiography confirmed degeneration of the bioprosthetic valve with fixed cusps and reduced valve area. The patient was referred for redo surgery. The document also reviews the use of echocardiography to evaluate prost
The Carmeliet-Coraboeuf-Weidmann Lecture - David Eisnerescardio
The document discusses calcium signaling in the heart and its role in arrhythmias. It makes three key points:
1) The size of calcium transients is steeply dependent on sarcoplasmic reticulum (SR) calcium content. Even small changes in SR calcium can have large effects on contractility.
2) SR calcium content is tightly controlled by a feedback loop where the systolic calcium transient regulates sarcolemmal calcium fluxes via the L-type calcium channel and sodium-calcium exchanger.
3) Leaky ryanodine receptors (RyRs) can decrease the threshold for spontaneous calcium waves by increasing diastolic calcium levels. Calcium waves produce arrhythmias through delayed afterde
This document discusses guidelines for performing tricuspid valve surgery. It notes that 30-50% of patients who undergo isolated mitral valve replacement later develop moderate or severe tricuspid regurgitation. The document recommends considering combined tricuspid valve surgery during left-sided valve surgery if the tricuspid regurgitation grade is greater than 2/4 or the tricuspid annular diameter is 40mm or larger, in order to prevent late tricuspid regurgitation and right ventricular dysfunction. A strategy based on both tricuspid regurgitation grade and annular diameter is associated with better outcomes than one based on regurgitation grade alone.
A 75-year-old man with a history of HIV, kidney disease, and heart disease was admitted for pacemaker implantation. Initially, only mild tricuspid regurgitation was observed. However, 6 months later, severe right heart failure developed and echocardiography showed severe tricuspid regurgitation. 3D echocardiography revealed that the pacemaker lead was impeding closure of the tricuspid valve, causing iatrogenic functional tricuspid regurgitation. The pacemaker lead was responsible for incomplete coaptation of the tricuspid valve leaflets, a rare but severe complication of pacemaker implantation.
EuroPRevent 2014 - 8- 10 MAY 2014 - Amsterdam (NL)escardio
EuroPRevent is the Annual meeting of the European Association for Cardiovascular Prevention and Rehabilitation.
It is the Global Cardiovascular Health Forum.
ESC Continuing education and training catalogue 2013-2014escardio
This document provides information on continuing education and training opportunities in cardiology offered by the European Society of Cardiology (ESC) in 2013-2014. It outlines the ESC's commitment to education, training and lifelong learning in cardiology. It consolidates activities such as congresses, meetings, distance learning courses, publications and grants offered by the ESC and its constituent bodies to guide professionals through their continuing medical education needs. The catalogue is organized by general cardiology topics and activities as well as searchable by specific topics following the ESC core curriculum.
A 49-year-old woman presented with palpitations and shortness of breath. Transthoracic echocardiography revealed severe mitral regurgitation. However, a subsequent echocardiography showed almost no regurgitation. Transesophageal echocardiography demonstrated severe mitral regurgitation with a lack of leaflet coaptation that disappeared minutes later, indicating a paroxysmal functional mitral regurgitation. Exercise echocardiography under beta-blocker therapy found no change in ejection fraction or mitral regurgitation severity but a progressive rise in pulmonary artery pressure. The patient's mitral regurgitation is attributed to radiation-induced valvular changes causing a conformational
Report of the Working Groups and Councils Meeting 5 march 2014escardio
The document provides an overview of the European Society of Cardiology (ESC) structure and activities. Some key points:
- The ESC was founded in 1950 and now has over 84,000 members across 56 national cardiac societies.
- It is headquartered at the European Heart House which employs 146 staff members.
- The ESC structure includes 4 Councils, 16 Working Groups, and 6 Associations that work to advance cardiovascular research and reduce disease burden.
- Activities include organizing the annual ESC Congress program, developing clinical practice guidelines, publishing journals and textbooks, providing education and certification, and conducting surveys and registries.
- Support is available to constituent bodies for submitting sessions to the Congress,
Aortic stenosis and indication for non-cardiac surgery escardio
This document discusses the case of an 84-year-old woman with severe aortic stenosis who needs left colectomy surgery for colon cancer. After evaluating her cardiac condition and risks of the non-cardiac surgery, the team decides to perform the colectomy without prior treatment of the aortic stenosis due to her being asymptomatic and the surgery being of intermediate risk. She undergoes the colectomy with close cardiac monitoring and has an uneventful postoperative recovery. The key lessons are that risk stratification should consider symptoms, surgery indication and risks, and risks of treating aortic stenosis; and intermediate-risk non-cardiac surgery can be done safely in asymptomatic patients with careful anesthesia management.
A pregnant women with valvular heart diseaseescardio
This document presents the case of a 28-year-old pregnant woman with known but uninvestigated valvular heart disease. Echocardiography revealed severe mitral regurgitation with mild mitral stenosis and mild aortic regurgitation. Close monitoring during pregnancy showed the condition was well tolerated without treatment. A multidisciplinary team recommended vaginal delivery with monitoring due to the risks of cardiac surgery during pregnancy. Delivery was successful at term with a healthy baby. The key messages were that regurgitant valve disease can be tolerated in pregnancy if left ventricular function is normal, cardiac surgery should be avoided, and multidisciplinary management including delivery planning is important.
An unusual heart coping with a dysfunctional prosthetic valve (at least once ...escardio
A 45-year-old female presented with severe shortness of breath and was found to have a dysfunctional mechanical mitral valve prosthesis implanted 10 years ago. Transesophageal echocardiography revealed the monoleaflet valve was only opening intermittently every two or three beats due to limited motion. Surgery found pannus tissue extending from the valve annulus obstructing leaflet opening. Pannus is fibroelastic tissue ingrowth from the annulus that can obstruct prosthetic valves. Differentiating pannus and thrombus is important for determining appropriate treatment as pannus requires surgery while thrombus may be treated with thrombolysis.
Assessment of Aortic Regurgitation with Cardiovascular Magnetic Resonance escardio
Cardiovascular magnetic resonance (CMR) imaging was used to assess aortic regurgitation severity in a patient where transthoracic echocardiography findings were inconclusive. CMR revealed a dilated left ventricle with impaired systolic function consistent with severe aortic regurgitation from a bicuspid aortic valve. Quantification of regurgitant volume and fraction from phase contrast imaging supported a diagnosis of severe aortic regurgitation. Due to symptoms, the patient was referred for surgical intervention as recommended by guidelines for management of severe aortic regurgitation.
Assessment of Aortic Regurgitation with Cardiovascular Magnetic Resonance escardio
This document discusses the use of cardiovascular magnetic resonance (CMR) to assess aortic regurgitation in a 43-year-old male patient. CMR showed a dilated left ventricle with impaired function, a bicuspid aortic valve, and severe aortic regurgitation based on quantified regurgitant volume and fraction as well as halodiastolic flow reversal in the descending aorta. Guidelines support using CMR when echocardiography is inconclusive or has poor image quality. CMR provides accurate assessment of ventricular volumes, valve structure, aortic dimensions, and regurgitation severity to guide management, in this case recommending the patient for surgery.
A heart coping with a dysfunctional prosthetic valveescardio
A heart coping with a dysfunctional prosthetic valve (at least once in every few beats…)
http://www.escardio.org/communities/Working-Groups/valvular/Pages/welcome.aspx
Shortness of breath in a 51 year old womanescardio
This document describes the case of a 51-year-old woman presenting with progressive shortness of breath on exertion for 2 years. Echocardiography revealed features consistent with rheumatic mitral stenosis, including restricted leaflet motion and a mitral valve area of 1.1 cm2 by planimetry and 0.64 cm2 by pressure half-time. Due to favorable clinical factors but unfavorable anatomy, the patient underwent percutaneous mitral commissurotomy (PMC), which was successful in increasing her mitral valve area to 1.6 cm2 with only mild residual mitral regurgitation. She was discharged the next day on anticoagulation and maintained improved exercise capacity at 1
Aortic Regurgitation secondary to RCC prolapseescardio
A 38-year-old man was referred for evaluation of dyspnea. Echocardiography revealed severe aortic regurgitation due to prolapse of the right coronary cusp. Transoesophageal echocardiography confirmed moderate to severe left ventricular dilation with mildly impaired systolic function and prolapse of the right coronary cusp causing an eccentric regurgitant jet. The patient underwent aortic valve replacement with a mechanical prosthesis due to failure to correct the prolapse with repair.
An Unusual Cause of Left Ventricular Volume Overload after Aortic Valve Repla...escardio
A 67-year-old female presented with syncope and was found to have left ventricular volume overload. Transthoracic echocardiography revealed a patent ductus arteriosus causing a left-to-right shunt, elevating pulmonary pressures and resulting in functional mitral and tricuspid regurgitation. While the PDA may have been an incidental finding, it was thought to be the primary cause of left ventricular volume overload. The patient was referred for percutaneous closure of the PDA to treat her symptoms.
This document discusses a case of a 76-year-old female patient who underwent bioprosthetic aortic valve replacement in 2007 and is now experiencing fatigue, chest pain, dizziness, and dyspnea. Transthoracic echocardiography showed thickened aortic valve cusps, increased transvalvular gradients, and reduced effective orifice area compared to her post-op echocardiogram, indicating potential bioprosthetic valve degeneration. Transesophageal echocardiography confirmed degeneration of the bioprosthetic valve with fixed cusps and reduced valve area. The patient was referred for redo surgery. The document also reviews the use of echocardiography to evaluate prost
The Carmeliet-Coraboeuf-Weidmann Lecture - David Eisnerescardio
The document discusses calcium signaling in the heart and its role in arrhythmias. It makes three key points:
1) The size of calcium transients is steeply dependent on sarcoplasmic reticulum (SR) calcium content. Even small changes in SR calcium can have large effects on contractility.
2) SR calcium content is tightly controlled by a feedback loop where the systolic calcium transient regulates sarcolemmal calcium fluxes via the L-type calcium channel and sodium-calcium exchanger.
3) Leaky ryanodine receptors (RyRs) can decrease the threshold for spontaneous calcium waves by increasing diastolic calcium levels. Calcium waves produce arrhythmias through delayed afterde
This document discusses guidelines for performing tricuspid valve surgery. It notes that 30-50% of patients who undergo isolated mitral valve replacement later develop moderate or severe tricuspid regurgitation. The document recommends considering combined tricuspid valve surgery during left-sided valve surgery if the tricuspid regurgitation grade is greater than 2/4 or the tricuspid annular diameter is 40mm or larger, in order to prevent late tricuspid regurgitation and right ventricular dysfunction. A strategy based on both tricuspid regurgitation grade and annular diameter is associated with better outcomes than one based on regurgitation grade alone.
A 75-year-old man with a history of HIV, kidney disease, and heart disease was admitted for pacemaker implantation. Initially, only mild tricuspid regurgitation was observed. However, 6 months later, severe right heart failure developed and echocardiography showed severe tricuspid regurgitation. 3D echocardiography revealed that the pacemaker lead was impeding closure of the tricuspid valve, causing iatrogenic functional tricuspid regurgitation. The pacemaker lead was responsible for incomplete coaptation of the tricuspid valve leaflets, a rare but severe complication of pacemaker implantation.
EuroPRevent 2014 - 8- 10 MAY 2014 - Amsterdam (NL)escardio
EuroPRevent is the Annual meeting of the European Association for Cardiovascular Prevention and Rehabilitation.
It is the Global Cardiovascular Health Forum.
ESC Continuing education and training catalogue 2013-2014escardio
This document provides information on continuing education and training opportunities in cardiology offered by the European Society of Cardiology (ESC) in 2013-2014. It outlines the ESC's commitment to education, training and lifelong learning in cardiology. It consolidates activities such as congresses, meetings, distance learning courses, publications and grants offered by the ESC and its constituent bodies to guide professionals through their continuing medical education needs. The catalogue is organized by general cardiology topics and activities as well as searchable by specific topics following the ESC core curriculum.
A 49-year-old woman presented with palpitations and shortness of breath. Transthoracic echocardiography revealed severe mitral regurgitation. However, a subsequent echocardiography showed almost no regurgitation. Transesophageal echocardiography demonstrated severe mitral regurgitation with a lack of leaflet coaptation that disappeared minutes later, indicating a paroxysmal functional mitral regurgitation. Exercise echocardiography under beta-blocker therapy found no change in ejection fraction or mitral regurgitation severity but a progressive rise in pulmonary artery pressure. The patient's mitral regurgitation is attributed to radiation-induced valvular changes causing a conformational
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.