Cardiovascular Remodeling Concepts And Clinical Implications

A study which was presented at the 15th Annual American College of Cardiology Conference in San Diego, and was also published at the Journal of American College of Cardiology. The department also backed me to present at the 26th Annual Dr. George Perez Research Colloquium at Seton Hall University. Currently, we’re conducting two more studies looking at the utility of Echocardiographic strain imaging for early detection of myocardial impairment in human immunodeficiency virus patients, and the use of Neutrophil to Lymphocyte ratio as a prognostic factor in heart failure patients with preserved ejection

Parker included collecting cues in 12-lead ECG, blood pressure, potassium level, sodium level, the warmth of hands and feet and pain score (Corrales-Medina et al., 2012). Also, the process involved identifying the risk factors associated with the patient's condition. From the immediate assessment, it included weight, smoking history, history of depression and family history of cardiac conditions (Corrales-Medina et al., 2012). One evening, Mr. Parker slumped on the bed; I monitored the continuous cardiac monitor to determine his heart rhythm. Based on current information, the T wave on the ECG indicated that the ventricles are repolarising (Levett-Jones et al., 2010).

“Manual of Clinical Problems in Cardiology : With Annotated Key References” book is written by L. David Hillis in 1980. Hillis has MD degree obtained from Columbia University , New York,

43 percent of alarm conditions indicated non-critical, and “generally non-actionable,” events; 38 percent of alarm conditions indicated premature ventricular complexes (PVCs), which, since a landmark 1988 Cardiac Arrhythmic Suppression Trial (CAST) study, are no longer treated; and 3.6 percent of alarm

The following section is broken into six subsections that will assess how each topic relates to JNC 6, 7, and 8. The subsections are organized into the following: algorithms, classification of hypertension, lifestyle modifications, pharmacological treatment, and management of care. It is important to note that JNC 6 and 7 have a greater correlation in format and the types of recommendations presented to clinicians. Contrastingly JNC 8 varies in format, as well as the type of recommendations presented to clinicians, therefore each of the subsections may not contain information on JNC 8.

Association, A. H. (Ed.). (2016, September 21). Heart Valves and Circulation. Retrieved February 14, 2018, from http://www.heart.org/HEARTORG/Conditions/More/HeartValveProblemsandDisease/Heart-Valves-and-Circulation_UCM_450291_Article.jsp#.WoZL-neZOt8

Aortic PVW has been shown to be one of the best independent predictors of cardiovascular mortality in many populations. It has been shown to be a powerful predictor of cardiovascular death in essential hypertensive patients with end-stage renal disease where SBP or PP was not as effective [68]. It has been shown to be more effective at predicting mortality in diabetics than SBP [69]. PWV has also been proven to be the best predictors of cardiovascular mortality in large cohorts of hypertensive patients with mean age of 60±13 years [72]. PWV as a surrogate for Arterial stiffness seems therefore to have the best predictive capacities in patient mortality outcome [68-72]. Many mechanisms have been

The results demonstrated that the extent of LGE was associated with an increased risk of sudden cardiac death events. The estimated risk of SCD events at 5 years increased incrementally with respect to %LGE, ranging from 4.9% in patients with 10% LGE to 6.9% in patients with 20% LGE. It concluded that extensive LGE measured by contrast-enhanced cardiovascular magnetic resonance (CMR) provided additional information for assessing SCD event risk among HCM patients.

ECG : ventricular rate 54 beats/min, HR varying from 39 to 60 during a 45 minute period of monitoring, infrequent PVCs, ST elevation in leads II, III and avF indicating inferior injury or ischemia secondary to acute MI.

The ACC/AHA guidelines on valvular heart disease 2014 classified all VHD including MR into four stages-A(at risk),B(progressive),C(asymptomatic severe) and D(symptomatic severe).Stage C is again divided into C1-compensated and C2 –decompensated.The frequency of echocardiography for asymptomatic patients with normal LV function is outlined.Stage B patients of MR should undergo echo every 3 to 5 years if mild and 1-2 years if moderate severity.In Stage C patients,the recommended frequency is 6-12 months except in a dilating LV when it should be done more frequently.20

There is proof that LAVI ≤ 28 ml/m2 is powerfully predictive of normal stress echocardiogram (Alsaileek et al., 2006).

wall thickening and wall motion throughout the cardiac cycle and so, LV volumes and EF obtained by cMRI are highly accurate, reproducible and well validated (14) (15).

According to the author, the present article proposes “to analyze the new echocardiographic indexes and their clinical use”, and “to discuss methods for the correct evaluation of the severity of Aortic Stenosis, as well as the cases of possibly conflicting findings”. I believe it contributes to a better understanding of the correct method to evaluate Aortic Stenosis, and the importance of making the correct clinical diagnosis.

As the population ages heart failure is expected to increase exceptionally. About twenty-two percent of men and forty-four percent of women will develop heart failure within six years of having a heart attack. “Thirty years ago patients would have died from their heart attacks!” (Couzens)

Approximately one in every three adult’s ages 20 years old and older are diagnosed with high blood pressure or hypertension. Hypertension affects 78 million people in the United States and is equally prevalent in both men and woman (Crabtree et al., 2013). Hypertension is a major risk factor for cardiovascular disease (Hajjar & Kotchen, 2003). It can lead to stroke, myocardial infarction, renal failure, heart failure, neurological issues, and death if not detected early and not treated properly (James, Oparil, Carter, & et al., 2014). Approximately 9.4 million deaths in 2010 were attributed to high blood pressure (Angell, De Cock, & Frieden, 2015). About 54% of strokes, 47% of coronary heart disease, and 25 % of other cardiovascular diseases are attributed to high blood pressure (Arima, Barzi, & Chalmers, 2011).