Echocardiographic Assessment

The article “Birth Control: Could It Be Illegal Again?” that is found on Time Magazine was written to warn the audience of the actions of birth control opponents and how the pill is at jeopardy of being banned in the United States. In an approach to convince readers that birth control is in danger, the author uses logos to appeal to logic but contradicts the point in the article by stating specific reasons pro-birth-control is succeeding.

These discoveries prompted change and allowed the National Institute of Health and Clinical Excellence (NICE), to set standards to reduce unnecessary detriment to patients. Many tools were introduced to assist in the consistency and accuracy of observations of patients’ physiological conditions. ViEWS (VitalPac Early Warning Score) is a standardized and high-tech scoring system that helps recognize and respond to deteriorating patients. It is the basis of the newest warning system, appropriately named National Early Warning System or NEWS (Featherstone, Prytherch, Schmidt & Smith, 2010).

The research team hopes to use the numerical model they have designed to link modifications that take place at the cellular and tissue level when a heart fails to a numerically computed ECG. This, they wish, will assist to determine what it is that triggers ventricular fibrillation (VF), and to recognize the risk of VF.

involving it. Los Angeles, as a city sprawl, owes its form to the earlier modes of transport and

Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability to fill is impaired. It is not a disease, but rather a complex clinical syndrome. The symptoms of heart failure come from pulmonary vascular congestion and inadequate perfusion of the systemic circulation. Individuals experience orthopnea,

CHF due to severe LVNC. Second male sib has LVNC with LVEF=40% and LV is

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 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.

Contextualizing history is heavily intertwined with the development and shaping of Los Angeles as a whole. Los Angeles has always been deemed to be one of the hardest cities to develop in being one of the greatest cities in the world. This comes as a result of all of the history behind the buildings in the city. In addition, many of the buildings in the great city (both historical structures and regular buildings) are being renovated and reshaped to keep up with modern trends. Throughout the course of the growth of the city of Los Angeles, the city has seen a lot of growth in terms of infrastructure and population. There has been a recent growth in the popularity and demand for mixed use development. Mixed use development is a very hot

Improving quality of health care for patients being discharged from the hospital with heart failure requires performance measures. A number of cardiac care programs have combined improvement interventions with clinical indicators to close the gaps between routine patient care and evidence-based care (Hickey, Scott, Denaro, Stewart, Bennett, & Theile, 2004). Process indicators are mainly aimed at improving clinical activities and assess what the health care team did for the patient (Wollersheim, Hermens, Hulscher, Braspenning, Ouwens, Schouten, Marres, Dijkstra, & Grol, 2007). In clinical indicators, the word process denotes

Lack of adequate blood flow to the human body can disturb critical components of homeostasis. Despite significant progress in our understanding of CHF, there is no specific therapy that works for every patient. Therefore, health care providers must approach patients with a clear understanding of the disorder. Moreover, treat each patient on an individual basis. Hopefully, with new health models as powerful predictors of heart failure and forward moving technologies and treatments for the care of heart failure, patients may have meaningful outcomes and

Heart failure (HF) is one of the leading causes of hospital admissions and readmissions in the United States (Desai & Stevenson, 2012; Gheorghiade, Vaduganathan, Fonarow, & Bonow, 2013). It is a condition that accounts for a very high morbidity and mortality (Bakal, McAlister, Liu, & Ezekowitz, 2014). Every hospital admission for heart failure patients results in disease progression and poor prognosis. For chronic HF patients, a hospitalization is one of the strongest prognostic predictors for increased mortality (Gheorghiade et al., 2013). Factoring in re-hospitalizations, especially at 30-day to 90-day mark, it is increasingly detrimental to patient prognosis.

To help with the early recognition of clinical decline, members of the multidisciplinary teams in acute care and emergency rooms track and score the physiologic parameters such as blood pressure, respiratory rate, heart rate, temperature and neurological status (Urban et al., 2015). The MEWS assigns a number between 0 and 3 to the five physiological categories obtained from the patient based on MEWS score card. Each item on the score card has a weighted value and a score of 0 as the ideal score. If one of the values falls into an abnormal range, it is given a score depending on the deviation from the patient’s norm (Urban et al., 2015). Individual scores from all parameters are added up to give the total MEWS score. The higher the MEWS score the more unstable a patient is. Several research studies indicate that the use of MEWS has aided in

Further analysis leads us to the top indication groups in secondary CV prevention where doctors would prefer polypill like CAD / T2DM /HTN: 23%, HTN with IHD: 17%, CAD/HTN/ Chronic Heart Failure (CHF): 15% (Fig.2) Results from our survey also showed that 90% Doctors believe that Polypill Improve Compliance and adherence to the treatment.

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)