Left To Right Shunts Ecab

Author : Nagaraj Desai
Publisher : Elsevier Health Sciences
Page : 97 pages
File Size : 48,8 Mb
Release : 2012-07-05
Category : Medical
ISBN : 9788131231746

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Left to Right Shunts - ECAB by Nagaraj Desai Pdf

Patients born with cardiac defects need to be identified early and the severity of symptoms also needs to be identified. In children with larger defects or with more symptoms, early institution of treatment is warranted, since in absence of treatment, the disease progresses to pulmonary hypertension and a simple pathology gets complicated. Presence of congestive cardiac failure in infancy or of pulmonary artery hypertension is indication for early surgical treatment (prior to 6 months of age). Untreated ASD may at times allow the child to grow and reach adulthood, but can cause complications in adulthood also. These issues related to understanding of natural history of the shunts and its implications in management decisions need to be addressed in clear terms. Also the role and timing of surgical therapy need to be emphasized. This book is designed to address such questions with supportive clinical scenarios. Thus, it provides an excellent opportunity to widen one’s perspective in this area.

Author : R R Kasliwal
Publisher : Elsevier Health Sciences
Page : 176 pages
File Size : 49,6 Mb
Release : 2012-07-26
Category : Medical
ISBN : 9788131231777

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Acute Coronary Syndrome - ECAB by R R Kasliwal Pdf

Acute coronary syndrome (ACS) is the term for the clinical signs and symptoms of myocardial ischemia: unstable angina, non–ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). Unstable angina and NSTEMI normally result from a partially or intermittently occluded coronary artery, whereas STEMI results from a fully occluded coronary artery. The patients present with a wide arena of signs and symptoms like chest pain, nausea/vomiting, exertional pain, palpitation, shortness of breath, fatigue, etc. Angina, or chest pain, continues to be recognized as the classic symptom of ACS. In unstable angina, chest pain normally occurs either at rest or with exertion and results in limited activity. Chest pain associated with NSTEMI is usually longer in duration and more severe than chest pain associated with unstable angina. The diagnosis of ACS is based on triad of clinical presentation, electrocardiography and cardiac biomarkers. Electrocardiography is the most important initial diagnostic procedure when doctors suspect an acute coronary syndrome. Findings on a 12-lead ECG help the practitioner to differentiate between myocardial ischemia, injury, and infarction, locate the affected area and assess related conduction abnormalities. But at the same front, the definition of unstable angina, NSTEMI and STEMI is based on the levels of cardiac biomarkers too. Acute coronary syndromes are medical emergencies that need prompt action. Half of deaths due to a heart attack occur in the first 3–4 hours after symptoms begin. The sooner treatment begins, the better the chances of survival. Anyone having symptoms that might indicate an acute coronary syndrome should obtain prompt medical attention. Management of ACS involves a spectrum of interventions. It encompasses cardiac monitoring, thrombolysis, antiplatelet therapy, anticoagulant therapy, reperfusion therapy and invasive investigation and revascularization therapy. Reperfusion therapy (percutaneous coronary intervention) mainly holds for the ST-elevation myocardial infarction. Prognosis of the ACS patients depends on the post-myocardial risk stratification. The main highlights of risk stratification are risk stratification scores, assessment of cardiac function and stress testing, and management.

Author : Desai
Publisher : Elsevier India
Page : 94 pages
File Size : 50,9 Mb
Release : 2024-07-02
Category : Electronic
ISBN : 09740880

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ECAB Clinical Update Cardiology July-August Issue 4 by Desai Pdf

Author : Sheila Glennis Haworth,R Krishna Kumar
Publisher : Elsevier Health Sciences
Page : 182 pages
File Size : 47,9 Mb
Release : 2008-12-26
Category : Medical
ISBN : 9788131231760

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Pulmonary Hypertension - ECAB by Sheila Glennis Haworth,R Krishna Kumar Pdf

Pulmonary hypertension is defined as a mean pulmonary artery pressure (mPAP) ≥25 mmHg, with Pulmonary Capillary Wedge Pressure ≤ 15 mmHg, measured by cardiac catheterization. The etiology of PH has a varied spectrum extending right from Drugs, toxins and portal hypertension to HIV, Collagen Vascular Diseases and Persistent Pulmonary Hypertension of Newborn, etc. The estimation of disease prevalence has been nearly impossible owing to the geographic distribution and economic diversity, along with significant regional variations in human development and healthcare infrastructure. A large number of patients with PH never reach the health centers capable of diagnosing the disease condition correctly. Advance pulmonary vascular disease as a result of uncorrected CHD is a major health challenge in the developing world. PH exists as a major component of many forms of cardiac and pulmonary disease. While breathlessness is the most common feature of PH, patients often also present with chest pain, syncope, fatigue, weakness and abdominal distension. The precordial signs include a right ventricular lift, accentuated pulmonary component of S2, a pansystolic murmur of Tricuspid regurgitation, a diastolic murmur of pulmonary regurgitation and a right ventricular S3. The standard diagnostic workup in developed countries includes a series of investigations to rule out the secondary causes. Additional tests are required to estimate the disease severity and plan the appropriate treatment. These include the cardiac catheterization, selective pulmonary angiography by direct injection of pulmonary arteries, high resolution CT scan, cardiac magnetic resonance, ABGs, nocturnal O2 saturation, etc. While most of the basic management is feasible in the Indian conditions, most of the newly introduced drugs are either not available or are available at costs that far exceed the paying capacity of an average citizen of a developing economy. An underdeveloped health insurance system adds further to the financial burden of the treatment. Measures like formulation of guidelines for diagnosis and treatment of PAH, educating clinicians and scientists and making medications affordable to poor patients might ensue a breakthrough in the overall management of pulmonary hypertension.

Author : R R Kasliwal
Publisher : Elsevier Health Sciences
Page : 144 pages
File Size : 44,7 Mb
Release : 2009-04-15
Category : Medical
ISBN : 9788131231722

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Coronary Artery Disease - ECAB by R R Kasliwal Pdf

Coronary artery disease or CAD is the end result of the process of accumulation of atheromatous plaques within the walls of the arteries supplying the myocardium. Atherosclerosis is a chronic systemic disease process, affecting all the vascular beds in body and many factors responsible for its evolution have been identified. A rising incidence of this disease among people of Indian origin and an emerging role of genetic factors leading to atherosclerosis necessitates modifications in ourstrategies to handle it. The importance of the risk factors in causation of the disease need to be emphasized even more and masses need to be educated about the role of lifestyle modifications in its management. Further, early detection of preclinical or sub-clinical disease would add another dimension to the overall preventive strategy for this condition. This book is designed to update the readers on the evergrowing list of risk factors for CAD and the increasing significance of lifestyle modifications in prevention of the disease. Besides these, the therapeutic approach towards this chronic disease and methods of early detection has also been discussed. Typical supportive case scenarios are also included to exemplify and highlight the various points discussed. Thus, it provides an excellent opportunity to widen one’s perspective in this area.

Author : Hema Divakar
Publisher : Elsevier Health Sciences
Page : 194 pages
File Size : 51,5 Mb
Release : 2009-11-15
Category : Medical
ISBN : 9788131232279

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Medical Disorders in Pregnancy - ECAB by Hema Divakar Pdf

The management of medical disorders in pregnancy has undergone significant changes in the recent years. The pattern of disease has changed with improvements in socio-economic conditions. For example, the incidence of antenatal anemia has decreased progressively in the past few decades, and pulmonary tuberculosis (which used to be prevalent) is now seen only rarely. Chronic rheumatic heart disease has also become less common. On the other hand, gestational diabetes has become more common. This may be due partly to the setting up of screening services for gestational diabetes in many hospitals. The four most common medical disorders complicating pregnancy are anemia, diabetes mellitus, cardiac disease, and thyroid disorders. In addition, because of the improvements in the medical, obstetric, and anesthetic management of pregnancy, many women with medical disorders can go through a pregnancy without major problems. There has also been a progressive decrease in the perinatal mortality associated with some medical disorders, such as diabetes. It is important for all healthcare professionals involved in the management of pregnant women with medical disorders to be conversant with the latest developments in order to provide the best care to these women. The chapters in this issue are certainly helpful in this respect. The eminent authors for the various chapters have discussed the various options available describing in detail their experiences regarding the various aspects of the condition.

Author : Sinha
Publisher : Elsevier Health Sciences
Page : 207 pages
File Size : 55,7 Mb
Release : 2009
Category : Electronic
ISBN : 9788131221747

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Interventional Cardiology by Sinha Pdf

Author : Ashok Seth
Publisher : Elsevier Health Sciences
Page : 121 pages
File Size : 44,7 Mb
Release : 2008-12-08
Category : Medical
ISBN : 9788131231753

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Dilated Cardiomyopathy - ECAB by Ashok Seth Pdf

Dilated cardiomyopathy (DCM) is traditionally referred to as idiopathic dilated cardiomyopathy (IDC), which includes genetic forms of DCM. The patients present with a wide range of symptoms like dyspnea, orthopnea, paroxysmal nocturnal dyspnea, arrhythmias or complications associated with DCM. The diagnosis is based on exclusion of the various identifiable causes of systolic left ventricular dysfunction, such as ischemic cardiomyopathy, hypertensive cardiomyopathy, alcoholic cardiomyopathy, myocarditis secondary to viral or other causes, peripartum cardiomyopathy and cardiomyopathies secondary to amyloidosis, hemochromatosis, sarcoidosis, and due to drug toxicity. The sophisticated and expensive diagnostic tests might not be feasible for a typical Indian patient. This prompts us to emphasize the need for corroborating the clinical clues with the available affordable investigative tests that also offer reasonably valid results. The medical management of congestive heart failure is vital to the management protocol of DCM. The roles of heart transplant, cardiomyoplasty and surgical devices have to be weighed from patient to patient with a clear understanding of the etiology of the disease. The recent improvement in the prognosis of DCM presents an encouraging picture to the researchers and practitioners dedicated to the development of drugs and devices to improve the life expectancy of patients of DCM. This clinical update module has been formulated to update the readers on the existing and emerging treatment strategies widely followed and recommended by practitioners of international repute. The essential features of the medical and surgical management have been discussed in detail. Moreover, a comprehensive discussion on the occurrence and management of DCM in pediatric patients has also been incorporated in this book. The book is an honest attempt to provide the medical practitioner with a wide knowledge platform about DCM and its clinical implications.

Author : O P Yadava
Publisher : Elsevier Health Sciences
Page : 166 pages
File Size : 44,8 Mb
Release : 2013-01-10
Category : Medical
ISBN : 9788131231739

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Follow-up after Cardiovascular Surgery - ECAB by O P Yadava Pdf

Follow-up of patients after surgery is of utmost importance as results of the surgery heavily depend on the treatment of patient in the follow-up period. A good follow-up and proper treatment also provides protection to the patient from various complications and recurrence of the disease. Therapeutic guidelines and algorithms for treatment of the patients after discharge from the hospitals exist for a number of cardiovascular disorders. Still, follow-up and postdischarge treatment is very often found to be inappropriate and incomplete. This results in many avoidable complications for both the patient as well as the treating clinician. This book is designed to update the readers on follow-up regimens for some of the important cardiovascular surgical procedures. Typical supportive case scenarios are included to exemplify and highlight the various points discussed. Thus it provides an excellent opportunity to widen one’s perspective in this area.

Author : Shirish N Daftary
Publisher : Elsevier Health Sciences
Page : 272 pages
File Size : 42,5 Mb
Release : 2012-06-19
Category : Medical
ISBN : 9788131232316

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High-Risk Labor and Delivery - ECAB by Shirish N Daftary Pdf

The high-risk pregnant patient can present to the labor and delivery setup with significant complications that can result in morbidity and mortality. The goal of the obstetricians is always to have a safe outcome for both the mother and the baby, irrespective of the severity of the illness. Therefore, a thorough understanding of the underlying problems and expert management by the obstetrician are extremely important. Further, these parturient can be critically ill, requiring intensive care management. So, good communication among the various teams and the latest information on the management of such patients are critical in order to provide the highest possible level of care. The information in this text will hopefully give the reader the best and most up-to-date knowledge with regard to management of problems and challenges in dealing with a high-risk parturient. This book brings together an outstanding group of authors from the discipline of Obstetrics and Gynaecology in an attempt to present a comprehensive and current summary of high-risk labor and delivery and will be useful to both the practitioner in academic medicine and in private practice.

Author : Peush Sahni
Publisher : Elsevier Health Sciences
Page : 151 pages
File Size : 49,7 Mb
Release : 2014-12-11
Category : Medical
ISBN : 9788131239445

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ECAB Gastrointestinal Hemorrhage - E-Book by Peush Sahni Pdf

ECAB Gastrointestinal Hemorrhage - E-Book

Author : Marcus A. Hemminga,Lawrence Berliner
Publisher : Springer Science & Business Media
Page : 346 pages
File Size : 52,5 Mb
Release : 2007-02-13
Category : Medical
ISBN : 9780387250663

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ESR Spectroscopy in Membrane Biophysics by Marcus A. Hemminga,Lawrence Berliner Pdf

Starting from a comprehensive quantum mechanical description, this book introduces the optical (IR, Raman, UV/Vis, CD, fluorescence and laser spectroscopy) and magnetic resonance (1D and 2D-NMR, ESR) techniques. The book offers a timely review of the increasing interest in using spin-label ESR as an alternative structural technique for NMR or X-ray diffraction. Future aspects are treated as well, but only as an illustration of the progress of ESR in this field.

Author : Dorairaj Prabhakaran,Shuchi Anand,Thomas A. Gaziano,Jean-Claude Mbanya,Rachel Nugent
Publisher : World Bank Publications
Page : 466 pages
File Size : 51,5 Mb
Release : 2017-11-17
Category : Medical
ISBN : 9781464805202

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Disease Control Priorities, Third Edition (Volume 5) by Dorairaj Prabhakaran,Shuchi Anand,Thomas A. Gaziano,Jean-Claude Mbanya,Rachel Nugent Pdf

Cardiovascular, respiratory, and related conditions cause more than 40 percent of all deaths globally, and their substantial burden is rising, particularly in low- and middle-income countries (LMICs). Their burden extends well beyond health effects to include significant economic and societal consequences. Most of these conditions are related, share risk factors, and have common control measures at the clinical, population, and policy levels. Lives can be extended and improved when these diseases are prevented, detected, and managed. This volume summarizes current knowledge and presents evidence-based interventions that are effective, cost-effective, and scalable in LMICs.

Author : Ruth Ann Watry
Publisher : LFB Scholarly Publishing
Page : 222 pages
File Size : 45,8 Mb
Release : 2002
Category : Law
ISBN : UOM:39015053772227

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Administrative Statutory Interpretation by Ruth Ann Watry Pdf

Author : Michael Ford
Publisher : Lulu.com
Page : 587 pages
File Size : 50,7 Mb
Release : 2012-04-30
Category : Religion
ISBN : 9781105710346

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Dragon of the Two Flames by Michael Ford Pdf

This massive, 585 page grimoire begins with historical, mythological, authentic origins of the Gods & Demons of ancient Bronze Age/Iron Age Canaanite Pantheons throughout the Levant. The Gods are described as 'Deific Masks', representations of a type of energy/power which manifests in nature & in relation to the individual. -Descriptions, Cult 'Names of Power', locations of temples including authentic modern rituals and workings with realistic goals for material and spiritual development. -Maps, architecture examples of Baal, Chemosh, Dagan & Baal-Zebub temples, consecration rituals, sorcery, necromancy and demonology and the rites of divination including communion with Dagan and Baal-Zebub by dreams. -Ancient Magickial scripts using authentic Aramaic, Moab/Philistine & Ugaritic cuneiform to inscribe 'Words of Power' for spells.