Tìm thấy 20+ kết quả cho từ khóa "Congestive heart failure"
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Heart Failure:. Congestive heart failure–Chemotherapy. Director, Heart Failure Program St. Director, Advanced Heart Failure &. Heart Failure Fellow Jefferson Heart Institute. 13 A trial of the beta-blocker bucindolol in patients with advanced chronic heart failure. Diuretics in congestive heart failure. evaluated 41 patients with stable, but symptomatic heart failure. in preventing the development of heart failure.. Progressive heart failure.
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Randomized trial of low dose amiodarone in severe congestive heart failure (GESICA). Congestive heart failure. Mechanisms, diagnosis, and treatment of diastolic heart failure. Packer M, Bristow MR, Cohn JN, et al. for the U.S. Carvedilol Heart Failure Study Group. The effect of carvedilol on morbidity and mortality in patients with chronic heart failure. Packer M, Gheorghiade M, Young JB, et al.
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Acute type 5 phos- phodiesterase inhibition with sildenafil enhances flow-mediated vasodilatation in patients with chronic heart failure. [16] Takimoto E, Champion HC, Li M, Belardi D, Ren S, Rodriguez ER, et al. [17] Adamo CM, Dai DF, Percival JM, Minami E, Willis MS, Patrucco E, et al. Sildenafil reverses cardiac dysfunction in the mdx mouse model of Duchenne muscular dys- trophy. Potential role of type 5 phosphodiestarase inhibition in the treatment of congestive heart failure.
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The patient should be in the American Heart Association's Class III or IV congestive heart failure ranking and should be on optimal pharmacologic therapy for congestive heart failure.. There will be fine-tuning of the indications. Many of the studies were done with QRS complex durations much longer than 120 msec, usually with left bundle branch block (LBBB). In row 2, the patient has congestive heart failure.
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Extensive jejunal resection, Crohn's disease, partial gastrectomy, congestive heart failure, Whipple's disease, scleroderma, amyloid, diabetic enteropathy, systemic bacterial infection, lymphoma, salazopyrine. Inflammatory diseases: tuberculosis, Crohn's disease, psoriasis, exfoliative dermatitis, malaria. Excess urinary loss: congestive heart failure, active liver disease. Liver diseases, alcoholism, intensive care units
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Sixty percent of these patients have been ill for <2 months before presentation, and 19–50% develop congestive heart failure..
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Moderate to severe congestive heart failure due to valve dysfunction. Partially dehisced unstable prosthetic valve. Persistent bacteremia despite optimal antimicrobial therapy. Lack of effective microbicidal therapy (e.g., fungal or Brucella endocarditis). aureus prosthetic valve endocarditis with an intracardiac complication. Relapse of prosthetic valve endocarditis after optimal antimicrobial therapy. Perivalvular extension of infection.
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CHA 2 DS 2 ‑Vasc: Congestive heart failure, Hypertension, Age, Diabetes, Stroke, Vascular disease, and female gender.
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If hypoalbuminemia is not present, it should be determined if there is evidence of congestive heart failure of a severity to promote generalized edema. Finally, it should be determined whether the patient has an adequate urine. output, or if there is significant oliguria or anuria. Abassi ZA et al: Control of extracellular fluid volume and the pathophysiology of edema formation, in The Kidney, 7th ed, BM Brenner (ed).. Philadelphia, Saunders, 2004, pp 777–856.
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Myocardial infarction and congestive heart failure are cardiac causes of nausea and vomiting. Several metabolic disorders elicit nausea and vomiting. Ethanol intoxication is a common toxic etiology of nausea and vomiting.. Approach to the Patient: Nausea and Vomiting. The history helps define the etiology of unexplained nausea and vomiting.
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Variability in the Molecular Targets with Which Drugs Interact. polymorphisms identified in the 2 -adrenergic receptor appear to be linked to specific phenotypes in asthma and congestive heart failure, diseases in which 2 - receptor function might be expected to determine prognosis.
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Use of TNF-α inhibitors may worsen congestive heart failure (CHF), and they should be used with caution in those at risk of or known to have CHF. Further, none of the immunosuppressive agents used in the treatment of psoriasis should be initiated if the patient has a severe infection. patients on such therapy should be routinely. Malignancies, including a risk or history of certain malignancies, may limit the use of these systemic agents..
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Passive congestion due to decreased blood flow from the spleen in conditions that produce portal hypertension (cirrhosis, Budd- Chiari syndrome, congestive heart failure).. Infiltrative diseases of the spleen (lymphomas, metastatic cancer, amyloidosis, Gaucher's disease, myeloproliferative disorders with extramedullary hematopoiesis).. Table 60-2 Diseases Associated with Splenomegaly Grouped by Pathogenic Mechanism. Enlargement Due to Increased Demand for Splenic Function.
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Concern often arises regarding the use of vasoconstrictors in patients with hypertension and heart disease. If intravascular injection is avoided, 2% lidocaine with 1:100,000 epinephrine (limited to a total of 0.036 mg epinephrine) can be used safely in those with controlled hypertension and stable coronary heart disease, arrhythmia, or congestive heart failure.
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These guidelines recommend performance of an ECG for virtually all patients with chest pain who do not have an obvious noncardiac cause of their pain, and performance of a chest x-ray for patients with signs or symptoms consistent with congestive heart failure, valvular heart disease, pericardial disease, or aortic dissection or aneurysm..
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PDE-5 inhibitors should also be avoided in patients with congestive heart failure and cardiomyopathy because of the risk of vascular collapse. Because sexual activity leads to an increase in physiologic expenditure [5–6 metabolic equivalents (METS. physicians have been advised to exercise caution in prescribing any drug for sexual activity to those with active coronary disease, heart failure, borderline hypotension, or hypovolemia, and to those on complex antihypertensive regimens..
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The prognosis of a person who has just been found to have pancreatic cancer is the. same as the prognosis of the person with aortic stenosis who develops the first symptoms of congestive heart failure (median survival, ~8 months). However, the patient with heart disease may remain functional and maintain a self-image as a fully intact person with just a malfunctioning part, a diseased organ ("a bum ticker".
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Extraperitoneal etiologies of indigestion include congestive heart failure and tuberculosis.. Approach to the Patient: Indigestion. Care of the patient with indigestion requires a thorough interview. GERD classically produces heartburn, a substernal warmth in the epigastrium that moves toward the neck. Heartburn often is exacerbated by meals and may awaken the patient.
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Orthopnea is a common indicator of congestive heart failure, mechanical impairment of the diaphragm associated with obesity, or asthma triggered by esophageal reflux. disease and for coronary artery disease should be solicited. Left atrial myxoma or hepatopulmonary syndrome should be considered when the patient complains of platypnea, defined as dyspnea in the upright position with relief in the supine position.. An algorithm for the evaluation of the patient with dyspnea.
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RBC transfusions should be administered to keep the hemoglobin level >80 g/L (8 g/dL) in the absence of active bleeding, DIC, or congestive heart failure. Blood products leukodepleted by filtration should be used to avert or delay alloimmunization as well as febrile reactions. Cytomegalovirus (CMV)-negative blood products should be used for CMV- seronegative patients who are potential candidates for allogeneic SCT..