The veins and arteries of the HEART.
Radiography of the vascular system of the heart muscle after injection of a contrast medium.
Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.
The circulation of blood through the CORONARY VESSELS of the HEART.
Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.
Narrowing or constriction of a coronary artery.
Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.
An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.
Spasm of the large- or medium-sized coronary arteries.
Abnormal balloon- or sac-like dilatation in the wall of CORONARY VESSELS. Most coronary aneurysms are due to CORONARY ATHEROSCLEROSIS, and the rest are due to inflammatory diseases, such as KAWASAKI DISEASE.
Coagulation of blood in any of the CORONARY VESSELS. The presence of a blood clot (THROMBUS) often leads to MYOCARDIAL INFARCTION.
NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).
Recurrent narrowing or constriction of a coronary artery following surgical procedures performed to alleviate a prior obstruction.
Complete blockage of blood flow through one of the CORONARY ARTERIES, usually from CORONARY ATHEROSCLEROSIS.
The hospital unit in which patients with acute cardiac disorders receive intensive care.
A family of percutaneous techniques that are used to manage CORONARY OCCLUSION, including standard balloon angioplasty (PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY), the placement of intracoronary STENTS, and atheroablative technologies (e.g., ATHERECTOMY; ENDARTERECTOMY; THROMBECTOMY; PERCUTANEOUS TRANSLUMINAL LASER ANGIOPLASTY). PTCA was the dominant form of PCI, before the widespread use of stenting.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Hospital units providing continuous surveillance and care to acutely ill patients.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Elements of limited time intervals, contributing to particular results or situations.
Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.
A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).
Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.
The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)
Pathologic deposition of calcium salts in tissues.
Coronary artery bypass surgery on a beating HEART without a CARDIOPULMONARY BYPASS (diverting the flow of blood from the heart and lungs through an oxygenator).
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
Precordial pain at rest, which may precede a MYOCARDIAL INFARCTION.
The restoration of blood supply to the myocardium. (From Dorland, 28th ed)
Drugs used to cause dilation of the blood vessels.
The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.
Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.
Drugs or agents which antagonize or impair any mechanism leading to blood platelet aggregation, whether during the phases of activation and shape change or following the dense-granule release reaction and stimulation of the prostaglandin-thromboxane system.
The physiological widening of BLOOD VESSELS by relaxing the underlying VASCULAR SMOOTH MUSCLE.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
The hollow, muscular organ that maintains the circulation of the blood.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
The muscle tissue of the HEART. It is composed of striated, involuntary muscle cells (MYOCYTES, CARDIAC) connected to form the contractile pump to generate blood flow.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Pressure, burning, or numbness in the chest.
A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.
Maintenance of blood flow to an organ despite obstruction of a principal vessel. Blood flow is maintained through small vessels.
Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).
Single pavement layer of cells which line the luminal surface of the entire vascular system and regulate the transport of macromolecules and blood components.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
A nucleoside that is composed of ADENINE and D-RIBOSE. Adenosine or adenosine derivatives play many important biological roles in addition to being components of DNA and RNA. Adenosine itself is a neurotransmitter.
Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.
Measurable and quantifiable biological parameters (e.g., specific enzyme concentration, specific hormone concentration, specific gene phenotype distribution in a population, presence of biological substances) which serve as indices for health- and physiology-related assessments, such as disease risk, psychiatric disorders, environmental exposure and its effects, disease diagnosis, metabolic processes, substance abuse, pregnancy, cell line development, epidemiologic studies, etc.
Controlled physical activity which is performed in order to allow assessment of physiological functions, particularly cardiovascular and pulmonary, but also aerobic capacity. Maximal (most intense) exercise is usually required but submaximal exercise is also used.
A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.
A phosphodiesterase inhibitor that blocks uptake and metabolism of adenosine by erythrocytes and vascular endothelial cells. Dipyridamole also potentiates the antiaggregating action of prostacyclin. (From AMA Drug Evaluations Annual, 1994, p752)
Generally, restoration of blood supply to heart tissue which is ischemic due to decrease in normal blood supply. The decrease may result from any source including atherosclerotic obstruction, narrowing of the artery, or surgical clamping. Reperfusion can be induced to treat ischemia. Methods include chemical dissolution of an occluding thrombus, administration of vasodilator drugs, angioplasty, catheterization, and artery bypass graft surgery. However, it is thought that reperfusion can itself further damage the ischemic tissue, causing MYOCARDIAL REPERFUSION INJURY.
A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
Lesions formed within the walls of ARTERIES.
The force that opposes the flow of BLOOD through a vascular bed. It is equal to the difference in BLOOD PRESSURE across the vascular bed divided by the CARDIAC OUTPUT.
Agents that affect the rate or intensity of cardiac contraction, blood vessel diameter, or blood volume.
The return of a sign, symptom, or disease after a remission.
The ratio of maximum blood flow to the MYOCARDIUM with CORONARY STENOSIS present, to the maximum equivalent blood flow without stenosis. The measurement is commonly used to verify borderline stenosis of CORONARY ARTERIES.
An effective inhibitor of platelet aggregation commonly used in the placement of STENTS in CORONARY ARTERIES.
The circulation of the BLOOD through the MICROVASCULAR NETWORK.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
An acute, febrile, mucocutaneous condition accompanied by swelling of cervical lymph nodes in infants and young children. The principal symptoms are fever, congestion of the ocular conjunctivae, reddening of the lips and oral cavity, protuberance of tongue papillae, and edema or erythema of the extremities.
The hemodynamic and electrophysiological action of the left HEART VENTRICLE. Its measurement is an important aspect of the clinical evaluation of patients with heart disease to determine the effects of the disease on cardiac performance.
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
Types of spiral computed tomography technology in which multiple slices of data are acquired simultaneously improving the resolution over single slice acquisition technology.
A clinical syndrome characterized by the development of CHEST PAIN at rest with concomitant transient ST segment elevation in the ELECTROCARDIOGRAM, but with preserved exercise capacity.
A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.
The physiological narrowing of BLOOD VESSELS by contraction of the VASCULAR SMOOTH MUSCLE.
A method of computed tomography that uses radionuclides which emit a single photon of a given energy. The camera is rotated 180 or 360 degrees around the patient to capture images at multiple positions along the arc. The computer is then used to reconstruct the transaxial, sagittal, and coronal images from the 3-dimensional distribution of radionuclides in the organ. The advantages of SPECT are that it can be used to observe biochemical and physiological processes as well as size and volume of the organ. The disadvantage is that, unlike positron-emission tomography where the positron-electron annihilation results in the emission of 2 photons at 180 degrees from each other, SPECT requires physical collimation to line up the photons, which results in the loss of many available photons and hence degrades the image.
The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
The creation and display of functional images showing where the blood is flowing into the MYOCARDIUM by following over time the distribution of tracers injected into the blood stream.
An ergot alkaloid (ERGOT ALKALOIDS) with uterine and VASCULAR SMOOTH MUSCLE contractile properties.
The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.
The presence of an increased amount of blood in a body part or an organ leading to congestion or engorgement of blood vessels. Hyperemia can be due to increase of blood flow into the area (active or arterial), or due to obstruction of outflow of blood from the area (passive or venous).
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Deposition of calcium into the blood vessel structures. Excessive calcification of the vessels are associated with ATHEROSCLEROTIC PLAQUES formation particularly after MYOCARDIAL INFARCTION (see MONCKEBERG MEDIAL CALCIFIC SCLEROSIS) and chronic kidney diseases which in turn increase VASCULAR STIFFNESS.
Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.
The dilatation of the aortic wall behind each of the cusps of the aortic valve.
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
Contractile activity of the MYOCARDIUM.
Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland.
Disease having a short and relatively severe course.
Motion pictures of the passage of contrast medium through blood vessels.
A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.
Computed tomography where there is continuous X-ray exposure to the patient while being transported in a spiral or helical pattern through the beam of irradiation. This provides improved three-dimensional contrast and spatial resolution compared to conventional computed tomography, where data is obtained and computed from individual sequential exposures.
Hospital units providing continuing surveillance and care to acutely ill newborn infants.
Persistent and reproducible chest discomfort usually precipitated by a physical exertion that dissipates upon cessation of such an activity. The symptoms are manifestations of MYOCARDIAL ISCHEMIA.
The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.
A neurotransmitter found at neuromuscular junctions, autonomic ganglia, parasympathetic effector junctions, a subset of sympathetic effector junctions, and at many sites in the central nervous system.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
Statistical models used in survival analysis that assert that the effect of the study factors on the hazard rate in the study population is multiplicative and does not change over time.
The vessels carrying blood away from the heart.
The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation.
Compounds that inhibit HMG-CoA reductases. They have been shown to directly lower cholesterol synthesis.
Unstable isotopes of thallium that decay or disintegrate emitting radiation. Tl atoms with atomic weights 198-202, 204, and 206-210 are thallium radioisotopes.
Substances used to allow enhanced visualization of tissues.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
A characteristic symptom complex.
Endoscopic examination, therapy or surgery performed on the interior of blood vessels.
The amount of BLOOD pumped out of the HEART per beat, not to be confused with cardiac output (volume/time). It is calculated as the difference between the end-diastolic volume and the end-systolic volume.
Cholesterol which is contained in or bound to low density lipoproteins (LDL), including CHOLESTEROL ESTERS and free cholesterol.
A condition with abnormally high levels of CHOLESTEROL in the blood. It is defined as a cholesterol value exceeding the 95th percentile for the population.
The neural systems which act on VASCULAR SMOOTH MUSCLE to control blood vessel diameter. The major neural control is through the sympathetic nervous system.
The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.
Damage to the MYOCARDIUM resulting from MYOCARDIAL REPERFUSION (restoration of blood flow to ischemic areas of the HEART.) Reperfusion takes place when there is spontaneous thrombolysis, THROMBOLYTIC THERAPY, collateral flow from other coronary vascular beds, or reversal of vasospasm.
A plasma protein that circulates in increased amounts during inflammation and after tissue damage.
Genetically developed small pigs for use in biomedical research. There are several strains - Yucatan miniature, Sinclair miniature, and Minnesota miniature.
A catecholamine derivative with specificity for BETA-1 ADRENERGIC RECEPTORS. It is commonly used as a cardiotonic agent after CARDIAC SURGERY and during DOBUTAMINE STRESS ECHOCARDIOGRAPHY.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
A free radical gas produced endogenously by a variety of mammalian cells, synthesized from ARGININE by NITRIC OXIDE SYNTHASE. Nitric oxide is one of the ENDOTHELIUM-DEPENDENT RELAXING FACTORS released by the vascular endothelium and mediates VASODILATION. It also inhibits platelet aggregation, induces disaggregation of aggregated platelets, and inhibits platelet adhesion to the vascular endothelium. Nitric oxide activates cytosolic GUANYLATE CYCLASE and thus elevates intracellular levels of CYCLIC GMP.
Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.
Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs.
A condition in which the LEFT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE; MYOCARDIAL INFARCTION; and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the left ventricular wall.
The nonstriated involuntary muscle tissue of blood vessels.
Treatment process involving the injection of fluid into an organ or tissue.
The vein which drains the foot and leg.
Obstruction of flow in biological or prosthetic vascular grafts.
Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.
ANGINA PECTORIS or angina-like chest pain with a normal coronary arteriogram and positive EXERCISE TEST. The cause of the syndrome is unknown. While its recognition is of clinical importance, its prognosis is excellent. (Braunwald, Heart Disease, 4th ed, p1346; Jablonski Dictionary of Syndromes & Eponymic Diseases, 2d ed). It is different from METABOLIC SYNDROME X, a syndrome characterized by INSULIN RESISTANCE and HYPERINSULINEMIA, that has increased risk for cardiovascular disease.
Procedures for finding the mathematical function which best describes the relationship between a dependent variable and one or more independent variables. In linear regression (see LINEAR MODELS) the relationship is constrained to be a straight line and LEAST-SQUARES ANALYSIS is used to determine the best fit. In logistic regression (see LOGISTIC MODELS) the dependent variable is qualitative rather than continuously variable and LIKELIHOOD FUNCTIONS are used to find the best relationship. In multiple regression, the dependent variable is considered to depend on more than a single independent variable.
Cholesterol which is contained in or bound to high-density lipoproteins (HDL), including CHOLESTEROL ESTERS and free cholesterol.
A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.
The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.
A malformation that is characterized by a muscle bridge over a segment of the CORONARY ARTERIES. Systolic contractions of the muscle bridge can lead to narrowing of coronary artery; coronary compression; MYOCARDIAL ISCHEMIA; MYOCARDIAL INFARCTION; and SUDDEN CARDIAC DEATH.
A vasodilator used in the treatment of ANGINA PECTORIS. Its actions are similar to NITROGLYCERIN but with a slower onset of action.
Bleeding or escape of blood from a vessel.
The principal sterol of all higher animals, distributed in body tissues, especially the brain and spinal cord, and in animal fats and oils.
The innermost layer of an artery or vein, made up of one layer of endothelial cells and supported by an internal elastic lamina.
The condition of an anatomical structure's being constricted beyond normal dimensions.
Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.
The probability that an event will occur. It encompasses a variety of measures of the probability of a generally unfavorable outcome.
Theoretical representations that simulate the behavior or activity of the cardiovascular system, processes, or phenomena; includes the use of mathematical equations, computers and other electronic equipment.
An alkaloid found in opium but not closely related to the other opium alkaloids in its structure or pharmacological actions. It is a direct-acting smooth muscle relaxant used in the treatment of impotence and as a vasodilator, especially for cerebral vasodilation. The mechanism of its pharmacological actions is not clear, but it apparently can inhibit phosphodiesterases and it may have direct actions on calcium channels.
Formation and development of a thrombus or blood clot in the blood vessel.
Agents that have a strengthening effect on the heart or that can increase cardiac output. They may be CARDIAC GLYCOSIDES; SYMPATHOMIMETICS; or other drugs. They are used after MYOCARDIAL INFARCT; CARDIAC SURGICAL PROCEDURES; in SHOCK; or in congestive heart failure (HEART FAILURE).
A generic term for fats and lipoids, the alcohol-ether-soluble constituents of protoplasm, which are insoluble in water. They comprise the fats, fatty oils, essential oils, waxes, phospholipids, glycolipids, sulfolipids, aminolipids, chromolipids (lipochromes), and fatty acids. (Grant & Hackh's Chemical Dictionary, 5th ed)
Conditions or pathological processes associated with the disease of diabetes mellitus. Due to the impaired control of BLOOD GLUCOSE level in diabetic patients, pathological processes develop in numerous tissues and organs including the EYE, the KIDNEY, the BLOOD VESSELS, and the NERVE TISSUE.
Platelet membrane glycoprotein complex important for platelet adhesion and aggregation. It is an integrin complex containing INTEGRIN ALPHAIIB and INTEGRIN BETA3 which recognizes the arginine-glycine-aspartic acid (RGD) sequence present on several adhesive proteins. As such, it is a receptor for FIBRINOGEN; VON WILLEBRAND FACTOR; FIBRONECTIN; VITRONECTIN; and THROMBOSPONDINS. A deficiency of GPIIb-IIIa results in GLANZMANN THROMBASTHENIA.
Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body.
Use of infusions of FIBRINOLYTIC AGENTS to destroy or dissolve thrombi in blood vessels or bypass grafts.
A graphic means for assessing the ability of a screening test to discriminate between healthy and diseased persons; may also be used in other studies, e.g., distinguishing stimuli responses as to a faint stimuli or nonstimuli.
A macrolide compound obtained from Streptomyces hygroscopicus that acts by selectively blocking the transcriptional activation of cytokines thereby inhibiting cytokine production. It is bioactive only when bound to IMMUNOPHILINS. Sirolimus is a potent immunosuppressant and possesses both antifungal and antineoplastic properties.
Thickening and loss of elasticity of the walls of ARTERIES of all sizes. There are many forms classified by the types of lesions and arteries involved, such as ATHEROSCLEROSIS with fatty lesions in the ARTERIAL INTIMA of medium and large muscular arteries.
The relationship between the dose of an administered drug and the response of the organism to the drug.
The condition of an anatomical structure's being dilated beyond normal dimensions.
Hospital units providing continuous surveillance and care to acutely ill infants and children. Neonates are excluded since INTENSIVE CARE UNITS, NEONATAL is available.
The degree to which BLOOD VESSELS are not blocked or obstructed.
Drugs that bind to but do not activate beta-adrenergic receptors thereby blocking the actions of beta-adrenergic agonists. Adrenergic beta-antagonists are used for treatment of hypertension, cardiac arrhythmias, angina pectoris, glaucoma, migraine headaches, and anxiety.
A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.
A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.
A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)
A thickening and loss of elasticity of the walls of ARTERIES that occurs with formation of ATHEROSCLEROTIC PLAQUES within the ARTERIAL INTIMA.
The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.
Pathological conditions involving the HEART including its structural and functional abnormalities.
Abnormal communication between two ARTERIES that may result from injury or occur as a congenital abnormality.
A procedure to stop the contraction of MYOCARDIUM during HEART SURGERY. It is usually achieved with the use of chemicals (CARDIOPLEGIC SOLUTIONS) or cold temperature (such as chilled perfusate).
A method of recording heart motion and internal structures by combining ultrasonic imaging with exercise testing (EXERCISE TEST) or pharmacologic stress.
Non-invasive method of vascular imaging and determination of internal anatomy without injection of contrast media or radiation exposure. The technique is used especially in CEREBRAL ANGIOGRAPHY as well as for studies of other vascular structures.
The flow of BLOOD through or around an organ or region of the body.
A technetium imaging agent used to reveal blood-starved cardiac tissue during a heart attack.
Direct myocardial revascularization in which the internal mammary artery is anastomosed to the right coronary artery, circumflex artery, or anterior descending coronary artery. The internal mammary artery is the most frequent choice, especially for a single graft, for coronary artery bypass surgery.
Substances used to lower plasma CHOLESTEROL levels.
An isoenzyme of creatine kinase found in the CARDIAC MUSCLE.
Radiography of blood vessels after injection of a contrast medium.
Prolonged dysfunction of the myocardium after a brief episode of severe ischemia, with gradual return of contractile activity.
Unexpected rapid natural death due to cardiovascular collapse within one hour of initial symptoms. It is usually caused by the worsening of existing heart diseases. The sudden onset of symptoms, such as CHEST PAIN and CARDIAC ARRHYTHMIAS, particularly VENTRICULAR TACHYCARDIA, can lead to the loss of consciousness and cardiac arrest followed by biological death. (from Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 7th ed., 2005)
A transferase that catalyzes formation of PHOSPHOCREATINE from ATP + CREATINE. The reaction stores ATP energy as phosphocreatine. Three cytoplasmic ISOENZYMES have been identified in human tissues: the MM type from SKELETAL MUSCLE, the MB type from myocardial tissue and the BB type from nervous tissue as well as a mitochondrial isoenzyme. Macro-creatine kinase refers to creatine kinase complexed with other serum proteins.
A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.
Fibrinolysin or agents that convert plasminogen to FIBRINOLYSIN.
Measurement of intracardiac blood flow using an M-mode and/or two-dimensional (2-D) echocardiogram while simultaneously recording the spectrum of the audible Doppler signal (e.g., velocity, direction, amplitude, intensity, timing) reflected from the moving column of red blood cells.
Inhaling and exhaling the smoke of burning TOBACCO.
The transference of a heart from one human or animal to another.
A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.
A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)
Agents that prevent clotting.
Any disturbances of the normal rhythmic beating of the heart or MYOCARDIAL CONTRACTION. Cardiac arrhythmias can be classified by the abnormalities in HEART RATE, disorders of electrical impulse generation, or impulse conduction.
One of the three polypeptide chains that make up the TROPONIN complex. It is a cardiac-specific protein that binds to TROPOMYOSIN. It is released from damaged or injured heart muscle cells (MYOCYTES, CARDIAC). Defects in the gene encoding troponin T result in FAMILIAL HYPERTROPHIC CARDIOMYOPATHY.
A highly acidic mucopolysaccharide formed of equal parts of sulfated D-glucosamine and D-glucuronic acid with sulfaminic bridges. The molecular weight ranges from six to twenty thousand. Heparin occurs in and is obtained from liver, lung, mast cells, etc., of vertebrates. Its function is unknown, but it is used to prevent blood clotting in vivo and vitro, in the form of many different salts.
A non-ionic, water-soluble contrast agent which is used in myelography, arthrography, nephroangiography, arteriography, and other radiological procedures.
Radiography of the heart and great vessels after injection of a contrast medium.
The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.
Post-systolic relaxation of the HEART, especially the HEART VENTRICLES.
Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.
The period following a surgical operation.
The failure by the observer to measure or identify a phenomenon accurately, which results in an error. Sources for this may be due to the observer's missing an abnormality, or to faulty technique resulting in incorrect test measurement, or to misinterpretation of the data. Two varieties are inter-observer variation (the amount observers vary from one another when reporting on the same material) and intra-observer variation (the amount one observer varies between observations when reporting more than once on the same material).
An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES).
Use of a balloon catheter for dilation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of BALLOON DILATION in coronary arteries, ANGIOPLASTY, BALLOON, CORONARY is available.
A nonapeptide messenger that is enzymatically produced from KALLIDIN in the blood where it is a potent but short-lived agent of arteriolar dilation and increased capillary permeability. Bradykinin is also released from MAST CELLS during asthma attacks, from gut walls as a gastrointestinal vasodilator, from damaged tissues as a pain signal, and may be a neurotransmitter.
Surgery performed on the heart.
The period of confinement of a patient to a hospital or other health facility.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
One of the three polypeptide chains that make up the TROPONIN complex. It inhibits F-actin-myosin interactions.
A heavy, bluish white metal, atomic number 81, atomic weight [204.382; 204.385], symbol Tl.

Is hospital care involved in inequalities in coronary heart disease mortality? Results from the French WHO-MONICA Project in men aged 30-64. (1/291)

OBJECTIVES: The goal of the study was to assess whether possible disparities in coronary heart disease (CHD) management between occupational categories (OC) in men might be observed and contribute to the increasing inequalities in CHD morbidity and mortality reported in France. METHODS: The data from the three registers of the French MONICA Collaborative Centres (MCC-Lille, MCC-Strasbourg, and MCC-Toulouse) were analysed during two period: 1985-87 and 1989-91. Acute myocardial infarctions and coronary deaths concerning men, aged 30-64 years, were included. Non-professionally active and retired men were excluded. Results were adjusted for age and MCC, using a logistic regression analysis. RESULTS: 605 and 695 events were analysed for 1985-87 and 1989-91, respectively. Out of hospital cardiac arrests, with or without cardiac resuscitation, and 28 day case fatality rates were lower among upper executives in both periods. A coronarography before the acute event had been performed more frequently in men of this category and the proportion of events that could be hospitalised was higher among them. In both periods, the management of acute myocardial infarctions in hospital and prescriptions on discharge were similar among occupational categories. CONCLUSIONS: For patients who could be admitted to hospital, the management was found to be similar among OCs, as was the 28 day case fatality rate among the hospitalised patients. In contrast, lower prognosis and higher probability of being hospitalised after the event among some categories suggest that pre-hospital care and the patient's conditions before the event are the primary factors involved.  (+info)

Feasibility of direct discharge from the coronary/intermediate care unit after acute myocardial infarction. (2/291)

OBJECTIVES: This investigation was designed to determine the feasibility and cost-effectiveness of direct discharge from the coronary/intermediate care unit (CICU) in 497 consecutive patients with an acute myocardial infarction (AMI). BACKGROUND: Although patients with an AMI are traditionally treated in the CICU followed by a period on the medical ward, the latter phase can likely be incorporated within the CICU. METHODS: All patients were considered for direct discharge from the CICU with appropriate patient education. The 6-week postdischarge course was evaluated using a structured questionnaire by a telephone interview. RESULTS: There were 497 patients (men = 353; women = 144; age 63.5 +/- 0.6 years) in the study, with 29 in-hospital deaths and a further 11 deaths occurring within 6 weeks of discharge. The mode length of CICU stay was 4.0 days (mean 5.1 +/- 0.2 days): 1 to 2 (12%), 3 (19%), 4 (21%), 5 (14%), 6 to 7 (19%) and > or = 7 (15%) days, respectively with 87.2% discharged home directly. Of the 425 patients surveyed, 119 (28.0%) indicated that they had made unscheduled return visits (URV) to a hospital or physician's office: 10.6% to an emergency room, 9.4% to a physician's office and 8.0% readmitted to a hospital. Of these URV, only 14.3% occurred within 48 h of discharge. Compared to historical controls, the present management strategy resulted in a cost savings of Cdn. $4,044.01 per patient. CONCLUSIONS: Direct discharge from CICU is a feasible and safe strategy for the majority of patients that results in considerable savings.  (+info)

Audit of thrombolysis initiated in an accident and emergency department. (3/291)

Early thrombolytic therapy after acute myocardial infarction is important in reducing mortality. To evaluate a system for reducing in-hospital delays to thrombolysis pain to needle and door to needle times to thrombolysis were audited in a major accident and emergency (A and E) department of a district general hospital and its coronary care unit (CCU), situated about 5 km away. Baseline performance over six months was assessed retrospectively from notes of 43 consecutive patients (group 1) transferred to the CCU before receiving thrombolysis. Subsequently, selected patients (23) were allowed to receive thrombolysis in the A and E department before transfer to the CCU. The agent was administered by medical staff in the department after receiving oral confirmation of myocardial infarction from the admitting medical officer in the CCU on receipt of fax transmission of the electrocardiogram. A second prospective audit during six months from the start of the new procedure established time intervals in 23 patients eligible to receive thrombolysis in the A and E department (group 2b) and 30 ineligible patients who received thrombolysis in the CCU (group 2a). The groups did not differ significantly in case mix, pre-hospital delay, or transfer time to the CCU. In group 2b door to needle time and pain to needle time were reduced significantly (geometric mean 38 min v 121 min (group 2a) and 128 min (group 1); 141 min v 237 min (group 2a) and 242 min (group 1) respectively, both p < 0.0001). The incidence of adverse effects was not significantly different. Nine deaths occurred (six in group 1, three in group 2b), an in-hospital mortality of 9.9%. Thrombolysis can be safely instituted in the A and E department in selected patients, significantly reducing delay to treatment.  (+info)

Comparing physician-specific two-year patient outcomes after coronary angiography: methodologic issues and results. (4/291)

OBJECTIVES: We sought to evaluate methodologies to compare physician-related long-term patient outcomes appropriately. BACKGROUND: Evaluation of physicians on the basis of short-term patient outcome is becoming widely practiced. These analyses fail to consider the importance of long-term outcome, and methods appropriate to such an analysis are poorly defined. METHODS: All patients undergoing coronary angiography between 1992 and 1994 who received all of their cardiac care at our institution were followed for 27+/-13 months (mean+/-SD). Patients (n = 754) were cared for by one or more of 17 staff physicians. Risk-adjusted models were developed for four candidate clinical end points and cost. Physicians were then evaluated for each outcome measure. RESULTS: Of the clinical end points, death could be modeled most accurately (c-statistic = 0.83). The c-statistics for other end points ranged from 0.63 to 0.70. Physicians with outcomes statistically different (p < 0.05) from other physicians were identified more commonly than would be expected from the play of chance (p = 0.005). However, improvement in the c-statistics by the addition of physician identifiers was very modest. Physician's evaluations by the four measures of clinical outcome were variably correlated (r = .00 to .85). Graphic display of clinical and cost results for each physician did identify certain physicians who might be judged to provide more cost-effective care than others. CONCLUSIONS: Although comparisons of groups of physicians on the basis of long-term patient outcomes may have merit, individual physician-to-physician comparisons will be more difficult, owing to 1) multiple physicians contributing care to individual patients; 2) the poor predictive capacity of models other than that for survival; and 3) the modest apparent impact of differences in physician providers on long-term patient outcome. With these caveats in mind, modeling to compare patient outcomes of individual physicians with homogeneous patient populations or to identify gross outliers (good or bad) may be practicable in some patient-care systems, but may be inappropriate in others.  (+info)

Analysis of the treatment of acute myocardial infarction using ambulance records in Japanese cities. (5/291)

By means of ambulance records, the current state of medical services for the treatment of acute myocardial infarction (AMI) was investigated in Chiba City and Ichihara City, Japan. From all patients transported by ambulance personnel in 1992 (n=31,191), 388 patients who were admitted within 2 weeks after the onset were studied. Types of admitting institution, diagnoses, medical treatments and prognoses were investigated. According to medical records, 168 patients fulfilled the criteria of definite AMI and were admitted alive. Percutaneous transluminal coronary angioplasty (PTCA) and recanalization (PTCR) were performed on 54 and 6 patients, respectively. The hospital case-fatality rates were lower in the patients who underwent emergency PTCA or PTCR than in the others. Emergency PTCA or PTCR, and admission to coronary care units (CCU) or institutions equipped with coronary angiography, decreased the fatality risk, even after considering age, sex, and disease severity. These results show the importance of the selection of institutions for AMI patients. Because 40% of definite AMI patients were sent to institutions without CCU, it is essential that enough CCU are available through an improvement in cooperation between the various types of institutions, and in the proper transfer of AMI patients to CCU  (+info)

Hospital mortality of acute myocardial infarction in the thrombolytic era. (6/291)

OBJECTIVE: To examine the management and outcome of an unselected consecutive series of patients admitted with acute myocardial infarction to a tertiary referral centre. DESIGN: A historical cohort study over a three year period (1992-94) of consecutive unselected admissions with acute myocardial infarction identified using the HIPE (hospital inpatient enquiry) database and validated according to MONICA criteria for definite or probable acute myocardial infarction. SETTING: University teaching hospital and cardiac tertiary referral centre. RESULTS: 1059 patients were included. Mean age was 67 years; 60% were male and 40% female. Rates of coronary care unit (CCU) admission, thrombolysis, and predischarge angiography were 70%, 28%, and 32%, respectively. Overall in-hospital mortality was 18%. Independent predictors of hospital mortality by multivariate analysis were age, left ventricular failure, ventricular arrhythmias, cardiogenic shock, management outside CCU, and reinfarction. Hospital mortality in a small cohort from a non-tertiary referral centre was 14%, a difference largely explained by the lower mean age of these patients (64 years). Five year survival in the cohort was 50%. Only age and left ventricular failure were independent predictors of mortality at follow up. CONCLUSIONS: In unselected consecutive patients the hospital mortality of acute myocardial infarction remains high (18%). Age and the occurrence of left ventricular failure are major determinants of short and long term mortality after acute myocardial infarction.  (+info)

Increasing levels of interleukin (IL)-1Ra and IL-6 during the first 2 days of hospitalization in unstable angina are associated with increased risk of in-hospital coronary events. (7/291)

BACKGROUND: A growing body of evidence suggests a role for inflammation in acute coronary syndromes. The aim of this study was to assess the role of proinflammatory cytokines, their time course, and their association with prognosis in unstable angina. METHODS AND RESULTS: We studied 43 patients aged 62+/-8 years admitted to our coronary care unit for Braunwald class IIIB unstable angina. In each patient, serum levels of interleukin-1 receptor antagonist (IL-1Ra), interleukin-6 (IL-6) (which represent sensitive markers of biologically active IL-1beta and tumor necrosis factor-alpha levels, respectively), and troponin T were measured at entry and 48 hours after admission. Troponin T-positive patients were excluded. Patients were divided a posteriori into 2 groups according to their in-hospital outcome: group 1 comprised 17 patients with an uneventful course, and group 2 comprised 26 patients with a complicated in-hospital course. In group 1, mean IL-1Ra decreased at 48 hours by 12%, and IL-6 diminished at 48 hours by 13%. In group 2, IL-1Ra and IL-6 entry levels were higher than in group 1 and increased respectively by 37% and 57% at 48 hours (P<0.01). CONCLUSIONS: These findings indicate that although they receive the same medical therapy as patients who do not experience an in-hospital event, patients with unstable angina and with complicated in-hospital courses have higher cytokine levels on admission. A fall in IL-1Ra and IL-6 48 hours after admission was associated with an uneventful course and their increase with a complicated hospital course. These findings may suggest novel therapeutic approaches to patients with unstable angina.  (+info)

Troponin I and myocardial injury in the ICU. (8/291)

Cardiac troponin I (cTnI) is a protein that is specific to heart muscle. Increased concentrations appear in serum after myocardial cell injury. cTnI was compared with creatinine kinase MB (CK MB), myoglobin and the 12-lead ECG for detection of myocardial injury in an unselected series of 109 medical and surgical ICU patients. Clinical observations and daily 12-lead ECG were recorded prospectively. Samples for cTnI, myoglobin and CK MB serum analysis were collected each day. Increased serum cTnI concentrations (> 0.1 microgram litre-1) were observed in 70.6% (n = 77) of the ICU group. Tachycardia, arrhythmia, hypotension and treatment with inotropic drugs were associated with higher concentrations. The standardized mortality ratio by APACHE III for the ICU sample was 0.98. All subjects in an unmatched control group of 98 medical unit emergency admissions without a primary cardiac diagnosis had serum cTnI concentrations < 0.1 microgram litre-1. We conclude that increased serum cTnI concentrations occur frequently in the ICU suggesting that there is a high incidence of cardiac injury in these patients.  (+info)

Kardiovaskuler merupakan sebuah organ yang terdiri dari otot dan bekerja di luar kemauan kita (dipengaruhi oleh susunan saraf otonom). Penyakit jantung koroner adalah salah satu akibat utama arteriosklerosis (pengerasan pembuluh darah nadi). Di antara penyakit jantung koroner, infark miokard akut (IMA) merupakan bentuk yang paling berbahaya dengan angka kematian yang paling tinggi. Di RSUD Dr. Soehadi Prijonegoro Sragen jumlah kasus infark miokard akut yang menjalani rawat inap dari bulan Januari hingga bulan Juli 2012 yaitu sebanyak 20 pasien. Dari 20 pasien tersebut, 15 pernah dirawat di ICCU. 5 pasien meninggal di IGD, salah satunya dikarenakan terlambatnya penanganan akibat komplikasi yang terlanjur parah. Tujuan karya tulis ini ialah untuk mengetahui dan mampu menerapkan teori ke dalam praktek asuhan keperawatan pada klien dengan akut miokard infark (AMI) di ruang Intensive Coronary Care Unit (ICCU) Rumah Sakit Umum Daerah Dr.Soehadi Prijonegoro Sragen. Teknik pengumpulan data dengan ...
A. Hernández-Tejedorb, Á. Estellac, J.J. Jiménez Riverad, F.J. González de Molina Ortize, A. Sandiumenge Campsf, P. Vidal Cortésg, C. de Haroh,i, E. Aguilar Alonsoj, L. Bordejé Lagunak, I. García Sáezl, M. Bodím, M. García Sánchezn, M.J. Párraga Ramírezo, R.M. Alcaraz Peñarrochap, R. Amézaga Menéndezq, P. Burgueño Laguíar, Working Groups from the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC) ◊ ...
hello everyone, please give me some advice. i just pass nclex-rn in il. my degree is bachelor of science in nursing, totally i have 16 years experiences, in ccu 8 years, in er 2 years,
Originally Posted by dogpatch The old gal is sitting up! Shes out of ICU and into CCU. Met with her cardiac specialist tonight and he says shes doing fine. Some Arithmia but being monitored closely
Discussion. Loss of blood due to diagnostic and therapeutic tests is associated with a fall in Hb.7-9 In our study the average number of analyses per patient was 7. Vincent et al., with a data gathering period of the same length as ours, state that 46% of patients undergo an average of 4.6 analyses in 24h.12 On the other hand, Mendoza et al.13 conclude that approximately 50% of patients undergo an average of 8±5 extractions per day. According to Carrillo et al.14 the number of extractions varies from 5 to 12 per day.. We observed that the volume of blood extracted varied, depending on patient pathology; the units where the greatest number of extractions took place during the first hours after admission were Cardiac Surgery and the Coronary Unit. These created enzyme curves to monitor patients after cardiac surgery, or to monitor cardiac enzymes in patients with acute cardiovascular pathology. We agree with the bibliography that these patients have greater blood losses.15 Carrillo et al.14 ...
CCU Nursing / Coronary / Cardiac, CCU Nursing / Coronary / Cardiac is available for Nurses who are involved in the care of the cardiac critical care patients who may have a myriad of acute... - pg. 5
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Formula from Mayo Clinic researchers assesses clinical and echo parameters to determine patient mortality, distribution of treatment resources
Analyzing 1-minute ECG recording obtained in a patient with acute myocardial infarction immediately upon admission to coronary unit, they concluded that patients with sinus arrhythmia, that is, with more pronounced sinus impulse variability, had a lower mortality rate than patients with less pronounced variability of sinus impulses [7]. Sergeant P, Blackstone E, Meyns B, et al. A 25% increase from this resting heart rate during exercise is usually safe. Also, Stein et al. Data were collected on 5934 CABG patients. Bypass surgery is a major surgery which is usually done because the coronary arteries that bring blood to the heart muscle have become clogged with plaque, which is basically a build up of cholesterol and fat. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. For those who want to exercise but are not sure of the right exercise regimen, we suggest talking to your heart physician. ...
RIO DE JANEIRO: Brazilian architect Oscar Niemeyers condition has worsened, doctors treating the 104-year-old designer of Brazils modernist capital said Monday. His doctor said he had been transferred to a coronary unit but was
April 7, 2016 Here we are in the CICU (Cardiac Intensive Care Unit), Den was admitted last night for Cardiogenic Shock with the need for advanced measures. Through out the night he has been given Bumex via IV push and it is working. He is putting out tons of urine thru the Foley and says…
Nationwide Travel Nurse Jobs - Cardiac Intensive Care Unit RN Are you looking for a new nursing job? Would you like to spend the season somewhere youve never been? Hospitals nationwide are looking for
Nationwide Travel Nurse Jobs - Cardiac Intensive Care Unit RN Are you looking for a new nursing job? Would you like to spend the season somewhere youve never been? Hospitals nationwide are looking for
Hackensack UMC Mountainside Cardiac Intensive Care Unit delivers the finest quality care to patients while compassionately supporting their families.
These recommendations are intended to be used by healthcare facilities and public health authorities in non-US healthcare settings, particularly focusing on low- and middle-income countries, assisting with the management of HCWs exposed to a person with confirmed or suspected COVID-19.
We went to see husband this afternoon. Hes still in the cardiac intensive care unit. easy child and I were the first ones to go back. He had an attitude...
Patient states that he was in good health up until the evening of last March when during physical effort (tennis match), he experienced intense oppressive chest pain, with nausea. He was taken to the Emergency Department where an ECG was performed which showed elevation of the ST segment in leads V1 to V5, aVL andinferior ST segment depression. Following administration of ASA, clopidrogel, heparin, and NTG, the patient underwent primary PTCA with the placement of two non-medicated stents in the mid proximal segment of the anterior descending artery. The coronography also showed stenosis of 70% of the circumflex artery mid segment, and a decision was taken to treat this at a later date; the right coronary artery showed no signs of significant stenosis, but slight irregularities to the walls. An aortic counterpulsator was positioned for the presentation of hypotension. Treatment was begun with glycoprotein inhibitors (abciximab). Upon arrival in the Intensive Coronary Care Unit the patient was in ...
The MUSC Childrens Health Pediatric Cardiac Intensive Care Unit (PCICU) team provides care for children who need complex medical and surgical treatment.
DUGi: Viewing Item from repository DUGiDocs: Improve the prediction of the vital and functional prognosis of comatose patients suffering from anoxic-ischemic encephalopathy after successful resuscitation from a cardiac arrest, addmitted to the Intensive Care and Coronary Units of the Dr. Josep Trueta Hospital, based on clinical, neurophysiological and biochemical results. The results of these different tests, revised and combined all together, will improve the prediction of the patients prognosis, leading to an accurate vital and functional outcome, as they only have been studied separately so far. Anoxia is the third most frequent cause of coma, and the most common cause of post-anoxic coma in adults is the cardiac arrest. The incidence of hypoxic-ischemic brain injury is not well known, but it is certain that cardiac arrest, the most common cause of post-anoxic coma, affects approximately 24000 to 50000 Spanish people every year, most of them occuring out of the hospital. A cardiac arrest is the
The American Association of Critical-Care Nurses (AACN) recently conferred a silver-level Beacon Award for Excellence on the UC Davis Pediatric and Cardiac Intensive Care Unit.
Learn about our Cardiac Intensive Care Unit, where we offer specialized intensive care for heart conditions -advanced care in Northern Kentucky.
Nationwide Travel Nurse Jobs - Cardiac Intensive Care Unit RN Are you looking for a new nursing job? Would you like to spend the season somewhere youve never been? Hospitals nationwide are looking for
Dr. D Y Patil Vidyapeeth Medical College, Pimpri, Pune Admission Notice 2018 MD MS MBBS Admission in Padmashree Dr. D Y Patil Medical College, Pimpri, Maharashtra 2016.Get Admission in Padmashree Dr. D Y Patil Medical College, Pimpri For MD MS MBBS Gaikwad Haraibhau Vinayan Road, Pimpri Chinchwad MCI,Maharashtra University Padmashree Dr. D Y Patil Medical College,…
It is possible to lower your calcium heart score without the use of statins. Learn about how you can lower your risk of heart disease.
St. Josephs Childrens Hospital has a Pediatric Intensive Care Unit offers the most comprehensive critical care available for infants, children and adolescents.
St. Josephs Childrens Hospital has a Pediatric Intensive Care Unit offers the most comprehensive critical care available for infants, children and adolescents.
Well, I am writing this post tonight from a very unexpected place. Yesterday afternoon my husband and I were sitting, watching TV when the phone rang. It was a cardiologist from a hospital about 40 miles away. Apparently the cardiac loop recorder that my husband has been wearing for the last 3 weeks transmitted an arrhythmia that concerned the doctors. My husband wasnt understanding what the doctor was explaining so I grabbed the phone from him and spoke to the doctor myself. Apparently the monitor had transmitted that he was in ventricular tachycardia. I asked to the doctor to clarify that again as he generally has atrial fibrillation, not v-tach. Sure enough he verified that he had about a 30 beat episode of wide complex v-tach. So off to the hospital we went. When we got there they knew right away who we were and rushed my husband back to the stroke/ heart attack center. At this time his blood pressure was running 220/115 so we were a bit worried. He was a direct admission to the cardiac ...
Cell Culture tested and aseptically collected serum from whole clotted blood from healthy fetus horses. According to industry standards with residual hemoglobin concentration, pH, and microbiological quality approved ...
Fraser Health is hiring a Registered Nurse, CCU, ICU, Cardiac Stepdown, High Acuity (HAU) - ARHCC in Abbotsford. Find details about this job.
Candidate must possess at least a Bachelors / College Degree , Nursing or equivalent. At least 2 year(s) of working experience in the related field is required for this position.. Applicants must be willing to work in RIYADH. 20 Full-Time position(s) available. ...
Two groups from the University of Kentucky Centre for Applied Energy Research (CAER) have joined forces to develop an ammonia-based looping integrated carbon capture and utilisation technology.
Joining continuous wireless glucose monitoring systems with the central monitoring system in the CCU could have powerful impact on morbidity and mortality rates.
Background Gender differences in presentation and management of acute coronary syndromes (ACS) are well established internationally. This study investigated differences in a national Irish sample. Design Cross-sectional survey. Methods All centres (n= 39) admitting cardiac patients to intensive/coronary care provided information on 25 consecutive acute myocardial infarction patients and other ACS patients admitted concurrently (n= 1365 episodes). Patient data was analyzed in terms of those with prior ACS/revascularization, and those without. Results Men with prior established ACS/revascularization were twice as likely to have received revascularization procedures (coronary artery bypass graft or percutaneous coronary intervention) prior to admission when controlling for age, total cholesterol and insurance status [odds ratio (OR) 1.97, 95% confidence interval (CI) 1.18-3.29, P = 0.011]. No gender differences were seen in acute-phase reperfusion (OR 0.96, 95% CI 0.76-1.24, P |0.05) or antiplatelet
Level 3 will house our Pediatric Cardiac Intensive Care Unit (PCICU) and Pediatric Intensive Care Unit (PICU). It will have 28 private patient rooms, an increase from 20 rooms in the current PICU. Having one patient per room enhances rest and privacy. It also promotes healing by helping prevent infection. Large windows in every room will let in natural light.
The first Cardiac Intensive Care Unit (CICU) was commissioned yesterday at the Georgetown Public Hospital Corporation (GPHC). Services offered at the facility will be free of cost while cases requiring surgery will be referred to the Caribbean Heart Institute (CHI). The costs for these surgeries will be subsidised by the Government of Guyana. The CICU…
The first educational institution in Singapore to leverage the Problem-based Learning approach for all its diploma programmes, Republic Polytechnic (RP) has seven schools and one academic centre offering forty-two diplomas in Applied Science, Engineering, Management and Communication, Events and Hospitality, Infocomm, Sports, Health & Leisure, and Technology for the Arts.
During 14 months, patients presenting with chest pain to the Emergency Department (ED) of participating hospitals will be included in the study. First, all hospitals will apply usual care to all patients, i.e. risk assessment and subsequent management without application of the HEART score. Then, during a 14 month period, each 1,5 month 1 randomly allocated hospital will sequentially start to apply the HEART score in all chest pain patients (intervention period); during this intervention period patients with a HEART score 0-3 will not be admitted to the hospital (in accordance with the results of our validation studies), and patients with a HEART score above 3 will be treated according to current guidelines ...
To keep your reserved placement in CO-OP, you must obtain a cumulative grade point average of at least 8.0 and meet the admission requirements of your chosen CO-OP program until you are formally admitted into the Program (September 30 or March 1 of your second year of studies, depending on the program). Otherwise, you will lose your reserved spot in CO-OP and have to compete with regular applicants for admission.. If you apply for direct admission and are not granted a placement, dont worry. You can re-apply during your second year at University (see section 2). ...
Get updated courses information and exams details of D.P.C POLYTECHNIC COLLEGE Also get direct admission,management quota admission,NRI quota admission information and counselling of D.P.C POLYTECHNIC COLLEGE, Salem, Tamil Nadu, India by
Find info concerning CCU programming contest, registering for elective courses, and taking free tests online. Completion of an accredited engineering program can qualify you to start working immediately. Seek out more information about technical degree programs online.
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Lin complains that I dont write to her as much as she would like it, because, mostly, were together, and we dont travel separately. So, whens to write? Now, or better a week ago, a month ago, a year ago. Were not together on this Valentine Day. Im at home and she is in room CCU 7 at St.…
Registered Nurse - Adult Cardiac Intensive Care Unit vacancy in Riyadh, Saudi Arabia with Professional Connections (Profco). Search for more Registered Nurse - Adult Cardiac Intensive Care Unit jobs in Riyadh, Saudi Arabia and other Middle East countries.
Phase one of the Stolley Pediatric Critical Care expansion was a new, 19,000-square-foot Pediatric Cardiac Intensive Care Unit (PCICU), located on the sixth floor of the Mazankowski Alberta Heart Institute. The PCICU has 25...
Apply for Registered Nurse (RN) Cardiac Intensive Care Unit (ICU) job with Trinity Health Of New England in Hartford, Connecticut, 06105. Browse and apply for Nursing jobs at Trinity Health Of New England.
AAPD Career Center: , Columbus, Ohio , Registered Nurse - Medical Cardiac Intensive Care - Mount Carmel West - Full Time - Rotating at Mount Carmel Health System
Apply for Consultant Cardiac Intensive Care Medicine - Maldives today. Upload your CV for regular medical job vacancy email alerts
With the US dollar falling down a precipice, spare a thought for non-US investors invested in US stocks and bonds. The graph below shows the performance of US 10-year Treasury Notes since the beginning of March in both US dollar terms (red line) and euro terms (blue line). Whereas US investors are showing a poor return of -2.8% for the period, European investors are completely under water to the tune of -17.5%. For the year to date the figures are -4.8% (US dollar) and -10.5% (euro). (Although I am using the euro in this example, the same logic applies to most other non-US dollar currencies.). ...
OBJECTIVE: The HEART score can accurately stratify the risk of major adverse cardiac events (MACE) in patients with chest pain. We investigated the frequency, circumstances and potential consequences of errors in its calculation. METHODS: We performed a secondary analysis of a stepped wedge trial of patients with chest pain presenting ... read more to nine Dutch emergency departments. We recalculated HEART scores for all patients by re-evaluating the elements age (A), risk factors (R) and troponin (T) and compared these new scores with those given by physicians in daily practice. We investigated which circumstances increased the probability of incorrect scoring and explored the potential consequences. RESULTS: The HEART score was incorrectly scored in 266 out of 1752 patients (15.2%; 95% CI 13.5% to 16.9%). Most errors occurred in the R (Risk factors) element (61%). Time of admission, and patients age or gender did not contribute to errors, but more errors were made in patients with higher ...
Using the Model for Improvement, our study demonstrated a reduction in ,48-hour readmissions to the CICU after the development and testing of a new care process practice bundle. Our study demonstrated that the bundle was sustainable in a busy tertiary paediatric cardiology setting, and that it led to a significant decrease in the frequency of these clinically important events without interfering with other quality outcome metrics, such as LOS or rapid clinical decompensation.. It is recognised that in-hospital readmission to the ICU has been associated with increased LOS, increased cost and increased mortality. Previous studies have focused primarily on identifying factors or conditions associated with increased risk of readmission to the ICU, the effect on mortality or to identify all-cause hospital readmissions.1 4 6 12 13 Despite the negative effects of in-hospital ICU readmission, reports of system modifications to prevent these events are limited. Our efforts were instead focused on ...
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were, I did not know if he (Trayvon Martin) was armed or not. IMO this statement is a direct admission by Zimmerman that he should not eligible for release under the self-defense provisions of the stand your ground law. How could he be in fear for his life if he did not know if Trayvon was armed or not? I submit that Zimmerman had NO FEAR of Trayvon Martin and went after Trayvon and when he caught up with Trayvon attempted to physically attempted to secure him. This immediately initiated a scuffle as from Trayvons persective he was being attacked by some stranger in the dark of night. At this time Trayvon was the one who was actually in fear for his life and most likely in desperation struck out at Zimmerman in an attempt to free himself, hitting Zimmerman in the nose, knocking him to the ground. When Zimmerman hit the ground he pulled out his pistol and shot Trayvon. I submit that at no time was Zimmerman in fear for his life and he simply shot Trayvon in retaliation for being knocked to ...
After half a year of waiting finally i got the last and most important piece of puzzle - frame weighting 723grams(size 55 with hanger) is really good considering stiffness. I cant say anything about durabilty so far but after other frames i had from Simplon i doubt that there will be some issues. Complete bike is about 5.2kg, i dont know the exact weight yet but lightness wasnt priority however its quite lightweight. First of all i wanted it rigid and realiable after two weeks and few hundred kilometers i can say i made it - so far so good, everything works perfectly - even front derailleur. Wheels seen in pics are built with tune mig45/mag150 hubs - reynolds 32 rims and sapim cxray - competition spokes, that weight 966gram arent as stiff as Mavic CCU i usually use for racing but they do their job really wellunder my 74kg i love their agility on ascends and comfort provide. Whole makes nice mix of lightweight, comfort and stifness especially with Mavic CCU wheel - something i was looking ...
Founded 16-bed Hospice and Palliative Care Unit. (1997) 2. Established therapeutic networks between County Hospital to deliver ... 1985) 6. First percutaneous transluminal coronary angioplasty (PTCA) in Taiwan. (July 1983) 7. The computer-monitored ... and epilepsy research and patient care of the nation. 3. Established National PET/Cyclotron Center (first in Taiwan and second ... is a national first class medical center and a teaching hospital which provides tertiary patient care, undergraduate medical ...
Among these were the coronary care unit. His work made possible and safe much of modern cardiac surgery, as well as a host of ... The cardioverter and DC defibrillator were especially valuable in coronary care units, when patients are hospitalized when most ... Lidocaine was also used in coronary units to prevent the need for resuscitation. Previously, lidocaine was used almost ... The Right Care Alliance (RCA) is the sister organization of the Lown Institute and the advocacy wing. The Right Care Alliance ...
"World's first coronary care unit". British Heart Foundation. Archived from the original on 9 October 2014. "Transplant Units". ... In 1964, the world's first coronary care unit was established at the hospital. It is the only site for liver, pancreas and ... World's first Coronary Care Unit established by Desmond Julian 2000 - Scotland's first combined kidney and pancreas transplant ... "Renal Transplant Unit Home Page". University of Edinburgh. Archived from the original on 5 December 2014. Retrieved 28 November ...
He wanted his coronary-care unit in the community. Pantridge's solution was to develop the world's first mobile coronary-care ... not in the emergency room or the coronary care unit. "The majority of deaths from coronary attacks were occurring", he wrote, " ... It became very clear to me that a coronary care unit confined to the hospital would have a minimal impact on mortality." ... Grace WJ, Chadbourn JA (1969). "The mobile coronary care unit". Diseases of the Chest. 55 (6): 452-55. doi:10.1378/chest.55.6. ...
Bernard Lown was an early innovator in the development of the coronary care unit in the 1960s. After a 10-year affiliation with ... Julian, D (September 2001). "The evolution of the coronary care unit". Cardiovascular Research. 51 (4): 621-624. doi:10.1016/ ... Mary Horrigan Connors Center for Women's Health: BWH specializes in high-risk obstetric care, newborn intensive care, ... Osher Center for Integrative Medicine including chiropractic care. In the early 1990s, BWH pioneered Computerized Physician ...
Coronary care unit was set up in 1984. In 1990 this unit was modernised to open Cardiology department. In 2014 cardiology ward ... Medical education unit of library provides with all modern facilities with internet browsing. The Research cell of college ... To the north side of Operation Theater a building has been built for 10 bed ICU in 2012, moreover a burn unit and plastic ... It has a large hospital which is the central provider for advanced health care in the northern part of Bangladesh. After the ...
In 1966, the Coronary Care Unit (CCU) opened. Over the last decade, the heart and vascular program has grown dramatically. The ... "Licensed Acute Care Hospital Beds Fiscal Year 2018" (PDF). Retrieved Jan 9, 2018. CS1 maint: discouraged ... Due to its concentration on green construction, at the time the tower was the only LEED Certified Gold patient care tower in ... Plans moved forward in 1998 to consolidate all services at Medical Park with the commencement of construction of the Acute Care ...
4. The Coronary Care Unit was opened in 1973. The Burn Unit started on 28 October 1974 in Lady de Soysa Ward. In 1979 the Sri ... Ceylon's first intensive care unit was opened in the Surgical Complex by Minister of Health E. L. Senanayake on 16 June 1968. A ... The hospital has 18 intensive care units and 21 operating theaters. It employs 7,500 staff of which 1,500 are doctors. The ... The hospital had 22 wards and 212 beds, 112 for the medical unit and 100 for the surgical unit, in 1885. By 1894 hospital had ...
The setting was the coronary care unit of a university hospital in the USA.[citation needed] 250 patients were included in the ... Killip T, Kimball JT (Oct 1967). "Treatment of myocardial infarction in a coronary care unit. A two year experience with 250 ... Killip class 1 and no evidence of hypotension or bradycardia, in patients presenting with acute coronary syndrome, should be ...
March 2009). "Diagnosis of pulmonary embolism in the coronary care unit". The American Journal of Cardiology. 103 (6): 881-6. ... People are often admitted to hospital in the early stages of treatment, and tend to remain under inpatient care until the INR ... December 2012). "Differences in negative T waves among acute coronary syndrome, acute pulmonary embolism, and Takotsubo ... April 2011). American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, American ...
A 1988 study by Randolph C. Byrd used 393 patients at the San Francisco General Hospital coronary care unit (CCU). Measuring 29 ... Byrd RC (July 1988). "Positive therapeutic effects of intercessory prayer in a coronary care unit population". Southern Medical ... December 2001). "Intercessory prayer and cardiovascular disease progression in a coronary care unit population: a randomized ... intercessory prayer on outcomes in patients admitted to the coronary care unit". Archives of Internal Medicine. 159 (19): 2273- ...
He directed Piedmont's coronary care unit for over 25 years. In 1998, Silverman became an academic fellow at the Wellcome ... and for over 25 years directed Piedmont's coronary care unit. He made significant contributions to a number of books including ... New York : McGraw-Hill, (1983). OCLC 558440712 Clinical skills for adult primary care. Co-authored with J Willis Hurst. ... echocardiography and electrophysiology units, and the cardiac rehabilitation and exercise centre. By 1978, he was a full ...
There are special ICUs for Neonates and for Coronary Care. The hospital has well equipped Operation Theatres for all types of ... The hospital also has a Blood Bank with a component for lab, a Dialysis Unit and a Burns Unit. The hospital is empanelled by ... The hospital has intensive care units, equipped with all resuscitation and monitoring equipment. ...
For services to the Coronary Care Unit, New Cross Hospital. (Wolverhampton, West Midlands) Alan Fred Titchmarsh, Gardener and ... Cancer Care and Chemotherapy Unit, Stoke Mandeville Hospital. For services to Cancer Care. (Buckingham, Buckinghamshire) ... For services to Health Care. (London, E14) Susan Marion Lazenby. For services to Neo-Natal Units in Great Britain and to ... Guernsey, Channel Islands) Peter Alfred Fletcher, JP, Chairman, CLS Care Services. For services to Health and Community Care in ...
... "intercessory prayer had no significant effect on medical outcomes after hospitalization in a coronary care unit."[79] ... "Intercessory Prayer and Cardiovascular Disease Progression in a Coronary Care Unit Population: A Randomized Controlled Trial". ... In palliative care. Complementary therapies are often used in palliative care or by practitioners attempting to manage chronic ... "From its early experiences of care for the dying, palliative care took for granted the necessity of placing patient values and ...
Rainier was moved to the hospital's intensive care unit on 22 March. One day later, on 23 March, it was announced he was on a ... he was hospitalized with a coronary lesion and a damaged blood vessel.[14] In October he was again in hospital with a lung ... "Prince Rainier moved to intensive care - World news - Europe". NBC News. 2005-03-22. Retrieved 2014-05-09.. ...
The Department was upgraded to 36-beds and 18-bedded Intensive Cardiac Care Unit. An Intermediate Coronary Care Unit was opened ... The acute medical care unit runs 24 hours. Dr. W. C. Gray was the first professor and head. Jeypore Sri Vikram Deo Varma Medal ... An exclusive unit of 'Head Injury and Intensive Care' was started in 1991. Superspeciality course (M.Ch.) was started in 1986. ... Department of Cardiology: started in 1971 as a 25-bedded ward with Intensive Care Unit. As a result of public contributions and ...
... decisions to admit to the coronary care unit?". The Journal of Family Practice. 45 (3): 219-26. PMID 9300001. Keller, Niklas; ...
Byrd, R.C. (1988). "Positive therapeutic effects of intercessory prayer in a coronary care unit population" (PDF). South Med J ... intercessory prayer on outcomes in patients admitted to the coronary care unit". Arch Intern Med. 159 (19): 2273-78. doi: ... "Intercessory prayer and cardiovascular disease progression in a coronary care unit population: a randomized controlled trial". ... that intercessory prayer by born again Christians had a statistically significant positive effect on a coronary care unit ...
1968 The Respiratory Care Unit, the Cardiovascular Diagnostic Unit and the Sports Medicine Program were opened. Meanwhile, an ... 1971 The first coronary bypass surgery at St. Mary's is performed. St. Mary's breaks ground for the current hospital facility. ... Mary's establishes the HIV/AIDS Services Department and the CARE Unit, the world's first program for AIDS-related dementia. ... 1898 Several of the Sisters of Mercy move into the Presidio of San Francisco for nine weeks to provide care for the soldiers ...
For eight years she headed the coronary care unit at the Johns Hopkins Hospital. At the medical school, she served as assistant ... coronary artery disease to cancer, tattoos to male circumcision, and medical preparedness to health reform. Healy became the ... board for another multi-center clinical study that showed that statins could slow the course of atherosclerosis in coronary ... investigator for the Cleveland Clinic's participation in a major clinical research study comparing angioplasty with coronary ...
Emergency Assessment Unit and Cardiac Care Unit. The model of care has been developed with primary care to provide a fully ... Emergency coronary care was transferred from the hospital to City Hospital, Birmingham in 2015. A major rebuilding project is ... including percutaneous coronary intervention for acute myocardial infarction since 2005) and paediatrics. List of hospitals in ...
At BWH, he serves as a senior attending physician in the coronary care unit. He is currently the Chief Scientific Advisor for ... Edelman and his students have been credited as some of the key contributors and pioneers of the coronary stent. They critically ...
He remained at the Intensive Care Unit and a five-member medical board was set up for his treatment. He died on 20 September ... 2015 after he had also undergone a coronary angiography. The cause of death was reported to be gastrointestinal bleeding and ...
The Intensive Care Unit and the Coronary Care Unit are equipped with medical technology. The Infertility unit, which is the ... At Nile Badrawi, there is also a unit for renal transplantation, haemodialysis and peritoneal dialysis. There is also a ... Neonatal Unit with incubators, ventilators and monitoring equipment. ...
One year later, the Coronary Care Unit opens with four private patient rooms and a ten-bed Intensive Care Unit. In 1968, the ... In 1963, the hospital began to study plans for a specialized Coronary Care Unit. The hospital expanded in 1965 with a northern ... the Cardiac Alert Unit was installed in the former Intensive Care Unit and the emergency department expanded to 45 beds. Three ... pain care, wound care and home care" services. King's Daughters' Hospital opened in 1897 as a three-room emergency hospital ...
The care is concessional for members. The unique aspect of this hospital is that this is the only hospital in Mumbai, and ... Coronary Angiography, Interventional Cardiology and Cardiac surgery amongst other facilities are on the horizon. Encouraged by ... Dialysis Unit, Blood Gas Analysers, Cardiac Monitoring equipment, EEG/EMG and ancillary aids complement the facility. ... The hospital proposes to attract people from abroad, who would find it much less expensive to have the medical care, combined ...
It has a digital catheterisation laboratory, a coronary care unit, and an intensive therapy unit. For conditions like disc ... "A fully equipped hospital with Digital Cath Lab, Coronary Care Unit (CCU) and Intensive Therapy Unit (ITU)". ... Narayana Multispeciality Hospital, Ahmedabad is a tertiary care hospital in Ahmedabad, Gujarat, India, which treats patients in ... It provides pediatric and adult cardiac care, neurology, orthopaedics, nephrology and urology, obstetrics and gynaecology, ...
... the donations have made possible the installation of care units in hospitals and the purchase of cardiac equipment for schools ... Sapperstein, its founder, who almost died of coronary disease; Mrs. John T. Anick, who had a heart transplant in 1968 - she was ...
... the main area of service is the provision of post operative care to the cardiac surgery patients in the intensive care units ( ... Diagnostic coronary angiography Right and left heart catheterization Coronary angioplasty with stent implantation Implantation ... The intensive care has a capacity of 20 beds. The hospital has three Cardiac Catheterization Laboratories. The Institute also ... The project of establishing a tertiary care center for cardiac patients went through various ups and downs in its early days. ...
... The Johns Hopkins Coronary Care Unit (CCU) is a 25-bed facility that is supported by a team of experienced ... Traveling for Care?. Whether youre crossing the country or the globe, we make it easy to access world-class care at Johns ... We also care for many other critically ill patients suffering from severe cardiomyopathies, valvular heart disease and life- ... The CCU staff cares for patients with acute myocardial infarction and complications including cardiogenic shock, post- ...
coronary care unit A coronary care unit is a specialized area within a medical facility that is equipped with monitoring ...
In a group of 339 patients with acute myocardial infarction treated in a coronary care unit, 273 left the unit while improving ... Sudden Death in Hospital after Discharge from Coronary Care Unit Br Med J 1971; 4 :136 ... It is suggested that such patients be chosen for prolonged observation in a second-stage coronary care unit. ... Sudden Death in Hospital after Discharge from Coronary Care Unit. Br Med J 1971; 4 doi: ...
The Coronary Care Unit in Cavan General Hospital provides a high standard of care to patients with cardiac conditions or who ... The unit has four (4) monitored beds, and there is suction and oxygen therapy available behind each bed space. We have a ... All qualified staff within the unit are ACLS and BLS trained and are active members of the Cardiac Arrest Team. ... CCU provides a high standard of evidenced based individualised care, delivered in a holistic and professional manner therefore ...
Subacute coronary care units (SCCUs), also called progressive care units (PCUs), intermediate coronary care units (ICCUs), or ... Acute coronary care units (ACCUs), also called "critical coronary care units" (CCCUs), are equivalent to intensive care in the ... A coronary care unit (CCU) or cardiac intensive care unit (CICU) is a hospital ward specialized in the care of patients with ... In the United States, coronary care units are usually subsets of intensive care units (ICU) dedicated to the care of critically ...
Takotsubo cardiomyopathy: real life management in the intensive coronary care unit.. Pullara A1, Chinaglia A, Giammaria M, ... To date, little is known on best clinical management of this syndrome in coronary care units. Whe thus aimed to present our ... In the coronary care unit major complications of patients with Takotsubo syndrome were acute hearth failure (62%), cardiogenic ... after coronary angiography, no coronary artery disease. We adjudicated the following clinical events: death and recurrence of ...
The Coronary Care Unit Turns 25: Historical Trends and Future Directions Annals of Internal Medicine; 108 (6): 887-894 ... Effectiveness of Coronary Care Units in Small Community Hospitals Annals of Internal Medicine; 85 (6): 709-713 ... Mobile Coronary Care Unit. William J. Grace, M.D., F.A.C.P.; John A. Chadbourn, M.D. ... The mobile coronary care unit consists of a team of physicians and nurses. This team carries, via ambulance, battery-operated ...
These data suggest that coronary care units in small community hospitals can provide adequate coronary care, but their level of ... Effectiveness of Coronary Care Units in Small Community Hospitals JEOFFREY K. STROSS, M.D.; PARK W. WILLIS III, M.D., F.A.C.P ... Effectiveness of Coronary Care Units in Small Community Hospitals. Ann Intern Med. 1976;85:709-713. doi: 10.7326/0003-4819-85-6 ... A prospective study was undertaken from 1969 to 1974 to evaluate a program establishing coronary care units in small community ...
... and Sleep Quality of Percutaneous Coronary Intervention Patients in Intensive Care Units. Mi-Yeon Cho,1 Eun Sil Min,2 Myung- ... of percutaneous coronary intervention (PCI) patients in an intensive care unit (ICU). Fifty-six patients with PCI in ICU were ... Y. J. Son, "The relationship between noise and sleep patterns in intensive care units," Journal of Korean Academic Society of ... Because nursing interventions based on education before coronary angiography have shown to be effective, structured care and ...
... and Sleep Quality of Percutaneous Coronary Intervention Patients in Intensive Care Units. Mi-Yeon Cho,1 Eun Sil Min,2 Myung- ... and Sleep Quality of Percutaneous Coronary Intervention Patients in Intensive Care Units," Evidence-Based Complementary and ...
Evaluation of risk factors in acute myocardial infarction patients admitted to the coronary care unit, Tripoli Medical Centre, ... Evaluation of risk factors in acute myocardial infarction patients admitted to the coronary care unit, Tripoli Medical Centre, ... Technical package for cardiovascular disease management in primary health care: access to essential medicines and technology  ... Technical package for cardiovascular disease management in primary health care: implementation guide  ...
CORONARY CARE UNIT (CCU). Rasim ENAR, M.D. Professor of Cardiology İstabul University Cerrahpaşa Medical Faculty Department of ... Discovery Program Cardiac Care Unit - . western health. our unit. the western health cardiology unit provides services ... CORONARY CARE UNIT (CCU) Rasim ENAR, M.D. Professor of Cardiology İstabul University Cerrahpaşa Medical Faculty Department of ... CORONARY CARE UNIT (CCU). Rasim ENAR, M.D. Professor of Cardiology İstabul University Cerrahpaşa Medical Faculty Department of ...
9784 7777 About the Coronary Care Unit The Coronary Care Unit ... About the Coronary Care Unit. The Coronary Care Unit provides ... As a team we work closely with the Cardiac Angiography Unit, the Cardiology Department, the Cardiovascular Nurse and the ... Elective or Acute Percutaneous Coronary Intervention (balloon angioplasty &stent). *Temporary or Permanent pacemaker insertion ... Home // Services & Clinics // Services A-E // Cardiac Services // Coronary Care Unit. Coronary Care Unit. ...
Although women are less likely to be admitted to coronary care units, they are treated equally to men and have better outcome: ... Women were less likely to be admitted to coronary care units (56% versus 69%, P=0.002), even after adjustment (odds ratio (OR ... women were less likely to be admitted to coronary care units. However, the overall treatment was as intensive for women as for ... initially admitted to either coronary care units (CCU) or general wards. Method: Patients admitted to CCUs were routinely ...
Critically ill patients in the coronary care or high dependency units (CCU, HDU) need accurate assessment of their haemodynamic ... an untapped resource for coronary and high dependency care units?. September 2002Br J Cardiol (Acute Interv Cardiol) 2002;9(1): ... Adapting cardiovascular disease care to the new norm of the COVID-19 era: same standard, different delivery ... It has been used extensively in intensive care and is reviewed in this article. This approach uses thermo-dilution techniques ...
Mean duration of stay in the coronary care unit was 4.0 (SD 2.9) days, range 0-28 days. Of the 480 (77.0%) patients who were ... The case records of all patients with the diagnosis of acute MI admitted to the coronary care unit in Tripoli medical centre ... There were 622 admissions to the coronary care unit during the study period. There were 471 patient records investigated for ... Evaluation of risk factors in acute myocardial infarction patients admitted to the coronary care unit, Tripoli Medical Centre, ...
Can any body tell me how long are working shift hours for Intensive care unit and coronary care unit Ambassador (volunteer) ... Can any body tell me how long are working shift hours for Intensive care unit and coronary care unit Ambassador (volunteer). ... Can any body tell me how long are working shift hours for Intensive care unit and coronary care unit Ambassador (volunteer) ...
The SCCH Intensive Coronary Care Unit, ICCU, is designed for those patients requiring constant observation, as well as ... Our four ICCU rooms are equipped with the latest technological advances for quality patient care, including cardiac monitoring ...
... as a measure of quality of care) in the CU, the ICU and the CW. Number of admissions and diagnoses varied due to different unit ... Management and outcome of patients with acute coronary syndrome in different units: predictors of outcome at the admission. *I ... The proportion of patients with AMI on which coronary angiographies and subsequent percutaneous coronary intervention (PCI) was ... For all the patients there has been a unique coronary intervention unit available on a 24-hour basis since January 2001. In the ...
... are a common cause of intensive care unit (ICU) admission. Specific prognostic scores have been developed and validated for ACS ... However, intensive care clinicians generally use prognostic scores developed from heterogeneous populations of critically ill ... patients and, among them, GRACE (Global Registry of Acute Coronary Events) has had the best performance. ... SAPS 3, APACHE IV or GRACE: which score to choose for acute coronary syndrome patients in intensive care units?. @article{ ...
Methods: The records of 334 eligible patients who underwent elective coronary artery bypass grafting (CABG) in 2008 in Kowsar ... Early extubation is implemented in cardiothoracic units worldwide for its advantages such as decreased mortality, morbidity, ... Predictive Factors for Delayed Extubation in the Intensive Care Unit after Coronary Artery Bypass Grafting; A Southern Iranian ... Predictive Factors for Delayed Extubation in the Intensive Care Unit after Coronary Artery Bypass Grafting; A Southern Iranian ...
We included consecutive thirty-one patients with uncomplicated AMI and successful PTCA admitted to coronary care unit of a ... We aimed to investigate safety and cost effectiveness of early discharge directly from coronary care unit following successful ... and experience with direct discharge from the coronary care unit is limited. ... Average hospital stay was 4 days in early and 6.7 days in control group (p,0.05). Control group had more extensive coronary ...
Mobile Coronary Care Units 4 speeches asked the Secretary of State for Social Services whether, in view of the fact that 40 per ... Community Care Services 6 speeches asked the Secretary of State for Social Services, in view of the varying amounts of money ... of deaths from coronary attacks take place within the first hour, he will take steps to encourage... ... asked the Secretary of State for Social Services how many special units there now are for the treatment of adolescents with ...
The Coronary (Cardiac) Care Unit at 50 Years: A Major Advance in the Practice of Hospital Medicine. December 20, 2017 Comments ... The concept of the coronary care unit (CCU) actually began in the early 1960s and was first conceived by Day4 in the United ... The term CCU should be changed to "cardiac intensive care unit" (CICU), reflecting the changing population and their care needs ... Off on The Coronary (Cardiac) Care Unit at 50 Years: A Major Advance in the Practice of Hospital Medicine ...
Coronary aneurysm associated with coronary perforation after sirolimus-eluting stents implantation: Close follow-up exceeding 2 ... Quantification of coronary flow using dynamic angiography with 320-detector row CT and motion coherence image processing: ... High low-density lipoprotein cholesterol as an independent risk factor for coronary restenosis in hemodialysis patients ... Clinical characteristics and prognostic factors in acute coronary syndrome patients complicated with cardiogenic shock in Japan ...
It was created in 1971 as a medical-surgical unit to admit patients suffering acute myocardial infarction and other acute ... cardiovascular medical pathologies and to offer post-operative care for patients following cardiac surgery. In 1989 it was ... The CCU is a hospital unit dedicated to treating patients with critical cardiovascular conditions. ... The Units main lines of research are:. *Mechanisms, prognosis and management of ischemic cardiac rupture and other mechanical ...
The Acronym /Abbreviation/Slang CICU means Coronary Intensive Care Unit. by ... How to abbreviate "Coronary Intensive Care Unit"?. "Coronary Intensive Care Unit" can be abbreviated as CICU ...
Intensive Care Unit and Coronary Care Unit. Visiting hours will be discussed on an individual basis. ... endoscopy suite and refurbished renal unit. Our aim is to treat patients promptly and with care in all hospital settings. ... We are committed to high quality, safe and personal care for each patient. Our patients are treated in clean, comfortable ...
Currently, he is the Associate Director of The Johns Hopkins Hospital Coronary Care Unit, Co-Director of the Hypertension ... Expertise: Cardiac Intensive Care Unit, Cardiology, Cardiovascular Disease, Cardiovascular Diseases, Coronary Artery Disease, ...
We met the day before on the step-down Coronary Care Unit (CCU) and I had encouraged him to call if he was distraught. I was ... What is a psychologist doing on a step-down Coronary Care Unit? However, I have apparently proved my mettle as this cadre of ... Allan R (2018) A psychologist on the step-down coronary care unit. J Integr Cardiol 4: DOI: 10.15761/JIC.1000231 ... My wife told me its ok because if I die the family will be taken care of for a very long time." It seemed the patient was ...
  • The CCU staff cares for patients with acute myocardial infarction and complications including cardiogenic shock, post-infarction angina and congestive heart failure . (
  • Myocardial Infarction, Acute Coronary Syndrome, Arrythmias, Emergency and Elective Cardioversions, Heart Failure, Peri arrest Care and patients who may need a pacemaker. (
  • As arrhythmias are relatively common in this group, patients with myocardial infarction or unstable angina are routinely admitted to the coronary care unit. (
  • citation needed] These developments led to an interest in intensive care for myocardial infarction. (
  • With these the team sets up a coronary care unit outside the hospital at the site of a call from a patient with an acute myocardial infarction. (
  • Coronary artery diseases are ischemic heart diseases in which the coronary arteries narrow or close, which decrease the oxygen supply to the cardiac muscle, leading to various clinical symptoms such as angina pectoris, myocardial infarction, congestive heart failure, and sudden death. (
  • Coronary artery diseases such as myocardial infarction and angina pectoris generally lead to hospitalisation in an intensive care unit (ICU). (
  • Prognostic Factors for In-Hospital and Long-Term Survival in Patients with Acute ST-Segment Elevation Myocardial Infarction after Percutaneous Coronary Intervention. (
  • This year, 2017, marks the 50th anniversary commemorating the publication of an article describing the results from the classic study by Killip and Kimball showing a reduction in mortality from acute myocardial infarction in patients sequestered in a specialized hospital unit 1 at New York Hospital in New York City. (
  • Realizing the potential importance of the CCU, the National Institutes of Health supported the Myocardial Infarction Research Unit (MIRU) program to further improve outcomes with acute myocardial infarction. (
  • Advances have also taken place in prehospitalization coronary care by trained paramedics, and prevention of acute myocardial infarction has become a major emphasis of medical care and public policy compared with 50 years ago. (
  • It was created in 1971 as a medical-surgical unit to admit patients suffering acute myocardial infarction and other acute cardiovascular medical pathologies and to offer post-operative care for patients following cardiac surgery. (
  • Ailments such as acute coronary syndrome, unstable angina, acute myocardial infarction, dilated or restrictive Cardiomyopathy for possible transplant. (
  • IMSEAR at SEARO: 100 Patients of acute myocardial infarction treated in an intensive coronary care unit. (
  • Datey KK, Nathwani AN, Shah RM, Deshmukh MM. 100 Patients of acute myocardial infarction treated in an intensive coronary care unit. (
  • Number of hours of intensive care unit stay, number of days of hospital stay, prevalence of myocardial infarction, and death. (
  • Heart rate variability in patients with acute myocardial infarction undergoing primary coronary angi. (
  • Generally, when the symptom is of less than 30 minutes,it is Unstable Angina(UA).When symptom is prolonged to more than 30 minutes the diagnosis is Acute myocardial infarction (AMI) classified under Acute Coronary Syndrome. (
  • Other causes of acute coronary syndrome include spontaneous coronary artery dissection and myocardial infarction in the absence of obstructive coronary artery disease (MINOCA), however these are far less common. (
  • The article also assesses the cost-effectiveness of selected cardiac interventions, for example, screening exercise tolerance tests, coronary care units, thrombolysis in acute myocardial infarction, and beta-blockers in patients after myocardial infarction. (
  • Patients where considered to have Takotsubo syndrome if they presented chest pain on admission, new elettrocardiographic changes suggestive of myocardial ischemia, evidence of apical balloning with hyperkinesis of basal segments on echocardiography, rise in troponin I and, after coronary angiography, no coronary artery disease. (
  • For percutaneous coronary intervention (PCI), the standard procedure of coronary angiography is commonly used [ 2 ]. (
  • Percutaneous transluminal angioplasty and stent insertion using coronary angiography are important procedures for determining the location and severity of the blocked artery, and they can play an important role in determining subsequent treatment methods [ 3 ]. (
  • e) Early and urgent coronary angiography and and coronary revascularization if it is indicated. (
  • All patients underwent coronary angiography before discharge. (
  • The study is performed in patients with first episode of ACS in their life who are eligible for coronary angiography and eventually for PCI. (
  • Patients, only due to the symptoms and according to ESC guidelines are referred for coronary angiography, primary PCI, surgery revascularisation and pharmacological treatment. (
  • The Coronary Care Unit in Cavan General Hospital provides a high standard of care to patients with cardiac conditions or who need cardiac procedures e.g. (
  • A coronary care unit (CCU) or cardiac intensive care unit (CICU) is a hospital ward specialized in the care of patients with heart attacks, unstable angina, cardiac dysrhythmia and (in practice) various other cardiac conditions that require continuous monitoring and treatment. (
  • This retrospective study was conducted in the Coronary care unit (CCU) of tertiary care hospital in South India from June 2014 to December 2014. (
  • The aim was to determine predictors of mortality and differences in treatment and hospital mortality (as a measure of quality of care) in the CU, the ICU and the CW. (
  • Although patients with ACS could be admitted to different types of units, no significant difference was found in hospital mortality or treatment strategy. (
  • Predictors of hospital mortality in the global registry of acute coronary events. (
  • Methods: The records of 334 eligible patients who underwent elective coronary artery bypass grafting (CABG) in 2008 in Kowsar Hospital in Shiraz, southern Iran were evaluated to find the factors that can affect the extubation time. (
  • We included consecutive thirty-one patients with uncomplicated AMI and successful PTCA admitted to coronary care unit of a university hospital. (
  • The large New York Hospital experience reported in 1967 1 demonstrated that monitored patients in a CCU, especially those patients without pulmonary embolism or shock, seemed to benefit from being in such a monitored unit compared with those patients treated on a general medicine ward. (
  • The CCU is a hospital unit dedicated to treating patients with critical cardiovascular conditions. (
  • The reputation of Vall d'Hebron Hospital Campus as a leading centre for pathologies such as adult congenital heart defects and acute aortic syndrome means the Unit admits a relatively high number of patients with these conditions. (
  • There is also fluid interaction with professionals from other specialisations at the hospital to guarantee our patients receive the very best care. (
  • Our aim is to treat patients promptly and with care in all hospital settings. (
  • Currently, he is the Associate Director of The Johns Hopkins Hospital Coronary Care Unit, Co-Director of the Hypertension Center and member of the Echocardiography Lab and Outpatient Cardiology Clinic. (
  • Ronald Regan UCLA Medical Center allows our nurses to focus on one particular specialty, while Santa Monica-UCLA Medical Center and Orthopedic Hospital provides the chance to care for a wide variety of patients in their ICU. (
  • This unit provides an array of complex ICU care to critical care patients who are admitted from the emergency room, direct admissions from medical offices, inter-facility transfers, as well as from intradepartmental transfers, including the PACU, Cardiac Catheterization Lab, Operating Room, Oncology, Telemetry and General Medical-Surgical units within the hospital. (
  • An intensive care unit ( ICU ), also known as an intensive therapy unit or intensive treatment unit ( ITU ) or critical care unit ( CCU ), is a special department of a hospital or health care facility that provides intensive treatment medicine . (
  • This specialty unit cares for neonatal patients who have not left the hospital after birth. (
  • The first American newborn intensive care unit, designed by Louis Gluck , was opened in October 1960 at Yale-New Haven Hospital . (
  • This specialised hospital ward for intensive care of heart patients started a global revolution in heart patient care. (
  • In the first year of its operation, death rates in hospital following a heart attack were almost halved in Dr Julian's unit. (
  • From its humble beginning as a small dispensary to cater to the health care needs of a rural community, MGDM Hospital has become a multi disciplinary institution. (
  • MGDM Hospital renders not only hospital based services but also preventive and promotive health care and also services aimed at the educational and comprehensive development and welfare of the community it serves. (
  • BMI was calculated using heights and weights measured during the health care encounter closest to the patient's ED or hospital encounter for COVID-19 in the database. (
  • Surgical Day Care (SDC) is transitioning to a combined unit with the Post Anaesthetic Care Unit (PACU) to align with the model of care that will be implemented at the new St. Paul's Hospital on Terminal Avenue. (
  • S tudies examining hospital mortality of patients admitted to intensive care units (ICUs) have revealed increased mortality after (or "off") hours and on weekends. (
  • Data from 180 consecutive patients presenting to a large regional hospital with acute coronary syndrome were collected. (
  • 2 The estimated economic cost of acute coronary syndromes (ACS) amounts to $17.9 billion, comprising $1.8 billion in direct hospital costs, $3.8 billion indirect costs, and $12.3 billion from loss in the value of health. (
  • This study aimed to determine how physicians in a large Canadian tertiary-care academic hospital without allergists on staff treat patients with a history of penicillin allergy. (
  • Does fast-track treatment lead to a decrease of intensive care unit and hospital length of stay in coronary artery bypass patients? (
  • Although fast-track anesthetics and normothermic temperature management facilitate early extubation, the introduction of an early extubation protocol seems essential to decrease intensive care unit and hospital stay in low-risk coronary artery bypass grafting patients. (
  • A prospective observational study of 272 patients admitted to the coronary care unit was conducted at a tertiary referral teaching hospital and a community teaching hospital. (
  • Frishman, WH , Alpert, JS & Killip, T 2017, ' The Coronary (Cardiac) Care Unit at 50 Years: A Major Advance in the Practice of Hospital Medicine ', American Journal of Medicine , vol. 130, no. 9, pp. 1005-1006. (
  • The hospital unit in which patients with acute cardiac disorders receive intensive care. (
  • The hospital unit in which patients with respiratory conditions requiring special attention receive intensive medical care and surveillance. (
  • Hospital units providing continuous surveillance and care to acutely ill infants and children. (
  • Organization of medical and nursing care according to the degree of illness and care requirements in the hospital. (
  • Sometimes, the best way to prevent a visit to the hospital is to become your own care provider. (
  • Intermediate care units (IMCU) permit hospital resource optimization. (
  • Prepare to pursue roles in hospital emergency departments, intensive care units, trauma centers, and specialty medicine areas. (
  • The $42 million Stage One Hospital expansion was completed in September 2007 delivering 25 beds and a new emergency department, intensive care/coronary care unit, expanded renal services and increased pathology, medical imaging, pharmacy and medical records departments. (
  • We also care for many other critically ill patients suffering from severe cardiomyopathies , valvular heart disease and life-threatening arrhythmias . (
  • Coronary care units developed in the 1960s when it became clear that close monitoring by specially trained staff, cardiopulmonary resuscitation and medical measures could reduce the mortality from complications of cardiovascular disease. (
  • Takotsubo cardiomyopathy is a cardiac syndrome characterized by reversible left ventricular dysfunction, ischemic changes on electrocardiogram, elevation of cardiac biomarkers, absence of obstructive coronary artery disease in the setting of various stressing conditions. (
  • Background: Non ST-elevation Acute Coronary Syndromes are the most frequent manifestations of acute ischemic heart disease. (
  • In a recent retrospective review of 1042 patients admitted to a CCU, 14 the patient diagnoses continue to include patients with acute coronary syndromes (ST and non-ST elevation acute myocardial infarctions) but also those with severe heart failure (ischemic and nonischemic), valve disease, pericardial disease, primary ventricular and bradyarrhythmias, acute aortic dissection, renal failure, and sepsis. (
  • Research now links such factors as depression, social isolation, anxiety, and anger with both the onset and poor treatment outcome of coronary heart disease (CHD). (
  • This highly complex unit provides care to patients with the diagnoses of complex cardiac congenital disease, coronary artery disease, valvular disease and cardiomyopathy, along with multiple lung diseases. (
  • The focus of the National Service Framework for Coronary Heart Disease (NSF for CHD) is appropriate since the burden of CHD is high in the UK. (
  • This text focuses on the basic science needed to understand the causes of coronary artery disease and the management of the disease. (
  • The new edition includes up-to-date information practitioners and students need regarding the electrophysiologic changes caused by coronary artery disease, intraventricular conduction devices, heart failure, and shock. (
  • Coronary Disease -- programmed instruction. (
  • Familial hypercholesterolaemia (FH) is an under recognised cause of coronary artery disease, despite the proven reductions in risk with early detection and treatment. (
  • Familial hypercholesterolemia (FH) is a frequent genetic disorder that leads to premature atherosclerosis and coronary artery disease. (
  • The primary cause of the hospitalisation was acute coronary syndrome (78%), and 22% of patients were free off coronary artery disease. (
  • As technology relentlessly evolves, conventional open surgical treatments are giving way to less invasive strategies, more frequently involving percutaneous devices (such as coronary artery stents, peripheral arterial stenting, endovascular stent-grafts for aneurysmal disease, and placement of transcatheter aortic valves) or robotic or videoscopic/thoracoscopic/endoscopic tools for minimal access approaches. (
  • Background and aim of the work : Coronary artery disease (CAD) is the leading cause of mortality in men and women. (
  • It was concluded that patients with unstable angina and no release of troponin T have less severe coronary artery disease, and have an excellent prognosis. (
  • In the United States there has been a dramatic decrease in age-adjusted coronary heart disease (CHD) mortality during the last 20 years. (
  • The Johns Hopkins Coronary Care Unit (CCU) is a 25-bed facility that is supported by a team of experienced nurses, case managers, clinical pharmacists, house staff, cardiology fellows and attending physicians who oversee the care and management of all the patients. (
  • Patients with acute coronary syndrome (ACS) examined in Zagreb Clinical Centre Emergency Room can be admitted either to the coronary unit (CU), the general medical ICU (ICU) or one of cardiology wards (CW). (
  • Toronto ON "to the Patient Care Manager of in patient cardiology, the Registered Nurse (RN) practices independently within their scope of practice when the. (
  • To date, little is known on best clinical management of this syndrome in coronary care units. (
  • Effect of milk-honey mixture on the sleep quality of coronary patients: AÂ clinical trial study. (
  • Sensor-augmented insulin pump therapy to treat hyperglycemia at the coronary care unit: a randomized clinical pilot trial. (
  • Clinical Features of Kidney Transplant Recipients Admitted to the Intensive Care Unit. (
  • Every stake holder in the current coronary care system simply assume the enforced modality must be far superior because they administer the most modern and costly treatment suggested by few high intensity cared clinical trials originating from west. (
  • Intensive-care nurses undergo intensive didactic and clinical orientation in addition to their general nursing knowledge in order to provide highly specialized care for critical patients. (
  • The aim of this study was to explore new nurses ' clinical learning experience in the critical coronary care units " [CCCU]. (
  • Specialist Clinical Pharmacists are the experts in medications, possessing unique pharmaceutical knowledge and experience in the care of cardiovascular patients. (
  • Pharmacists provides this pharmaceutical care on multi-disciplinary ward rounds, clinics, advising on medication issues to other health professionals through clinical interventions to improve effectiveness and safety of drug use. (
  • Retrospective analyses of demographic, clinical, and coronary data of consecutive patients with LDLc levels≥1.9g/L. Prospective 1 year follow-up focused on lipid levels, treatments, and personal and familial screening for FH. (
  • We carried out an observational study examining clinical records of all patients admitted in our Unit between June 1, 2013 and June 30, 2014, aged 80 or older. (
  • Evaluation of randomized, controlled clinical trials studying fast-track treatment in low-risk coronary artery bypass grafting patients. (
  • For this purpose, this technique was compared with the clinical gold standard, the CO measurement by pulmonary artery catheter in patients after coronary artery bypass grafting (CABG). (
  • Care in the paediatric intensive care unit (PICU) involves many clinical activities. (
  • Clinical Characteristics, Management, and Outcomes of Acute Coronary Syndrome in Patients With Right Bundle Branch Block on Presentation. (
  • We examined the relations between right bundle branch block (RBBB) and clinical characteristics, management, and outcomes among a broad spectrum of patients with acute coronary syndrome (ACS). (
  • This consensus statement focuses on the management of acute severe PH in the paediatric intensive care unit and provides an according treatment algorithm for clinical practice. (
  • Critical illness outcomes in specialty versus general intensive care units. (
  • The unit includes 70% liver transplant and other specialty transplants such as renal transplant, pancreas transplant, and small bowel transplant. (
  • Some units prefer new graduates who do not have experience in other units, so they may be trained in the specialty exclusively, while others prefer nurses with more experience already under their belt. (
  • Both the SDC and the Post PACU will eventually merge to form the Anesthesia Care Unit (ACU).The successful incumbent is required to successfully complete the PACU Specialty Training within the first year in this position. (
  • These units are usually present in hospitals that routinely engage in cardiothoracic surgery. (
  • Certain hospitals, such as Johns Hopkins [1], maintain mixed units consisting of both acute care units for the critically ill, and intermediate care units for patients who are not critical. (
  • A prospective study was undertaken from 1969 to 1974 to evaluate a program establishing coronary care units in small community hospitals. (
  • These data suggest that coronary care units in small community hospitals can provide adequate coronary care, but their level of performance drops when fewer than 60 patients with infarctions are admitted yearly. (
  • Patients are also transferred from the regional hospitals to this unit as required. (
  • Please believe me, time and again, I have witnessed patients reaching Government hospitals after being shunned away by big (Some times even medium sized ) hospitals who boast themself only as PCI enabled care. (
  • Although this was not the case, her experiences during the war formed the foundation for her later discovery of the importance of sanitary conditions in hospitals, a critical component of intensive care. (
  • In one of the corporate hospitals which I visited in my city(Chennai*) , happened to see a nurse taking blood sample from a patient who has been just admitted in a Hi-tech coronary care unit for UA-NSTEMI. (
  • Researchers studied 393 patients in a hospitals coronary care unit. (
  • The Australian and New Zealand Intensive Care Society (ANZICS) Centre for Outcome and Resource Evaluation (CORE) manages the ANZICS Adult Patient Database (APD), 12 which collects data on ICU admissions in Australian, New Zealand and, more recently, Hong Kong hospitals, and now holds over a million records. (
  • Leeds Cares is a charity dedicated to exceptional healthcare in Leeds, across Yorkshire and beyond, driving forward real change and helping people to live fulfilling lives in partnership with the Leeds Teaching Hospitals. (
  • Retrospective analysis of all plasma lipid measurements performed at admission in coronary care unit of 4 hospitals in 2017. (
  • Studies published in 1967 revealed that those observed in a coronary care setting had consistently better outcomes. (
  • The purpose of this research was to describe the relationships among patient characteristics, care processes, and care outcomes for patients in a coronary care unit (CCU). (
  • Patient characteristics and care processes were related to patient outcomes. (
  • Plans, implements, and evaluates patient care plans based on patient assessment to optimize outcomes and maximize available resources. (
  • Using data from the Premier Healthcare Database Special COVID-19 Release (PHD-SR), § CDC assessed the association between body mass index (BMI) and risk for severe COVID-19 outcomes (i.e., hospitalization, intensive care unit [ICU] or stepdown unit admission, invasive mechanical ventilation, and death). (
  • As clinicians develop care plans for COVID-19 patients, they should consider the risk for severe outcomes in patients with higher BMIs, especially for those with severe obesity. (
  • protocol number PM_L_0051), describing the Australian care and outcomes of patients with STEMI. (
  • Effect of gender on fast-track recovery after coronary artery bypass graft surgery. (
  • Alfentanil and sufentanil in fast-track anesthesia for coronary artery bypass graft surgery. (
  • However, this concept has not been widely accepted, and experience with direct discharge from the coronary care unit is limited. (
  • We aimed to investigate safety and cost effectiveness of early discharge directly from coronary care unit following successful percutaneous coronary angioplasty (PTCA) in patients with uncomplicated AMI. (
  • Collaborates as needed across disciplines to coordinate patient care, including patient transfer, discharge, referral and spiritual/psychosocial support needs. (
  • Parents' and carers' experiences of transition and aftercare following a child's discharge from a paediatric intensive care unit to an in-patient ward setting: A qualitative systematic review. (
  • A review of interventions supporting parent's psychological well-being after a child's intensive care unit discharge. (
  • The purpose of this study was to investigate the effects of aromatherapy on the anxiety, sleep, and blood pressure (BP) of percutaneous coronary intervention (PCI) patients in an intensive care unit (ICU). (
  • The proportion of patients with AMI on which coronary angiographies and subsequent percutaneous coronary intervention (PCI) was performed did not differ significantly ( P = 0.635) in the CU, the ICU and the CW (74.7%, 65.52% and 44.44%, respectively). (
  • Increasingly, nonphysician providers are playing innovative roles in the ICU, and care provided by teams including nurse practitioners or physician assistants appears to be safe and comparable to that provided by other staffing models. (
  • Neonatal nurse practitioners are advanced practice nurses that care for premature babies and sick newborns in intensive care units , emergency rooms , delivery rooms , and special clinics . (
  • Reporting to the Patient Care Manager or Resident Care Manager and working in collaboration with the interdisciplinary team, the Licensed Practical Nurse (LPN) is responsible for providing nursing care to an assigned group of patients/residents according to established policies and procedures and the Standards of Practice for the Licensed Practical Nurses of British Columbia. (
  • Reporting to the Operations Leader, the Staff Nurse, assesses, identifies, plans, implements and evaluates the nursing care required to assist patients/residents in meeting their physical, social, spiritual and psychological needs using an established framework for nursing practice. (
  • Toronto ON "to the Manager, the Registered Nurse (RN) is accountable for providing assessment, planning, implementation and evaluation of patient care within a total. (
  • Crit Care Nurse. (
  • If you thrive in fast-paced, high-acuity environments, consider Walden's online Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) program. (
  • This program readies you to sit for the ANCC Adult-Gerontology-Acute Care Nurse Practitioner board certification examination. (
  • In this online acute care nurse practitioner MSN program, you'll examine how to plan, implement, and evaluate care for critically ill patients. (
  • For other indications, such as atrial fibrillation, a specific indication is generally necessary, while for others, such as heart block, coronary care unit admission is standard. (
  • Background: The aim of this study was to assess gender differences in admission level of care, management and outcome in patients with non ST-elevation acute coronary syndromes (NSTE-ACS), initially admitted to either coronary care units (CCU) or general wards. (
  • CONTEXT AND OBJECTIVE Acute coronary syndromes (ACS) are a common cause of intensive care unit (ICU) admission. (
  • To study variation in mortality associated with time and day of admission to the intensive care unit (ICU). (
  • Screening for familial hypercholesterolemia from low-density lipoprotein cholesterol levels at admission in the coronary care unit]. (
  • One of the most common reasons for admission of these patients is Acute Coronary Syndrome (ACS). (
  • Admission electrocardiograms of patients enrolled in the Global Registry of Acute Coronary Events (GRACE) electrocardiogram substudy and the Canadian ACS Registry I were analyzed independently at a blinded core laboratory. (
  • These units typically serve patients who require cardiac telemetry, such as those with unstable angina. (
  • OBJECTIVES: To determine if a circadian variation exists for transient myocardial ischemia in patients admitted to the coronary care unit with unstable coronary syndromes. (
  • Coronary angiographic findings and troponin T in patients with unstable angina pectoris. (
  • This study sought to identify differences in coronary anatomic pathology in patients with unstable angina and elevated versus nonelevated serum troponin T values. (
  • New-onset angina is also considered unstable angina, since it suggests a new problem in a coronary artery. (
  • As an AGACNP, you'll have the challenges and rewards of overseeing care for patients with unstable chronic conditions, sudden illness, and traumatic injury. (
  • In the United States, coronary care units are usually subsets of intensive care units (ICU) dedicated to the care of critically ill cardiac patients. (
  • The Coronary Care Unit provides care to critically ill cardiac patients. (
  • Critically ill patients in the coronary care or high dependency units (CCU, HDU) need accurate assessment of their haemodynamic status to guide fluid or vasoactive drug therapy. (
  • They are staffed by highly trained physicians , nurses and respiratory therapists who specialize in caring for critically ill patients. (
  • Takotsubo cardiomyopathy: real life management in the intensive coronary care unit. (
  • The SCCH Intensive Coronary Care Unit, ICCU, is designed for those patients requiring constant observation, as well as specialized medical and nursing care. (
  • Tujuan karya tulis ini ialah untuk mengetahui dan mampu menerapkan teori ke dalam praktek asuhan keperawatan pada klien dengan akut miokard infark (AMI) di ruang Intensive Coronary Care Unit (ICCU) Rumah Sakit Umum Daerah Dr.Soehadi Prijonegoro Sragen. (
  • The mobile coronary care unit consists of a team of physicians and nurses. (
  • Critical Care nurses are there for patients in their most difficult times. (
  • UCLA is a certified center for Left Ventricular Assistant Device (LVAD) destination therapy and nurses in this unit are proficient in managing this treatment. (
  • The RN provides direction to licensed practical nurses and nursing aides regarding patient care and delegates when appropriate. (
  • This study conducted semistructured interviews with critical care nurses to develop a model for learning from near-miss events. (
  • Socio- cultural factors have a great impact on learning experiences of new nurses in critical coronary care units [CCCU]. (
  • The team of consultants, arrhythmia nurses and highly specialised cardiac physiologists provide care to patients with palpitations, atrial fibrillation (AF) and life threatening cardiac rhythm problems. (
  • Acute coronary syndrome (ACS) is a syndrome (a set of signs and symptoms) due to decreased blood flow in the coronary arteries such that part of the heart muscle is unable to function properly or dies. (
  • In those who have ACS, atheroma rupture is most commonly found 60% when compared to atheroma erosion (30%), thus causes the formation of thrombus which block the coronary arteries. (
  • After the coronary arteries are unblocked, there is a risk of reperfusion injury due spreading inflammatory mediators throughout the body. (
  • Develops plans of care that are individualized to the patient's condition or needs, reflecting current nursing practice that is evidence-based, providing for continuity of care, and are family centered. (
  • The Job: RN's provide direct patient care using the nursing process in accordance with applicable scope and standards of practice and with the policies, values, and mission of the organization. (
  • A new postcardiac surgery fluid resuscitation strategy was implemented in our Cardiovascular Intensive Care Unit (CVICU) to implement evidence-based practice. (
  • An acute care MSN-NP degree qualifies students to perform a hospitalist or intensivist role caring for patients at an advanced level of practice. (
  • The prevalence of coronary artery diseases have increased recently as the population ages and as changes in eating habits and lifestyle have led to higher incidences of diabetes, high blood pressure, and hyperlipidaemia in Korea. (
  • The prevalence of FH is relatively high among patients presenting with acute coronary syndromes. (
  • This multicenter retro- and prospective observational study aimed at estimating the prevalence of high LDLc levels in patients admitted in coronary care units, and the impact for the personal and familial follow-up for lipid status. (
  • Hyponatraemia in a Lao paediatric intensive care unit: Prevalence, associations and intravenous fluid use. (
  • Thought you might appreciate this item(s) I saw at Critical Care Medicine. (
  • Consensus document of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC), the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) and the Spanish Society of Anesthesiology and Resuscitation (SEDAR) on tracheotomy in patients with COVID-19 infection]. (
  • Medicina Intensiva is the journal of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICIUC), and has become the reference publication in Spanish in its field. (
  • The unit is the primary ICU for post-operative Thoracic Surgery ICU patients. (
  • the study aimed to compare the efficacy of lactate clearance versus ScVO2 to guide fluid management post-operative in intensive care unit (ICU). (
  • Fifty-six patients with PCI in ICU were evenly allocated to either the aromatherapy or conventional nursing care. (
  • The unit is staff by suitably qualified nursing staff. (
  • Patients may require 1:2, 1:1, or 2:1 nursing care. (
  • Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and. (
  • The RN has knowledge of professional nursing principles, practices, concepts, and procedures as applied to the care of the patient population served. (
  • The RN continues to enhance their knowledge in the nursing management and care of patient problems and conditions as required. (
  • Analyzes the assessment data in determining diagnoses, and utilize the nursing diagnosis to develop, implement, evaluate and revise an appropriate patient plan of care that is family centered, developmentally and age-appropriate, and culturally relevant. (
  • Provides nursing care to meet the physical, emotional, spiritual, and social-cultural needs of the patient and family utilizing a family-centered approach to care delivery. (
  • Documents observations, nursing interventions, therapeutic measures, multi-systems monitoring data, and other data relevant to the patient's care in a retrievable form. (
  • Located on the beautiful University of British Columbia (UBC) campus, St. John Hospice is a 14-bed hospice with a home-like setting and feeling that provides 24-hour nursing care. (
  • An important nursing intervention for detecting ischemia is continuous electrocardiographic monitoring of the ST segment, even during routine nursing care activities, which are often at a peak during the vulnerable morning hours. (
  • Intensive Care, or Critical Care, is the sophisticated medical and nursing care provided to patients facing life-threatening illness or injury. (
  • SAPS 3, APACHE IV or GRACE: which score to choose for acute coronary syndrome patients in intensive care units? (
  • 1.Cajoling and manoeuvring a distressed family for a primary PCI as a routine treatment hyping its beneficial effect and underplaying the true advantages of thrombolysis in largely technical jargons is the current norm in most coronary care units. (
  • For the best coronary care for any country ,what we need is efficient prehospital thrombolysis team .We have conveniently forgotten the great study of CAPTIM wherein the ambulance drivers replicated the same effect of primary PCI performed by highly trained cardiologists in modern labs. (
  • This module focuses on the Acute Care knowledge and understanding, practitioner and professional skills required of an F1 doctor, and the assessments within this module will focus on these areas. (
  • Professional issues in acute care. (
  • Types of monitoring/interventions include ICP monitoring, CVVH, Licox brain oxygen monitoring, internal body cooling devices, continuous EEG monitoring, Nitric Oxide treatment, and pre-op and post-op complex surgical care. (
  • Their competencies include the administration of high-risk medications, management of high-acuity patients requiring ventilator support, surgical care, resuscitation, advanced interventions such as extracorporeal membrane oxygenation or hypothermia therapy for neonatal encephalopathy procedures, as well as chronic-care management or lower acuity cares associated with premature infants such as feeding intolerance, phototherapy , or administering antibiotics. (
  • Implements interventions in the plan of care. (
  • Avezum A, Makdisse M, Spencer F, et al: Impact of age on management and outcome of acute coronary syndrome: observations from the Global Registry of Acute Coronary Events (GRACE). (
  • A retrospective study was conducted during a 1-year period among all patients hospitalized in the intensive care unit, coronary care unit, and internal medicine wards. (
  • View our phone directory or find a patient care location . (
  • Family members may be asked to leave the bedside during procedures, tests or patient care activities. (
  • Our four ICCU rooms are equipped with the latest technological advances for quality patient care, including cardiac monitoring and management of ventilator patients. (
  • MICU patients are 1:1 or 1:2 patient care and are co-managed by medical intensivists with pulmonary and critical care expertise. (
  • Effectively delegates patient care to ancillary personnel. (
  • Retrospective cohort analysis using the Australian and New Zealand Intensive Care Society Adult Patient Database. (
  • T he Intensive Care Unit / Coronary Care Unit cares for acutely unwell patients which include patients requiring care post-operatively and patients transferred from the emergency department. (
  • Emergency lung units-has anyone heard about these? (
  • Our most recent additions include state-of-the-art emergency departments for adults and children, endoscopy suite and refurbished renal unit. (
  • They are not suitable for acute coronary syndrome patients or other emergency cases. (
  • Toronto ON "to Manager of the Intensive Care Unit (ICU) and Emergency Department (ED), the successful candidate will be responsible for assessing, planning implementation. (
  • This study describes the development and early experience of an active surveillance program in a pediatric intensive care unit (PICU). (
  • Workload factors and communication lapses were identified as the major causes of near misses in a pediatric intensive care unit in Israel. (
  • Adherence to Daily Weights and Total Fluid Orders in the Pediatric Intensive Care Unit. (
  • In 1950, anesthesiologist Peter Safar established the concept of "Advanced life support", keeping patients sedated and ventilated in an intensive care environment. (
  • Pulmonary hypertension in the intensive care unit. (
  • Fast-track cardiac care for adult cardiac surgical patients. (
  • Specific prognostic scores have been developed and validated for ACS patients and, among them, GRACE (Global Registry of Acute Coronary Events) has had the best performance. (
  • Prognostic value of GRACE scores versus TIMI score in acute coronary syndromes]. (