Coronary Vessels: The veins and arteries of the HEART.Coronary Angiography: Radiography of the vascular system of the heart muscle after injection of a contrast medium.Coronary Artery Disease: Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.Coronary Circulation: The circulation of blood through the CORONARY VESSELS of the HEART.Angioplasty, Balloon, Coronary: Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.Coronary Stenosis: Narrowing or constriction of a coronary artery.Coronary Artery Bypass: 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.Coronary Disease: 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.Coronary Vasospasm: Spasm of the large- or medium-sized coronary arteries.Coronary Aneurysm: 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.Coronary Thrombosis: Coagulation of blood in any of the CORONARY VESSELS. The presence of a blood clot (THROMBUS) often leads to MYOCARDIAL INFARCTION.Myocardial Infarction: NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).Coronary Restenosis: Recurrent narrowing or constriction of a coronary artery following surgical procedures performed to alleviate a prior obstruction.Coronary Occlusion: Complete blockage of blood flow through one of the CORONARY ARTERIES, usually from CORONARY ATHEROSCLEROSIS.Coronary Care Units: The hospital unit in which patients with acute cardiac disorders receive intensive care.Percutaneous Coronary Intervention: 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.Risk Factors: 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.Intensive Care Units: Hospital units providing continuous surveillance and care to acutely ill patients.Treatment Outcome: 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.Prospective Studies: 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.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Stents: Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.Myocardial Ischemia: 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).Electrocardiography: 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.Follow-Up Studies: 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.Ultrasonography, Interventional: 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.Dogs: 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)Calcinosis: Pathologic deposition of calcium salts in tissues.Coronary Artery Bypass, Off-Pump: 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).Predictive Value of Tests: 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.Angina, Unstable: Precordial pain at rest, which may precede a MYOCARDIAL INFARCTION.Myocardial Revascularization: The restoration of blood supply to the myocardium. (From Dorland, 28th ed)Vasodilator Agents: Drugs used to cause dilation of the blood vessels.Hemodynamics: The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.Cardiac Catheterization: Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.Platelet Aggregation Inhibitors: 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.Vasodilation: The physiological widening of BLOOD VESSELS by relaxing the underlying VASCULAR SMOOTH MUSCLE.Risk Assessment: 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)Heart: The hollow, muscular organ that maintains the circulation of the blood.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Myocardium: 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.Retrospective Studies: 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.Chest Pain: Pressure, burning, or numbness in the chest.Blood Flow Velocity: A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.Collateral Circulation: Maintenance of blood flow to an organ despite obstruction of a principal vessel. Blood flow is maintained through small vessels.Swine: 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).Endothelium, Vascular: Single pavement layer of cells which line the luminal surface of the entire vascular system and regulate the transport of macromolecules and blood components.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Adenosine: 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.Hospital Units: Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.Biological Markers: 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.Exercise Test: 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.Nitroglycerin: A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.Echocardiography: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.Blood Pressure: PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.Dipyridamole: 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)Myocardial Reperfusion: 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.Prognosis: 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.Sensitivity and Specificity: 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)Plaque, Atherosclerotic: Lesions formed within the walls of ARTERIES.Vascular Resistance: 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.Cardiovascular Agents: Agents that affect the rate or intensity of cardiac contraction, blood vessel diameter, or blood volume.Recurrence: The return of a sign, symptom, or disease after a remission.Fractional Flow Reserve, Myocardial: 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.Ticlopidine: An effective inhibitor of platelet aggregation commonly used in the placement of STENTS in CORONARY ARTERIES.Microcirculation: The circulation of the BLOOD through the MICROVASCULAR NETWORK.Cohort Studies: 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.Mucocutaneous Lymph Node Syndrome: 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.Ventricular Function, Left: 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.Multivariate Analysis: 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.Multidetector Computed Tomography: Types of spiral computed tomography technology in which multiple slices of data are acquired simultaneously improving the resolution over single slice acquisition technology.Angina Pectoris, Variant: 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.Chi-Square Distribution: 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.Vasoconstriction: The physiological narrowing of BLOOD VESSELS by contraction of the VASCULAR SMOOTH MUSCLE.Tomography, Emission-Computed, Single-Photon: 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.Aspirin: 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)Myocardial Perfusion Imaging: 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.Ergonovine: An ergot alkaloid (ERGOT ALKALOIDS) with uterine and VASCULAR SMOOTH MUSCLE contractile properties.Incidence: 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.Hyperemia: 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).Postoperative Complications: 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.Vascular Calcification: 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.Logistic Models: 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.Sinus of Valsalva: The dilatation of the aortic wall behind each of the cusps of the aortic valve.Case-Control Studies: 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.Myocardial Contraction: Contractile activity of the MYOCARDIUM.Mammary Arteries: Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland.Acute Disease: Disease having a short and relatively severe course.Cineangiography: Motion pictures of the passage of contrast medium through blood vessels.Hospital Mortality: A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.Tomography, Spiral Computed: 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.Intensive Care Units, Neonatal: Hospital units providing continuing surveillance and care to acutely ill newborn infants.Angina, Stable: 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.Radial Artery: 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.Acetylcholine: 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.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Proportional Hazards Models: 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.Arteries: The vessels carrying blood away from the heart.Heart Ventricles: 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.Hydroxymethylglutaryl-CoA Reductase Inhibitors: Compounds that inhibit HMG-CoA reductases. They have been shown to directly lower cholesterol synthesis.Thallium Radioisotopes: Unstable isotopes of thallium that decay or disintegrate emitting radiation. Tl atoms with atomic weights 198-202, 204, and 206-210 are thallium radioisotopes.Contrast Media: Substances used to allow enhanced visualization of tissues.Reproducibility of Results: 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.Syndrome: A characteristic symptom complex.Angioscopy: Endoscopic examination, therapy or surgery performed on the interior of blood vessels.Stroke Volume: 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, LDL: Cholesterol which is contained in or bound to low density lipoproteins (LDL), including CHOLESTEROL ESTERS and free cholesterol.Hypercholesterolemia: 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.Diabetic Angiopathies: VASCULAR DISEASES that are associated with DIABETES MELLITUS.Vasomotor System: The neural systems which act on VASCULAR SMOOTH MUSCLE to control blood vessel diameter. The major neural control is through the sympathetic nervous system.Registries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Myocardial Reperfusion Injury: 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.C-Reactive Protein: A plasma protein that circulates in increased amounts during inflammation and after tissue damage.Swine, Miniature: Genetically developed small pigs for use in biomedical research. There are several strains - Yucatan miniature, Sinclair miniature, and Minnesota miniature.Dobutamine: 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 Factors: 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.Nitric Oxide: 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.Sex Factors: 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.Cardiopulmonary Bypass: 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.Ventricular Dysfunction, Left: 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.Muscle, Smooth, Vascular: The nonstriated involuntary muscle tissue of blood vessels.Perfusion: Treatment process involving the injection of fluid into an organ or tissue.Saphenous Vein: The vein which drains the foot and leg.Graft Occlusion, Vascular: Obstruction of flow in biological or prosthetic vascular grafts.Cardiovascular Diseases: Pathological conditions involving the CARDIOVASCULAR SYSTEM including the HEART; the BLOOD VESSELS; or the PERICARDIUM.Microvascular Angina: 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.Regression Analysis: 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, HDL: Cholesterol which is contained in or bound to high-density lipoproteins (HDL), including CHOLESTEROL ESTERS and free cholesterol.Analysis of Variance: A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.Odds Ratio: 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.Myocardial Bridging: 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.Isosorbide Dinitrate: A vasodilator used in the treatment of ANGINA PECTORIS. Its actions are similar to NITROGLYCERIN but with a slower onset of action.Hemorrhage: Bleeding or escape of blood from a vessel.Cholesterol: The principal sterol of all higher animals, distributed in body tissues, especially the brain and spinal cord, and in animal fats and oils.Tunica Intima: The innermost layer of an artery or vein, made up of one layer of endothelial cells and supported by an internal elastic lamina.Constriction, Pathologic: The condition of an anatomical structure's being constricted beyond normal dimensions.Hypertension: 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.Risk: The probability that an event will occur. It encompasses a variety of measures of the probability of a generally unfavorable outcome.Models, Cardiovascular: 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.Papaverine: 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.Thrombosis: Formation and development of a thrombus or blood clot in the blood vessel.Cardiotonic Agents: 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).Lipids: 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)Diabetes Complications: 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 Glycoprotein GPIIb-IIIa Complex: 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.Fistula: Abnormal communication most commonly seen between two internal organs, or between an internal organ and the surface of the body.Thrombolytic Therapy: Use of infusions of FIBRINOLYTIC AGENTS to destroy or dissolve thrombi in blood vessels or bypass grafts.ROC Curve: 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.Sirolimus: 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.Arteriosclerosis: 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.Dose-Response Relationship, Drug: The relationship between the dose of an administered drug and the response of the organism to the drug.Dilatation, Pathologic: The condition of an anatomical structure's being dilated beyond normal dimensions.Intensive Care Units, Pediatric: Hospital units providing continuous surveillance and care to acutely ill infants and children. Neonates are excluded since INTENSIVE CARE UNITS, NEONATAL is available.Vascular Patency: The degree to which BLOOD VESSELS are not blocked or obstructed.Adrenergic beta-Antagonists: 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.Survival Analysis: 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.Double-Blind Method: 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.Kaplan-Meier Estimate: 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)Atherosclerosis: A thickening and loss of elasticity of the walls of ARTERIES that occurs with formation of ATHEROSCLEROTIC PLAQUES within the ARTERIAL INTIMA.Prevalence: 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.Heart Diseases: Pathological conditions involving the HEART including its structural and functional abnormalities.Arterio-Arterial Fistula: Abnormal communication between two ARTERIES that may result from injury or occur as a congenital abnormality.Heart Arrest, Induced: 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).Echocardiography, Stress: A method of recording heart motion and internal structures by combining ultrasonic imaging with exercise testing (EXERCISE TEST) or pharmacologic stress.Magnetic Resonance Angiography: 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.Regional Blood Flow: The flow of BLOOD through or around an organ or region of the body.Technetium Tc 99m Sestamibi: A technetium imaging agent used to reveal blood-starved cardiac tissue during a heart attack.Internal Mammary-Coronary Artery Anastomosis: 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.Anticholesteremic Agents: Substances used to lower plasma CHOLESTEROL levels.Creatine Kinase, MB Form: An isoenzyme of creatine kinase found in the CARDIAC MUSCLE.Angiography: Radiography of blood vessels after injection of a contrast medium.Myocardial Stunning: Prolonged dysfunction of the myocardium after a brief episode of severe ischemia, with gradual return of contractile activity.Death, Sudden, Cardiac: 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)Creatine Kinase: 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.Heart Failure: 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.JapanFibrinolytic Agents: Fibrinolysin or agents that convert plasminogen to FIBRINOLYSIN.Echocardiography, Doppler: 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.United StatesSmoking: Inhaling and exhaling the smoke of burning TOBACCO.Heart Transplantation: The transference of a heart from one human or animal to another.Diabetes Mellitus: A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.Stroke: 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)Anticoagulants: Agents that prevent clotting.Arrhythmias, Cardiac: 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.Troponin T: 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.Heparin: 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.Iopamidol: A non-ionic, water-soluble contrast agent which is used in myelography, arthrography, nephroangiography, arteriography, and other radiological procedures.Angiocardiography: Radiography of the heart and great vessels after injection of a contrast medium.Survival Rate: 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.Diastole: Post-systolic relaxation of the HEART, especially the HEART VENTRICLES.Disease Models, Animal: 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.Postoperative Period: The period following a surgical operation.Observer Variation: 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).Pravastatin: An antilipemic fungal metabolite isolated from cultures of Nocardia autotrophica. It acts as a competitive inhibitor of HMG CoA reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES).Angioplasty, Balloon: 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.Bradykinin: 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.Cardiac Surgical Procedures: Surgery performed on the heart.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Comorbidity: 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.Troponin I: One of the three polypeptide chains that make up the TROPONIN complex. It inhibits F-actin-myosin interactions.

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)

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
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
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.
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 ...
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.
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.
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 ...
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…
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). ...
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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...
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 ...
IVTEAM #Intravenous literature: Kubiak, D.W., Gilmore, E.T., Buckley, M.W., Lynch, R., Marty, F.M. and Koo, S. (2014) Adjunctive management of central line-associated bloodstream infections with 70% ethanol-lock therapy. The Journal of Antimicrobial Chemotherapy. February 12th. [epub ahead of print].. Abstract:. OBJECTIVES: Ethanol is bactericidal against most pathogens implicated in central line-associated bloodstream infections (CLABSIs) and biofilms. Current Infectious Diseases Society of America guidelines cite insufficient evidence to support adjunctive ethanol-lock therapy (ELT) for central venous catheter (CVC) salvage in patients with CLABSI in combination with systemic antimicrobial treatment. We evaluated the safety and potential efficacy of 70% ELT for CLABSI at our institution after implementation of a hospital ELT protocol.. METHODS: We collected data on all patients treated with adjunctive 70% ELT for catheter salvage from September 2009 to September 2011 and assessed clinical ...
Risk for infection when bacteria grow in the line and travel to the bloodstream, called a Central Line Associated-Bloodstream Infection.
Cynthia M. Liette, MS, APRN, ACNS-BC, CCRN. Ms. Liette has been a nurse for more than 35 years. She has worked in a variety of clinical settings including intensive/ coronary care, emergency room, medical-surgical units, and supervision. She currently works as a Clinical Nurse Specialist and Chief Clinical Officer in a rural health care system. She has been an educator for practicing nurses, nursing students, and paramedics for more than 30 years while still maintaining a clinical practice. Her numerous seminars consistently receive excellent reviews from all levels of health professionals.. She holds a Masters Degree from Wright State University in the Clinical Nurse Specialist Adult Health track and is Board Certified as a CNS.. She is the owner and president of BrainyNurses.com by Educational Concepts, LLC. She has authored a successful pharmacology series and has taught a wide variety of subjects including Nurse Refresher and Nurse Internship programs, Critical Care courses, 12-Lead ECG and ...
Objectives: To describe the clinical profiles, safety and efficacy endpoints, and response to cangrelor in US and non-US subgroups.. Background: CHAMPION PHOENIX demonstrated superiority of cangrelor in reducing ischemic events at 48 hours in patients undergoing percutaneous coronary intervention (PCI) compared with clopidogrel.. Methods: We analyzed all patients included in the modified intention-to-treat analysis in US (n=4,097; 37.4%) and non-US subgroups (n=6,845; 62.6%).. Results: The US cohort was older and had higher rates of cardiovascular risk factors and prior cardiovascular procedures. US patients more frequently underwent PCI for stable angina (72.4% vs. 46.4%). Utilization of clopidogrel loading doses of 600mg and bivalirudin was also higher in US vs. non-US participants. At 48 hours, rates of the primary composite endpoint were lower in the cangrelor arm compared with the clopidogrel arm in US (4.5% vs. 6.4%; OR 0.71 [0.54-0.92]) and in non-US patients (4.8% vs. 5.6%; OR 0.85 ...
BACKGROUNDMany patients who survive an intensive care unit admission develop post-intensive care syndrome and face significant long-term physical, cognitive, and mental health impairments. The intensive care unit diary is a reality-sorting tool that is effective in aiding patients to connect their f
What should families expect when they see their children in the Pediatric Cardiac Intensive Care Unit (PCICU) after heart surgery? It is common to fear the unknown. The prospect of your child having a heart procedure is a daunting one. We want to help you understand what to expect when you see...
At the Cardiac Intensive Care Unit surgeons can repair tiny hearts and give kids a chance for a lifetime with transplanted hearts.
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TY - JOUR. T1 - Central venous catheter salvage in children with Staphylococcus aureus central line-associated bloodstream infection. AU - Corkum, Kristine S.. AU - Jones, Rachel E.. AU - Reuter, Caroline H.. AU - Kociolek, Larry K.. AU - Morgan, Elaine. AU - Lautz, Timothy B.. PY - 2017/11/1. Y1 - 2017/11/1. N2 - Background: Prompt central venous catheter (CVC) removal is currently recommended in children with Staphylococcus aureus central line-associated bloodstream infection (CLABSI). Our objective was to examine the outcome of attempted line salvage in children with S. aureus CLABSI and assess predictors of success. Methods: A single-institution, retrospective cohort study was performed of all children with S. aureus CLABSI between 2012 and 2015. Patients with and without immediate CVC removal (≤ 2 days after first positive culture) were compared. The primary outcome was failed CVC salvage (removal after 3+ days). Results: Seventy-seven children met criteria for S. aureus CLABSI. Immediate ...
Central line-associated bloodstream infections (CLABSI) fell by more than 90 percent during the past three years at the Hospital of the University of Pennsylvania due to a multi-pronged approach combining leadership initiatives, electronic infection surveillance, checklists to guide line insertion and maintenance, and implementation of the Toyota Production System to encourage best practices in line care. The findings, which Penn physicians say provide a road map for cutting the deadly, costly toll of hospital-acquired infections nationwide, were presented on Friday, March 20 at the 19th Annual Meeting of the Society for Healthcare Epidemiology of America (SHEA).
The article about CLABSIs in neonates [7] provides the definition, etiology, and pathogenesis of bloodstream infections as well as strategies for preventing them. The authors defined 2 different types of bloodstream infections that were associated with central venous catheters: catheter-related bloodstream infection and CLABSIs. However, a definition specific to neonates is still needed and requires further research. Regarding preventive strategies, adequate patient-to-staff ratios should be guaranteed as part of the governments continued attention and support. Medical personnel should be educated and trained accordingly ...
A central line (also known as a central venous catheter) is a catheter (tube) that doctors often place in a large vein in the neck, chest, or groin to give medication or fluids or to collect blood for medical tests. You may be familiar with intravenous catheters (also known as IVs) that are used frequently to give medicine or fluids into a vein near the skins surface (usually on the arm or hand), for short periods of time. Central lines are different from IVs because central lines access a major vein that is close to the heart and can remain in place for weeks or months and be much more likely to cause serious infection. Central lines are commonly used in intensive care units.. ...
The Pediatric Cardiac Intensive Care Unit (PCICU) at St. Josephs Childrens Hospital is dedicated to medical and surgical cardiovascular care. Located on the second floor, the PCICU offers patients and their family 24-hour postoperative management, advanced cardiac therapies, and education and support for parents. Download the St. Josephs Childrens Hospital campus map. ...
Maltz, L.A., Klugman, D., Spaeder, M.C., Wessel, D.L. (2013). Off-label drug use in a single-center pediatric cardiac intensive care unit. World Journal of Pediatric Congenital Heart Surgery, 4(3), 262-266.. ...
BACKGROUND: Sex-based differences in clinical presentation, pathophysiology, and outcomes of patients with acute chest pain are increasingly being recognized, but are not implemented in guidelines and clinical prediction tools. We evaluated the performance of the HEART score in women versus men, because sex-based differences may exist among the algorithms components: ... read more history, electrocardiogram, age, risk factors, and admission troponin level. METHODS AND RESULTS: The HEART score was retrospectively assessed in 831 women and 1084 men presenting to the emergency department with acute chest pain, assigning patients to the low-, intermediate-, or high-risk category for the occurrence of major adverse cardiac events (MACE) within 6 weeks. MACE, consisting of myocardial infarction, coronary revascularization, and all-cause death, also included events during index visit. Six-week MACE rates were 2 times lower in women than men (10.0% versus 20.8%; P,0.01). Despite similar discriminatory ...
The long-term impact of a program to prevent central line-associated bloodstream infections in a surgical intensive care unit ...
The Pittsburgh Regional Health Initiative wants to build a safer, more reliable health system. The organization, under the umbrella of the Jewish Healthcare Foundation, has made progress, but theres a long way to go, says Karen Wolk Feinstein, Ph.D., president and CEO of the foundation and its two operating arms.. She helped create the PRHI in 1997 with then-CEO Paul ONeill of Alcoa, who made the corporation a safety leader.. The groups first effort was to reduce central line-associated bloodstream infections. Feinstein says they ultimately convinced 32 hospitals to sign on. Within four years, working with the U.S. Centers for Disease Control, these deadly infections went down 68 percent.. "That was pretty exciting because that launched us," she says. "It was when people believed that the initiative could really make a difference.". Over the years, the PRHI has moved from reducing medical errors and less than ideal hospitals practices, to a focus on keeping people out of hospitals, keeping ...
Central line-associated bloodstream infection (CLABSI) continues to be one of the most deadly and costly hospital-associated infections in the US. Many lives have been saved in the past decade due to improvements that resulted in a 58 percent reduction of CLABSI in intensive care patients from 2001 to 2009. However, these infections continue to occur and more occur in other areas of the hospital outside the ICU.. Strategies to prevent these infections include the IHI Central Line Bundle, implemented by many hospitals in the US and UK and resulting in dozens achieving more than one year of no CLABSI in their ICU patients. Additional strategies have been identified by clinical experts at SHEA and CDC, adding to the growing evidence base as we strive to eliminate all of these deadly infections. ...
Central line-associated bloodstream infections (CLABSI) fell by more than 90 percent during the past three years at the Hospital of the University of Pennsylvania...
The completion of the new pediatric intensive care unit/pediatric cardiac intensive care unit reflects UC Davis deep commitment to improving the health of the children of our community," said Ann Madden Rice, chief executive officer of UC Davis Medical Center and UC Davis Childrens Hospital.. Photograph of new PICU. The new facility, located on the 10th floor of the medical centers Davis Tower, provides Northern Californias children with leading-edge technology and compassionate patient care in a setting that supports their medical and emotional needs and fully involves parents in their recovery.. Each year, UC Davis pediatric intensive care unit treats more than 1,000 infants, children and adolescents who experience traumatic injuries, life-threatening infectious diseases such as rabies, H1N1 and pneumonia, among other illnesses, and who have undergone surgery to correct complex birth defects such as congenital heart anomalies.. The facilitys new name is the Pediatric Intensive Care ...
CAMEO monitors nursing activity in 19 domains of care (Figure 1). Each domain contains specific items of care, scored from basic to complex. To obtain an overall score, each activity is given a cognitive complexity value based on a scale from 1 to 5. The total score is calculated across the 19 domains of care and then classified as I-V in overall complexity of care.. To test the nursing CAMEO tool, information was gathered on 75 patients, from 1 day to 47 years old, who were admitted to the CICU for surgical recov-ery (86%) and/or medical intervention (14%). The data showed that the majority of patient care activities involved com-plicated elements. Standard intensive care monitoring of less than one hour was reported in 42% of patients. Vaso-active intravenous medication requiring titration was noted in 78% patients. Ven-tilated patients (72%) required a num-ber of interventions to maintain airway patency and acid-base balance as well as to achieve weaning goals.. Additional nursing activities ...
The AUMS, formally referred to as General Internal Medicine Service, is that component of patient care provided at CUH to patients with medical problems not previously, or not easily, categorised as appropriate for immediate attention from a Specialist Medical Take Service. All of the divisions specialties currently participate in the on-call rota for the Acute Unselected Medical Take service.. The AUMS is delivered on a rostered rational basis by the specialist teams in the division of Internal Medicine. Registrars and SHOs from other specialist services also participate. The majority of AUMS patients present via the Emergency Department with whom the division works in a close and mutually supporting relationship. It is however preferable that general Practitioners contact the Medical Registrar on call for the day to discuss patients that are being referred and facilitate direct admission of patients who are for admission via the Admissions Office. ...
The Chilean brewer and soft drinks producer Compania de Cervecerias Unidas (CCU) has completed the expansion of its plant in Santa Fe, Argentina. related to Beer & cider, Heineken,
While the US is still the only developed nation where growing hemp is illegal, you can buy products manufactured with hemp here and this week I tried out some products by Manitoba Harvest, based in Winnipeg, Manitoba,
Dear Dr. I am urologist in IRAN 64 years old and since 1983 until now with a sever anxiety and depression and treatment had no effect.from 10 years ago i had PAC 1-5 days per week and last 3 to 12 hours (2 to 10 pac per min.). In 2011 with a sever PAC(2normal and one PAC)I hospitalized in ccu and discharched after 4 days and I had no PAC for 6 months after that I had PAC once or twice per week 2 t0 10 pac per min. and some times I had no PAC for 10 to 20 days since2011 I use propranolol 10 mg. TDS ...
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Published ages obtained using different dating methods (including this study) for the various allostratigraphic units and lithologic/archaeo-palaeontological le
New article on the reduction in CR-BSI with antimicrobial PICC - am systematic review and meta-analysis from the American Journal of Infection Control Are antimicrobial peripherally inserted central catheters associated with reduction in central line-associated bloodstream infection? A systematic review and meta-analysis #vascularaccess #FOAMva #FOAMcc #FOAMped #FOAMems #infectionprevention #patientsafety
In 700 patients with acute myocardial infarction admitted to the intensive coronary care unit of our hospital, the incidence and significance of left anterior hemiblock and left axis deviation has been studied in the acute phase of disease. In 102 (14.6%) of the 700 patients, isolated left axis deviation (mean QRS axis-45 degrees) was found and 69 of them (9.9%) met the criteria of left anterior hemiblock. Of the 69 patients with left anterior hemiblock, 61 had acute anterior myocardial infarction, 5 had inferior infarction, and 3 had subendocardial infarction. The anterior hemiblock was transient in 5 patients, but persisted in 64. All patients with and without isolated left anterior hemiblock and left axis deviation were compared statistically with reference to mortality rate and the incidence of arrythmias; no significant difference was noted. However, in patients over the age of 65 and also in those with hypertension, the incidence of left axis deviation was significantly higher (P less than ...
Measurements and main results: Demographic, status discharge, EF, morbidity and use of resources were evaluated. Statistical analysis was performed with ANOVA of two ways and χ2. An excellent correlation between EF and mortality, reoperations, acute renal failure, multiorganic dysfunction, cardiorrespiratory arrest, and the use of Swanz-Ganz catheter, intra-aortic ballon counterpulsation, mechanical ventilation, dialysis and blood products was observed ...
Designed and developed by clinicians and educators, TOM is the only model on the market able to replicate the level of realism required to engage the entire multi-disciplinary healthcare team in emergency resternotomy. TOM is ideal for team training within the cardiac intensive care and operating theatre setting, and has the capability to simulate a realistic tamponade or catastrophic haemorrhage.. ...
14 ICU/CCU Registered Nurse Dayton, OH, USA Supplemental Health Care is partnered with a local Dayton, OH hospital in search of a Local ICU RN. Local ICU RN Contract to start ASAP, for 13 weeks. This is a night shift contract, 36 hours weekly ...... Apply Now>> ...
Question 10: Harden, Inc., has budgeted sales in units for the next five months as follows: June 7,000 units July 5,200 units August 6,300 units September 6,700 units October 4,700 units Past experience.
You are invited to participate in an international survey on the prevention of central line-associated bloodstream infections (CLABSI) in intensive care units.. This survey was created by a team from the Healthcare Associated Infections Unit, Scientific Institute of Public Health, Belgium, in collaboration with the European Programme for Intervention Epidemiology Training, part of the European Centre for Disease Prevention and Control. The Society of Critical Care Medicine joins the European Society of Intensive Care Medicine, the International Symposium on Intensive Care and Emergency Medicine, and the World Federation of Societies of Intensive and Critical Care Medicine in distributing this survey.. This survey seeks to document knowledge, attitudes and practices regarding CLABSI prevention in intensive care units worldwide. The team conducting this survey recently carried out a similar survey on prevention of ventilator-associated pneumonia, which gathered replies from 61 countries.. The ...
Abstract:. Infectious complications in the intensive care unit (ICU) are associated with higher morbidity, mortality, and increased health care use. Here, we report the results of implementing 2 different models (open vs closed) on infectious complications in the ICU. The closed ICU model was associated with 52% reduction in ventilator-associated pneumonia rate (P = .038) and 25% reduction in central line-associated bloodstream infection rate (P = .631). We speculate that a closed ICU model allows clinical leadership centralization that further facilitates standardized care delivery that translates into fewer infectious complications.. ...
This prospective observational study measured idle central venous catheter (CVC)-days (no medical indication), and ward clinicians adherence to evidence-based practices for preventing short-term central line-associated bloodstream infections (CLABSIs). In 340 patients discharged from ICU over a 1-year period, 208 of 794 CVC-days (26.2%) were idle. Interventions to prevent CLABSIs were poorly implemented. Ward clinicians need education regarding risk management strategies to prevent CLABSIs, and clear accountability processes for prompt catheter removal are recommended ...
OBJECTIVE: To examine use of thrombolytic drugs for myocardial infarction and use of contraindications to treatment in the United Kingdom. DESIGN: Observational study, based on a continuing audit. SETTING: 39 hospitals in the United Kingdom. PATIENTS: 30,029 patients admitted between November 1992 and June 1995 with suspected myocardial infarction. RESULTS: Of 13,628 patients with a final diagnosis of definite myocardial infarction 10,316 (75.7%) were considered eligible for thrombolytic treatment on the basis of typical cardiographic changes or new left bundle branch block. Of these, 8139 (59.7%) were diagnosed at admission to hospital and 6991 (85.9%) were administered thrombolytic drugs; 14.1% were considered too late for treatment or had a clinical contraindication. In 2177 patients (16% of 13,628)-thrombolytic treatment was given in the absence of contraindications and after the diagnosis of infarction had been confirmed by further electrocardiographic evidence. A further 591 (4.3%) with a ...
Ranked among the best in the nation for providing the safest, fastest heart attack care available, UW Healths Heart and Vascular Care program provides optimal care for patients with acute myocardial infarction (heart attack).
Another name for Acute Myocardial Infarction is Heart Attack. The most common symptom of a heart attack includes: * Chest pain: - Dull, heavy, squeezing ...
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This blog, which is managed by The Academy for Educational Development, is supported by the Centers for Disease Control and Prevention under Cooperative Agreement Number U66/CCU324035. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC ...
Havi vissutu n Critaciu, truvatu ntê 1999, n Mongolia da tri paliontolocu: Perle, Norell e Clark.. E cunzideratu parinti ccu Velociraptor.. ...
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The plans for this unit have not been posted. If you are the supervisor for this unit, you can submit the goals/plans by clicking on the link below ...
An unconformity is a contact between two rock units in which the upper unit is usually much younger than the lower unit. Unconformities are typically bu
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". BHF. Retrieved 8 November 2014. "Transplant Units". NHS Blood and Transplant. Retrieved 24 ... In 1964, the world's first coronary care unit was established at the Royal Infirmary of Edinburgh by Dr. Desmond Julian. It is ... 1960 - First kidney transplant in the UK by Sir Michael Woodruff 1964 - World's first Coronary Care Unit established by Desmond ... "Renal Transplant Unit Home Page". University of Edinburgh. Archived from the original on 5 December 2014. Retrieved 28 November ...
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- ...
Coronary care unit was set up in 1984. In 1990 this unit was modernised to open Cardiology department. In 2014 cardiology ward ... Its dental unit admits a further 50 students in BDS program. Students are admitted in these programs after high school and get ... 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 ...
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. 250 patients were included in the study (aged 28 to ... 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 ...
"Diagnosis of Pulmonary Embolism in the Coronary Care Unit". Am. J. Cardiol. 103 (6): 881-6. doi:10.1016/j.amjcard.2008.11.040. ... Critical Care Medicine: Perioperative Management: Published Under the Auspices of the American Society of Critical Care ... People are often admitted to hospital in the early stages of treatment, and tend to remain under inpatient care until the INR ... Critical Care, Perioperative and Resuscitation, American Heart Association Council on Peripheral Vascular Disease, American ...
Dewan Mushtaque Coronary Care Unit established at Hyderabad in 1982. Establishment of Cancer Ward at Jamshoro in 1988. Raised ... Gynaecology Unit-IV, new ward at Jamshoro started in 2001. New Research & Diagnostic Pathology Laboratory started functioning ... Education in the country as well as its responsibilities for promoting a culture of Medical Research and improving Health Care ...
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. ...
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. ... Mary's opens the first Chest Pain Evaluation Unit in the city to provide rapid evaluation of patients with chest pain that is ...
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 for 24 hours. Dr. W. C. Gray was the first professor and head. Jeypore Sri Vikram Deo Varma ... An exclusive unit of 'Head Injury and Intensive Care' was started in 1991. Superspeciality course (M.Ch.) was started in 1986. ... Department of Cardiology: The Department was started in 1971 as a 25-bedded ward with Intensive Care Unit (ICU). As a result of ...
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 ...
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 services provided at the hospital include a Coronary Care Unit (CCU); Chaplaincy Centre; Children's Unit - Kipling ... Intensive Care Unit (ICU); Consultant-led Maternity Unit; Medical Assessment Unit; Early Pregnancy Unit; Medical and Elderly ... Short Stay Surgical Unit; Sleep Disorder Service; Special Care Baby Unit (SCBU); Wards - medical and surgical. The hospital ... Children's Unit; Cancer Care Centre; Day hospital for the Elderly; Delivery Suite; Diagnostic laboratories and services; ...
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): 2273-8. doi:10.1001 ... "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 ...
It is one of England's main hospitals for coronary care and respiratory diseases. It is a tertiary referral university teaching ... The unit would however continue to provide diagnosis and non-surgical treatment. The unit had the largest ECMO unit in the UK ... the heart unit would move to a new paediatric unit at the Leicester Royal Infirmary. The unit would employ 4 surgeons and take ... The combined expertise may not be available in alternate facilities if Glenfield children's cardiac care unit closes. ...
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 ... NIH advisory board for another multi-center clinical study that showed statins could slow 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. ...
Co-op hopes to make health care cost less Dissecting a health care co-op Membership details Readable Copy of Swaasthaya: Editor ... 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 care is concessional for members. The unique aspect of this hospital is that this is the only hospital in Mumbai, and ...
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 ... surgery facilities and Intensive Care Unit. The Center for Advanced Care features the hospital's new main entrance and the ...
"World's first coronary care unit". British Heart Foundation. Archived from the original on 9 October 2014.. ... 1964 - World's first Coronary Care Unit established by Desmond Julian[6]. *2000 - Scotland's first combined kidney and pancreas ... the world's first coronary care unit was established at the hospital.[6] It is the only site for liver, pancreas and pancreatic ... "History of the Liver Unit". NHS Lothian. Retrieved 10 February 2019.. *^ "It's Get Charter". Edinburgh Evening News. 3 October ...
Cardiology is mostly based at City, but Queens has the coronary care unit for Nottingham). Despite its size, the hospital has ... Burns Unit(Burns) Carrel Ward (Renal) Cardiac High Dependency Unit Cardiac Intensive Care Unit Critical Care Directorate 1 & 2 ... Acute Cardiac Unit Barclay Thoracic Ward (Thoracic Surgery) Berman 1 (Hyperacute Stroke Unit) Berman 2 (Respiratory) Beeston ... It also serves as the hyperacute stroke unit, respiratory medicine unit, and elective urology centre for Nottingham. ( ...
Durham moved to Raleigh, North Carolina where she worked as a Coronary Care Unit nurse at Rex Hospital.[1] ... "UNC Health Care.. *^ "Third Annual Step-On-Sepsis™ 5K Event on May 7th Recognized by state of North Carolina as "Sepsis ... He died in the VA Hospital in Fayetteville, North Carolina and Durham was inspired by the nurses who provided care to her ...
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)". narayanahealth.org ... 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 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: https://doi.org/10.1136/bmj.4.5780.136 ...
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 ...
The resources below provide unit-specific information unique to each floor in Ronald Reagan UCLA Medical Center to help our ... About Our Unit. Welcome to the CCU. Our 12-bed intensive care unit provides complex cardiac care to patients with multiple ... Unit Nursing Director. Anthony Chan, RN, BSN. 310-267-7281. Clinical Nurse Specialist. Wendy Tsau, RN, MSN, CCRN. 310-267-7285 ... The Visitors Lounge is a shared lounge for all family members of the 7N CCU and the Cardiac Observation Unit (COU). ...
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. ...
This retrospective study was conducted in the Coronary care unit (CCU) of tertiary care hospital in South India from June 2014 ... Evaluation of Antimicrobial use in Ventilated Patients in Coronary Care Unit of a Tertiary Care Hospital ... "Evaluation of Antimicrobial use in Ventilated Patients in Coronary Care Unit of a Tertiary Care Hospital", Research Journal of ... Antimicrobials agents, coronary care unit, Infection., Prescribing pattern, Rational use Abstract:. ,p,In developing countries ...
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 ...
Longitudinal nosocomial outbreak ofPseudomonas fluorescensbloodstream infection of 2 years duration in a coronary care unit. ... We experienced a long-lasting outbreak of Pseudomonas fluorescens BSI limited to a coronary care unit (CCU). ... P fluorescens BSI in our CCU over 2 years was associated with a contaminated ice bath used for CO measurement within the unit. ...
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, ...
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 ...
CONCLUSIONS SAP therapy is effective in reducing hyperglycemia in STEMI patients on the coronary care unit. This is accompanied ... Sensor-augmented insulin pump therapy to treat hyperglycemia at the coronary care unit: a randomized clinical pilot trial.. @ ... Sensor-augmented insulin pump therapy to treat hyperglycemia at the coronary care unit: a randomized clinical pilot trial.}, ...
... 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{ ...
Relationships among patient characteristics, care processes, and outcomes for patients in coronary care units (CCUs). Author:. ... Relationships among patient characteristics, care processes, and outcomes for patients in coronary care units (CCUs). en_US. ... Relationships among patient characteristics, care processes, and outcomes for patients in coronary care units (CCUs) ... and care outcomes for patients in a coronary care unit (CCU). The sample consisted of 179 CCU patients. Data collectors ...
Coronary Care Unit The Intensive Care Unit / Coronary Care Unit cares for acutely unwell patients which inclu ... Coronary Care Unit Grafton Base Hospital - Intensive Care Unit , Coronary Care Unit. The Intensive Care Unit / Coronary Care ... Intensive Care Unit , Coronary Care Unit. Northern NSW Local Health District , Hospitals , Grafton Base Hospital , Intensive ... The unit has 8 acute medical beds and a has a 4 bed High Dependency Unit. The unit is staff by suitably qualified nursing staff ...
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 ...
The ICU Equipments and Coronary Care Unit Equipments we offer includes Patient Monitors,Defibrillator,Infusion Pump and more at ... CCU or Coronary Care Unit is a specialized department of ICU which only deals with patients suffering from heart diseases. We ... have a vast variety of coronary care unit equipment listed on our website. ... ICU and CCU patients require the best of the best care as they are battling death. We provide our customers with the most ...
... www.dailymail.co.uk/health/article-56695/Lack-care-lung-patients.html) has written about the British Thoracic Societys ... Emergency lung units-has anyone heard about these? Similar function to coronary care units ... Yeah, Ive seen a Respiratory Care Unit on a resp ward, with specialist help for people with serious problems. But in some ... The headline was Lack of care for lung patients with regards to a shortage of specialist units. Lung patients are being ...
  • 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. (wikipedia.org)
  • 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 . (wikipedia.org)
  • Toronto ON "to the Manager, the Registered Nurse (RN) is accountable for providing assessment, planning, implementation and evaluation of patient care within a total. (eluta.ca)
  • Crit Care Nurse. (ahrq.gov)
  • Perform the daily functions of an ICU nurse with critical care and nursing assessment. (americasjobexchange.com)
  • Before you are discharged from this unit, your nurse will educate you about your condition, medications, potential side effects, diet restrictions, and lifestyle changes. (memorialhealth.com)
  • Despite available treatment, 25% of children in San Diego County appropriately treated for KD develop coronary artery abnormalities that may lead to complications later in life, including heart attack. (centerwatch.com)
  • 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. (bioportfolio.com)
  • A review of interventions supporting parent's psychological well-being after a child's intensive care unit discharge. (bioportfolio.com)
  • Your case manager will assess your progress and obtain approval for home care or rehabilitative services at the time of discharge, if needed. (stvincents.org)
  • Critical illness outcomes in specialty versus general intensive care units. (semanticscholar.org)
  • The unit includes 70% liver transplant and other specialty transplants such as renal transplant, pancreas transplant, and small bowel transplant. (uclahealth.org)
  • 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. (wikipedia.org)
  • A neonatal intensive care unit ( NICU ), also known as an intensive care nursery ( ICN ), is an intensive care unit specializing in the care of ill or premature newborn infants . (wikipedia.org)
  • 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. (wikipedia.org)
  • Before the industrial revolution , premature and ill infants were born and cared for at home and either lived or died without medical intervention. (wikipedia.org)
  • The mobile coronary care unit consists of a team of physicians and nurses. (annals.org)
  • Critical Care nurses are there for patients in their most difficult times. (uclahealth.org)
  • UCLA is a certified center for Left Ventricular Assistant Device (LVAD) destination therapy and nurses in this unit are proficient in managing this treatment. (uclahealth.org)
  • They are staffed by highly trained physicians , nurses and respiratory therapists who specialize in caring for critically ill patients. (wikipedia.org)
  • 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. (wikipedia.org)
  • The RN provides direction to licensed practical nurses and nursing aides regarding patient care and delegates when appropriate. (nhajoblink.org)
  • This study conducted semistructured interviews with critical care nurses to develop a model for learning from near-miss events. (ahrq.gov)
  • 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. (leedsth.nhs.uk)
  • Patients on the Spellman-Thomas Wing receive around-the-clock care from highly trained nurses certified in comprehensive advanced life support (CALS). (memorialhealth.com)
  • The people in the CVICU are critically ill and receive specialized around-the-clock care from skilled cardiac nurses. (memorialhealth.com)
  • The ICU houses state-of-the-art equipment where our team, including our intensivist physicians, physician assistants, nurses and respiratory therapists will take constant care of you. (stvincents.org)
  • Fifty-six patients with PCI in ICU were evenly allocated to either the aromatherapy or conventional nursing care. (hindawi.com)
  • The unit is staff by suitably qualified nursing staff. (nsw.gov.au)
  • Patients may require 1:2, 1:1, or 2:1 nursing care. (uclahealth.org)
  • Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and. (indeed.com)
  • The RN has knowledge of professional nursing principles, practices, concepts, and procedures as applied to the care of the patient population served. (nhajoblink.org)
  • The RN continues to enhance their knowledge in the nursing management and care of patient problems and conditions as required. (nhajoblink.org)
  • 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. (nhajoblink.org)
  • 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. (nhajoblink.org)
  • 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. (nhajoblink.org)
  • Documents observations, nursing interventions, therapeutic measures, multi-systems monitoring data, and other data relevant to the patient's care in a retrievable form. (nhajoblink.org)
  • Intensive Care, or Critical Care, is the sophisticated medical and nursing care provided to patients facing life-threatening illness or injury. (bidmc.org)
  • 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. (drsvenkatesan.com)
  • Evaluation of randomized, controlled clinical trials studying fast-track treatment in low-risk coronary artery bypass grafting patients. (qxmd.com)
  • 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. (drsvenkatesan.com)
  • 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. (drsvenkatesan.com)
  • View our phone directory or find a patient care location . (hopkinsmedicine.org)
  • Family members may be asked to leave the bedside during procedures, tests or patient care activities. (uclahealth.org)
  • Our four ICCU rooms are equipped with the latest technological advances for quality patient care, including cardiac monitoring and management of ventilator patients. (schosp.com)
  • Board-certified vascular surgeons oversee patient care. (memorialhealth.com)
  • Dr. Witteles has published extensively in his areas of expertise, and has won many awards for his excellence in both patient care and education. (stanford.edu)
  • 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. (cdc.gov)
  • In 1950, anesthesiologist Peter Safar established the concept of "Advanced life support", keeping patients sedated and ventilated in an intensive care environment. (wikipedia.org)
  • Causes of near misses in critical care of neonates and children. (ahrq.gov)
  • Surveillance: a strategy for improving patient safety in acute and critical care units. (ahrq.gov)
  • This commentary describes how surveillance can prevent adverse events and medical errors in critical care . (ahrq.gov)
  • The length of the Critical Care Fellowship at the Cleveland Clinic is 2 years. (clevelandclinic.org)
  • Fellows with prior advanced critical care training may be considered for a one year track. (clevelandclinic.org)
  • The first year of fellowship focuses developing clinical expertise in critical care medicine. (clevelandclinic.org)
  • During the first six months our fellows complete a series of core rotations focused on mastering skills specific to critical care including bronchoscopy, bedside ultrasonography/echo, intubation and ventilator management. (clevelandclinic.org)
  • 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. (southampton.ac.uk)
  • This module is intended to provide you with an overview of all aspects of the acute care of patients. (southampton.ac.uk)
  • A new postcardiac surgery fluid resuscitation strategy was implemented in our Cardiovascular Intensive Care Unit (CVICU) to implement evidence-based practice. (bioportfolio.com)