Sex and the Heart

When can I start having sex again?

After myocardial infarction or CABG

After angioplasty or stent

After myocardial infarction or CABG

--After 2-3 weeks

After angioplasty or stent

--After 2-3 days

What about sex with my angina?

If stable angina and

-Can walk 1 mile in 20 minutes on the flat or

-Can walk down 13 steps in 10 seconds

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ACC Heart Failure Guidelines

LIMITNG/CONTROLLING FACTORS IN THE MARINE ENVIRONMENT

-OCEAN CURRENTS/CIRCULATION

-TEMPERATURE

-DEPTH

-LIGHT

-SALINITY

-NUTRIENTS

TEMPERATURE

-Temperature as the most important abiotic factor in the environment for most marine organisms.

-It regulates metabolism growth and reproduction

-It limits geographic ranges and regulates interactions with other environmental variables.

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Is Hyperdynamic Left Ventricular Ejection Fraction a Poor Prognostic Factor?

Background

Left ventricular function is an important factor to predict mortality in patients. However it has not been well studied if hyperdynamic left ventricular ejection fraction has the same prognosis as normal left ventricular ejection fraction.

Methods

We studied 11469 patients undergoing exercise stress echocardiogram at Kansas university medical center.  

Patients with EF (55%) were included in the study. 

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Right heart hemodynamics

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Heart Anatomy and Physiology II

Heart Defects

=Septal defect - condition in which there is an opening in the interatrial or interventricular septum, allowing improper movement of blood 

=Atrial defects allow blood to move from right to left, while ventricular defects allow blood to move from left to right 

=Septal defects result in pulmonary hypertension, difficulty in breathing and fatigue

=They can be fatal if left untreated in childhood 

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How to perform and interpret an Exercise Test

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Key Points of Exercise Testing

-Manual SBP measurement (not automated) most important for safety

-Adjust to clinical history (couch potatoes)

-No Age predicted Heart Rate Targets

-The BORG Scale of Perceived Exertion

-METs not Minutes

-Fit protocol to patient (RAMP)

-Avoid HV and cool down walk

-Use standard ECG analysis/ 3 minute recovery/ use scores

-Heart rate recovery 

-Expired Gas Analysis?

How to read an Exercise ECG

-Good skin prep

-PR isoelectric line

-Not one beat

-Three consistent complexes

-Averages can help

-Garbage in, garbage out

-Three minute recovery 

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Hypertension: New Concepts, Guidelines, and Clinical Management

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Laboratory Tests

--Routine Tests

 -Electrocardiogram 

 -Urinalysis 

 -Blood glucose, and hematocrit 

 -Serum potassium, creatinine, or the corresponding estimated GFR,and calcium

 -Lipid profile, after 9- to 12-hour fast, that includes high-density and

--low-density lipoprotein cholesterol, and triglycerides  

--Optional tests 

-- Measurement of urinary albumin excretion or albumin/creatinine ratio  

More extensive testing for identifiable causes is not generally indicated unless BP control is not achieved

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How to be a Successful Interventional Fellow

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Aneurysm Powerpoint Template

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Nice Powerpoint Presentation on Aneurysm with Black background.This medical template will fit presentations on cardiovascular system, arterial aneurysm, heart-diseases, cardiology, etc.

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