midline sternotomy in the unstable patient with no diagnostic imaging fig 31 4
Pacing Options in the Adult Patient with Congenital Heart Disease - part 1 pptx
... have joined together to create such a text utilizing their individual expertise This book outlines the principles of dealing with such patients including the preferences of techniques and the hardware ... Acquisitions: Gina Almond Development: Beckie Brand Set in 10/13 Palatino by Newgen Imaging Systems (P) Ltd., Chennai, India Printed and bound in Singapore by COS Printers Pte Ltd For further information ... accordance with the prescribing information prepared by the manufacturers The author and the publishers not accept responsibility or legal liability for any errors in the text or for the misuse...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 2 potx
... subclavian vein The vein is then invaginated into the subclavian vein enclosing the two leads in a tight collar or fracture Tunneling the lead deep to the clavicle has been reported [8] There is no place ... occasion, the cephalic vein may break during lead insertion If the two leads cause a very tight fit in the vein, it may, as a consequence, invaginate the vein into the subclavian vein The torn ... purse string in the atrium and the sewing ring of the valve covers the lead as it traverses the annulus The lead loops in the pericardium, before it passes into the anterior abdominal wall On the...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 3 docx
... the heart, but rather proceed retrograde towards the arm in the axillary vein or up into the neck in the internal jugular vein (Figure 7 .4) Although this can usually be prevented by not peeling ... does not help in lead advancement through the annuloplasty ring The broad stylet curve shown in Figure 7.2 was required There is a ball and cage mitral valve prosthesis (MVP) innominate vein toward ... (SelectSite® , Medtronic Inc.) At the distal end, four views of the catheter are shown demonstrating the range through which the catheter can be steered In the center is the thin 4. 1F lumenless fixed...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 4 pdf
... result in marked difficulties in trying to achieve left ventricular pacing The incidence of this abnormality draining into the coronary sinus is about 3–5% of patients with structurally abnormal ... biventricular pacing An enlarged thebesian valve within the coronary sinus may obstruct the ostium making lead positioning difficult or impossible 39 40 Chapter 11 In patients with D-transposition of the great ... sinus), causing both left and right atrial shunting These defects occur early in embryogenesis due to abnormal sinus venosus development Since the existing shunt may be small, the defect may not...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 5 doc
... preferable Figure 14. 2 shows the ventricular lead passing inferior without a bend as if into the floor of the right atrium and fits nicely with the accompanying schematic Depending on its position in the ... shown in Figure 14. 3 Here the ventricular lead passes to the right, which also fit nicely into the schematic (Figure 14. 2) In this case, the left lateral confirms the anterior position of the lead ... later, but the passage of the leads on the right and the position of the atrial lead confirm ventricular inversion A third example is shown in Figure 14. 4 In the postero-anterior view, the lead...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 6 pot
... show the ventricular lead emerging from the coronary sinus looping in the right atrium and then passing to the floor of the right ventricle The atrial lead (At) lies against the lateral wall of the ... reported with the incidence falling with advancing age, but still as high as 20% in the elderly [ 148 ] Atrial septal defects are also one of the most common congenital defects occurring in adults with ... Failure of left superior cardinal vein regression, typically associated with absence of innominate vein development, allows for venous drainage into the right atrium PA Figure 17.2 Persistent left...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 7 potx
... showing dual chamber pacing in a patient with the Mustard procedure In both views, the upper active-fixation lead is attached to the roof of the left atrium, but unlike in Figures 20.3 and 20 .4, the ... (RAO) showing dual chamber pacing in a patient with Ebstein’s anomaly The passive-fixation atrial lead lies in the atrial appendage The passive-fixation right ventricular lead lies in the atrialized ... screw -in Ebstein’s anomaly I aVR V1 V4 II aVL V2 V5 III aVF V3 85 V6 Figure 19.6 Ebstein’s anomaly (cardiac vein) Resting 12-lead ECG demonstrating dual chamber pacing The ventricular lead lies in...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 8 pps
... operatively the coronary sinus may not drain directly into the right atrium The surgeon, in order to protect the conducting system may position the prosthetic tricuspid valve, so that the coronary sinus ... to the implantation of a ventricular lead at the time of the original surgery As described earlier, the lead can be positioned in the ventricle, via the atrium and the sewing ring of the prosthetic ... if there is evidence of sick sinus syndrome or atrioventricular block which may progress in the future Another situation in Ebstein’s anomaly that may require cardiac pacing in the future is the...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 9 doc
... (univentricular heart) Resting 12-lead ECG from the same patient in Figure 23 .4, demonstrating dual chamber pacing There is both sensing and pacing in the atrium Ventricular pacing demonstrates a right ... ventricular pacing in Ebstein’s anomaly with severe interatrial conduction block PACE 2001; 24: 1032–1035 72 Nguyen LS, Swaroop S, Prejean CA Pacing in the middle cardiac vein in a patient with tricuspid ... tricuspid prosthesis PACE 2002; 25: 243 – 244 73 Bos HS, Pop GAM, Stel EA et al Dual site coronary sinus pacing in a patient with an artificial tricuspid valve prosthesis PACE 20 04; 27: 145 1– 145 2 References...
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Pacing Options in the Adult Patient with Congenital Heart Disease - part 10 pptx
... vena cava Dis Chest 1953; 24: 47 9 48 4 165 Mantini E, Grondin C, Lillehei W et al Congenital abnormalities involving the coronary sinus Circulation 1966; 33: 317 –3 24 166 Lenox CC, Zuberbuhler JR, ... follow-up in young patients with sinus node dysfunction after the Fontan procedure PACE 20 04; 27: 949 –9 54 245 Ramesh V, Gaynor JW, Shah MJ et al Comparison of left and right atrial epicardial pacing in ... associated with, venous access to, 10 infundibular right ventricular outflow tract, 103 innominate vein, internal jugular approach, limitation, interrupted inferior vena cava, 41 intra-atrial baffle, 40 ,...
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Báo cáo y học: "Unstable angina early after aortic valve replacement surgery in a female patient with normal coronary arteries preoperatively – a case report" pot
... surgery The procedure was performed using mini -sternotomy with a single 2-stage venous cannula and normothermic Figure left coronary artery Preoperative coronary angiography (RAO view) showing the ... accompanying images A copy of the written consent is available for review by the Editor -in- Chief of this journal Competing interests The authors declare that they have no competing interests ... [2]; balloon inflation in the proximal parts of the vessels; turbulence that causes coronary artery intimal injury that might explain the lesions often found distant to the adherence of the cannulation...
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Báo cáo y học: "Serologic and PCR testing of persons with chronic fatigue syndrome in the United States shows no association with xenotropic or polytropic murine leukemia virus-related viruses" pot
... additional person with CFS using heparin-containing collection tubes Of these 31 persons, 26 were diagnosed by a doctor and were self diagnosed All CFS patients met the 19 94 research case definition and ... CFS 31 17 44 12.8 yrs 87% 13% 61% 39% Unclassified CFS 14 40 12.3 yrs 79% 21% 86% 14% CFS Negative 42 12 23 n/a 71% 29% 45 % 55% TOTAL 87 21 78% 22% 57% 43 % Shows the number of states within the ... Severe CFS 31 0 /31 0/28 0/28 0/28 0/28 0/28 Unclassified CFS 14 0/ 14 0/11 0/11 0/11 0/11 0/11 CFS Negative 42 0 /42 0/9 0/9 0/9 0/9 0/9 TOTAL 87 0/87 0 /48 0 /48 0 /48 0 /48 0 /48 Cooperative Diagnostics...
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Alterations of matrix metalloproteinases in the healthy elderly with increased risk of prodromal Alzheimer’s disease pot
... expression in the hippocampus is involved in Abinduced cognitive dysfunction [10] These findings together point to the need to increase our understanding of the role of MMPs in AD and their relation ... were determined using sandwich ELISA (Innotest® PHOSPHO-TAU(181P), Innogenetics, Ghent, Belgium) CSF Ab 1 -42 levels were determined using a sandwich ELISA (Innotest® b-amyloid (1 -42 ), Innogenetics, ... finding that is supported by a previous study that investigated the levels of different MMPs in plasma of AD patients [30] The increased levels of several MMPs in the CSF of individuals with increased...
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Assessment and Management of the Elderly Patient with Multiple Sclerosis pot
... which binds to the alpha -4 beta1 integrins on leukocytes, reduces inflammation in the nervous system by preventing leukocytes from crossing the blood brain barrier It is used for treating relapsing ... Healthy Aging & Clinical Care in the Elderly 2012 :4 self-hypnosis training. 24 Generally, these approaches teach patients to monitor their bodies for signs of stress, to engage in deep breathing ... difficulties with abstract reasoning, word finding, and Healthy Aging & Clinical Care in the Elderly 2012 :4 Elderly patient with multiple sclerosis certain visuospatial functions, and slowness in the...
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Báo cáo hóa học: " Correlating novel variable and conserved motifs in the Hemagglutinin protein with significant biological functions" docx
... 47 8 507 215 296 40 4 49 253 130 542 71 389 46 7 171 43 209 563 129 388 46 6 42 207 506 541 249 345 42 4 69 293 170 562 85 40 3 13 47 7 178 48 2 14 566 41 41 41 29 29 29 35 35 50 21 21 41 41 21 15 15 11 ... Casein kinase II phosphorylation site [ST]-x(2)-[DE] 44 47 [ST]-x-[RK] 81 142 203 41 6 43 2 45 6 64 84 145 206 41 9 43 5 45 9 66 123 152 1 54 159 173 190 203 125 1 54 156 161 175 192 205 215 221 222 243 ... 215 221 222 243 278 329 46 7 49 6 156 217 223 2 24 245 280 331 46 9 49 8 159 24 38 54 79 27 41 57 82 97 138 142 100 141 145 149 181 262 152 1 84 265 301 49 9 21 3 04 502 26 77 82 145 150 150 155 151 156...
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báo cáo hóa học:" Perioperative safety of two-team simultaneous bilateral total knee arthroplasty in the obese patient" docx
... of either warfarin, enoxaparin, or combination enoxaparin and warfarin therapy Most patients were discharged to home or to a rehabilitation facility on the 3rd or 4th postoperative day Indication ... had clinical suspicion in the perioperative period or as on an outpatient basis Nonclinical deep venous thrombosis may have been missed and therefore the potential of bias from missing these nonsymptomatic ... ligament avulsions [18] In our series, there was a low overall rate of wound complications and infections, and there was no increase in this type of morbidity in patients undergoing the simultaneous...
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Báo cáo hóa học: " Research Article A Hilbert-Type Integral Inequality in the Whole Plane with the Homogeneous Kernel of Degree −2 Dongmei Xin and Bicheng Yang" pdf
... contradiction that the constant factor in the reverse of 3.1 is not the best possible Thus the theorem is proved By the same way of Theorem 3.3, we still have the following theorem Theorem 3 .4 By the assumptions ... constant factor in 3.1 is not the best possible Thus the theorem is proved Journal of Inequalities and Applications In view of Note and Theorem 3.1, we still have the following theorem Theorem 3.2 ... contradicts the fact that k λ < K Hence the constant factor k λ in the reverse of 3.1 is the best possible If the constant factor in reverse of 3.2 is not the best possible, then by the reverse...
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Báo cáo toán học: "Lattice walks in Zd and permutations with no long ascending subsequences" ppt
... ending in the value k2 , contradicting k2 ∈ Bj These properties determine π uniquely, since the Aj cover all of {1, 2, , n/2}, so φ is indeed injective For any walk w ending at the origin, denote ... lattice walks and the class of permutations that we are studying here is obtained by comparing Gessel’s determinant in (1) with the generating function (2) Notice that the determinant on the right side ... standard tableaux with at most d rows to walks in Zd , starting at the origin, with unit steps in the positive coordinate directions, that stay in the the electronic journal of combinatorics (1998),...
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Báo cáo lâm nghiệp: "Rationalization of the performance of a mobile off-road system working in the forest environment with respect to its emission load" doc
... specific NO on operating efficiency – TERRI 20 -40 x 600 Specific NOx (g/m33) _ NO (g/m ) NOx (g/month) _ _ _ 700 0.0 3,000 WP (m3/month) Wp (m3/month) namely: NCx 1 ,47 0 m3/month, SO 2 1 ,310 m3 ... By extending the cross sections within roads where the material is transported; – By increasing the maximum working capacity (performance) Determination of the optimum regime of the logging and ... consist in the selection of appropriate and environment-friendly technologies including the choice of suitable machinery, and in using acceptable methods for the employment of machines with the rational...
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Báo cáo toán học: "A Rainbow k-Matching in the Complete Graph with r Colors" pdf
... rainbow 2-matching, but we may not find a rainbow 3-matching Generally, if n ≥ 2k + then the following colorings not allow a rainbow k-matching to exist (See Figure 1.) Figure 1: Colorings without ... is monochromatic and the other edges are rainbow In each coloring, it is clear that there is no rainbow k-matching However, if there are more colors than in these colorings, is there a rainbow ... there is no rainbow k-matching (See Figure 2.) Figure 2: ( 2k−3 + or +3)-Colorings without rainbow k-matchings In the coloring (a) of Figure 2, a complete subgraph K2k−3 of G is rainbow and the...
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