Pub Date : 2014-11-17DOI: 10.1542/aap.ppcqr.396079
A Heart murmur results from turbulent blood flow.A complete history and physical examination are most important for evaluating a cardiac murmur.The intensity of a murmur does not necessarily reflect the severity of abnormality.Innocent murmurs are systolic, less than grade 3 in intensity, and louden when the patient moves from an upright position to a supine position.Electrocardiography and echocardiography are usually performed to define the cause of a pathological murmur.
{"title":"Heart Murmurs","authors":"","doi":"10.1542/aap.ppcqr.396079","DOIUrl":"https://doi.org/10.1542/aap.ppcqr.396079","url":null,"abstract":"\u0000 A Heart murmur results from turbulent blood flow.A complete history and physical examination are most important for evaluating a cardiac murmur.The intensity of a murmur does not necessarily reflect the severity of abnormality.Innocent murmurs are systolic, less than grade 3 in intensity, and louden when the patient moves from an upright position to a supine position.Electrocardiography and echocardiography are usually performed to define the cause of a pathological murmur.","PeriodicalId":76140,"journal":{"name":"Medical times","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67463770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-04-15DOI: 10.1002/9780470692080.ch12
Mike W. S. Martin
Tachyarrhythmia Heart rate > 100 bpm Supraventricular Paroxysmal supraventricular tachycardias Atrial fibrillation Atrial flutter Multifocal atrial tachycardia Junctional tachycardia Sinus tachycardia Ventricular Ventricular tachycardia (>/= 5 beats at >/=120 bpm; non-sustained <30s, sustained >30s; monomorphic, polymorphic; with pulse, pulseless) Ventricular fibrillation Diagnosis Rhythm strip is easily accessible in ICU. However, must obtain a 12lead ECG as much as is possible How to differentiate between SVT vs VT will not be mentioned in this manual Echo may be necessary to exclude structural heart disease Invasive electrophysiological study
{"title":"The management of arrhythmias.","authors":"Mike W. S. Martin","doi":"10.1002/9780470692080.ch12","DOIUrl":"https://doi.org/10.1002/9780470692080.ch12","url":null,"abstract":"Tachyarrhythmia Heart rate > 100 bpm Supraventricular Paroxysmal supraventricular tachycardias Atrial fibrillation Atrial flutter Multifocal atrial tachycardia Junctional tachycardia Sinus tachycardia Ventricular Ventricular tachycardia (>/= 5 beats at >/=120 bpm; non-sustained <30s, sustained >30s; monomorphic, polymorphic; with pulse, pulseless) Ventricular fibrillation Diagnosis Rhythm strip is easily accessible in ICU. However, must obtain a 12lead ECG as much as is possible How to differentiate between SVT vs VT will not be mentioned in this manual Echo may be necessary to exclude structural heart disease Invasive electrophysiological study","PeriodicalId":76140,"journal":{"name":"Medical times","volume":"272 2","pages":"29-100"},"PeriodicalIF":0.0,"publicationDate":"2008-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50671520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Imran Ashraf, Imran Khan, N. Kamil, Abdul Mannan, M. S. Razi
Background: Hypertension and type 2 diabetes mellitus also tend to coexist.The goal of antihypertensive therapy should consist of reducing cardiovascular morbidity and mortality associated withhypertension by a strategy focused on lowering blood pressure while minimizing the impact on other associatedcardiovascular risk factors like diabetes mellitus. Objectives: To observe and compare any change in serum glucosein patients with newly diagnosed essential hypertension with Atenolol and Amlodipine. Setting: Department ofPharmacology and Therapeutics, Basic Medical Science Institute (BMSI), Jinnah Post Graduate Medical Centre(JPMC), Karachi. Period: 12 weeks (90 days) Methods: Patients with newly diagnosed essential hypertension (N=70)were enrolled in this study and were divided into two groups, each comprised of 35 patients and were given tabletAtenolol 50/100mg once daily and tablet Amlodipine 5/10 mg once daily respectively for 90 days. Fasting Blood glucosewas measured on day of inclusion i.e. day 0, day 45 and day 90. At each fortnightly visit, blood pressure was recorded.Results: Atenolol raised mean blood glucose levels from baseline levels of 91.82±1.34 mg/dl to 99.73±1.33 mg/dl onday 90 (P<0.001) while Amlodipine had no significant effect on blood glucose level (P= N.S). Conclusion: Atenololmay not be a good choice for essential hypertensive patient with type 2 diabetes mellitus as it is found to impair the normal glucose metabolism. Long term clinical trials in diabetic patients are needed to confirm the observation of thepresent study.
{"title":"ESSENTIAL hypertension.","authors":"Imran Ashraf, Imran Khan, N. Kamil, Abdul Mannan, M. S. Razi","doi":"10.29309/tpmj/18.4439","DOIUrl":"https://doi.org/10.29309/tpmj/18.4439","url":null,"abstract":"Background: Hypertension and type 2 diabetes mellitus also tend to coexist.The goal of antihypertensive therapy should consist of reducing cardiovascular morbidity and mortality associated withhypertension by a strategy focused on lowering blood pressure while minimizing the impact on other associatedcardiovascular risk factors like diabetes mellitus. Objectives: To observe and compare any change in serum glucosein patients with newly diagnosed essential hypertension with Atenolol and Amlodipine. Setting: Department ofPharmacology and Therapeutics, Basic Medical Science Institute (BMSI), Jinnah Post Graduate Medical Centre(JPMC), Karachi. Period: 12 weeks (90 days) Methods: Patients with newly diagnosed essential hypertension (N=70)were enrolled in this study and were divided into two groups, each comprised of 35 patients and were given tabletAtenolol 50/100mg once daily and tablet Amlodipine 5/10 mg once daily respectively for 90 days. Fasting Blood glucosewas measured on day of inclusion i.e. day 0, day 45 and day 90. At each fortnightly visit, blood pressure was recorded.Results: Atenolol raised mean blood glucose levels from baseline levels of 91.82±1.34 mg/dl to 99.73±1.33 mg/dl onday 90 (P<0.001) while Amlodipine had no significant effect on blood glucose level (P= N.S). Conclusion: Atenololmay not be a good choice for essential hypertensive patient with type 2 diabetes mellitus as it is found to impair the normal glucose metabolism. Long term clinical trials in diabetic patients are needed to confirm the observation of thepresent study.","PeriodicalId":76140,"journal":{"name":"Medical times","volume":"81 3 1","pages":"153-63; contd"},"PeriodicalIF":0.0,"publicationDate":"2007-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69891977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Graham, R. Franklin, R. Wyse, V. Gooch, J. Deanfield
{"title":"Congenital Heart Disease","authors":"T. Graham, R. Franklin, R. Wyse, V. Gooch, J. Deanfield","doi":"10.1385/159745088X","DOIUrl":"https://doi.org/10.1385/159745088X","url":null,"abstract":"","PeriodicalId":76140,"journal":{"name":"Medical times","volume":"77 7 1","pages":"319"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1385/159745088X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66658160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"LESIONS OF THE TONGUE AND ORAL CAVITY","authors":"P. Puri","doi":"10.1201/B13479-59","DOIUrl":"https://doi.org/10.1201/B13479-59","url":null,"abstract":"","PeriodicalId":76140,"journal":{"name":"Medical times","volume":"1 1","pages":"249-252"},"PeriodicalIF":0.0,"publicationDate":"2003-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65978790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：