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Related Concept Videos

Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

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Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
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Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
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Heart Failure I: Introduction01:27

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Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
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Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
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Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

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Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Semi-automated Optical Heartbeat Analysis of Small Hearts
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OPTN/SRTR 2015 Annual Data Report: Heart.

M Colvin1,2, J M Smith1,3, M A Skeans1

  • 1Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|January 5, 2017
PubMed
Summary
This summary is machine-generated.

Heart transplantation numbers are increasing for both adults and children. Survival rates are improving, with declining patient mortality after heart transplants.

Keywords:
End-stage heart failureheart transplanttransplant outcomesventricular assist device

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Area of Science:

  • Cardiology
  • Transplant Surgery
  • Public Health

Background:

  • The demand for heart transplants has steadily grown, with a significant increase in adult candidates on waiting lists.
  • The number of individuals living with heart transplants has also risen, indicating improved long-term survival.
  • Pediatric heart transplant cases and waiting lists have also experienced an upward trend.

Purpose of the Study:

  • To analyze trends in heart transplant candidates and procedures.
  • To assess survival rates and mortality in heart transplant recipients.
  • To examine the increasing demand and outcomes in both adult and pediatric heart transplantation.

Main Methods:

  • Analysis of national heart transplant data.
  • Review of candidate waiting lists and performed procedures.
  • Examination of patient survival and mortality statistics post-transplant.

Main Results:

  • Heart transplants performed increased to 2819 in 2015, with adult waiting list candidates up 51% since 2004.
  • 29,172 adult heart transplant survivors were recorded in 2015, and patient mortality has declined.
  • Pediatric heart transplants saw an increase from 297 in 2004 to 460 in 2015, with 9.6% mortality at 1 year for 2014 recipients.

Conclusions:

  • The field of heart transplantation is expanding, with rising numbers of candidates and procedures.
  • Improved survival and reduced mortality underscore advancements in heart transplant care.
  • Continued growth in pediatric heart transplantation highlights ongoing challenges and progress in treating young patients.