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Related Concept Videos

Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

343
AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
343
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

379
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
379
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

665
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...
665
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

554
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
554
Ischemic Heart Disease: Overview01:17

Ischemic Heart Disease: Overview

3.5K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
3.5K
Anatomy of the Heart01:27

Anatomy of the Heart

120.1K
The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
120.1K

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Related Experiment Video

Updated: Feb 11, 2026

Evaluation of Hydration Status by Bioelectrical Impedance Vector Analysis in Patients with Ischemic Heart Disease Undergoing Exercise Stress Test
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Evaluation of Hydration Status by Bioelectrical Impedance Vector Analysis in Patients with Ischemic Heart Disease Undergoing Exercise Stress Test

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Surgery for ischemic heart disease

R S Palazzo1, H B Barner

  • 1Heart Institute, Long Island Jewish Medical Center, New Hyde Park, NY 11042.

Current Opinion in Cardiology
|March 1, 1994
PubMed
Summary
This summary is machine-generated.

Coronary artery bypass grafting offers long-term benefits for ischemic heart disease, with internal thoracic artery grafts enhancing results. Complete surgical revascularization is preferred for triple-vessel disease and poor ventricular function.

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Implantation of Total Artificial Heart in Congenital Heart Disease
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Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery
  • Ischemic Heart Disease Treatment

Background:

  • Surgical treatments for ischemic heart disease are continuously advancing.
  • Coronary artery bypass grafting (CABG) demonstrates significant long-term benefits, lasting 15-20 years.
  • Internal thoracic artery grafts have improved the long-term patency and outcomes of CABG.

Purpose of the Study:

  • To review the evolution of surgical treatments for ischemic heart disease.
  • To highlight advancements in grafting techniques and their impact on long-term results.
  • To discuss the current indications and preferred treatments for complex coronary artery disease.

Main Methods:

  • Review of current surgical techniques and outcomes in ischemic heart disease.
  • Analysis of long-term patency rates for different graft types.
  • Evaluation of evolving strategies for complex reoperations and multiple-vessel disease.

Main Results:

  • Internal thoracic artery grafts extend the durability of coronary artery bypass grafting.
  • Multiple arterial grafting is pursued to further enhance long-term surgical outcomes.
  • Surgical techniques have evolved to manage increasing complexity and reoperations, maintaining low operative mortality.

Conclusions:

  • Complete surgical revascularization is the treatment of choice for patients with triple-vessel coronary artery disease and depressed ventricular function.
  • While the role of angioplasty in multi-vessel disease is still under investigation, surgical intervention remains definitive for specific patient groups.
  • Ongoing advancements in surgical techniques aim to further improve long-term survival and quality of life for patients with ischemic heart disease.