successful resuscitation of two patients who were suffering from ventricular standstill by placing external electrodes onto the anterior chest attached to a remote electric pulse generator (Ramsdale & Rao, 2012). Both patients had suffered from Stokes-Adams attacks, which is a life-threatening form of atrioventricular block characterized by episodes of ventricular standstill, ventricular escape bradycardia, ventricular tachycardia or fibrillation. The…
It is a condition in which the ventricles of the heart are beating at a rapid pace. It occurs due to a problem with the hearts electrical impulses. ventricular arrhythmias causes chest pain, dizziness and shortness of breath. Bradyarrhythmias - occurs when the heart rate is slower than normal (lower than 60 bpm) . if the heartrate is too slow not enough blood reaches the brain (this can cause you to…
Prolapse of the mitral valve occurs when the leaflet(s) distend back up into the left atrium during ventricular contraction, also referred to as systole. This can lead to the valves not closing properly and producing mitral regurgitation. The leaflet(s) are increased in size due to the myxomatous mitral valve degeneration, which causes them to curl backwards…
Pericardial Cysts are very rare benign congenital anomalies of the anterior and middle mediastinum with incidence of about 1 in 100,000. 60% are discovered between the ages of 30 to 50 and over 75% of them are right-sided, 22% are left-sided, while the rest are in the posterior or anterior superior mediastinum. Pericardial Cysts are thought to result from the failure of fusion of one of the mesenchymal lacunae that forms the pericardial sac, unfortunately due to the lack of research the true…
In a case report submitted by Misumi et al. (2010), a 79-year-old man reported with chest pain three days in a row, findings after some testing revealed he had elevated troponins and elevated ST segments on EKG. A 2D echocardiogram showed left ventricular apical akinesis with basal hyperkinesia. He had a coronary angiogram completed, and it showed no stenotic arteries, however they also injected ergonovine which appeared to cause a right coronary artery spasm. The patient was treated with…
a vital role of maintaining left ventricular function. This chemotherapy agent is believed to inhibit the ErbB2 for Her2-positive breast cancer tumors while also inhibiting the cardiac signaling ultimately leading to heart disease. This study found the incidence of left-ventricular dysfunction is 3% to 18% with a rate of heart failure at 2% to 4.1%. Doxorubicin is believed to promote hypotension, dilated cardio dilation, tachycardia, and decreased left ventricular ejection fraction. It was…
to hemodynamic and clinical response. Since milrinone is excreted largely unchanged in urine, the infusion rate should be reduced by 50-70% in patients with severe renal impairment. Adverse effects: Most common adverse effects of milnirone are ventricular and supraventricular arrhythmias, hypotension, headache and anginal chest pain. Although clinically significant thrombocytopenia has been observed in nearly 10% patients receiving amrinone, it is rarely seen with…
This paper explores a case study about a patient namely Ms.V. She is a 35 year old underweight White American, who had recurrent respiratory infection, MsV has been admitted to the hospital Due to her symptoms; after a biopsy she has been diagnosed with ulcerative colitis. This paper Discusses the etiology as well as medications for low potassium, ulcerative colitis Also, Alternative medicine as well as patient’s education are included. (1) Imbalanced nutrition less than body requirement…
a world wide health problem resulting in one-fifth of unexpected deaths in the western world. Ventricular fibrillation (VF) is one of the life-threatening arrhythmias contributing to the increasing number of individuals needing urgent medical assistance (Wellens, Gorgels & Munter, 2013). The following case study will explore a complex critically ill patient who has suffered from a ventricular tachycardia (VT) and VF due to dilated left ventricle (LV) with severe segmental systolic function. The…
transaction, will determine whether the alarm is viewed as a stressful event. The nurse as an individual will consider his own value (is the alarm significant?), his general belief about his patient (is the patient at high risk to develop ventricular tachycardia?), and his sense of control (is three beep alarm a critical or just a warning alarm?). Lastly, the nurse takes into account the ICU environment:…