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This functional ebook presents a complete assessment of the epidemiology and scientific presentation of acute coronary syndromes (ACS). It additionally publications the reader via threat evaluate, chance stratification, analysis, and remedy of ACS.

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Sample text

Valvular Heart Disease Mitral regurgitation has become a frequent cause of atrial fibrillation in the United States. In the past, disease of the heart’s valves caused by rheumatic fever accounted for many cases of atrial fibrillation. Mitral stenosis (narrowing or constriction) is the principal lesion produced by rheumatic heart disease that most predisposes to atrial fibrillation. In this condition, which is much more likely to occur in women than in men, the amount that the mitral valve opens when blood passes from left atrium to left ventricle gradually decreases because of the inflammation produced by the disease.

For example, more than two thirds of patients whose SVT has been cured by the procedure known as ablation report the persistence of symptoms similar to those before the arrhythmia was treated. Many patients with SVT report the sensation of rapid, regular pounding in the neck. This is due to the simultaneous contraction of the right atrium and right ventricle, an abnormal state, which forces blood back into the veins of the neck and body with each beat. I have described the chest pain our patient developed.

After taking an electrocardiogram that confirmed the recurrence of atrial fibrillation, the doctor sent the patient home with instructions to take more betaadrenergic blocking drug and digoxin until the arrhythmia resolved, which occurred after about 24 hours. While in atrial fibrillation, the patient reported feeling weaker than usual and having shortness of breath while climbing the stairs in his house. The next episode occurred about 1 year later and resolved in 36 hours with the same treatment.

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