Heart rate Blood pressure Mentation Skin perfusion Urine output 50 cm3/h Normal lactate/acid base status Appropriate response to therapeutic interventions 23.2.2 Evaluation of Cardiac Function Another reason for consideration of…
Secondary determinants influencing MVO2 include (1) the relative heart rate, (2) myocardial stroke work, (3) imposed afterloads, and/or (4) the inotropic state of the myocardium. Importantly, associated with cardiac surgery,…
By location By receptor types Cardiac receptors • Myocardial • Conduction system • Others G protein-coupled receptors Tyrosine kinase-linked receptors Guanylyl cyclase-linked receptors Vascular receptors • Endothelial • Vascular smooth muscle • Others Other receptors (low-sensitivity…
•Adverse local tissue interactions: – Inflammation – Toxicity – Carcinogenic response – Calcification – Embolization or lymphatic spread of material fragments •Induced device migrations: encapsulation or foreign body response •Inappropriate…
Acyanotic • Left-to-right shunts Atrial septal defects Ventricular septal defects Atrioventricular septal defects Aortopulmonary window • Left-sided obstructive lesions Aortic coarctation Congenital aortic stenosis Interrupted aortic arch Cyanotic • Right-to-left…
Minimal sedation (anxiolysis) Moderate sedation/analgesia (“conscious sedation”) Deep sedation/analgesia General anesthesia Responsiveness Normal response to verbal stimulation Purposeful response to verbal or tactile stimulation Purposeful response following repeated or…
• Tobacco use • Dyslipidemia • Overweight (body mass index > 25 kg/m2) • Diabetes mellitus • Age (>45 years for men; >55 years for women) • Physical inactivity • Family history…
Fig. 11.1 Extracorporeal membrane oxygenation . This is a portable bedside cardiopulmonary bypass circuit, consisting of a pump head and oxygenator, with standard pressure and bubble monitoring alarms. The system…
Keyword Number of patent applications 2015 2008 2004 Cardiac 93,942 46,946 18,920 Cardiac surgery 5,404 2331 1015 Cardiology 14,798 3961 1480 Cardiac electrophysiology 869 213 79 Cardiovascular stents 313 137…
Fig. 43.1 Timeline of medical device development ©2013 Heart Valves: From Design to Clinical Implantation, Clinical trial requirements for cardiac valves, Iaizzo JC, Lovas ATF. With kind permission of Springer…
