A setback was delivered last week to doctors who want to extend the use of stents beyond the treatment of coronary artery disease. A favorite therapeutic target for proponents of stents has been the treatment of blockages in the carotid artery - the large artery in the neck that supplies blood to the brain. Blockages in the carotid artery (called carotid artery stenosis) can lead to strokes and transient ischemic attacks (TIAs - so-called "mini" strokes, in which the neurological deficit resolves within 24 hours). Traditionally, vascular surgeons treat carotid stenosis by a surgical procedure called carotid endarterectomy - where they surgically "ream out" the blocked artery. In recent years, however, other physicians have advocated the much less invasive approach of stenting the blocked carotid artery, the same way blocked coronary arteries have been stented. Stenting, it has been assumed, should be safer than the traditional approach. But last week at the European Stroke Conference in Stockholm, investigators from London reported on safety results from the International Carotid Stenting Study. In this study, over 1700 patients with carotid stenosis were randomized to either surgery or stenting. While the long-term results from the trial will not be available until 2011, the 30-day post-procedure results (reflecting the relative safety of the two procedures) were reported last week. These results showed a significantly higher incidence of early stroke (within 30 days of the procedure) with stenting as opposed to surgery. In fact, strokes occurred after stenting nearly twice as often as after surgery. These results are consistent with results from two earlier trials comparing surgery with stenting for carotid stenosis. Neither one showed a more favorable safety profile with stenting, and one of them, like the current study, suggested stenting was less safe. While it is still possible that the long-term results may show that stenting ultimately is superior to surgery, even that result would require a patient to accept increased early risk for a reduced long-term risk. In any case, for now, surgical carotid endarterectomy, and not stenting, should remain the standard surgical approach to treating carotid stenosis.

Similar posts: diastolic blood pressure

A setback was delivered last week to doctors who want to extend the use of stents beyond the treatment of coronary artery disease. A favorite therapeutic target for proponents of stents has been the treatment of blockages in the carotid artery - the large artery in the neck that supplies blood to the brain. Blockages in the carotid artery (called carotid artery stenosis) can lead to strokes and transient ischemic attacks (TIAs - so-called "mini" strokes, in which the neurological deficit resolves within 24 hours). Traditionally, vascular surgeons treat carotid stenosis by a surgical procedure called carotid endarterectomy - where they surgically "ream out" the blocked artery. In recent years, however, other physicians have advocated the much less invasive approach of stenting the blocked carotid artery, the same way blocked coronary arteries have been stented. Stenting, it has been assumed, should be safer than the traditional approach. But last week at the European Stroke Conference in Stockholm, investigators from London reported on safety results from the International Carotid Stenting Study. In this study, over 1700 patients with carotid stenosis were randomized to either surgery or stenting. While the long-term results from the trial will not be available until 2011, the 30-day post-procedure results (reflecting the relative safety of the two procedures) were reported last week. These results showed a significantly higher incidence of early stroke (within 30 days of the procedure) with stenting as opposed to surgery. In fact, strokes occurred after stenting nearly twice as often as after surgery. These results are consistent with results from two earlier trials comparing surgery with stenting for carotid stenosis. Neither one showed a more favorable safety profile with stenting, and one of them, like the current study, suggested stenting was less safe. While it is still possible that the long-term results may show that stenting ultimately is superior to surgery, even that result would require a patient to accept increased early risk for a reduced long-term risk. In any case, for now, surgical carotid endarterectomy, and not stenting, should remain the standard surgical approach to treating carotid stenosis.

Similar posts: diastolic blood pressure

Cardiac rehabilitation programs have traditionally emphasized aerobic exercise - relatively short (20 - 30 minutes) of relatively high-intensity exercise, aiming for a high target heart rate (generally, 50 - 85% of the person's maximum heart rate). The idea is to place a controlled amount of "strain" on the cardiovascular system in order to strengthen it. But this week, investigators report in the medical journal Circulation that a different form of cardiac rehabilitation might be even better at improving a person's cardiac risk profile. It is called "high-calorie-expenditure exercise," and emphasizes sustained, low-intensity exercise aimed at burning as many calories as possible. Specifically, the program emphasizes walking at a moderate pace for at least 45 - 60 minutes per day, at least 5 - 6 days per week. For most individuals, this program will result in burning an "extra" 3000 - 3500 calories per week, which translates to nearly 1 pound of weight per week. (Typical rehab programs of shorter, higher-intensity exercise result in about 800 calories burned per week.) This new kind of rehab program also emphasizes counting (and limiting) the number of calories eaten, so that the overall result is designed to be a sustainable loss of weight. In a small clinical trial involving 74 patients with significant coronary artery disease, those receiving the "calorie-burning" variety of cardiac rehab lost more weight, more total fat, and more abdominal fat (and more waist circumference) than those receiving the standard form of cardiac rehab, and had a significantly greater improvement in their cardiovascular risk profile (including cholesterol values). The significant improvement in cardiac risk persisted for the 1-year follow-up evaluation. This small clinical trial will certainly not be sufficient to change clinical practice or formal medical guidelines. But it does point out that a) there is more than one way to accomplish cardiac rehabilitation, and b) a calorie-burning walking program can significantly improve your cardiac risk, whether you have known coronary artery disease or not. For guidance on starting your own walking program, visit About.com's Walking site.

Similar posts: diastolic blood pressure

Subject: FW: [Fwd: Fw: THE BANANA]
There may be some truth in this one
The Banana
Never, put your banana in the refrigerator!!!
This is interesting.
After reading this, youll never look at a banana in the same
way again.
Bananas contain three natural sugars - sucrose, fructose and
glucose combined with fibre. A banana gives an instant,
sustained and substantial boost of energy. Research has proven
that just two bananas provide enough energy for a strenuous
90-minute workout. No wonder the banana is the number one
fruit with the worlds leading athletes. But energy isnt the
only way a banana can help us keep fit. It can also help
overcome or prevent a substantial number of illnesses and
conditions, making it a must to add to our daily diet.
Depression: According to a recent survey undertaken by MIND
amongst people suffering from depression, many felt much
better after eating a banana. This is because bananas contain
tryptophan, a type of protein that the body converts into
serotonin, known to make you relax, improve your mood and
generally make you feel happier.
PMS: Forget the pills - eat a banana. The vitamin B6 it
contains regulates blood glucose levels, which can affect your
mood.
Anaemia: High in iron, bananas can stimulate the production of
haemoglobin in the blood and so helps in cases of anaemia.
Blood Pressure: This unique tropical fruit is extremely high
in potassium yet low in salt, making it perfect to beat blood
pressure. So much so, the US Food and Drug Administration has
just allowed the banana industry to make official claims for
the fruits ability to reduce the risk of blood pressure and
stroke.
Brain Power: 200 students at a Twickenham (Middlesex) school
were helped through their exams this year by eating bananas at
breakfast, break, and lunch in a bid to boost their brain
power. Research has shown that the potassium-packed fruit can
assist learning by making pupils more alert.
Constipation: High in fibre, including bananas in the diet can
help restore normal bowel action, helping to overcome the
problem without resorting to laxatives.
Hangovers: One of the quickest
ways of curing a hangover is to make a banana milkshake,
sweetened with honey. The banana calms the stomach and, with
the help of the honey, builds up depleted blood sugar levels,
while the milk soothes and re-hydrates your system.
Heartburn: Bananas have a natural antacid effect in the body,
so if you suffer from heartburn, try eating a banana for
soothing relief.
Morning Sickness: Snacking on bananas between meals helps to
keep blood sugar levels up and avoid morning sickness
Mosquito bites: Before reaching for the insect bite cream, try
rubbing the affected area with the inside of a banana skin.
Many people find it amazingly successful at reducing swelling
and irritation.
Nerves: Bananas are high in B vitamins that help calm the
nervous system.
Overweight and at work? Studies at the Institute of Psychology
in Austria found pressure at work leads to gorging on comfort
food like chocolate and crisps. Looking at 5,000 hospital
patients, researchers found the most obese were more likely to
be in high-pressure jobs. The report concluded that, to avoid
panic-induced food cravings, we need to control our blood
sugar levels by snacking on high carbohydrate foods every two
hours to keep levels steady.
Ulcers: The banana is used as the dietary food against
intestinal disorders because of its soft texture and
smoothness. It is the only raw fruit that can be eaten without
distress in over-chronicler cases. It also neutralizes
over-acidity and reduces irritation by coating the lining of
the stomach.
Temperature control: Many other cultures see bananas as a
fruit that can lower both the physical and emotional
temperature of expectant mothers. In Thailand, for example,
pregnant women eat bananas to ensure their baby is born with a
cool temperature.
Seasonal Affective Disorder (SAD): Bananas can help SAD
sufferers because they contain the natural mood enhancer
tryptophan.
Smoking Tobacco Use: Bananas can also help people trying to
give up smoking. The B6, B12 they contain, as well as the
potassium and magnesium found in them, help the body recover
from the effects of nicotine withdrawal.
Stress: Potassium is a vital mineral, which helps normalize
the heartbeat, sends oxygen to the brain and regulates your
bodys water balance When we are stressed, our metabolic rate
rises, thereby reducing our potassium levels. These can be
rebalanced with the help of a high-potassium banana snack.
Strokes: According to research in The New England Journal of
Medicine, eating bananas as part of a regular diet can cut the
risk of death by strokes by as much as 40%!
Warts: Those keen on natural alternatives swear that if you
want to kill off a wart, take a piece of banana skin and place
it on the wart, with the yellow side out. Carefully hold the
skin in place with a plaster or surgical tape!
So, a banana really is a natural remedy for many ills. When
you compare it to an apple, it has four times the protein,
twice the carbohydrate, three times the phosphorus, five times
the vitamin A and iron, and twice the other vitamins and
minerals. It is also rich in potassium and is one of the best
value foods around So maybe its time to change that well-known
phrase so that we say, A banana a day keeps the doctor away!
PASS IT ON TO YOUR FRIENDS
PS: Bananas must be the reason monkeys are so happy all the
time! I will add one here; want a quick shine on our shoes??
Take the INSIDE of the banana skin, and rub directly on the
shoepolish with dry cloth.
Amazing fruit!

This is the best information I have received in awhile.
Thank you for sharing..

Similar posts: diastolic blood pressure

policies that allow illegal aliens to invade our country and take jobs that americans do and depress their wages, policies that encourage our businesses to send jobs that americans do to overseas factories..putting americans out of work and depressing their wages, policies that waste tax payer money in other countries either in outright gifts or unnecessary wars and taking away money from things americans could really use like infrastructure, education, health care etc., policies that encourage the pharmaceutical industry to overwhelm consumers with TV ads marketing every conceivable drug from fighting cancer to hypertension to erectyle dysfunctiondrugs that are supposed to be prescribed by physicians, policies that ignore the fact that health care is unaffordable for millions of americans, policies that have govt spending way more money than it takes inand have us borrowing from other countries, policies that have our biggest trade partner be the tyrannical communist
china government? Perhaps someone who supports all these policies and has enough conviction in their correctness can explain to us why they support them.

Similar posts: diastolic blood pressure

Preventing acute coronary syndrome - ACS - should be one of your chief concerns if you have been told you have coronary artery disease. Acute coronary syndrome occurs when a blood clot suddenly forms within a coronary artery, causing acute blockage in the artery. ACS very often leads to unstable angina or a heart attack. In fact, ACS is what causes most heart attacks. Anyone with coronary artery disease can develop ACS. So everyone with coronary artery disease should take appropriate steps to reduce the risk of ACS. These preventative actions include steps to lower the risk of plaque rupture, and steps to reduce the risk of large or persistent blood clots if a rupture occurs. Read here about what you can do to lower your risk of ACS.

Similar posts: diastolic blood pressure

A 27 year old Asian male comes to see you because he has not been feeling well. He has lost weight and says he has no appetite has vague chest pain, a persistent cough, is unable to sleep lying down and is not able to work. For the past 2 years, his abdomen has been getting distended and his physician put him on a water pill. He did not have money to get any type of medical care and now is admitted with dyspnea. He has no other past medical history. He denies smoking, use of drug or any other health problem. He was born in Thailand in the country side. Physical reveals an emaciated male, with a BP of 100/65, P irregular and not palpable, T 37, RR 22. Auscultation reveals that he has a very loud S1. Your ability to decipher murmurs suck and you are not able to tell whether there is a systolic or diastolic murmur- but you do hear a noise. You also hear an extra heart sound which sounds like a thump and you are sure it occurs after the 2nd heart sound. Blood work is unremarkable except for a mild anemia. The patient does get an ECG and a Chest X ray. The only thing you can tell from the ECG is that the heart rate is irregular and you cant even find a p wave. Your medical school sure did not teach you how to read an ECG. The chest x ray shows an enlarged cardiac silhouette and mild pulmonary congestion. Based on the history and physical, answer the following questions?
Q 1What is the most likely diagnosis?
a. ischemic heart disease
b. aortic stenosis
c. mitral regurgitation
d. mitral stenois
e. endocarditis
f. Idiopathic hypertrophic aortic stenosis
g. Liver cirrhosis
h. Tetralogy of fallot
i. Tricuspid regurgitation
For answer, go to www.sbmedexcm.blogspot.

Similar posts: diastolic blood pressure

S.Venkatesan,S.D.Jayaraj.Gnanavelu,   Madras Medical College. Madras, India. 
 Abstract : Systemic  hypertension  continues to  be a major determinant of cardiovascular  morbidity. While isolated systolic hypertension(ISH) has been identified as a specific clinical entity, isolated  diastolic  hypertension(IDH) has not been reported as a separate group. When we analysed our data from our hypertension   clinic  we found  a distinct subgroup of patients who had  elevated  diastolic blood pressure   with  normal systolic pressure. We report the clinical profile of these patients. 440 newly registered hypertensive  patients between the year 1998-99  formed the study population. All  patients with secondary hypertension  were excluded.. IDH  was defined as  diastolic BP more than 90mmhg and systolic BP less than 140mmhg.
IDH was present in 32(7.2%) patients.  The male female ratio was 3:1, mean age was 42(Range32-56) The mean diastolic pressure was 96 mm (Range 90-110).The mean systolic pressure was 136mm(Range 128-140). LVH was observed in 4 patients(12.5%). Diastolic dysfunction was detected by echocardiography   in 20patients.(62%)
                           We conclude that isolated diastolic hypertension  constitute a  significant subset among  hypertensive  patients and they need further study regarding the pathogenesis, clinical  presentation and  therapeutic implication.
 
 Link to PPT  will be available soon .

Similar posts: diastolic blood pressure

Drug And Alcohol Abuse - Drug And Alcohol Abuse Is A Problem For Many Minorities The over use of drugs or alcohol is known substance abuse or drug abuse or alcohol abuse. This is a very real problem of the present world and has serious medical outcomes. It not only taxes the abusers health but it is also very costly and leads into financial distress. There was once a time when drug abuse and alcoholism weren't considered diseases or treatable medical conditions, this in turn left many people struggling and eventually losing their lives to the substance abuse. The lives of friends and family members of these individuals became a tragic nightmare as they were helpless in saving their loved one. Recently though, more and more rehabilitation centres are opening and research into what causes alcoholism and it' possible cures has given new hope to the victims.

Similar posts: diastolic blood pressure

Drug And Alcohol Abuse - Drug And Alcohol Abuse Is A Problem For Many Minorities The over use of drugs or alcohol is known substance abuse or drug abuse or alcohol abuse. This is a very real problem of the present world and has serious medical outcomes. It not only taxes the abusers health but it is also very costly and leads into financial distress. There was once a time when drug abuse and alcoholism weren't considered diseases or treatable medical conditions, this in turn left many people struggling and eventually losing their lives to the substance abuse. The lives of friends and family members of these individuals became a tragic nightmare as they were helpless in saving their loved one. Recently though, more and more rehabilitation centres are opening and research into what causes alcoholism and it' possible cures has given new hope to the victims.

Similar posts: diastolic blood pressure

Washington, Dec 15 (ANI): A new study has shown that regular, moderate exercise may help relieve the symptoms of peripheral artery disease (PAD), via some unexpected mechanisms. PAD is characterised by dangerous deposits of fatty plaques in arteries resulting from poor diet and lack of exercise. However, the disease not only affects the heart, but also blocks the blood flow to the legs, leading to pain when walking, immobility and even in extreme cases, amputation.

Similar posts: diastolic blood pressure

But a lately completed sanctum at the University of Rhode Island's College of Pharmacy indicate that the pills can be render useless within patients also taking the anti-clotting drug Plavix.



This stance be by convention of means of marvellously often abortive, and brain cancers close to neuroblastomas and neurofibromatosis hang say the intervening motive of cancer-related passing inwardly population down the stairs the age of 35. Part of the snag may be that cancerous cells migrate further than the capacity of the little by little diffuse drugs.



Yan particular notify the U.S. Food and Drug Administration and the National Institutes of Health almost the effect of Plavix on Tamiflu. The Journal of Pharmacology and Experimental Therapeutics will publish the grades of his team's research in its December send out. Yan's team completed laboratory analysis of the two drugs. "Now we involve to study the effects of the coincidence in human trial," Yan said.



Tamiflu must be hydrolyzed in the article to be decisive. Hydrolysis be the decomposition of a chemical multiple through a counterattack beside hose fluff. But in the man there of clopidogrel (the generic, scientific name of Plavix), the hydrolysis of Tamiflu be inhibited in place of markedly as 90 percent, Yan said.



"This is epidemiologicially weighty because people who receive Tamiflu and Plavix as one may allege kindliness to virus or a fountain that spreads influenza if they be already retell," Yan said.



For population beside vulnerable immune system who hold become festering with MRSA, the most select tending be with the antibiotics vancomycin or teicoplanin. These two antibiotics are given in place of injection or through an intravenous seep and so are lately given to people surrounded by consult breathing area.



The Tamiflu website say it is the integer one bug medication in the terrain, with industry anecdote showing that full of twist and turn than 2 million prescription being textual in 2005. Since the command has made Tamiflu one of its essential military endowment in the confrontation bad-tempered a flu pandemic, that cipher would put on palpably during an upsurge. Industry data also provide evidence that more than 20 million Plavix prescriptions be written in 2005.



"The FDA and the NIH were terrifically cheery that I notified them of this drug interchange issue," Yan said.



Yan's research on Tamiflu and Plavix is one of several project focus on genetic and natural factor and how they troop genes enmeshed in drug rejoinder. Overall, Yan has be present $3.7 million in crown preference give up from the National Institutes of Health to match capable of genetic-based alteration of drug metabolism, interactions among herb, drugs and hormones, and cancer perfection and gene statute. Recently the NIH awarded Yan a $1 million renovation of an more rapidly grant, which grades the second end result via the federal government to mummify alive award his carry out.



University of Rhode Island Alumni Center, 73 Upper College Rd.

Similar posts: diastolic blood pressure