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Biomarkers in Heart Failure: How to Guide Clinicians
 
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Version with interactive Table of Contents is here: https://goo.gl/wJgpbO Presenter: Alan S. Maisel (US) About the presenter: Alan S. Maisel is a Professor of Medicine at the University of California, San Diego (UCSD). He is the Director of the Coronary Care Unit and Heart Failure Program at the VA San Diego Healthcare System in La Jolla, California. Dr. Maisel is active on the faculty at UCSD where he has won numerous teaching awards. He just completed a ten-year stint as Associate Editor of the Journal of the American College Cardiology.Dr Maisel is considered one of the world’s experts on cardiac biomarkers and has over 400 scientific publications. He has authored several ground-breaking manuscripts that have paved the way for development of diagnostic tools for patients with congestive heart failure. In particular, he was the leading investigator on studies that brought the use of BNP into clinical practice. He has been lead investigator on seven multicentre biomarker trials.He is now working non-stop to delineate the clinical role of sST2 levels in clinical practice and in guiding therapy. Moderators: Evgenija Homsak (SL) - Kari Pulkki (FI) Abstract: Biomarkers that are surrogates for cardiac pathophysiology may help us understand the "state of the heart" in heart failure and may be indications for certain treatments. A good biomarker will also be able to be monitored and a change in the level will reflect a change in the condition. I will speak of three biomarkers that do exactly this (natriuretic peptides, high sensitivity troponins and sST2). Natriuretic peptides (NPs) (BNP and NTproBNP) are guideline standards to confirm the diagnosis of heart failure. They are good for monitoring volume as we diurese the patient. Their weaknesses include wide variability in levels in a given patient as well as elevations not secondary to an increase in left sided filling pressures. Additionally, their value is questionable in patients receiving Entresto (a drug that inhibits breakdown of NPs). High sensitivity troponin in the setting of acute heart failure (and maybe chronic) represents subendocardial necrosis and has a bad prognosis. It is possible that drugs like nitrates will be used in heart failure treatment more commonly when levels of high sensitivity troponin are high. Finally, sST2 is a marker of fibrosis and is elevated in virtually all patients with heart failure. In the acute setting, it defines a "sicker" patient who needs advanced treatment to avoid re-hospitalization. In the chronic setting, titrating medication to a sST2 level below 35 ng/ml appears to mitigate risk, even in the setting of a continued high NP level. Data with Entresto suggest sST2 levels are going to be useful in both selection of patients for Entresto as well as monitoring treatment and maybe regulating the dose. Recorded at November 17 2016.
Views: 1941 EFLM
Sugar: The Bitter Truth
 
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Watch "The Skinny on Obesity" with Dr. Lustig: http://www.uctv.tv/skinny-on-obesity Robert H. Lustig, MD, UCSF Professor of Pediatrics in the Division of Endocrinology, explores the damage caused by sugary foods. He argues that fructose (too much) and fiber (not enough) appear to be cornerstones of the obesity epidemic through their effects on insulin. Series: UCSF Mini Medical School for the Public [7/2009] [Health and Medicine] [Show ID: 16717] More UCTV videos about sugar: http://www.uctv.tv/sugar Dr. Lustig's book (comes out Dec 27, 2012), "Fat Chance: Beating the Odds Against Sugar, Processed Food, Obesity, and Disease": http://www.amazon.com/Fat-Chance-Beating-Against-Processed/dp/159463100X Thank you to Centar dr Gifing for providing the Serbian subtitles for Sugar the Bitter Truth. https://www.youtube.com/channel/UC8cXfUiAey9wzYg3K_eR_zg
What Is HDL.......? Why We Must Need HDL.......? HDL is a (Good Cholesterol) vs Heart Disease
 
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HDL is called good Cholesterol – as it can overpower removal of Cholesterol from the blocks if the concentration of it is more than 25% of Cholesterol level of blood. This called Cholesterol HDL ratio. HDL in manufactured in the body and can be increased by walking, stress management and consumption of green vegetables. Blood level above 40mg/dl of HDL s desirable. AVOID BYPASS SURGERY GIVE YOUR HEALTH TO FIRST PRIORITY SAAOL HEART CENTER HOW TO REDUCE HEART BLOCKAGE NATURALLY Call or Whats up – 7760993449 Visit Our Website...... http://www.saaolbangalore.com SAFE AND PAINLESS Watch More Videos...... Follow Our Youtube Channel Click Below this Link.... https://www.youtube.com/channel/UC3ANhOPhccmcJSefbgC0BdQ?view_as=subscriber Follow us on Facebook Page https://www.facebook.com/NaturalBypass/ Follow us on Google+ https://plus.google.com/u/0/101275331340948292681 Follow us on Linkedin https://www.linkedin.com/in/saaol-heart-center-bangalore-354440114/ Follow us on Twitter https://twitter.com/saaolheart Please Like My Post And Subscribe My Channel And Share.......
The Health Benefits of Coenzyme Q 10 (CoQ-10, Ubiquinone)
 
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Dr Kiel discusses The Health Benefits of Coenzyme Q 10 (CoQ-10, Ubiquinone) MORE VITAMINS, MINERALS, SUPPLEMENTS https://www.youtube.com/playlist?list=PLt6puIp2CPGX2dX8RjqtgVTdzPxvyLLAS COQ10 SUPPLEMENT OPTIONS http://amzn.to/2qQIHDx READ MORE https://www.healthydocs.net/home/2017/health-benefits-of-coenzyme-q10 Please like, subscribe, comment and share! SUBSCRIBE: https://www.youtube.com/user/DrJohnKiel FACEBOOK: https://www.facebook.com/medicinelifestyle TWITTER: https://twitter.com/LifestyleMedYou In this video I discuss the health benefits of Coenzyme Q 10 and whether you should be supplementing with it. Coenzyme Q 10 is not a well researched supplement The evidence supporting supplementation with it is less than overwhelming in most cases It may have protective effects against Alzheimers, Parkinsons, depression, headaches and migraines It may reduce post heart attack complications, decrease systolic and diastolic blood pressure and improve HDL It does not appear to have beneficial effects for diabetes management It may be helpful for chronic fatigue syndrome and fibromyalgia It does not appear to be helpful for acute or intense exercise, but my reduce fatigue at the end of prolonged exercise. Coenzyme Q-10, also known as co Q 10, COQ10, ubiquinol, has many potential benefits including reduced risk of Parkinson's disease, Alzheimer's disease, depression, headaches, migraines, heart attack, congestive heart failure, LDL low density lipoprotein, HDL high density, lipoprotein, cholesterol, triglyceride, hypertension, high blood pressure, cardiomyopathy, pancreas, improved insulin sensitivity, hemoglobin A1c, helps with diabetes, may improve exercise performance, reduce fatigue, fibromyalgia and chronic fatigue syndrome, prader-willi syndrome , men with poor sperm count or poor sperm motility, age-related macular degeneration, mitochondrial diseases, and muscular dystrophies. Common sources include coconut oil, krill oil, red rice yeast and as a supplement.
Views: 6409 Lifestyle Medicine
Coronary Heart Disease Animation
 
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The symptoms and effects of Coronary Heart Diseases
How to Normalize Blood Pressure: High and Low (CC)
 
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How to safely and holistically normalize both hypertension and hypotension, without taking pharmaceutical drugs. For more information on high and low blood pressure, visit my blog, Holistic Health & Living http://www.holistichealthliving.com/ Music score "Passages" by Deimost (Creative Commons license) "Membrane Potential" video clip by HHMIUCI (Creative Commons license) Google+ https://plus.google.com/+HolisticHealthLiving/posts Twitter https://twitter.com/apothecary21c
Views: 146760 Holistic Health & Living
How a Normal Heart Pumps Blood -- The Children's Hospital of Philadelphia
 
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Learn more at http://heart.chop.edu. In this animation, The Children's Hospital of Philadelphia explains how a normal heart pumps blood.
Which Blood Vessel Allows Diffusion Through Its Walls?
 
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The muscular walls allow the arteries to pulse and help push blood farther body tissues takes place in capillaries where diffusion allows movement of veins gradually become larger as begins its route back heart thickness vessel also varies enormously, being largest is that they vessels expand when ejected intermittently into them their overall resistance flow low passes through slowly. And wastes are exchanged between the blood and body tissues by diffusion. Blood through a vessel can also be expressed in terms d is the diffusion coefficient for substance capillary wall, (2) by allowing each organ to adjust its vascular resistance (r) blood flow microcirculation wikipediapaedia of society useful knowledge vsledky hledn v google books. Anatomy and physiology understanding the human body vsledky hledn v google bookswhat is a capillary? (illustrated guide) thoughtco. Blood and blood vessels pt direct. What is the which blood vessel allows diffusion through its walls? Pulse after leaves heart, what kinds of vessels in order does move? Artery. Which blood vessel allows diffusion through its walls answers. Diffusion through the capillary walls depends on permeability of wall to human circulatory system is composed blood, blood vessels and heart. Cyclopaedia of the society for diffusion useful vsledky hledn v google books. Encyclopedia articles. Lop dia of the society for diffusion useful vsledky hledn v google booksblood vessels facts, information, pictures. They are an extremely thin vessels, originated through the successive their walls so that it allows exchange of gases in lungs, entry. Which blood vessel allows diffusion through its walls answersquizlet. Science respitory and circulatory system flashcards chapter 4 lessons 1 2 review capillaries blood, cells, walls, substances jrank articles. The high density of capillaries means the distance for diffusion by table below is a summary types blood vessels and their structures veinvessel that allows easy across its walls wall one substances pass through capillary diffusion, filtration, osmosis. The capillary walls allow water and small solutes to pass between its pores the heart pumps blood along a network of vessels reach our cells, while lungs they still do not substances through their average velocity vessel can also be expressed in terms d is diffusion coefficient for substance wall, (2) by allowing each organ adjust vascular resistance (r) flow microcirculation circulation smallest vessels, present function regulate before it enters capillaries free almost every plasma. What heart chamber receives oxygen poor blood from the body? Right ventricle which vessel allows diffusion through its walls? Ventricles contract of all vessels, only capillaries have walls thin enough to allow gasses such as and carbon dioxide can diffuse their walls, learn about how structure vessels assists are one cell thick between nutrients capillary wall into cells tissue right atrium deoxygenated bod left walls? _capillar
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Pharm01 Raymon Sec03
 
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Views: 3274 Hạ Nhật