2013年1月23日 星期三

CV1 DAY4

Q1,The relation prevalence rate between PAOD,CAD,Stroke?


Eur J Cardiovasc Prev Rehabil. 2010 Aug;17(4):424-30.
Patients with coronary, cerebrovascular or peripheral arterial obstructive disease differ in risk for new vascular events and mortality: the SMART study.

The primary outcome was the composite of myocardial infarction, stroke and vascular death. The risk among the three groups of outcomes was compared using the Cox regression analysis. At baseline, CAD patients were the most obese; PAOD patients smoked the most and suffered more often from hypertension and hyperlipidaemia. The average rate of vascular events was 2.5% per year; the hazard ratio (HR) of CVD/CAD was 1.7 [95% confidence interval (CI): 1.3-2.2] and PAOD/CAD was 1.8 (95% CI: 1.5-2.0). PAOD patients had a higher risk for coronary events than CAD (HR: 1.6; 95% CI: 1.2-2.1). Patients with CVD or PAOD had a higher risk for major bleeding than CAD patients (HR: 2.1; 95% CI: 1.4-3.2). CONCLUSION: Patients with a recent CVD or PAOD have almost twice the risk for future vascular events than those with CAD.


Q2.Heart failure criteria?
症狀:


CV DAY5

Q1.How to approach a patient with AVNRT?

1.可以先看這短片,清楚明瞭
http://youtu.be/bH0OEog8QlU
雖然不確定對不對

2.然後可以看這篇case,建立臨床感覺:
http://www.af-ablation.org/uploads/Case-1-typical-AVNRT-duo-flex-cath.pdf


2013年1月7日 星期一