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If you have stumbled upon this web site in error, please note. This website is not an official Mayo Clinic publication and the contents have not been verified for accuracy. It is meant to be used solely by the residents of the department of Family Medicine at Mayo Clinic Arizona. P Sarmiento, MD. Aortic Stenosis, Severity of. Aortic Stenosis, Indications for aortic valve replacement. Atrial Fibrillation, Pharmacologic Agents. Cardiovascular Contraindication to Commercial Air Travel. Get Up and Go Test.

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If you have stumbled upon this web site in error, please note. This website is not an official Mayo Clinic publication and the contents have not been verified for accuracy. It is meant to be used solely by the residents of the department of Family Medicine at Mayo Clinic Arizona. P Sarmiento, MD. Aortic Stenosis, Severity of. Aortic Stenosis, Indications for aortic valve replacement. Atrial Fibrillation, Pharmacologic Agents. Cardiovascular Contraindication to Commercial Air Travel. Get Up and Go Test.

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http://www.paulsarm.com/GRACE.htm

Non STE-ACS: In-hospital Mortality. Non STE-ACS: 6 Month Post-discharge Mortality. GRACE is supported by an educational grant from sanofi aventis. University of Massachusetts Medical School. For general questions and information email: GRACE at umassmed.edu or call (508)856-0081.

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Ao Stenosis, Severe

http://www.paulsarm.com/ao_stenosis,_severe.htm

Severity of Aortic Stenosis in Adults. Bonow, RO, Carabello, BA, Chatterjee, K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 20006; 48:e1. Aortic Jet Velocity (m/sec).

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HTN, Urgency

http://www.paulsarm.com/htn,_urgency.htm

Hypertensive Urgency or Emergency - Medications to consider. An arteriolar and venous dilator. Given as an intravenous infusion. Initial dose: 0.25 to 0.5 µg/kg per min; maximum dose: 8 to 10 µg/kg per min which should be continued for no more than 10 minutes. A venous and, to a lesser degree, arteriolar dilator,. Given as an intravenous infusion. Initial dose: 5 µg/min; maximum dose: 100 µg/min. An alpha- and ß-adrenergic blocker. A calcium channel blocker. A peripheral dopamine-1 receptor agonist.

4

Ao Sten, Indications

http://www.paulsarm.com/ao_sten,_indications.htm

ACC/AHA Guideline Summary: Indications for Aortic Valve replacement (AVR) in Aortic Stenosis (AS). Class I - There is evidence and/or general agreement that AVR is indicated in patients with AS in the following settings. Symptomatic Severe AS (see aortic valve, severity). Severe AS in patients undergoing coronary artery bypass graft surgery or surgery on the aorta or other heart valves. Severe AS with a left ventricular ejection fraction less than 50%. Extremely severe AS (aortic valve area less than 0&#...

5

Stress Test

http://www.paulsarm.com/stress_test.htm

Hold any nitroglycerin product for at last 1 hour prior any stress test. Double product: HR X SBP. Precense of fixed (infarct) vs. reversible (ischemic) defect. Segments of wall involved. 3 Want to achieve 85% maximal predicted HR for a diagnostic test. Stress Treadmill or EKG. EKG changes indicating ischemia. METS ( 4 indicates good exercise tolerance and predicts better cardiac outcomes). Cost $1100 (regular TTE $800). Contraindicated if on bb. Hold am dose. Poor results if large or large chest.

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If you have stumbled upon this web site in error, please note. This website is not an official Mayo Clinic publication and the contents have not been verified for accuracy. It is meant to be used solely by the residents of the department of Family Medicine at Mayo Clinic Arizona. P Sarmiento, MD. Aortic Stenosis, Severity of. Aortic Stenosis, Indications for aortic valve replacement. Atrial Fibrillation, Pharmacologic Agents. Cardiovascular Contraindication to Commercial Air Travel. Get Up and Go Test.

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