Juniper Publishers: Vertebral Body Changes in the Lower Spine of Baske...

Juniper Publishers: Vertebral Body Changes in the Lower Spine of Baske...: Journal of Head Neck & Spine Surgery Abstract Professional sport activities or work may exert considerable stress on the spine....

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Intradialytic Hypotension and Left Ventricular Function Improved After Intravenous Levo Carnitine Therapy in a Pediatric Hemodialysis Patient-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background: The significant decline of endogenous carnitine levels has been well confirmed in a single hemodialysis session. In children, owing to poor tissue stores, and growing demand, a resurgence in carnitine levels may take much longer time. Intradialytic hypotension secondary to carnitine deficiency is commonly due to depressed cardiac function. During hemodialysis, both oral carnitine and intravenous carnitine has been equally effective in adults by reducing the signs and symptoms. However, in children, intravenous carnitine may be more effective in the management of intradialytic hypotension and improving heart function. Case presentation: We report a 9-year-old girl who is a known case of end-stage renal failure secondary to hypoplastic kidneys. Her dialysis is complicated with left ventricular systolic dysfunction, and tertiary hyperparathyroidism for which she und...
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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Keywords: Aerobic exercise; Cardiac output; Maximal oxygen uptake Coronary Artery Disease Considerations A systematic review estimated that inactivity is responsible for 6% of the burden of disease from coronary heart disease worldwide [1]. CAD influence on work capacity and physical performance has been widely investigated. Myocardial functional changes include declines in maximum heart rate, stroke volume, left ventricular contractility and an increase in peripheral vascular resistance. Oxygen demand and supply for the Myocardium are normally balanced. Oxygen demand above quiescent needs of the Myocardium is determined by number of factors: Heart rate-the greater the frequency of contractions, the greater the oxygen demand. Myocardial wall tension is a function of both left ventricular systolic pressure and the ventricular radius [2]. The contractility of the heart-relates to the ...
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