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Bradycardia

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Sinus Bradycardia

Being paced at a rate of 60

Dr. Himanshu H. Shukla, M.D. What Is Bradycardia

What Is Bradycardia?

Temporary medical pacing

Do you need always A pacemaker to temporarily support a bradycardia ? Not necessarily so . . . Isoprenaline if promptly and properly administered can be used as Temp Pacemaker for 24-48 hours.

Frankie's Story

Frankie was born 8 weeks premature, weighing 3lbs 12ozs. She was diagnosed with Bronchopulmonary Dysphasia, Apnea, Bradycardia, Patent Ductus Arteriosus, Atrial Septal Defect, and Gastroesophageal Reflux Disease amongst other things. She is now 11 yrs old and is currently diagnosed with Reactive Airways Disease and/or Chronic Lung Disease, Gastritis, Gastroesophageal Reflux Disease, Attention Deficit Hyperactivity Disorder, Hypophosphatasia (soft bones), and a non-specific connective tissue disorder which presents as Ehlers-Danlos Syndrome vs Sticklers Syndrome (retinal detachments and joint problems). She has had a dislocation, suffers from many skin problems including poor wound healing, and is at risk for retinal detachment due to optically empty vistreous. She has had a total of four surgeries one of which left her with atypical Granulomas of unknown etiology (likely a result of the non-specific connective tissue disorder which relates more commonly with Ehlers-Danlos Syndrome). She has come a long way in 11 years. She has an amazing spirit and a kind heart. Sometimes I wonder if God made the ones who have more challenges a little extra spunky! For more information please click on the links below: http://www.emedicine.com/PED/topic1126.htm http://ghr.nlm.nih.gov/condition=hypophosphatasia http://www.ednf.org http://www.stickler.org.uk http://www.marchofdimes.com/prematurity/prematurity.asp The song in the video is Let Them Be Little by Billy Dean. No copyright intended.

Danielle's Rett Syndrome Journey

Danielle "Deedee" was diagnosed with Autism at 24 months (Sept. 2000). She had no speech, had no eye contact, ground her teeth and had stereotypic hand movements. In November of 2005, Danielle was admitted to the hospital with sudden neurological losses. At that time she was diagnosed with Rett Syndrome. She had been struggling for 4 years with failure to thrive. It became a severe problem by April 5, 2007 when she had a G-Tube placed. From that date on she had repeated g-tube infections and sepsis 5 times. During this time we started seeing cardiac issues, temperature regulation problem, and episodes of extremely low blood pressure. August 15, 2007 she had a pacemaker placed. This controlled the Bradycardia (heart rate below 30 bpm). The blood pressure continued to be a problem. Then she started have severe apnea episodes (waking and sleeping). It was at this time they realized that her autonomic system was failing. This progressed to not being able to hold any food or g-tube feedings down. Then in January of 2008 her digestive system shut down completely. It was at this time that her heart was only beating when it was paced by the pacemaker and the apnea became a constant and her oxygen saturation began to fall even with help of oxygen. On January 29th, 2008 at 7:45 PM (EST) Danielle lost her battle, and went home to the Lord.

家慈黃媽mother funeral

家慈黃媽Mother's funeral Last trip for my dearest mom! My mother huang Lai-sian-zon was born in Japanese occupation of Taiwan and took Japanese education 8 grade graduated(equals middle school)。 She educated children with military style to make her children more compatible society and tolerate hard time ahead。She was died with liver coma、Refractory ascites、recurrent ulcerative colitis、renal failure complication at age of 80。 Mother huang past history: c- hepatitis carrier(former sterilized glass syringe and needle user)、angina pectoris、Osteoporosis、high uric acid、bowel gas、GI bleeding n disorder、hemorrhoid、hyperthyroidism、 arrhythmia, admission for Bradycardia heart beats 40 times per minute on April 7, 2007,again admission for tachycardia heart beats 128 times per minute on April 7, 2007。Anemia with 5 years Packed RBC transfusion history。On Sep 27, 2007 with low GI bleeding illness sought treatment at hospital with two times(sep 27 n oct 4,2007) colon scope Examination showed trans colon polyps(biopsy normal)、ascending colon 2 ulcerative lesions、liver cirrhosis spot follows ascites on Oct-10-07,meanwhile ruled out MDS myelodysplastic syndrome affected anemia。Nov 06-07 presented to the emergency department (ED) with Refractory ascites and renal - heart failure before her arrival and results of recurrent ulcerative colitis complicated bleeding、peritonitis、liver coma、anuria,finally passed away on Dec 22-07。 Comment on local Taiwanese Hepatic - gastro-enterologists disposal(changhua county,Taiwan): 1)Renal - heart failure combined ulcerative colitis complicated bleeding treatment with platelets enriched plasma + coagulant that cannot cure the ulcerative colitis which only worse the Renal、liver、 heart failure more seriously and push patient to the hell。 2) senior age weakness patient with multi-lesions would rather concentrate on support treatment to prolong the patients life than focus on incurable single lesion disposal which only accelerate other sever multiple lesions seriously even be killed(avoid seriously side effect during chemical therapy accelerate severe case expiration)。No excuse for spent health insurance on incurable multi-lesions patient!Medications purpose is to cure sickness or ease pain and extend life from incurable disease. 3) During final stage of liver cirrhosis (Refractory ascites)+heart、renal failure should not nasojejunal tube feeding with high protein diet plus dextrose IV drop is banned in this case 。(Liver cirrhosis affect the urea cycle metabolism defect that up rise blood ammonia ↑↑follows liver coma+BUN↑↑renal failure → anuria ,high protein diet only worse this case,dextrose IV drop is fast increasing the volume of ascites formation too。) medical specialist should cherish to care every patient as ones closely family,not treat each patient as ones guinea pig experiments at random。 My moms final 5 years Packed RBC transfusion support treatment for anemia(ulcerative colitis complicated bleeding)really live a terribly bloodily life!But my mom still sticks on sickness struggle! As long term took blood test and IV injection that made vein invisible which replaced by aorta blood sampling check and Infusion Catheter these broken my heart miserably! 2 days before my mom died,enquired ward residence about could it be every day 4-5 times defecation contaminated groin Infusion Catheter that follows peritonitis?hospital site answer:my moms peritonitis was internal occurred not caused by stool passage pollutes Infusion Catheter! sincerely hope the backing music of pharmacists bible Chanting may free my moms pain and sickness in the western paradise(heaven)! 希望背景音樂藥懺經能解除阿母生前的病痛,在極樂世界過著無憂無慮、健康的生活!

PACE-MI Patient Education Video

Have you had a heart attack recently? Have you been told that you have a slow heart rate? Most individuals who have a slow heart rate cannot take beta-blocker medication-based therapy. Extensive studies indicate that beta-blocker therapy after a heart attack improves survival rates. Currently the PACE-MI trial is evaluating the possibility that, by using a pacemaker to facilitate beta-blocker therapy in patients that suffered a heart attack, better results can be achieved. YOU MUST HAVE HAD A HEART ATTACK WITHIN A PERIOD OF 90 DAYS to participate in this study. To learn more about this study financed by the National Heart, Lung, and Blood Institute please contact us at 1-866-929-0990 or visit us at www.PACE-MI.org

Ambulatory temporary pacemaker

Patients who require temporary pacemaker are often confined to bed till their problem of cardiac conduction settles.Ironically patients with permanaet pacemaker enjoy physically and active . This vedio argues to provide the same comfort to patients with temporary pacmaker also !

Abrey's Prayer Video

I made this for a friend of mine with a preemie in the NICU. We actually met through the NICU, her baby was born two weeks before mine was sent home, so we became really close though our ups and downs. The baby's name is Abrey Michelle and I did this to bring them a little hope since their baby is going to undergo n surgery to repair a hole in her heart. Prayers are needed! If you would like to get in contact with Abrey's mommy, her myspace page is http://www.myspace.com/littlelovin546

hiigghh

this was before it really kicked in, hence, us actually being AWAKE. DONT EVER DO BENADRYL. PLEASE READ THIS. a lot of people are watching this, and wanting to do it. when i posted this, that was before benadryl fucked up my life. i read about how bad and dangerous it was to do it...but i never thought it would happen to me. well guess what? it did. now i have tons of heart problems..i can never sleep, i can't do anything energetic, and i have to deal with heart pain all day. everyday. i have tachycardia, PVC's [premature ventricular contractions] where it feels like it's skipping beats, bradycardia. i'm ALWAYS dizzy. always lightheaded, can't focus on anything. i have bad grades cuz i can't ever seem to focus to do the work. there's also something wrong with my auto immune system now as well. go on, look it up, EVERYTHING says all of those problems can happen if you do it, and i got ALL OF THEM. i can't even live a normal life now. it all seem horrible. i've had to go through SO many tests at the doctors and pay SO much money. and i can't even tell the doctors the TRUTH about why i have it...cuz it would just crush my dad. i'm only 15 years old. please don't ruin your life doing this. stick to weed and alcohol. seriously..this isn't even a good high. you sit there, getting scared by voices that yell at you, and then you sleep for like 20 hrs. not even worth it at ALL. i Just don't want anyone else to go through what me and my best friend have to live with now. i can't stress this enough.

LUMINAL

LUMINAL - Phenobarbital or phenobarbitone is a barbiturate, first marketed as Luminal by Friedr. Bayer et comp. It is the most widely used anticonvulsant worldwide and the oldest still in use. It also has sedative and hypnotic properties but, as with other barbiturates, has been superseded by the benzodiazepines for these indications INDICATIONS Phenobarbital is indicated in the treatment of all types of seizures except absence seizures. SIDE EFFECTS Sedation and hypnosis are the principal side effects of phenobarbital. Central nervous system effects like dizziness, nystagmus and ataxia are also common. In elderly patients, it may cause excitement and confusion while in children, it may result in paradoxical hyperactivity. OVERDOSE Phenobarbital causes a "depression" of the body's systems, mainly the central and peripheral nervous systems; thus, the main characteristic of phenobarbital overdose is a "slowing" of bodily functions, including decreased consciousness (even coma), bradycardia, bradypnea, hypothermia, and hypotension (in massive overdoses). Overdose may also lead to pulmonary edema and acute renal failure as a result of shock. The electroencephalogram of a person with phenobarbital overdose may show a marked decrease in electrical activity, to the point of mimicking brain death. This is due to profound depression of the central nervous system, and is usually reversible.

Chad Cook on Digitek Litigation

Chad Cook, lead Digitek attorney, speaks about the recent Digitek recall. Digitek was recalled in April 2008 after medicine was found to contain twice the active ingredient - digitalis. Digitek overdose can lead to bradycardia, extremely low blood pressure, and even death. Digitek is often given to patients in the hospital during a heart procedure.

Texas Product Liability Attorneys | Bailey & Galyen

If you or a loved one suddenly experienced nausea, vomiting, dizziness, low blood pressure, cardiac instability, Bradycardia or even death after taking Digitek contact the law office of Bailey & Galyen in Texas. 817-868-5500 http://www.galyen.com

Defective Products Attorneys | Bailey & Galyen in Texas

If you suffered from side effects such as vomiting, dizziness, low blood pressure, cardiac instability, or Bradycardia from taking prescription medication digitek or digoxin. Call Bailey & Galyen in Texas. 817-868-5500, http://www.galyen.com

Diana!

Bradycardia - slow heart beat. Haha.

Science: Leading Cause of Infant Death Explained by Serotonin Receptor

http://www.cellphonelies.com http://www.danger911.com Sudden infant death syndrome is the leading cause of death in the postneonatal period in developed countries. Postmortem studies show alterations in serotonin neurons in the brainstem of such infants. However, the mechanism by which altered serotonin homeostasis might cause sudden death is unknown. We investigated the consequences of altering the autoinhibitory capacity of serotonin neurons with the reversible overexpression of serotonin 1A autoreceptors in transgenic mice. Overexpressing mice exhibited sporadic bradycardia and hypothermia that occurred during a limited developmental period and frequently progressed to death. Moreover, overexpressing mice failed to activate autonomic target organs in response to environmental challenges. These findings show that excessive serotonin autoinhibition is a risk factor for catastrophic autonomic dysregulation and provide a mechanism for a role of altered serotonin homeostasis in sudden infant death syndrome. 1 Mouse Biology Unit, European Molecular Biology Laboratory (EMBL), Via Ramarini 32, 00015 Monterotondo, Italy. 2 Department of Preclinical and Clinical Pharmacology, University of Firenze, Viale Giacoro Pieraccini 6, 50139 Firenze, Italy. 3 Laboratory of Behavioural Neuropharmacology, Sigma-Tau SpA, Via Pontina Kilometer 30.400, 00040 Pomezia, Italy. http://www.emfnews.org/qlpw.html http://www.emfnews.org/qlpb.html

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Digitek Recall Lawyers

Digitek (Digoxin) tablets have been recalled because they contain twice the normal dose of the active ingredient. The double dose may cause digitalis toxicity causing serious side effects and can be fatal, especially in patients being treated for renal failure. The Allen Law Firm handles cases involving Digitek as well as Ortho Evra, Trasylol, Medtronic Heart Leads and Zyprexa. www.allenfirm.net

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Unsafe Use of Extended-Release Tussionex Suspension (May 08)

FDA is cautioning healthcare professionals, patients and caregivers about the unsafe use of Tussionex Pennkinetic Extended-Release Suspension. This product is a long-acting cough suppressant containing hydrocodone, a narcotic antitussive, and chlorpheniramine, an antihistamine. Overdoses of hydrocodone can result in respiratory depression and death. FDA has reviewed over a hundred adverse event reports associated with this product. Twenty four reports were in children under the age of six, nine of whom died. Tussionex is not approved for children under six because of the risk of respiratory depression and death. Even though it is specifically contraindicated in this age group some physicians are prescribing this product for them. Also, family members may take a prescription for an older family member and give it to younger children. Irrespective of the child's age, parents are also running into trouble when they try to measure the dose. For example, they may be using ordinary teaspoons, which can vary in size. Pharmacists can contribute to the problem if they mis-state the dose on the prescription label. In one case, the physician's order of 2 mL was written as two teaspoons on the label. Another problem with any long-acting or extended-release medication is that patients or caregivers may be tempted to use it more often than it is prescribed. Some of the reports also indicated that physicians were prescribing it to be taken more often than every 12 hours. To help avoid these overdoses, FDA is working with the manufacturer to strengthen the prescribing information and the instructions for use. But preventing these kinds of tragedies requires understanding and vigilance from everyone involved. • Prescribers should not prescribe the product for children under six. They should specify that it not be taken more often than every 12 hours and also specify the dose on the prescription in milliliters. • Pharmacists should clearly state the dose in milliliters on the prescription label, give the patient or parent a measuring device that can deliver this dose in milliliters, and counsel them on how to use it. • Patients or parents should understand that they should not use more of the drug than prescribed, or use it more often than prescribed or give it to anyone under the age of six. The proper device should be used to measure the dose. In addition, this medicine should not be mixed with any other fluids before taking it or giving it to someone else, because this could increase the release rate of the drug and that could result in an overdose. Patients and parents should also be alert to the symptoms of hydrocodone overdose, including, respiratory depression, extreme somnolence progressing to stupor or coma, skeletal muscle flaccidity, cold, clammy skin and sometimes bradycardia or hypotension. Additional Information: FDA MedWatch Safety Alert. Long-Acting Hydrocodone-Containing Cough Product (marketed as Tussionex Pennkinetic Extended-Release Suspension). March 11, 2008. http://www.fda.gov/medwatch/safety/2008/safety08.htm#Tussionex FDA Press Release. FDA Issues Alert on Tussionex, a Long-Acting Prescription Cough Medicine Containing Hydrocodone. March 11, 2008. http://www.fda.gov/bbs/topics/NEWS/2008/NEW01805.html

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