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D Steven

Publications and source records attributed to D Steven.

9 recordsLinked to original sources

[Modern pharmacotherapy of supraventricular and ventricular cardiac arrhythmia. An update for conventional therapy].

Currently the pharmacological approach still represents the mainstay in the acute phase of arrhythmia management as well as in the chronic treatment phase of specific entities such as atrial fibrillation. However, non-pharmacological options have recently emerged as frequently used first-line tools for the treatment of various supraventricular and ventricular heart rhythm disturbances. Nevertheless, antiarrhythmic drug treatment is frequently used as a bridging or adjunctive therapy in conjunction with catheter ablation or implantable cardioverter defibrillators. Antiarrhythmic agents constitute a very heterogeneous group prone to various drug interactions and side-effects. Therefore, this article aims to summarise the most important facts and recent findings with regard to appropriate contemporary pharmacological therapy of atrial and ventricular arrhythmias in clinical practice.

Angiotensin II Type 1 Receptor Blockers↗

An analysis of the Ontario Health Survey from a cardiovascular perspective.

The Ontario Health Survey was conducted in 1990 by the Ontario Ministry of Health to assess the health status of the province's population. Self reports of health status and problems, treatment, and risk factor profiles were collected by interviewer and self-completed questionnaires. The present report addresses the prevalence and distribution patterns of cardiovascular disease and selected risk factors and is based on data from 44,000 residents of Ontario aged 18 years and older. Data collected from the survey demonstrate that the incidence of circulatory disease was 3% and heart disease was 4% in the population of Ontario. As well, the prevalence rates for selected cardiovascular risk factors were: high blood pressure (10%), diabetes (3%), smoking (31%), obesity (25%), and inactivity (72%) and are reported as a function of age category and sex. These findings are compared with the prevalence of risk factors in other regions of Canada. This information provides a basis for the development, implementation, and evaluation of comprehensive programs that are aimed at reducing cardiovascular risk factors and mortality and morbidity from cardiovascular disease.

Adolescent↗

A community survey of cardiac emergency skills: symptom recognition and CPR.

This descriptive study assessed recognition of symptoms of myocardial infarction (MI) by community members and their ability to respond to emergency situations with cardiopulmonary resuscitation (CPR) skills. One thousand questionnaires were randomly mailed to residents with a response rate of 48.1%. Results indicated that residents have limited awareness of symptoms of MI other than demonstrated chest pain and that 20.6% of the respondents had taken a CPR course. CPR courses were taken by 9.6% of respondents who had one or more relatives diagnosed with heart disease. The lack of awareness of symptoms of MI and limited ability to perform CPR skills in emergency situations by community residents may contribute to the high mortality rates due to heart disease. Results of the study suggest that educational campaigns be instituted in the community under study to promote recognition of and response to cardiac emergencies.

Adolescent↗

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Adolescent↗