The Relative Atrial Index (RAI)
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The Relative Atrial Index (RAI)
The Relative Atrial Index (RAI) is a numeric parameter used to assess for cardiac shunt defects. It is calculated from the standard transthoracic Doppler echocardiogram measurements of the right atrial area divided by the left atrial area. RAI = right atrial area / left atrial area. These measurements are made from the apical four chamber view. Large validation studies in patients with known atrial septal defects showed that the RAI > 1.0 in the majority of cases. This is in contrast to matched and population controls, where the RAI was significantly below 1.0. This simple numeric parameter has found a role in the diagnostic work-up for possible shunt defects on standard tranthorcaic echocardiograms. The RAI rapidly normalizes within 24 hours of percutaneous closure of atrial septal defects. Secondary validation studies have confirmed the data in discrete patient populations. This parameter has been shown to predict long-term survival after acute pulmonary embolism. The RAI ...
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Cardiac Shunt
A cardiac shunt is a pattern of blood flow in the heart that deviates from the normal circuit of the circulatory system. It may be described as right-left, left-right or bidirectional, or as systemic-to-pulmonary or pulmonary-to-systemic. The direction may be controlled by left and/or right heart pressure, a biological or artificial heart valve or both. The presence of a shunt may also affect left and/or right heart pressure either beneficially or detrimentally. Terminology The left and right sides of the heart are named from a dorsal view, i.e., looking at the heart from the back or from the perspective of the person whose heart it is. There are four chambers in a heart: an atrium (upper) and a ventricle (lower) on both the left and right sides. In mammals and birds, blood from the body goes to the right side of the heart first. Blood enters the upper right atrium, is pumped down to the right ventricle and from there to the lungs via the pulmonary artery. Blood going to the lungs ...
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Echocardiogram
An echocardiography, echocardiogram, cardiac echo or simply an echo, is an ultrasound of the heart. It is a type of medical imaging of the heart, using standard ultrasound or Doppler ultrasound. Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any suspected or known heart diseases. It is one of the most widely used diagnostic imaging modalities in cardiology. It can provide a wealth of helpful information, including the size and shape of the heart (internal chamber size quantification), pumping capacity, location and extent of any tissue damage, and assessment of valves. An echocardiogram can also give physicians other estimates of heart function, such as a calculation of the cardiac output, ejection fraction, and diastolic function (how well the heart relaxes). Echocardiography is an important tool in assessing wall motion abnormality in patients with suspected cardiac disease. It is a tool which helps in reaching an early ...
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Lyn R
Ubisoft Montpellier is a French video game developer and a studio of Ubisoft based in Castelnau-le-Lez. Founded in 1994 as Ubi Pictures, it is best known for developing the '' Rayman'' and ''Beyond Good & Evil'' series. At 350 employees as of September 2019, Ubisoft Montpellier is led by co-founder Frédéric Houde as technical director. History Ubisoft Montpellier was founded by Michel Ancel and Frédéric Houde, two French video game designers. Houde, after obtaining a Brevet de technicien supérieur at the in Montpellier, first met Ancel (at the time still a high school student) in 1987 at Informatique 2000, a local technology store. They co-operated on the development of video games, sometimes spending multiple hours at a time in front of their computers. Houde later went on to serve his military service, while Ancel was hired by French video game company Ubisoft (then named Ubi Soft) to work at its Montreuil-based studio as a developer. After Houde finished his se ...
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Medical Ultrasonography
Medical ultrasound includes diagnostic techniques (mainly medical imaging, imaging techniques) using ultrasound, as well as therapeutic ultrasound, therapeutic applications of ultrasound. In diagnosis, it is used to create an image of internal body structures such as tendons, muscles, joints, blood vessels, and internal organs, to measure some characteristics (e.g. distances and velocities) or to generate an informative audible sound. Its aim is usually to find a source of disease or to exclude pathology. The usage of ultrasound to produce visual images for medicine is called medical ultrasonography or simply sonography. The practice of examining pregnant women using ultrasound is called obstetric ultrasonography, and was an early development of clinical ultrasonography. Ultrasound is composed of sound waves with frequency, frequencies which are significantly higher than the range of human hearing (>20,000 Hz). Ultrasonic images, also known as sonograms, are created by se ...
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Echocardiography
An echocardiography, echocardiogram, cardiac echo or simply an echo, is an ultrasound of the heart. It is a type of medical imaging of the heart, using standard ultrasound or Doppler ultrasound. Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any suspected or known heart diseases. It is one of the most widely used diagnostic imaging modalities in cardiology. It can provide a wealth of helpful information, including the size and shape of the heart (internal chamber size quantification), pumping capacity, location and extent of any tissue damage, and assessment of valves. An echocardiogram can also give physicians other estimates of heart function, such as a calculation of the cardiac output, ejection fraction, and diastolic function (how well the heart relaxes). Echocardiography is an important tool in assessing wall motion abnormality in patients with suspected cardiac disease. It is a tool which helps in reaching an ear ...
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American Society Of Echocardiography
The American Society of Echocardiography (ASE) is a professional organization of physicians, cardiac sonographers, nurses and scientists involved in echocardiography, the use of ultrasound to image the heart and vascular system. The organization was founded in 1975 and has more than 17,000 members nationally and internationally. The American Society of Echocardiography promotes cardiovascular ultrasound and its application to patient care through education, advocacy, research, innovation and service. The society also provides research grants and scholarships to support advances in cardiovascular care. ASE's membership consists of physicians, cardiac sonographers, nurses, physical scientists, lab managers, and students. ASE has created numerous guidelines regarding the use of echocardiography including monitoring heart dysfunction after chemotherapy. A mobile app developed by ASE called iASE has been rated as one of the top echocardiography apps ASE joined Choosing Wisely Ch ...
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Christian Doppler
Christian Andreas Doppler ( (); 29 November 1803 – 17 March 1853) was an Austrian mathematician and physicist. He is celebrated for his principle – known as the Doppler effect – that the observed frequency of a wave depends on the relative speed of the source and the observer. Biography Doppler was born in Salzburg (today Austria) in 1803. After completing high school, Doppler studied philosophy in Salzburg and mathematics and physics at the Imperial–Royal Polytechnic Institute (now TU Wien), where he became an assistant in 1829. In 1835 he began work at the Prague Polytechnic (now Czech Technical University in Prague), where he received an appointment in 1841. One year later, at the age of 38, Doppler gave a lecture to the Royal Bohemian Society of Sciences and subsequently published his most notable work, ''Über das farbige Licht der Doppelsterne und einiger anderer Gestirne des Himmels'' ("On the coloured light of the binary stars and some other stars of the heav ...
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Cardiac Procedures
The heart is a muscular organ in most animals. This organ pumps blood through the blood vessels of the circulatory system. The pumped blood carries oxygen and nutrients to the body, while carrying metabolic waste such as carbon dioxide to the lungs. In humans, the heart is approximately the size of a closed fist and is located between the lungs, in the middle compartment of the chest. In humans, other mammals, and birds, the heart is divided into four chambers: upper left and right atria and lower left and right ventricles. Commonly the right atrium and ventricle are referred together as the right heart and their left counterparts as the left heart. Fish, in contrast, have two chambers, an atrium and a ventricle, while most reptiles have three chambers. In a healthy heart blood flows one way through the heart due to heart valves, which prevent backflow. The heart is enclosed in a protective sac, the pericardium, which also contains a small amount of fluid. The wall ...
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Diagnostic Cardiology
Diagnosis is the identification of the nature and cause of a certain phenomenon. Diagnosis is used in many different disciplines, with variations in the use of logic, analytics, and experience, to determine " cause and effect". In systems engineering and computer science, it is typically used to determine the causes of symptoms, mitigations, and solutions. Computer science and networking * Bayesian networks * Complex event processing * Diagnosis (artificial intelligence) * Event correlation * Fault management * Fault tree analysis * Grey problem * RPR Problem Diagnosis * Remote diagnostics * Root cause analysis * Troubleshooting * Unified Diagnostic Services Mathematics and logic * Bayesian probability * Block Hackam's dictum * Occam's razor * Regression diagnostics * Sutton's law copy right remover block Medicine * Medical diagnosis * Molecular diagnostics Methods * CDR Computerized Assessment System * Computer-assisted diagnosis * Differential diagnosis * Medical diag ...
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Medical Equipment
A medical device is any device intended to be used for medical purposes. Significant potential for hazards are inherent when using a device for medical purposes and thus medical devices must be proved safe and effective with reasonable assurance before regulating governments allow marketing of the device in their country. As a general rule, as the associated risk of the device increases the amount of testing required to establish safety and efficacy also increases. Further, as associated risk increases the potential benefit to the patient must also increase. Discovery of what would be considered a medical device by modern standards dates as far back as c. 7000 BC in Baluchistan where Neolithic dentists used flint-tipped drills and bowstrings. Study of archeology and Roman medical literature also indicate that many types of medical devices were in widespread use during the time of ancient Rome. In the United States it wasn't until the Federal Food, Drug, and Cosmetic Act (FD ...
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