Atrial Fibrillation

  • Adn vs Bsn Nurses

    see a lot of ECGs, especially during stress tests. One coworker has a BSN compared to an Associate degree. With an associate degree, we have learned how to identify certain specific abnormal rhythms, such as atrial fibrillation, atrial flutter, ventricular tachycardia and ventricular fibrillation. However, the coworker is better able to identify abnormal rhythms, like specific heart blocks, and is more familiar with interpreting ECGs. That coworker is not ACLS certified, has not taken additional ECG

    Words: 891 - Pages: 4

  • Stroke Prevention with Aspirin, Warfarin and Ximelagatran in Patients with Non-Valvular Atrial Fibrillation

    aspirin, warfarin and ximelagatran in patients with non-valvular atrial fibrillation: a systematic review and meta-analysis. Lip GY, Edwards SJ. Haemostasis Thrombosis and Vascular Biology Unit, University Department of Medicine, City Hospital, Birmingham, UK. Abstract OBJECTIVE: To compare the effectiveness of aspirin, warfarin, and ximelagatran as thromboprophylaxis in patients with non-valvular atrial fibrillation (NVAF). METHODS: Systematic review of randomised controlled

    Words: 1968 - Pages: 8

  • What the Heck

    1. Papillary, atrial ventricular 2. Right bundle branch 3. PAT 4. EKG 5. .5 and 5 6. Small coronary veins, ventricle 7. Right atrial ventricular, systole 8. Pectinate 9. Serous, pericardial 10. 1st, Ludd 11. Normal sinus rhythm 12. AV node 13. P, depolarization, sinoatrial 14. Isoelectric point 15. Quiescent period 16. QRS complex 17. Einthoven 18. 12, 1, 3 19. 3 20. Cardiomegaly 21. Fibrillation 22. ? 23

    Words: 309 - Pages: 2

  • Anatomy

    myocardium endocardium systole and diastole (contraction and relaxation) lubb dupp electron transport left side more pressure than right t wave ventricular recovery qrs ventricular excitation ecg - recording of electrical activity atrial fibrillation - not fatal ventricular filbrilation -fatal cardiac output - volume of blood ejected by the left ventricle in one minute stroke volume - the volume of blood ejected by the left ventricle per contration cardiac rate - number of ventricular

    Words: 326 - Pages: 2

  • Neurology

    to LACS History Is it acute onset, time of onset of symptoms essential for thrombolysis, witness account if possible Current symptoms (assess if focal or not) Past medical history- Diabetes, HTN, Dyslipidaemic, Ischaemic heart disease, atrial fibrillation Smoking, lifestyle, medications(esp warfarin), intolerances Social history Examination Evidence of heart failure, AF, peripheral pulses Higher mental fns involved?- suggests cortical involvement Dominant- some variant of dysphasia

    Words: 333 - Pages: 2

  • Rhythms

    Rate 60 to 100 beats a minute, regular rhythm with periodic irregularity Atrial Fibrillation describes a condition in which the atrial tissue randomly generates action potentials from many different regions. Physically, the atrial muscle appears to quiver (it looks like Jell-o). There are no noticable p-waves, and the overall rhythm is irregularly irregular. The reason you cannot see P-waves is that the atrial activity is about as scrambled as a breakfast omelette. The key to recognizing

    Words: 1343 - Pages: 6

  • Epidemiology Study

    The research question in the article that I chose is whether or not alcohol consumption of moderate quantities, and binge drinking, are associated with a higher risk of incident atrial fibrillation in a large cohort of people who already have cardiovascular disease or diabetes with end-organ damage. The type of study used was a cohort study, most likely a prospective cohort study. The cohort studied patients who had no heart failure and were at a high risk for cardiovascular events. Alcohol consumption

    Words: 737 - Pages: 3

  • Hemorrhagic Stroke

    signs included left sided facial drooping, non-reactive left pupil, right sided weakness in the upper and lower extremities, and the inability to speak. Along with the signs and symptoms of the stroke, a 12-lead EKG revealed that he also has atrial fibrillation. The initial computerized tomography (CT) scan of his brain revealed nothing, but a subsequent MRA (magnetic resonance angiogram) concluded that he did, in fact, have an occluded branch of the left MCA that eventually converted to become hemorrhagic

    Words: 4902 - Pages: 20

  • Causes and Effects of Stroke

    thrombus or embolus blocking the flow of blood to the brain; these blood clots typically form in areas near the arteries that have sustained damage from atherosclerosis by a large buildup of plaques. Conversely, embolus blood clots are caused by atrial fibrillation, which is an irregular pattern heart beat that leads to the formation of blood clots and poor circulation of blood flow. Hemorrhage strokes are caused by high blood pressure, a serious head injury, or even aneurysms. Predictably, high blood

    Words: 1366 - Pages: 6

  • Academic Skills Literature Searching

    databases returns a multitude of examples of adverse events post DC cardioversion. The international guidelines for the delivery of DC cardioversion highlight adverse outcomes associated with the procedure such as temporary atrial stunning, dislodgement of thromboembolism from the left atrial appendage and complications relating to conscious sedation (Camm et al. 2010). This information will contribute to the search strategy. The value of answering a question could be answered by asking if the question is

    Words: 1925 - Pages: 8

  • Atrial

    Atrial fibrillation By Mark DeVries Fibrillation of the Heart For English 101 Teacher Pat Moran C.T.U. 03/10/2013 Atrial fibrillation is affecting millions of Americans today. This condition is of great concern, because most Americans afflicted with this disease don’t know they have it. This is a condition of heart disease called atrial fibrillation. The Mayo Clinic (2012) defines it as “an irregular and often rapid heart rate that commonly causes poor blood flow to the body”. This

    Words: 1002 - Pages: 5

  • Research Paper

    found............................................................................ 68 5.9 Modelled stroke prevalence and prevalence in GP stroke registers .. 69 5.10 Quantifying the impact of risk factors on stroke prevalence .......... 71 5.11 Atrial Fibrillation......................................................................... 73 5.12 Attributing future stroke prevalence to individual risk factors ........ 74 5.13 Predicting the impact of risk factor reduction on stroke prevalence75 5.14 Comment

    Words: 29085 - Pages: 117

  • Guide to Rhythm Strip Interpretation Using Six Steps

    hypoxia; hemorrhage | Oxygen. Treat underlying cause, do not correct the rate if a definitive cause is left untreated | Pemature Atrial Contraction (PAC) | A single beat faster than base rate | Different from normal, may be buried in preceding QRS | May be slightly long or normal | Could be normal slightly aberrant | Occasional ones insignificant; may be precursor to atrial tachycardia | Sedation; with hold coffee and tea; check lytes (MG and K) digoxin or beta blockers may be used, rarely required

    Words: 1030 - Pages: 5

  • Atrial Fibrillation

    Introduction For the purpose of this assignment I have chosen to review a client with atrial fibrillation in a primary care setting. I will discuss the patient’s original presentation, including analysis and interpretation of his 12 lead electrocardiogram (ECG), diagnosis and subsequent management. Throughout the assignment I will discuss local and national guidelines and the evidence behind the chosen management for this client. For the purpose of this assignment the client will be referred

    Words: 2790 - Pages: 12

  • Ecg Basics and Abnormal Ecg

    horizontally 1mm(one small square)=0.04sec (one large square=0.04x5=0.2sec vertically 1mm=0.1mv P-wave- atrial depolarisation –upright width – 2.5mm=0.1sec QRS - ventricular de-polarisation width – 1-2.5mm=0.04-0.1sec average 0.08sec height – variable PR- interval-from the starting of atrial depolarisation to ventricular depolarization 3-5mm(0.12-0.2sec) T-wave-upright-repolarisation

    Words: 838 - Pages: 4

  • Stroke Case Study

    collapsed. The symptoms started 10 minutes prior to calling 911. The patient is suffering from left sided paralysis with slurred speech. She lives on Christian Island and needs to take a ferry to get to the nearest hospital. She has a history of atrial fibrillation and TIA’s, and the patient also smokes 2 packs of cigarettes a day. She’s on ASA, digoxin, ramipril, metoprolol. She has an allergy to penicillin and bee stings. The patient shows a-fib on the monitor and vital signs and GCS are normal. Pupils

    Words: 1513 - Pages: 7

  • Atrial Fibrillation and Nursing Considerations

    Atrial Fibrillation And Nursing Considerations As a nurse one must provide holistic care. To better understand aspect of providing holistic nursing care one must have an in-depth understanding of primary body systems and their pathology. This paper will educate the prudent nurses who read it with detailed information about the specific cardiac pathology of atrial fibrillation. Written with a basic understanding of human heart function/structure as a prerequisite, this paper will first discuss

    Words: 2583 - Pages: 11

  • Focus Assessment

    equal and reactive bilaterally. Right hand grasp slightly weaker then left. Lungs bilaterally clear and diminished in bases. Bowel sounds active times 4 quadrants. Pt. has ileostomy which is pink, draining watery green and brown stool. Pt. has atrial fibrillation. Heart rate is irregular upon auscultation. Pt. right leg is weaker than left leg. Pt. has decreased ROM and foot push on right side. Pt. skin is warm and dry. Pedal pulses present bilaterally. PT. denies any pain at this time. Call light within

    Words: 282 - Pages: 2

  • Doctor

    PPR 6006: MEDICATION REGIMEN REVIEW ASSIGNMENT Mr. L is an 84-year-old man with dementia and a medical history of atrial fibrillation, diabetes mellitus (type 2), chronic kidney disease, gastritis, and gastro-esophageal reflux disease. His past surgeries include a bladder resection for bladder cancer resulting in urinary incontinence in 2010 and a lumbar decompression for spinal stenosis in 2008. He lives with his wife of 51 years, Mrs. L, who cares for him. His biggest concerns are forgetfulness

    Words: 282 - Pages: 2

  • Registered Nurse

    pressure, cholesterol levels, diabetes mellitus, and atrial fibrillation. Lowering blood pressure in patients with hypertension prevents both types of stroke, which are hemorrhagic and ischemic. Specific programs aim to improve general health and well being while also involving specific protection for selected diseases, this includes lifestyle modifications and measures to control blood pressure, cholesterol levels, diabetes mellitus, and atrial fibrillation. Lowering blood pressure in patients with hypertension

    Words: 1663 - Pages: 7

  • Kjkl

    cardiomyopathy, a potentially deadly condition in which the heart muscle weakens and eventually fails, as well as heart rhythm abnormalities such as atrial and ventricular fibrillation. Atrial fibrillation, in which the heart's upper chambers (atria) twitch chaotically rather than constrict rhythmically, can cause blood clots that can trigger a stroke. Ventricular fibrillation causes chaotic twitching in the heart's main pumping chambers (ventricles). It causes rapid loss of consciousness and, in the absence of

    Words: 975 - Pages: 4

  • Heart

    failure, and autoimmune conditions are common causes. * Pericardial effusion: Fluid between the lining of the heart (pericardium) and the heart itself. Often, this is due to pericarditis. * Atrial fibrillation: Abnormal electrical impulses in the atria cause an irregular heartbeat. Atrial fibrillation is one of the most common arrhythmias. * Pulmonary embolism: Typically a blood clot  travels through the heart to the lungs.  * Heart valve disease: There are four heart valves, and each

    Words: 587 - Pages: 3

  • Journal Club #1

    for subtle color change, which can be associated and indicate irregular blood flow caused by atrial fibrillation (Pogorelc, D. 2014, September 3). In the United States atrial fibrillation affects nearly three million Americans, which is the occurrence of the upper and lower chambers (the atriums and ventricles) out of sync each time the heart beats (Pogorelc, D. 2014, September 3). Atrial fibrillation is not one of those conditions that are difficult to diagnose, it is readily diagnosed and treated

    Words: 589 - Pages: 3

  • A Student

    Rhythm Recognition Exercise-induced arrhythmias can be determined by answering similar questions to those posed when evaluating an ECG at rest: * What is the atrial rhythm? In the normal heart, P waves should be clearly identifiable because they occur prior to every QRS complex. Identification of a P wave may be difficult at high heart rates during exercise because the P wave may be superimposed on the T wave of consecutive beats. * What is the ventricular rhythm? In the normal heart the

    Words: 362 - Pages: 2

  • New Technology in My Field

    electronic sensor with many potential applications due to its powerful performance, small size, and low cost. Heart monitoring is one obvious candidate, since the system could gather data on some components of an EKG, such as pulse rate and atrial fibrillation its ability. Its ability to measure EEG brain signals could find use in nursing care for patients with dementia. ‘’current technology allows you to measure these pulse rate and skin responses. Also the university of Utah engineers have developed

    Words: 292 - Pages: 2

  • Circulatory System of Mammals

    Systole: heart muscle is contracted Diastole: heart muscle is relaxed Cardiac output is the amount of blood flowing from the heart.= Stroke volume (Volume of blood) X Number of beats in a given time (Heart Rate) 1 22-Sep-12 1. Atrial and ventricular diastole 2. Atrial systole 3. Ventricular systole •It describes how blood flows from veins to atria Both atria and ventricles are relaxed •Atria pressure lower than in veins so blood moves into atrium, which is achieved when atria muscle relaxes

    Words: 1017 - Pages: 5

  • Short Essay on Warfarin

    Warfarin: The anticoagulant Some medical conditions require thinning of the blood in order to prevent formation of dangerous blood clots in veins and arteries, which can be life-threatening. These medical conditions range from atrial fibrillation that causes irregular heartbeat; to mechanical heart valve and after a heart attack. (National Institutes of Health, 2013). Cardiovascular diseases can encourage the formation of intravascular clots-inside blood vessels, especially if the latter are

    Words: 527 - Pages: 3

  • Effects of Disease on the Health Care Industry: Cardiovascular Disease

    | | | |Cardiac Arrhythmias |Medications - for example of atrial |Atrial fibrillation (cardiac | |The American Heart Association - | | | |fibrillation a patient would be |arrhythmia) is brought on by |There are 16 per 1000 people have | |Patients

    Words: 817 - Pages: 4

  • Nursing

    murmur): | | | | | |I.F shows atrial fibrillation rhythm on the cardiac monitor. | | |Thorax and Lungs (inspect thoracic cage, symmetry, tactile fremitus, trachea; palpate symmetrical expansion;, percussion of anterior

    Words: 1872 - Pages: 8

  • Gerontology

    furosemide 80mg was administered IV push and patient was provided with an indwelling foley catheter which is draining clear yellow urine. Past Medical History is significant for Hypertension, Diabetes, Congestive Heart failure, and Atrial Fibrillation with two unsuccessful cardioversions. Medications: Patient currently taking Furosemide, Lisinopril, Digoxin, Metformin, and Glyburide. Patient unable to recall dosages. Past Surgical History is significant for cesarian sections x

    Words: 1602 - Pages: 7

  • Pharmacist

    COVER ARTICLE PRACTICAL THERAPEUTICS Acute Management of Atrial Fibrillation: Part I. Rate and Rhythm Control DANA E. KING, M.D., LORI M. DICKERSON, PHARM.D., and JONATHAN L. SACK, M.D. Medical University of South Carolina, Charleston, South Carolina Atrial fibrillation is the arrhythmia most commonly encountered in family practice. Serious complications can include congestive heart failure, myocardial infarction, and thromboembolism. Initial treatment is directed at controlling the ventricular

    Words: 4037 - Pages: 17

  • Case Study 8 - Winningham

    such as television to distract patient from pain Elevate the leg to reduce swelling that may cause greater pain 14. You evaluate L.J.’s ECG strip. Name this rhythm, and explain what consequences it could have for L.J. Atrial Fibrillation- due to lack of synchronized atrial contraction blood movement is reduced creating stagnant blood. This stagnant blood may blood and form new thrombi in L.J.’s venous system. 15. What are you going to tell him? I am going to remind him that long periods

    Words: 857 - Pages: 4

  • Medical Terminology Paper

    I am writing about three news related articles that deal with current event medical topics. My first topic will be covering MERS the Middle East Respiratory Syndrome which is a respiratory virus, I will go more in depth about. Next, is Atrial Fibrillation (AFIB) this is an irregular heartbeat. Lastly I will discuss sleep apnea which deals with your breathing while sleeping. To begin with, I am going to talk about MERS. The middle east respiratory syndrome corona virus (MERS) is a Beta corona virus

    Words: 875 - Pages: 4

  • Cv+Blood

    atria are termed supraventricular dysrhythmias (supraventricular means above the ventricles). These dysrhythmias include: * Atrial flutter * Atrial fibrillation * Paroxysmal Supraventricular tachycardia * Wolff-Parkinson-White syndrome * Ventricular dysrhythmias begin in the ventricles and include: * Ventricular fibrillation * Premature ventricular contractions * Long QT syndrome Bradycardia is a slow (under 60 beats per minute) heart rhythm

    Words: 5508 - Pages: 23

  • Acls

    Tachyarrhythmias  Narrow–QRS-complex tachycardias • QRS < 0.12 second • Sinus tachycardia • Atrial fibrillation • Atrial flutter • AV nodal reentry • Accessory pathway–mediated tachycardia • Atrial tachycardia (including automatic and reentry forms) Classification of Tachyarrhythmias  Wide–QRS-complex tachycardias • QRS > 0.12 second • Ventricular tachycardia (VT) • ventricular fibrillation(VF) • SVT with aberrancy • Pre-excited tachycardias  (Wolff-Parkinson-White[WPW] syndrome)

    Words: 2846 - Pages: 12

  • Human Anatomy Case Study

    persistent tachycardia and light-headedness. Upon examination, chest x rays showed an enlarged left atrium and left ventricle. ECG analysis showed atrial fibrillation. There was also mild pulmonary congestion. Cardiac evaluation resulted in the following information: Cardiac output (CO) 3.2L/min. SV = 40mls Blood pressure (BP) 100/58 mm Hg Left Atrial pressure (LAP) 16 mm Hg Right ventricular pressure (RVP) 44/8 mm Hg Heart sounds revealed valvular regurgitation 1. Answer all questions

    Words: 748 - Pages: 3

  • Atrial Septal Defect

    atria, to the left ventricles and to the body via Aorta. Left and right atria are separated by the septum. When there is a “hole” between right and left atrium, blood will flow from left to right atrium instead of flowing to the body. This is called atrial septal defect (ASD). According to American Heart Association (AHA), “this defect allows oxygen-rich blood to leak into the oxygen-poor blood chambers in the heart”, hence reducing oxygen circulating in the body. When there is less oxygen in the body

    Words: 469 - Pages: 2

  • Emharrison584

    activity intolerance, and palpations * Treatment * Is aimed at reducing the workload of the heart and may include surgical interventions to provide adequate blood flow * Digitalis – to improve cardiac concertation and treat atrial fibrillation – HIGH RISK BLOOD CLOTS – KNOW! Pericarditis * Inflammation of the pericardium * Chest pain * Substernal, radiates, sharp, and grating increases with deep inspirations Myocarditis * An inflammation of the heart muscle

    Words: 926 - Pages: 4

  • Transformation an Ep Practice for Timeliness

    provider with the amount of new patients seen and the amount of follow-up visits in any given day (Figure 2, example from recent 3 month schedule summary). Some of the variation is due to variance in skills sets (i.e.: Physician 4 does not perform atrial fib ablations) though there is variation in the volume of return visits and opportunity to understand this variance. Provider | New Patients (NP) | Established Patients (EP) | NP/EP | clinic half days | NP/half day | EP/half day | Physician 1 |

    Words: 5471 - Pages: 22

  • Cardiac Notes

    60-100 bpm * Sinus (atrial) Bradycardia: SA node discharges at &lt; 60 bpm. TREATMENT is atropine and pacemaker if they become symptomatic. Usually the contractions are irregular but the same distance apart so they are irregular-regular * Sinus Tachycardia (atrial dysrhythmias): SA node discharges at &gt; 100 bpm. Regular but fast; they won’t have heart block because the SA node is firing too rapidly. TREATMENT is BB or CCB to ↓ HR and BP * PAC (Premature Atrial Contraction): impulse

    Words: 2474 - Pages: 10

  • Stroke

    heparin for patients with acute ischemic stroke. Methods—A survey was undertaken of 280 neurologists from the United States and 270 neurologists from Canada. Brief vignettes were presented for the following 5 scenarios: stroke in evolution, atrial fibrillation-related stroke (A FIB), vertebrobasilar stroke, carotid territory stroke, and multiple transient ischemic attacks. The effect of medicolegal factors was also ascertained. Statistical comparisons were done with chi-squared testing. Results—US

    Words: 1740 - Pages: 7

  • Case Study in Ineffective Pharmacological Management

    and families about risk reduction. In this case study I will explore potential problems related to ineffective pharmacological management in a patient with a history of Hyperlipidemia, Depression, Hypertension, Parkinson’s, Gout, Nonvascular Atrial Fibrillation and Chronic Kidney Disease with Proteinuria. Overview of Mr. J’s medical conditions Mr. J has been diagnosed with Hypertension. Hypertension is a chronic medical condition; in which the blood pressures in the arteries are elevated. Blood

    Words: 4958 - Pages: 20

  • Virtual Family Health Assessment

    "Tom" (Primary Patient) Health Issues Atrial Fibrillation, Diabetes Mellitus type 2, hypertension Health History 1) Past health history Childhood Illnesses: recurrent Strep Throat, Chicken Pox Injury History: Left broken radius (age 13) in hockey game Chronic Illnesses: Type 2 Diabetes Mellitus, Atrial Fib., Hypertension (controlled) Hospitalizations: 2010 for tachycardia, diagnosed with new onset Atrial Fibrillation Operations: Tonsillectomy (1978) Obstetric

    Words: 1813 - Pages: 8

  • Atrial Fibrillation

    Atrial Fibrillation Pathophysiology March 20, 2016 Introduction Atrial Fibrillation, commonly known as A-Fib or AF, is the most common type of persistent cardiac arrhythmia. AF effects only 2% of the population under the age of 65, but 9% of those over the age of 65 (Centers for Disease Control and Prevention [CDC], 2015). Many other cardiac diseases are seen with AF, either as a cause, or as a result of the atrial fibrillation. Left untreated, AF can result in tachycardia that causes

    Words: 1970 - Pages: 8

  • Health History of an Older Adult

    per day. It is reported that both clients RLS and allergies are treated and maintained by his primary care physician. In 2015 the client had significant cardiovascular events which required medical interventions. Client was diagnosed with Atrial Fibrillation while an inpatient for chest pain. Subsequent cardioversion intervention was successful producing a normal sinus rhythm. Client was discharged to home however suffered a Myocardial Infarction the following day requiring stent placement. Client

    Words: 1283 - Pages: 6

  • Soc 313 Week 3 Quiz Endocrine and Cardiovascular Systems Disorders Terminology

    resolves with rest or from taking a medication. unstable angina ischemia arrhythmia stable angina Question 10.            Interruption of normal blood flow to part of the brain is known as __________. cerebrovascular disease hypertension atrial fibrillation arrhythmia For more Assignments visit

    Words: 304 - Pages: 2

  • Adhf

    Atrial Fibrillation Seminar Case 1 CC: “My chest seems to be pounding fast and it will not go away” HPI: MJ is a 66-year-old Caucasian male who presents to his PCP because of increased chest palpitations. The patient stated that he started feeling chest palpitations about 2 weeks ago. At first he barely noticed them and attributed them to some bad heartburn from eating too much spicy food. However, the palpitations have become progressively more prominent over the last 4-5 days and therefore

    Words: 1456 - Pages: 6

  • Science

    which is used to correct the abnormal heart beats (amiodarone, cordarone). Amiodarone interacts with the beta blockers, like atenolol, propranolol, metoprolol, etc. resulting in slow rate of heart beats. In case of Mrs.Lim, she suffers from Atrial Fibrillation. This is the most common type of arrhythmia seen in clinical practice (Hirohata et al., 2011, pp.276-283).To deal with this, doses of Amiodarone are prescribed, which help in correcting the rate of heart beat. Some of the common side effects

    Words: 2065 - Pages: 9

  • Health Related

    use a variety of interventions including biofeedback, relaxation, goal setting, problem solving, planning in order to rehabilitate patients. During the home visit we visited an 87year-old gentleman with a history of falls, cardiac failure, atrial fibrillation and dementia. The patient felt dizzy when he stood up and at one point burned himself while standing next to the radiator and did not notice the injury, he also struggled to carry out activities of daily living like getting in and out of the

    Words: 417 - Pages: 2

  • Left Atrial Function: Physiology, Assessment, and Clinical Implications

    European Journal of Echocardiography (2011) 12, 421–430 doi:10.1093/ejechocard/jeq175 REVIEW Left atrial function: physiology, assessment, and clinical implications Gustavo G. Blume 1, Christopher J. Mcleod 1, Marion E. Barnes 2, James B. Seward 1, Patricia A. Pellikka 1, Paul M. Bastiansen 1, and Teresa S.M. Tsang 2* 1 Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN, USA; and 2Division of Cardiology, University of British Columbia, 2775 Laurel Street

    Words: 10392 - Pages: 42