#Cordis Heart Institute

[obigem]

After Cordie left Matthew's side, her full focus tunneled onto Jai.

It had been 5 long months since she'd seen him last and now here he was looking so much older, more mature, more handsome than she'd seen him last. With each step, her heart began to race

With just a step between them, her heart was in her throat. Almost tongue-tied, the most she could get out was "Hi."

"Hey." Jai said back with a smile. Smoothly, cooly. How could she ever top that response?

"So, um, how was the bus ride back from the O'Haleran Institute?"

"Long."

Jai's one word answers were driving her batty. He had never been this aloof before. She'd been anticipating his return for weeks and now it was starting to feel like maybe that meant more to her than it did to him.

"Maybe, we should get to homeroom?" She wilted.

"We could, but I was hoping I could get a welcome back hug from my girlfriend before that."

"What? Really?"

"Cordie, it's been months and then on the morning of my return I have to wait even longer for you to get off Landgraab duty just to say hi. Yes, really."

Cordie did a half skip into Jai's arms.

"You big jerk! Why didn't you lead with that?"

"Because you were acting all weird. I know it's been a while, but I don't seem that different, do I?"

Cordie nuzzled herself into his shoulder. "Maybe just a little. Your hair is longer."

"Yeah, the locticians were crazy expensive in San Sequoia, so I had to go without for a while. Do you hate it?"

"No, it suits you. The facial hair though, that's going to take some getting used to."

"That I can trim now that I'm home. Classes at the institue kept me busy."

"I missed you." Jai's voice softened as he gave her a squeeze.

"I missed you too. So much. Maybe too much."

"I don't know if there can be a too much when it comes to how I feel about you. Do you think, I could kiss you?"

"Out here? In front of everyone?" Cordies heart raced.

"From the moment I saw you again, I've wanted to. If now's not a good time then—"

"No. I want to, too. It's OK."

At that, Jai pulled away from her just enough so that he could cup her cheek and draw her lips to his.

When they connected it was liike fireworks.

It was like their first time all over again, only this time, Jai's facial hair tickled her nose and scratched her cheek.

It wasn't perfect, but it still made her see starlight. He still made her heart stutter and stop. He was still Jai, and she was glad that he was finally home.

[speedywitchanchor]

Abu Dhabi: A medical team at Prince Mohammad bin Nasser Hospital in Jazan has succeeded in replacing an aortic valve without open-heart surgery on a patient, local media reported.

Saudi surgeons successfully used the less-invasive technique, known as TAVR, on the patient who was suffering from severe aortic valve stenosis, with weakness in the heart muscle.

The patient has recovered and was discharged from the hospital.

The one-way valve inside your aorta opens to allow blood to surge from the heart to the rest of your body. But as you age, the valve’s leaflets may stiffen and become clogged with calcium deposits, restricting blood flow.

About 12% of people ages 75 or older have this condition, known as aortic stenosis. Symptoms include feeling dizzy, faint, tired, and breathless. Unless the valve is replaced, half of people with symptoms from aortic stenosis die within two years.

Until recently, open-heart surgery was the only option for replacing the valve. But a treatment called transcatheter aortic valve replacement, or TAVR, offers a less invasive alternative with an easier, shorter recovery.

Traditional valve replacement surgery involves having your chest cracked open and going on a heart-lung bypass machine, followed by a week or so in the hospital and a lengthy recovery. It’s risky for everyone but especially for older people, who tend to be frail and have other health problems. Doctors use an online tool that accounts for those issues to estimate a person’s risk of dying during the surgery. Anything higher than 8% is considered high risk. In that case, TAVR is an option.

[ruksarshaikhworld]

Cordis Heart Institute

At Cordis Heart Institute, our main motto is giving wellness to the patients. We have trio combination of contemporary instruments, state of art facilities and experienced team of doctors for EECP Treatment in Mumbai.

https://cordisheartinstitute.com/

https://www.facebook.com/CordisHeartInstitute

[nicklloydnow]

"“My definition for mysticism,” Rohr said, “is experiential knowledge of the Holy, the transcendent, the divine, God—if you want to use that word, but I’m not tied to it.” Experiential knowledge, which differs from textbook knowledge, “will always be spoken humbly, because true spiritual knowledge is always partial. You know you don’t know the whole mystery. But even one little peek into one little corner of the mystery is more than enough.”

(...)

As Rohr tells it, the contemplative mind went underground during the Protestant Reformation. It was still being taught in some monasteries as late as the fifteenth century, and in isolated places such as Spain there was “an explosion of contemplation” through the mystical writings of Teresa of Ávila and St. John of the Cross. But then came Luther’s sola scriptura and Descartes’s cogito ergo sum, both of which placed the dualistic, egoistic mind at the center. Guigo the Carthusian, a twelfth-century monk, spoke of three levels of prayer: oratio, or spoken prayer; meditatio, using the mind to reflect on a piece of scripture; and contemplatio, the wordless prayer of the heart. This is the moment, Rohr explains, when “you shed the mind as the primary receiver station. You stop reflecting. You stop critiquing or analyzing. You let the moment be what it is, as it is, all that it is. That takes a lot of surrender.” After the Enlightenment and its Cartesian dualisms, the contemplative mind—“our unique access point to God,” as Rohr describes it—“was pretty well lost.”

(...)

So many of the mistakes in American Christianity, Rohr told me, are a result of dualistic thinking, which is “inherently antagonistic, inherently competitive. You’re forced within the first nanosecond to take sides. Republican-Democrat, black-white, gay-straight . . . go down the whole list of what’s tearing us apart—the dualistic mind always chooses sides.” He is sympathetic to those who disaffiliate from religion. But he still believes in faith’s power to instill awe, to bind and heal, to return us to ourselves, to God, and to one another. At the center of that return lies the contemplative mind.

(...)

I was also reading Cassian’s Conferences and considering the author’s role as chronicler of the early Christian monastic movement in Egypt, a kind of fifth-century immersion journalist of the soul. Cassian describes Christian life as a journey toward puritas cordis: purity of heart. If that is the destination, the vehicle is silent prayer.

Ontological wonder, tenderness, puritas cordis, pondering scales of mercy: these seemed like activities worthy of my meager efforts, and I felt a similar hunger for those things among other contemplatives, those who were also leaving the barnacled, empty supertanker of Christendom and boarding smaller, more nimble vessels.

“Does mysticism need a church?” In his introduction to the Conferences, the Cambridge historian Owen Chadwick poses this as a central conundrum in early monastic thought, a question that was very much alive among the modern contemplatives. “The individual experience of the divine is overwhelming,” Chadwick writes. “It passes beyond the memory of biblical texts and every other thought. . . . Might it be that holy anarchy is nearer to God than ordered ecclesiasticism?”

Like Cassian, I was more drawn to holy anarchy. And yet, in the process of fleeing broken ecclesial institutions, didn’t the new contemplatives also constitute a body politic? What was the Universal Christ conference if not a new form of church? It���s possible to see organized religion as a necessary evil, something that could be dispensed with once individuals reach some higher plane of awareness, but that seems facile. Humans depend on patterns and structures. Forms change, but we still need them to provide some kind of continuity of thought and praxis, just as we depend on forms to build community, which is the other piece missing in the laissez-faire approach. In an essay titled “The Mystical Core of Organized Religion,” the Benedictine monk Brother David Steindl-Rast readily acknowledges that “mysticism clashes with the institution.” And yet, he admits, “We need religious institutions. If they weren’t there, we would create them. Life creates structures.”

(...)

In his book Conjectures of a Guilty Bystander, Merton describes an incident he experienced in Louisville, Kentucky, on March 18, 1958, as he stood on the corner of 4th and Walnut Streets.

“There is no way of telling people that they are all walking around shining like the sun,” he writes.

I suddenly saw the secret beauty of their hearts, the depths of their hearts where neither sin nor desire nor self-knowledge can reach, the core of their reality, the person that each one is in God’s eyes . . . It is like a pure diamond, blazing with the invisible light of heaven . . . I have no program for this seeing. It is only given. But the gate of heaven is everywhere.

It is striking that Merton’s epiphany occurred not in a monk’s cell or cathedral alcove, but on a busy street in Louisville. Sartre famously said that “hell is other people,” but for Merton, and for Holmes, Bucko, McCrary, Rohr, and so many of the contemplatives I met, other people are not hell; they are portals to paradise.

One paradox of the contemplative life is the way in which it engenders, even demands, participation in a community. “The life of a Christian is not a solo act,” McCrary told me. “Jesus went to the desert alone to pray, but he was always building community. It’s a both-and.” The reverse is also true. Rohr: “How you relate to your spouse, your children, your dog—that’s how you’ll relate to God.”

The gate of heaven opens for us all, but the hinge swings outward as much as inward, leading not into some hermetically sealed chamber, but a spacious meadow where we find every person we’ve ever known, a field of solitaries loved beyond measure, a destination as near as our next breath."

[cristinablackthornkingson]

Shadowhunters Short Story #57 Teenage Mina Carstairs accidentally time travels.

It is a blazing hot summer’s day in June of 2030 and 17 year old Mina Carstairs has just finished a magic lesson with her mother. Mina’s powers have yet to fully come into fruition, she has accidentally used her powers once or twice, but it’s not precisely clear just what powers she has. When she was a toddler, Mina had once used her powers to replace her healthy dinner with a plate of chocolate coated pancakes, at 3 she had accidentally used her powers on the family cat Church, and turned his fur bright yellow, her favorite color. Since her older siblings’ powers came to light when they were around Mina’s age, her mother and her Aunt Cat, Uncle Magnus and Uncle Ragnor, had started teaching Mina about her magic and her powers when she turned 12. Her brother James’ powers came to light at 13, her brother Kit was 15 when he discovered his powers, and her sister Lucie was 16 when she discovered hers. Mina’s younger siblings, twins Jade and Charlotte, and her baby brother Will, have shown no signs of any of their powers yet, so for now Tessa is focusing on teaching Mina. 

Usually after her lessons Mina feels very tired and needs to rest for an hour or two. Right now she is lying on her back on her bed, trying to practice a simple spell her mother had just gone over with her, but she’s finding it very difficult and is growing quiet frustrated, she wishes she could be as natural at as her Uncle Magnus, who uses his magic for anything and everything.

Mina looks over to her bedside table, where there are a few framed pictures of her family, as well as some books and other things. The picture closest to her is a picture of her sister Lucie, smiling and clutching a book to her chest. Tessa had used her powers to colorize the photos some time ago, so it looks like the picture was taken only a few days ago, not centuries ago. 

“I wish you were here Lucie.” Mina quietly says, reaching out to touch the picture with one hand. “I wish you could sit with me and talk about my powers and how I can’t seem to use them properly, I wish you could give me advice. I hate that I’m never going to meet you or Jamie, or any of our Aunts, Uncles and Cousins.” Tears well up in Mina’s eyes as she thinks about all the family she has and will never get to meet. She wants nothing more than to know her other siblings and to meet her Aunts, Uncles and Cousins she’s heard so much about.

As the sadness, anger and frustration builds and builds inside Mina and threatens to bubble over, a sudden burst of light shoots through the room and Mina feels the bed fall out from under her. 

The next thing she knows, she’s sprawled on the hard wooden floor of an unfamiliar sitting room. The curtains are open, but Mina doesn’t recognize anything outside the windows. There is a great big fireplace at the far end of the room. She notices there are no Tvs, no laptops, no technology at all, and there is a mural of Raziel raising from Lake Lyn with The Mortal Instruments, on the far wall. She must be in an Institute somewhere. 

Mina groans and rolls from her stomach onto her side, hissing at the pain in her side. 

“Shit.” Mina quietly says, when she sees she has landed on her phone, and cut her arm pretty badly. 

“Who are you?!” Mina suddenly hears an unfamiliar voice with an English accent ask. Her heart almost stops when she turns around and sees a tall girl with short chestnut brown hair standing a few feet away from her, dressed in a yellow Victorian era dress.

“Lucie.” Mina breathes in shock and disbelief. 

“How do you know my name?!” Lucie asks in a sharp tone, eyeing the poker by the fireplace, in case she needs a weapon. 

“I-I, it’s a long story.” Mina weakly says. “I’ll tell it to you, but can you help me first? I think I cracked a rib when I landed.” Lucie’s eyes narrow but she takes a step forward. 

“Landed? Did you come through a portal?” She asks. 

“I-I’m not sure, I-I seem to have gone back in time.” Mina timidly says, knowing her sister isn’t going to believe her. 

“What’s your name?” Lucie asks, her tone growing gentle. 

“W-Wilhelmina, Wilhelmina  Yiqiang Ke Carstairs, but you can call me Mina.” Mina says in a breathless tone.

“Carstairs? Are you related to Cordy and Alistair?” Lucie asks in a suspicious tone. 

“Yes, my dad is their cousin, Jem Carstairs, and my mum is Tessa Herondale-Carstairs.” Mina quietly says. Lucie’s blue eyes widen and she shakes her head slightly. 

“That is impossible, Uncle Jem is a Silent Brother, he never had children before he became a Silent Brother, he and mama wanted to have children but he had to become a Silent Brother before they could even marry.” 

“I know, I know your dad and my dad and our mum were all in love but my dad had to become a Silent Brother to save his life, so Uncle Will and mum got married and had you and Jamie.”  Lucie shakes her head again, in disbelief. 

“How do you know all this?! Who are you?!” She demands. 

“I’m your sister, I know it sounds impossible and crazy, but I can prove it. Mama always wears a jade pendant that dad gave her when they got engaged, right?” Mina says, Lucie nods wordlessly. Mina’s fingers go to her throat and she pulls on a chain and lifts out the exact pendant that her father gave her mother. Tessa had lent to Mina yesterday when she had a date with a girl she met in LA. Mina had forgotten to give IT back this morning, which she is now very thankful for. “My little sister is called Jade, because of this and the one Uncle Will gave to dad, my grandpa gave this to my grandma when they got engaged, then dad gave it to mum, you’re going to wear it on your wedding day, my brother Kit wore it when he got married, it’s a tradition now. I’m named after Uncle Will, my other sister is named after Aunty Charlotte and my little brother is named after Uncle Will too.” 

“I suppose that would explain why you’re dressed like that.” Lucie mumbles to herself. She has never seen anyone dressed like the girl in front of her, she’s practically in just her underwear, wearing what look like short white bloomers and a white top with pink writing that reads ‘Angry feminist’ with a design of flowers underneath it. 

“So you believe me?” Mina asks hopefully, letting the remark on her style go. 

“How else would you have gotten that pendant? I saw mama two minutes ago and she was wearing it so it’s not like you could have stolen it. But how did you get here?” Lucie curiously asks.

“I’ll explain if you help me up and patch me up.” Mina says, holding up her arm so Lucie can see the gash running from her wrist to her elbow. 

“I don’t suppose you can turn into a shadow like Jamie, can you?” Lucie hopefully asks, wondering how she is going to get Wilhelmina up to the infirmary without anyone noticing.

“No, why?” Mina asks, as Lucie hauls to her feet.

“It would have been easier to get you upstairs if you could but nevertheless we will work something out.” She says.

“Maybe you could summon my dad? He’s a really good healer and he’s really good at keeping secrets and not overreacting.” Mina says. 

“It is so strange to hear Uncle Jem referred to as ‘dad’, I do not think we can risk it however, papa is always coming up with silly excuses to summon The Silent Brothers in an attempt to see Uncle Jem, sometimes they’ll send Brother Enoch instead to make papa stop, if they do that this time and know who you are and where you’ve come from, they might not let you go.” Lucie says in a tone full of worry. It has just begun to sink in that this girl in front of her, is her baby sister. She can see the resemblance to Uncle Jem now, and mama, and even herself and Jamie. The thought of anything happening to her sister is too much for Lucie to bare, much as she wants to get to know her and have her around, she needs to get her sister back to her own time. 

“We could use the back passages, the servants passages.” Mina suggests, thinking of the training Kit gave her, on how to get around unnoticed. 

“I suppose that could work, we could at least try it.” Lucie admits. 

Ten minutes later both girls have successfully gotten upstairs unseen, though Lucie decided to take Mina to her room instead of the infirmary, where anyone could walk in at anytime. 

“How did you get here Wilhelmina?” Lucie asks, picking up her stele and indicating for Mina to lift her top so she can heal her ribs. 

“Call me Mina, and I’m not entirely sure, one minute I was practicing my magic, then I was thinking about you and next thing I knew I was here.” Mina explains with a shrug. 

“You were thinking about me?” Lucie softly asks. 

“Yeah, I really wanted to meet you, I’ve heard so much about you, my amazing big sister, you’re my idol.” Mina quietly says.

“I always wanted a baby sister.” Lucie quietly says, brushing Mina’s hair back. 

“Luc I_” They are interrupted by the door opening and Jamie walking in. Before he can fully register what’s going on though, Lucie flings a pillow at him. 

“Jamie! What did I say about coming into my room without knocking?!” Lucie asks in a stern tone, as her brother stumbles back when the pillow hits him.

“You said I can come in whenever I want and I don’t have to knock, you said me, Matt, Chris, Tom and Daisy can come in whenever we want.” James defends himself. Then, before Lucie can reply, James spots Mina and raises an eyebrow at his sister in confusion. “Do I want to know?” He asks, wondering why his sister has a very under dressed girl with a bloody arm in her room.

“Do you promise not to tell mama or papa or anyone else?” Lucie asks, remembering all the times her brother had snitched on her as a child. 

“That depends, if this young lady is a uh... ‘friend’ then I will not say anything.” James awkwardly says, not sure how to ask if the dark-haired girl is his someone his sister is courting. 

“I’m not Sebastian Morgenstern.” Mina jokes, earning her an odd look from her brother and sister. 

“Who?”Lucie asks. Mina waves her hand dismissively. 

“Never mind you won’t get it, he’s someone from my time, well a few years before I was born and he wasn’t a very nice person.” Mina explains. 

“Tell him who you are.” Lucie encourages Mina. 

“Um I’m Mina, Mina Carstairs, I’m your sister. I inherited some weird powers from our mum and I don’t know how to use them yet and today they ended up sending me back in time, look I can prove it.” Mina pulls the jade pendant out again and holds it up for her brother to see.

“But... but I-I just saw mama wearing that.” Jamie stammers in confusion. 

“Exactly, so I can’t have stolen it. Mum let me wear it on my date last night and I forgot to give it back to her this morning, before I could remember to I somehow got sent back in time.” Mina says. 

“Jamie, Uncle Jem is her father, can you not see how much she looks like Uncle Jem?”  Lucie asks,trying not to stare at her little sister, but unable to help how fascinated she is with how alike she looks to Uncle Jem. 

“But how is it possible? How did you travel back in time?” Jamie asks in a confused tone. Mina shrugs helplessly and says

“I wish I knew, I have no idea how I’m going to get home either.” 

“Luc we have to summon Uncle Jem, he’ll know what to do.” James says, shutting the door behind him and setting his book down on his sister’s nightstand. 

“No! They might send Brother Enoch and he won’t be as understanding and he might hurt Mina, we only have a few hours together and I am not going to let anything happen to her, this is the only chance I get to be her big sister and I’m going to use it to protect her with my life.” Lucie firmly says, taking Mina’s hand in hers and squeezing it lightly. Despite having only known her for a half an hour, Lucie already adores her sister beyond words and has a strong, fierce urge to protect her and make her happy.

“What can we do then?” James asks, sitting down next to his sisters. Lucie’s eyes light up and she exclaims 

“I know! We could ask papa’s Warlock friend, Magnus Bane, for help! Papa, mama and Uncle Henry have always said he’s extremely trustworthy and in the short time we’ve known him he’s been so good to us, he tried to send us gifts when we were little but The Morgensterns never passed them along, he’ll help us, I’m sure of it.” 

“Yes! That’s a brilliant idea! Magnus is my godfather, he’s been helping me with my magic too, he’s my favorite Uncle, he will helps us, he’s always helped me before, and I’m best friends with his kids.” Mina says in a bright tone.

“I thought Warlocks could not have children?” James asks, as Lucie gets up and starts rummaging in her wardrobe. 

“Except for mama. Uncle Magnus’ kids are adopted, in my time he’s married with 4 kids.” Mina says, turning to face her brother. 

“Is mama happy in your time?” James quietly asks, thinking of the few times he’s heard his mother talking to his father, about how she will cope when all her family passes on and she never even gets older.

“Very, she and dad just celebrated their 22nd Wedding Anniversary, they have 5 kids together, me, twins Lottie and Jade, my older brother Kit and my little brother Will.” Mina says. James smiles softly and quietly says 

“Good, I hate the idea of mama not being happy.”  Just then Lucie turns back around holding a light blue evening gown. 

“Will this fit you Mina?” She asks, holding the gown up for her sister to see. 

“I think so, I’m not wearing a corset though.” Mina says, taking the dress from Lucie and examining it. 

“Oh goodness no I wouldn’t let you, there’s no need for one, Jamie can give you a suit either if you prefer that to the dress, our cousin Anna prefers men’s clothes.” Lucie offers, wanting to make her sister as comfortable and happy as possible. 

“I would look amazing in a suit but I’d rather blend in while I’m here, the dress is fine.” Mina says. “Is there somewhere I can try it on?” Lucie points to a changing screen beside the wardrobe and says 

“Just go behind there, and hide your clothes, if Bridget comes in she might find them.” 

Once Mina has changed into the gown, Lucie finds shoes for her and tackles her hair. Mina’s style is unsurprisingly unusual for Edwardian times, it’s cut so that it just brushes her chin and is layered, thick and curly, making it difficult to get it into an up do, but Lucie manages to make a few braids so that is not just hanging around Mina’s face. 

Twenty minutes later, after sneaking out of The Institute, the three siblings are standing in front of Magnus Bane’s London Town House, waiting for him to answer the door. Lucie was the one to knock, and James is standing behind her, concealing Mina, just in case, his protective older brother instincts have already kicked in. 

When Magnus opens the door and sees Lucie and James standing there, he smiles broadly at them, and opens the door further for them. 

“Well if it isn’t little Lucie and Jamie Herondale, my favorite Shadowhunters, to what do I owe this pleasure?” He asks.

“We need your help.” Lucie states matter of factly. 

“Of course you do, come in then. Don’t tell me, you think you’ve been cursed by a demon and you want me to find that demon and have them take the curse off you?” Magnus asks, turning and walking back into the house, with the Herondale children behind him. 

“No, though if you are offering to summon a demon I won’t decline meeting my grandfather.” Lucie says in a light tone. 

“Lucie Ella!” James exclaims in a stern, bossy tone. 

“James William.” Lucie mocks her older brother, turning to stick her tongue out at him.

“Now now children no need to fight, what can I help you with?” Magnus asks. That’s when Mina steps out from behind James’ back, trying to hold herself back from throwing herself into her Uncles’ arms. 

“That would be me.” Mina says, smiling at him. 

“And who are you when you’re at home?” Magnus asks, looking at her with a mix of confusion and interest. 

“Wilhelmina.” 

“Wilhelmina who?” Magnus raises an eyebrow at her. 

“Carstairs. It’s a long story Uncle Magnus, essentially I’m Jem Carstairs and Tessa Gray’s daughter, I was born in 2013, my dad was cured from his Yin Fen Addiction and from being a Silent Brother five years before I was born, when he attempted to heal Uncle Will’s descendant who was infused with Heavenly Fire, The Heavenly Fire burned my dad, curing his Yin Fen addiction and making him human again. I have powers I’m not fully able to control yet and somehow today, they sent me back in time from 2030 and I have no idea how and I have no idea how to get home.” Mina rattles off her story for what feels like the millionth time. 

“I see, now that you mention it I do see your resemblance to Tessa, you have her chin.” Magnus says, looking the girl in front of him up and down. 

“Can you help us?” Lucie hopefully asks. 

“Of course I can, it might take a while to figure out exactly how to help you but not too long.” Magnus replies confidently.

While Magnus pours through books to find a way to help Mina, the three siblings sit on a sofa in front of the fireplace, quietly talking among themselves. 

“I can’t believe I finally get to meet you, mum and dad have told me stories about you my whole life, we have pictures of you and all our Aunts and Uncles and cousins all over the house, all my life I’ve wanted to meet you.” Mina quietly says, holding tightly onto Lucie and James’ hands. Mina adores Kit, he is a wonderful older brother and has always been there for her, he’s one of her best friends and she can’t imagine her life without him, but she also has always wished she could have Jamie and Lucie around too, she always wanted a big sister, even though Kit does everything a sister does too, he’s often braided Mina’s hair, helped her with her makeup, took her shopping for new clothes, helped her get ready for her first date and he helped her last year when she came out as pansexual. She also gets a lot of help from her cousin Emma (who is more like an Aunt to her) Ty’s sisters Dru and Helen, as well as Emma’s best friend Cristina Rosales-Blackthorn. Even though she has all the love and support she could hope for, she can’t help but wish for her big sister and her other big brother.

“I cannot believe it either, like I said I always wanted a little sister, Aunt Charlotte just had a little girl a few weeks ago and she is the most darling little thing, I use to pester mama and papa for a sister when I was little, and now I know I have you.” Lucie softly says, squeezing her sister’s hand. She wishes more than anything that Mina could stay and they could get to know each other, Lucie so wants to help her get ready for dances and balls and train with her and go out on missions with her. 

“I wanted another sibling too, I heard mama and papa talking about it after Aunt Cecily had Alexander, maybe they will have another baby.” James says in a hopeful tone. He loves helping out with his new little cousin and baby Alexander, it would be nice to have a baby at home too, he was only 1 when Lucie was born so he doesn’t remember what it was like.

“Are you really named after papa?” Lucie suddenly asks. Mina smiles and nods. 

“And a character from one of mum’s favorite books, if I had been a boy I would have been William, like my brother.” 

“I was named after a book character too, and Jamie was named after Uncle Jem, as you know. Mama says if he had been a girl he would have been called Jemma so he would still have been named after Uncle Jem, and if I had been a boy I was going to be named Nathaniel, after mama’s brother.” Lucie says. She often goes to her parents for inspiration for character names, they’ve both read so many books and named two children, they’re practically experts on names. Lucie had been thrilled when Aunt Charlotte and Uncle Henry had asked her for help on a middle name for their new baby, Matilda. She had given them many suggestions and in the end they settled on Matilda Louise Fairchild, and asked Lucie to be her godmother. 

“Lucie is going to be a famous author someday, she is an amazing writer.” James says in a proud tone, squeezing Lucie’s hand encouragingly. 

“I know, I’ve read your books Lucie, they’re amazing, I wish I had them with me so you could sign them for me.” Lucie’s eyes widen when she hears that she’s actually written and published multiple books, and they are still being read hundreds of years in the future. 

“Really? Are they very famous?” She asks in a hopeful tone. 

“I would say so, especially your children’s books, the ones you wrote and Matthew Fairchild drew the pictures for? My siblings and I loved them when we were younger, I still have copies on my bookshelf, if I have kids when I’m older I want to pass them onto them.” Mina says in a hopeful tone. The idea of sitting with her child and reading her sister’s books to them, just as her parents had sat and read them to her, seems so lovely to Mina and is something she very much looks forward to. 

Just then Magnus strides back into the room holding a large black book open in his hands. 

“Alright I think I have figured out a solution to your problem Mia.” He announces. Mina rolls her eyes, knowing that her Uncle has a reputation for (deliberately) forgetting peoples names, he’s never forgotten hers, though he has come up with some odd nicknames for her.

“It’s Mina.” She reminds him, as he indicates for her to stand next to him. 

“Same thing. Give me your hand a minute.” He says, balancing the book in one hand and holding the other out to Mina. Furrowing her brow she holds her hand out to him. He clasps it in his and is silent for a minute, before releasing her hand. “From what I understand it seems you have the ability to travel through time.” Mina’s eyes widen and her jaw drops. 

“R-really?” She stammers. She knew her powers could be like non other, but this is completely new and unheard of, and scary. 

“Yes dear really, as of right now you can’t control it, it will take a lot of practice and work before you can. What seems to have happened is that like most Warlocks who are new to their powers, when you became overwhelmed with emotions your powers took over, you were thinking about your sister before it happened right?” Mina nods. “When you use your powers, much like a portal, you simply need to think of a time and place or a person and you will be transported there.You were thinking of your sister, so you were transported here, to her time.” 

“If she cannot yet control it how is she going to get home?” James asks, placing a protective hand on Mina’s shoulder when she sinks back onto the sofa in shock.

“That is where I come in, I can infuse an object from your time with magic to help bring you back, if you hold onto the object and think about your home, it will bring you there safely.” Magnus says, causing a wave of relief to wash over the three siblings. Mina had momentarily feared she would be trapped here.

“Here, my mum’s engagement gift from my dad.” Mina says, unclasping the chain from around her neck and handing it to Magnus. 

“Tessa still has this hundreds of years later?” He asks in a soft tone. Mina nods. “I hope you three know how lucky you are to have such a wonderful mother and two wonderful fathers, I know Jem is not as present as would like to be with you, James and Lucie, and Mina I am sure William wishes he could be with you and your mother and father more than anything, but I know William will consider any child of Tessa and Jem’s his, and Jem certainly considers you two as his own.” Magnus firmly says, looking between the three of them.

“We do, we couldn’t love them more or be more grateful to be raised by them.” James quietly says, thinking of the nights when he as a child, had been sick, and Uncle Jem had been summoned to his bedside. He, Tessa and Will would stay with James all night, Jem often cared for James and Lucie when they were ill as babies, and though she does not know it, Will has often cared for Mina and her siblings as babies too. 

Twenty minutes later Magnus has infused the pendant with his magic, and sent the three siblings on their way. They are currently walking through the institute to get to Lucie’s room, so Mina can change and go home. However just as they are about to reach the staircase leading up to the floor Lucie’s room is on, they meet Charlotte with little Matilda in a sling across her chest, and Henry in his wheelchair, at her side. 

“Hello you two, who is your friend?” Charlotte brightly asks, smiling warmly at Mina, who is trying not to gape at her Aunt and Uncle.

“Um, I’m Mina, uh Mina Starkweather.” Mina says, quickly thinking of her mother’s Shadowhunter Maiden name. 

“Oh are you related to the Starkweathers from York?” Charlotte curiously asks.

 “No, I took the name when I ascended a couple of months ago.” Mina quickly fabricates a story for herself. 

“Oh how wonderful! It is always so nice to meet those new to The Clave, have you been posted here to London?” Charlotte asks. 

“Yes.” Mina says, not knowing what else to say.

“You’ll enjoy it here I daresay, Tessa and Will are very kind and you will receive excellent tutoring and training here, I am sure Jamie and Lucie can attest to that, can’t you?” Henry lightly says.

“Only because you were not here to blow everything up, Uncle Henry.” Lucie teases. Henry laughs and says

“You become more and more like your father everyday Lucie, you look like your mother but you inherited all your father’s personality.” Lucie smiles proudly. Her father and Aunt Cecily often say she reminds them of her Aunt Ella, who passed away long before she was born. 

“I do not mean to be rude but we must go, we are helping Mina study for the upcoming exams.” James says, placing a hand on Mina’s back. 

“Oh of course, we don’t want to keep you, Charles is here you know, he could help if you like.” Charlotte offers.

“No thank you Aunt Lottie, darling Charlie would likely terrify a new student like Mina.” Lucie says. Though Charles is very kind and patient, he can also be a bit intimidating at times.

“Yes you’re probably right, well good luck to you Mina, I hope you enjoy your time here.” Charlotte lightly says, giving Mina another warm smile. 

20 minutes later, in Lucie’s room, Mina has changed back into her clothes and is ready to go home. 

“Be safe baby sister, okay?” James softly says, pulling Mina in for a hug and pecking her on the cheek. Mina holds on to him tightly and nods, trying to hold back the tears. 

“I love you.” She whispers. 

“I love you too.” When James pulls back from the embrace, Lucie immediately pulls her sister close.

“Maybe when you figure out how to use your powers properly you can come back again and see us.” Lucie says in a tight, hopeful tone. 

“Yeah, maybe.” Mina agrees.

Lucie pulls back and squeezes her sister’s hand one last time while James affectionately and lightly tugs on a lock of her hair.

“Tell our other siblings we said hello.” He lightly says, trying to lighten the moment. 

“I will. I love you guys so much.” Mina says, not able to hold the tears back anymore. 

“We love you too.” Lucie says. With that, Mina closes her eyes, clutches the jade pendant and thinks about her home, she pictures her father with his violin, her mother with a book, Kit with Ty, Charlotte baking in the kitchen and Jade sketching at the kitchen table, while Will sits on the couch with an Xbox controller in his hands, all his focus on the video game Kit bought him for his birthday.

When Mina opens her eyes again, she find herself standing in the middle of her room, as though nothing has happened. Kicking off her shoes, Mina heads to the door and goes downstairs, her heart lifting when she sees her dad in the kitchen, putting away the dishes, her mum re-organizing the bookshelf in the living room with help form the twins, and Kit standing behind the couch that Will is sat on, with his arms around Ty’s waist, his chin on his shoulder, half watching a T.V. show that Will is watching. 

“How are you feeling Mina mine? Your mum said you were very tired after your lesson this morning.” Jem asks in a concerned tone, coming up to put an arm around his daughter. 

“I always feel tired after my lessons with mum but I feel better now I’ve rested for a bit.” She says, resting her head on his shoulder. 

“I’m glad to hear it, I know how hard your lessons are on you sometimes and I’m very proud of you for sticking with it, hopefully it won’t take such a toll on you soon.” Jem softly says, pressing a kiss to her forehead. 

“I love you dad.” Mina quietly says, glad to be home. 

“I love you too my Little Mina.” 

“Forever a daddy’s girl.” Mina hears her mum say in a light tone. She turns around to see her mum standing beside her and her dad, smiling warmly at them. 

“Thanks for letting me borrow your necklace last night mum, I appreciate it.” Mina says, handing the necklace back.

“You’re welcome my love.” Tessa says in a warm tone, brushing her daughter’s hair back 

“I love you mum.” Mina says, wrapping her arms around Tessa and laying her head on her shoulder. Tessa runs her hands through her daughter’s hair and hols her close. 

“I love you too my adventurous Mina.” She quietly says, pressing her lips to her daughter’s head, not knowing just how adventurous her daughter had been today.

It’s not until that night when Mina settles into bed with a copy of Lucie’s second book, that she realizes her sister didn’t make the plot of the book up, out of thin air. The book is about a young girl who discovers she has the power to travel through time. The main character of the novel (named Mia) travels back from what is now modern day, but was the future when the book was written, to Edwardian era, where she meets some of her ancestors who she must team up with in order to get back home. 

She had never realized it before of course, but it suddenly hits Mina that Lucie based this book on the events of today, and even named the main character after Mina, getting as close to her name as possible without actually using it. 

This leaves Mina even more determined to learn to control her powers so that she can go back again and see her siblings again, no matter what it takes.

[jessicajackhnd1photo]

David Eustace

I Write To Tell You Of A Baby Boy Born Only Yesterday.... (2014) The book contains 2 decades worth of images, he lost 1/3 of his negatives in a house fire. Even though the images were partly ruined he looks on the bright side “they were still a record of my past” He didn’t place the images chronologically but by how the images flow together.He also opted out of giving them names/titles as he wanted the pictures to support each other. 

David Eustace

He attended Edinburgh Napier University to study photography as a full time course when he was 28 years old. 3 years later leaving with a BA Distinction in then field.

After graduating from university he spent 8 years working in London working for CQ/ Vogue and Tatler. He then moved to NYC (2001) and continued his career in America for 15 years,.

(2008) David was asked to participate in USA "Character Project" where he chose to travel Highway 50 from the Pacific to the Atlantic on the last remaining non freeway route, Highway 50. In which he was the only non US citizen to have  been asked. 

In 2009 he was invited to launch Anthropologie’s "Who Inspires Us" online arts initiative. He decided to go on a road trip with my daughter, Rachael and create a joint journal. On the success of this project he was asked again the following year to create another portfolio and so he returned to his home land to produce the body of work Highland Heart. This was also chosen in 2013 to launch Scotland Week celebrations in NYC with an exhibition at Hudson studios and opened by Scotland's First Minister at the time, Alex Salmond.  

In 2011 he was honoured with an Hon Dr of Arts for my contribution to photography from Edinburgh Napier University. In 2012 Panasonic based their national Lumix TV and print campaign around his work and had him star in their cinema and tv commercial. This him me visit Yosemite National park where the campaign was filmed. Due to this campaign’s success I was asked again to be part of the 2014 campaign. We filmed this all over Indonesia including Bali, Western Sumatra and Nias Island.

He has exhibited his work in both private galleries and national museums, including a 70 print solo show in Cork Street, London, sponsored by Deutsche Bank, and which was the subject of a 30 minute BBC documentary. He was the first photographic artist to host a solo exhibition (60 portraits) at The Glasgow Art Club. His work is held in both private and public museums and collections. In 2015 he was the first photographer to have an exhibition in The Scottish Gallery’s 173-year history. In the same year he became Chancellor of Edinburgh Napier University, a post he’ll serve for 5 years. 

Earlier this year he exhibited concurrently two exhibitions in Glasgow: ‘Unique NYC Polaroids’ at SWG3 and ‘Mar a Bha’ at The Royal Glasgow Institute for The Fine Arts. He currently serves on The Scottish Government’s Creative Industries Advisory Group, headed by Cabinet Secretary for Culture, Fiona Hyslop. He has also been a member of The John Byrne Awards judging panel, alongside other panels including The Cordis Tapestry Prize, headed by Miranda Harvey and The Glenmorangie Research Project collaboration with The National Museums of Scotland.

He is currently finishing two new portfolios, one titled  ‘Mon Ami: The Statues of Pére Lachaise’, created earlier this year in Paris and the second titled “Dear John” which will include 12 portraits of the artist John Byrne he has made over a 30 year period with an introduction from Sir Angus Grossart. 

He has travelled the globe extensively and have seen his work recognised both locally and internationally in terms of commissions and awards.

[healthcaremedical]

WHAT IS EECP (ENHANCED EXTERNAL COUNTERPULSATION) TREATMENT?

WHAT IS EECP (ENHANCED EXTERNAL COUNTERPULSATION) TREATMENT? Enhanced External Counter Pulsation (EECP), also known as Natural Bypass Therapy is a non-invasive FDA approved therapy for patients with angina (chest pain) and heart failure (low heart pumping). EECP is a non-surgical process in which large inflatable cuffs are tied over carves, thighs and buttocks region of the patient who is taking this treatment. At the time of diastole (heart’s relaxing time) these coughs are inflated and pushes the blood back to heart. It promotes coronary collateral growth so creating “Natural Bypass” and it improves blood circulation to heart muscles. Is EECP An Alternative To Heart Surgery? EECP is very helpful and effective treatment for the patients with blockages in heart arteries. EECP is advised to those patients who cannot undergo Bypass Surgery or Angioplasty or do not want any surgical treatment. After the EECP treatment of a patient is done, it naturally creates the collateral circulation and increases the blood flow in the coronary arteries and patient doesn’t require any surgical treatment. Is EECP Treatment Effective? EECP Treatment is medically proven, an US – FDA approved therapy for heart angina (cheat pain) and heart failure (low heart pumping). It is a very safe, effective and non – invasive treatment for patients with heart patients. Who are the candidates for EECP treatment? Patients whom Bypass or Angioplasty is advised but they do not want any surgical treatment Patients with chest pain or other symptoms after Bypass or Angioplasty. Heart failure patients with low LVEF (low heart pumping capacity). Patients with Cardiomyopathy. What Are The Benefits Of EECP Therapy? Increased oxygen rich blood supply to heart. Decrease in chest pain. Improved walking capacity. Increase in energy levels. Increased exercise duration. Less breathlessness symptoms. Reduces Angina (chest pain) Improves the function of brain, kidney, liver and other vital organs. For a Free Heart Check-up or more information about EECP Treatment, you can visit our websites: https://vedshri.in/ http://cordisheartinstitute.com/ You can also check out our YouTube channel Dr. Abhijit Aklujkar – Cordis Heart Institute or watch our video on EECP Treatment. You can also call us on +91 8369439101

[palesoultaco]

Interventional Cardiology Market Size, Share, Industry Growth, Trend, Business Opportunities, Challenges, Drivers and Restraint Research Report by 2027

The study on the Global Interventional Cardiology Market is the latest report covering the impact analysis of the currently ongoing COVID-19 pandemic. The pandemic has directly affected the market by causing disruptions in the global supply chains and indirectly by inducing financial difficulties. The Interventional Cardiology market has witnessed dynamic changes in trends and demands owing to the ongoing COVID-19 pandemic. The report provides a detailed outlook on how the pandemic has affected the key segments of the Interventional Cardiology industry. The report includes an in-depth impact analysis of the COVID-19 pandemic on the overall Interventional Cardiology industry

The global Interventional Cardiology Market is expected to reach USD 26.92 Billion by 2027, according to a new report by Emergen Research. The growth of this market can be attributed to the increasing initiatives of the government to improve the healthcare infrastructure with advanced diagnostic solutions. The government has increased the allocation of healthcare budgetary in developing countries, and it has also introduced several reimbursement policies to encourage the adoption of technologically advanced interventional cardiology devices.

The awareness programs launched by the various non-profit organization, academic institutions, and government regarding the coronary heart diseases and technologically advanced diagnostic solutions is a major contributing factor for the development of the industry in the emerging economies. Increasing investments in the research and development by the manufacturers for the production of more enhanced, accurate, and cost-effective technology will drive the market growth of the product over the forecast period.

Get a sample of the report @ https://www.emergenresearch.com/industry-report/interventional-cardiology-market

Regional Analysis - The research report is an investigative study providing a conclusive view of the Interventional Cardiology business sphere by an in-depth segmentation of the market into key applications, types, and regions. These segments are analyzed on the basis of present, emerging, and future trends. The regional segmentation provides current and forecast demand estimation for the Interventional Cardiology industry in key regions such as North America, Latin America, Europe, Asia Pacific, and Middle East & Africa.

Key participants include Abbott Laboratories, Boston Scientific Corporation, Cordis Corporation, Medtronic Public Limited Company, Terumo Corporation, C.R. Bard, B. Braun, Ivascular, BIOTRONIK, and Biosensors, among others.

Key questions addressed in the report:

What are the key factors driving the global Interventional Cardiology market?

Who are the key manufacturers in this market space?

Who are the distributors, traders and dealers of this market?

What are the market opportunities and risks affecting the performance of the vendors in the global Interventional Cardiology market?

What are the sales and revenue estimations for the top manufacturers in this market over the projected timeline?

Emergen Research has segmented the global Interventional Cardiology Market on the basis of Product, End User, and region:

Product Outlook (Revenue, USD Billion; 2017-2027)

Catheters (Angiography Catheters, Guiding Catheters, IVUS Catheters)

Angioplasty Balloons (Cutting Balloons, Normal Balloons, Drug-Eluting Balloons)

Plaque Modification Devices

Angioplasty Stents (Bioabsorbable stents, Drug-Eluting stents, Bare-Metal stents)

Others (Guidewires, Balloon Inflation devices)

End User Outlook (Revenue, USD Billion; 2017-2027)

Cardiac Catheterization labs

Hospitals

Ambulatory surgical centers

Others

Key takeaways of the Global Interventional Cardiology Market report:

The report sheds light on the fundamental Interventional Cardiology market drivers, restraints, opportunities, threats, and challenges.

It elaborates on the new, promising arenas in the leading Interventional Cardiology market regions.

It examines the latest research & development projects and technological innovations taking place in the key regional segments.

The research report reviews the regulatory framework for creating new opportunities in various regions of the Interventional Cardiology market

It focuses on the new revenue streams for the players in the emerging markets.

Furthermore, the report offers vital details about the rising revenue shares and the sizes of the key product segments.

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[cardiologistmumbai]

DIAGNOSIS AND PREVENTION OF HEART ATTACK : TIPS BY CARDIOLOGIST IN MUMBAI

Heart Attack is the leading cause of death worldwide. In India people about 25-30% dies due to heart attack. Heart is supplied by three major blood vessels, RCA, LAD & LCX. When one of the blood vessels get 100% blocked due to thrombus the area supplied by the vessel starts to die. During this the patient experiences severe chest pain, breathlessness and heaviness in chest.

Heart attack happens when the lining of the plaque in the blood vessel rupture and causes thrombus formation. The percentage of heart blockage doesn’t determine when the plaque will rupture. A blood vessel having 60% blockage can also rupture and cause heart attack.

Dr. Abhijit Aklujkar, Cardiologist In Mumbai provides details that patient having heart blockage has symptoms of chest pain and heaviness and subsides when he takes rest or takes Tab sorbitrate. When heart attack takes place chest pain is usually at rest and doesn’t get relieved by taking tab sorbitrate. Another presentation of heart attack could be burning in epigastric falsely diagnosed as gastric problem. If you have any one of the following symptoms, one should get an ECG and Trop T done to ascertain whether the chest pain is of heart attack or no.

Prevention of Heart Attack:

Once the blockage has been detected, treatment should be done for the heart blockage. If the person doesn’t know whether he has blockage or no ascertain whether his risk factors for heart disease like high cholesterol level, smoking, diabetes, obesity or family history of heart disease. He should undergo a CT coronary angiography and ascertain how much blockage he has in the heart. Patient should modify the risk factor like quit smoking, reducing weight keeping blood pressure cholesterol levels diabetes in check.  For treatment of heart blockages, we at CORDIS HEART INSTITUTE provide EECP treatment which is a non-invasive treatment which helps in increasing the blood supply to the deficient areas of the heart through collateral circulation.

Also check for EECP treatment In Mumbai http://cordisheartinstitute.com/about-eecp/

[market-research-future]

Percutaneous Coronary Intervention Market Demand, Future Outlook And Applications By 2023

Global Percutaneous Coronary Intervention Market: Information by Product Type (Coronary Stents, PTCA Catheters, Coronary Guidewire and Accessories), by End User (Hospitals & Specialty Clinics, Ambulatory Surgical Centers, Research and Academic Institutes and others) and by Region (Americas, Europe, Asia-Pacific and the Middle East & Africa) - Forecast till 2023

Competitive Dashboard: Prominent players operating in the percutaneous coronary intervention market include Boston Scientific Corporation (U.S.), Abbott (U.S.), ASAHI INTECC Company Limited (Japan), C. R. Bard, Inc (U.S.), Comed B.V. (The Netherlands), Meril Lifesciences Pvt Ltd. (India), BIOTRONIK (U.S.), Medtronic Plc (U.S.), B. Braun Melsungen AG (Germany), Biosensors International Group, Ltd. (Singapore), Terumo Corporation (Japan), Cordis (U.S.), Cook Medical (U.S.), and Merit Medical System (U.S.).

Segmentation: The Global Percutaneous Coronary Intervention Market has been segmented on the basis of product type and end-user.

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Various product types are segmented into coronary stents, percutaneous transluminal coronary angioplasty (PTCA) catheters, coronary guidewires, and accessories. Among these, the subsegment coronary Stent accounted for the largest share of 54% share in 2017. It was valued at USD 5452.5 million in the same year. It is further projected to grow at a CAGR of 7.81% during the forecast period.

By End-user, the market has been segmented into hospitals & specialty clinics, ambulatory surgical centers, research & academic institutes, and others. Out of these, the subsegment hospitals & specialty clinics accounted for 43% of the market share in 2017 and valued at USD 4,374.9 million. The subsegment is estimated to continue with its dominance registering a CAGR of 7.57% over the assessment period. The large share can be credited to the mushrooming of hospital chains amid increasing demands for quality patient care.

Strategic initiatives employed often involve mergers, acquisitions, product launches, and others. These tactical moves ensure individual company’s growth alongside the market’s expansion.

Regional Analysis: The Global percutaneous coronary intervention market is segmented into the Americas, Europe, Asia Pacific, and the Middle East and Africa. Among these, the Americas region dominates the market attributing to the increasing pool of awareness and the growing acceptability of percutaneous coronary intervention techniques.  

The Europe Percutaneous Coronary Intervention Market is projected to register over 6% CAGR during the forecast period valued at approximately 4,600 Mn USD by 2023. The region assumed the second position in 2017 globally due to the rise in percutaneous coronary intervention centers in European countries. Furthermore, the increased number of hospitalizations for percutaneous coronary intervention procedures such as carotid artery angioplasty and cerebral angioplasty have been fostering the regional market.

The region accounted for almost 39% of the market share in 2017, followed by Europe accounting for 31% of the market share. Whereas, the Asia Pacific region can grow at a rapid clip mainly due to the increasing prevalence of cardiovascular diseases.  The region had accounted for around 23% of the market share.

The Americas region dominates the global percutaneous coronary intervention market mainly due to the higher health care expenditures and the increasing prevalence of diseases such as cardiovascular and coronary artery disease. Factors such as well-spread awareness and the growing adoption of percutaneous coronary intervention techniques are driving the growth of the PCI market in the Americas.

In the US, percutaneous coronary intervention is one of the two most common procedures performed on patients with coronary artery disease. The US backed by the growing prevalence of cardiovascular angiography and interventions accounts for the major growth supporter to the regional market. The percutaneous coronary intervention market in the Americas is expected to reach USD 4,894.7 million by 2023.

The Percutaneous Coronary Intervention Market in the Asia Pacific region is expected to emerge as a promising market, growing rapidly due to the increasing prevalence of cardiovascular diseases, rapidly developing healthcare infrastructure, and improving economic conditions in the region. Simultaneously, the increasing number of research and development centers positively impacts the growth of this market.

Furthermore, owing to the factors such as the government initiatives of healthcare reforms and the increasing demand for advanced treatments in the region, the percutaneous coronary intervention market in the APAC will reach the valuation of USD 3,620.3 million by 2023.

Overview:

In recent years, the growing prevalence of chronic diseases related to heart, globally, the percutaneous coronary intervention market is growing at a rapid pace.  Moreover, the increasing adoption of PCI procedures performed on patients with coronary artery disease is escalating the market constantly.

Percutaneous Coronary Intervention Market is a non-invasive procedure used to treat narrowing arteries of the heart in coronary artery diseases including angina, acute myocardial infarction, and multivessel coronary artery disease (CAD), among others.  PCI procedure involving cardiac catheterization help in providing relief in the symptoms of coronary heart diseases and reduce damages to the heart after or during a heart attack.

Considering all these factors, the global percutaneous coronary intervention market is expected to reach over USD 15,205 million by 2023, growing at approximately 7.10% CAGR during the forecast period (2018-2023). The market stood at USD 10,160.9 million in 2017.

In addition to the growing prevalence of coronary heart diseases, the ever-increasing population worldwide and the increasing demand for the quality healthcare systems are factors expected to propel market volume till 2023.

Moreover, risk factors causing the heart-related diseases such as the increasing inclination towards the heady & sedentary lifestyle, and wrong eating habits, and changes in the social system over the last few years have been accelerating the market growth, increasing the incidents of the disease related to the heart.

However, the stringent government regulations for the approval of medical devices used in PCI alongside the lack of awareness towards the availability of percutaneous coronary intervention procedure may hinder the market growth over the forecast period. Also, the potential implications in diagnosis such as the infection caused during the procedure that can be challenging to diagnose and may have severe consequences are affecting the market growth.

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[speedywitchanchor]

EECP at Cordis Heart Institute is a remarkable alternative to angioplasty (alternative to bypass surgery)

Fundamental Features of Heart Attacks:

Six out of seven heart attacks do not happen at the site of the blockage.

A blockage discovered after a heart attack might be the result of a heart attack, not the cause.

An angioplasty (balloon) and stent procedure is no better than medications, and it can be very dangerous.

The angiogram is not the most accurate test for heart disease.

The blocked arteries seen in an angiogram might have been there for many years and might not be the cause of a heart attack.

The heart makes its own natural bypass through angiogenesis, the formation of new blood vessels from preexisting blood vessels. So it does not matter how many blocked arteries an angiogram shows, the heart muscle function tests are the most important indicators of heart health.

The late cardiologist Howard H. Wayne, MD, author of Do You Really Need Bypass Surgery? A Second Opinion, in which he cites more than 300 studies, concludes the following:

A number of studies have shown people as young as nineteen can have blocked arteries. This means that people with blocked arteries might not know that they have them and living normal lives. How can this be? The heart forms a natural bypass around those arteries (known as angiogenesis), and the heart functions well despite the blockage.

An angiogram might show a blockage that has been there for many years harmlessly. Blockage is not necessarily the cause of chest pain or a heart attack. What is important is that the heart muscle functions. Even a 90 percent blockage might not lead to a 100 percent blockage. In fact, the 90 percent blockage might be an old, stable blockage that is more stable than a newer, smaller blockage.

Angiograms can show arteries and veins that are as small as 0.5mm but no smaller. Many smaller veins that are not seen on an angiogram provide blood to heart muscles. As long as the heart function is determined to be okay according to an echocardiogram and, when possible, mechanocardiogram that is what is most important. If the heart function is determined to be not okay, then medications to lower blood pressure and take the load off the heart work better than surgery along with aspirin.

Note: Dr. Wayne argues that the routine physical exam, in which the doctor listens to your heart and does an electrocardiogram (ECG), is not sufficient to detect a problem. I know of cases where the patient did great during a checkup, only to have a heart attack shortly afterward. If you are at risk for a heart attack due to high blood pressure, diabetes, smoking, a family history, or another reason, insist on having the preceding three, more accurate, tests done.

Wayne quotes many studies that show that bypass surgery and angioplasty are not effective, and in fact might cause many side effects, including heart attacks, memory loss, and even death.

Many population studies conducted both in the United States and outside the United States, have shown that treatment with medications is equal to or even far superior to invasive angioplasty and bypass surgery.

The financial incentive is great for many cardiologists, who have lately become technicians and do angioplasty routinely, even when there is really no need for it. Dr. Wayne recommends finding a cardiologist who does not do angiograms or angioplasty.

Wayne points out that there is really no case where a patient has to have emergency bypass surgery or angioplasty.

He also does not give his patients either cholesterol-lowering drugs or blood thinners, as he believes the current theory of how a heart attack happens has not been proven. In fact, six out of seven heart attacks do not happen at the site of blockage!

[ruksarshaikhworld]

Are you worried about #BypassSurgery and #Angioplasty?

At Cordis Heart Institute, our main motto is giving wellness to the patients. We have trio combination of contemporary instruments, state of art facilities and experienced team of doctors for EECP Treatment in Mumbai.

[lupine-publishers-acr]

Lupine Publishers | Troubleshooting in Upgrading Procedure: Intraprocedural Percutaneous Transluminal Angioplasty of Great Vessels

Lupine Publishers | Journal of Cardiology & Clinical Research

Abstract

Upgrading procedure is relatively common since indications to cardiac resynchronization therapy (CRT) and implantable defibrillator are increasing. A relatively frequent phenomenon that the operator may encounter is some degree of venous obstruction around the previously implanted leads, which may become completely occlusive. In these situations, upgrading procedure may be challenging and various manoeuvers have been described. We describe a case of intraprocedural percutaneous transluminal angioplasty (PTA) of occlusive stenosis of the innominate vein, performed during an upgrading procedure from bicameral cardiac implantable defibrillator (ICD) to CRT-D.

Keywords: Upgrading; Cardiac resynchronization therapy; Percutaneous transluminal angioplasty; Venous occlusion

Introduction

Cardiac resynchronization therapy is a well-established therapy for patients with severe systolic dysfunction, wide QRS and heart failure despite optimal medical therapy [1]. Moreover, since indications for cardiac resynchronization devices continue to expand, the number of upgrading procedures from previously implanted single- or dual-chamber systems is increasing. In these cases, some degree of venous obstruction is a relatively frequent phenomenon (up to 50%), which may become completely occlusive in 12% of cases [2]. Chronic venous occlusion, mostly asymptomatic, can involve the coronary sinus and its branches as well as central veins, such as the axillary-subclavian or innominate veins. Angioplasty of the coronary sinus is well described in the literature to allow the placement of a left ventricular lead (LV) [3,4]. By contrast, not many data are available on the intra-procedural safety and efficacy of central vessel angioplasty [5,6]. We describe a successful case of angioplasty of a total central venous occlusion to allow LV lead placement during an upgrading procedure to a CRT system.

Case Report

A 69-year-old patient with a clinical history of hypertension, diabetes, prior myocardial infarction, poor EF (30%), and previous percutaneous transluminal coronary angioplasty (PTCA) on the circumflex coronary artery, was referred to our institution for elective replacement of a dual-chamber ICD implanted in July 2008 (ICD Lumos DRT, atrial lead Selox JT 53 and ventricular lead Linox SD 65/16, Biotronik SE. Berlin Germany). On admission, the patient was symptomatic for dyspnea, with a poor functional class (NYHA III), the echocardiogram showed a severely depressed ejection fraction (20%) and the electrocardiogram confirmed a wide QRS duration of 130msec with left bundle branch block. A coronary angiography confirmed the indication to medical therapy in the absence of any target vessel for revascularization. We consequently decided to perform an upgrading procedure to a CRT system. In accordance with our clinical practice, angiography of the axillary and subclavian veins through the ante cubital venous access was performed before the procedure to assess patency of the central veins. The angiogram documented severe stenosis of the axillary vein at the insertion point of the right atrial and ventricular leads into the vessel. The subclavian vein was then directly punctured distally to the sub-occlusive stenosis (behind first rib), to obtain a venous access for the LV lead. Unfortunately, subsequent advancing on the 0.035” guidewire through a sealed 9 Fr introduction sheath (Safe Sheath HLS 1009, Pressure Product, San Pedro, USA) proved unsuccessful owing to another occlusion at the junction between the superior vena cava (SVC) and the innominate vein, where the second shocking coil lead was located. Selective injection of contrast media into the subclavian vein through the introducer confirmed total occlusion of the main vessel and a wide collateral vicarious circulation draining blood into the SVC (Figure 1).

Figure 1:  Vein angioplasty procedure. A. Angiography from the subclavian venous access, revealing occlusive venous stenosis of the anonimous trunk. B. Balloon inflated up to 8-10 atm. across the stenosis. C. Restoration of venous patency after angioplasty.

A 0.014” angioplasty guidewire (TERUMO Corporation, Tokyo, Japan) was threaded through the occlusion and then left in the right atrium. An angioplasty balloon (Sterling 6mm x 20mm, Boston Scientific Inc. Natick, USA) was then advanced over the wire to the occlusion and inflated to 6 atm. In order to progressively open the occlusion, we removed the balloon and advanced over the 0.014” wire a multipurpose catheter (Cordis Corporation, Miami, USA) which, thanks to the dotter effect, enabled us to pass through the stenotic tract and to replace the 0.014” with a 0.35” x 200 cm guidewire. Once we had retrieved the MP catheter, a larger angioplasty balloon (Sterling 8 mm x 40 mm, Boston scientific Inc. Natick, USA) was advanced over the 0.35” wire and repeatedly inflated to 10 atm to obtain satisfactory dilation of the subclavian and innominate veins (Figure 1B). A 5-10 cc injection of contrast medium confirmed the re-establishment of flow within the subclavian vein and SVC, with a residual stenosis of 30-40% (Figure 1C). Implantation of the CRT device was then successfully carried out, without complications, by cannulating the coronary sinus through a dedicated delivery system (Attain Command Straight, Medtronic Inc. Minneapolis, USA), placing a 4 Fr dual-unipolar LV lead (Attain Ability 4196- 88 cm, Medtronic Inc. Minneapolis, USA) into a lateral coronary vein and, finally, by connecting the three leads to a CRT-D device (Consulta CRT-D, Medtronic Inc. Minneapolis, USA). The acute LV lead threshold was 1.1 V at 0.5 msec, with no diaphragmatic capture at 10V. The electrical parameters of the right atrial and right ventricular leads were also stable. The additional time required to perform PTA was 15 minutes, plus 3 minutes of fluoroscopy time with an additional 30 cc injection of contrast medium injection. At the 3-month follow-up examination, electrical parameters of atrial, right ventricle and left ventricle leads were stable, and no adverse event was observed.

Discussion

Chronic venous occlusion is not an infrequent finding in patients undergoing implantation procedures. This issue may involve both the coronary sinus and the central venous system. Recognized risk factors for venous obstruction include blood stasis due to venous angulation or kinking, the presence of a central venous line for long-term infusion therapy, hemodialysis, trauma, infection and the presence of pacemaker leads. Heart failure and poor systolic function may facilitate the process [7,8]. The most likely pathogenesis seems to be due to thrombosis, beginning with fibrin deposition over the lead surface and progressive fibrous reaction, with a ring-like fibrosis development around the lead, causing severe stenosis or even total occlusion of the vein [5]. The presence of a second ICD shocking coil, usually located in the superior vena cava, has been associated with increased incidence of venous obstruction [9]. In our case, the occlusion was localized at the junction of the innominate vein with the superior vena cava, where the second shocking coil lead lays for anatomical reasons. Thrombosis and fibrotic reaction were probably favored by the close contact of the heavy coil with the vessel wall at a point where, for hemodynamic reasons, there may be turbulence, thereby predisposing the vessel to occlusive stenosis.

As the stenotic process is usually gradual, a collateral venous network can develop to compensate for the occlusion. Consequently, symptoms or physical signs are rare, and partial or total venous occlusion may be totally asymptomatically, becoming an unexpected finding at the time of implantation. If a new lead needs to be added to the implanted system, the operative strategy may differ considerably according to the physician’s familiarity with the available technical options. The physician can choose among various approaches: an opposite-side approach with subsequent lead tunneling across the thorax [10], an ipsilateral approach performed by means of jugular system cannulation [11], and epicardial placement of the leads through thoracotomy or vein angioplasty [5]. The first option carries several risks, including the development of complete occlusion of both subclavian veins over time, damage to the leads — particularly deleterious in the case of ICD leads - or higher defibrillation threshold in the case of rightside placement of the active can. The jugular system approach may expose the patient to the risk of worsened blood drainage or, in the case of the internal jugular cannulation, even acute serious damage to this important vessel of the neck [12]. Epicardial placement of the leads through thoracotomy has the disadvantage of requiring surgery and general anesthesia.

Our experience showed that angioplasty of the central venous system can be performed in the same session of the upgrading procedure without excessively prolonging the procedural time, thereby avoiding postponing the procedure. We observed no complications, damage or dislocations of the existing leads. Moreover, this approach is less invasive than other alternatives and allows the patency of the contralateral venous system to be preserved. This case also shows that in certain clinical conditions at higher risk of venous occlusion, it is advisable to perform an angiography from ante cubital vein before the procedure, in order to assess the patency and exact location of the great veins. We can hypothesize that incomplete location of the second shocking coil inside the superior vena cava and the lying of the coil across the junction between the innominate vein and superior vena cava may contribute, for hemodynamic reasons, to the development of a marked fibrotic reaction. Eventually, in case of occlusive stenosis of central veins, intraprocedural venoplasty of great vessel seem to be feasible, without postponing the upgrading procedure.

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[cristinablackthornkingson]

Shadowhunters Short Story #49. Clace baby.

It is a warm June morning in 2015 when Jace is awoken from his dreams by the sensation of being shaken. 

Jace groans and bats the hand on his shoulder away, burying his face further into the pillow. Soon he wont be able to sleep in like this, these sleepy, relaxed mornings with Clary will soon be replaced by early morning feeds and diaper changes. Clary is 9 months pregnant with their first child and is due any day now, and though they are both beyond excited to meet their baby, they are also extremely nervous, they have so little experience with children, Jace had helped out a bit with Max when he had first gone to live with the Lightwoods, but not much, and Clary had grown up as an only child with no aunts, uncles, etc. They’ve both helped out with Baby Max quiet a bit but they still feel extremely nervous about being parents. 

“Jace, Jace wake up!” Clary hisses, shaking her husband again, harder this time. 

“What’s up Clary?” Jace asks in a tired tone, turning to face his wife. 

“I think I just had a contraction.” Clary quietly says. Jace’s eyes widen and he scrambles to sit up.

“Should I get the midwife? Do we have time to get the midwife? By the angel, am I going to have to deliver the baby?!” He says in a panicked tone.

Clary laughs lightly and places her hand on his arm.

“Jace calm down, I don’t know if it even was a real contraction, it might have been fake. Grab my phone and I’ll time them.” Clary calmly says. 

Half an hour later Clary has had 3 more contractions, each 15 minutes apart, the pain staying on the same level each time. 

“Should I get the midwife now?” Jace tentatively asks, once Clary’s latest contraction has passed. Most Shadowhunters have their babies at home with the assistance of a private midwife and/or The Silent Brothers, and Clary has chosen to also give birth at home, however she and Jace have agreed that they will only summon The Silent Brothers if absolutely necessary, and just have their midwife deliver the baby.

“Yeah.. yeah that might be a good idea.” Clary says in a breathless tone, feeling worn and exhausted after the last contraction. 

“Do you want me to call your mom too? Or anyone else?” Jace asks, secretly longing for his own mother to come and reassure him that everything will be okay. 

“No not yet, in fact don’t tell anyone I’m in labor, as much as I love our family, I know they’ll all rush over here and I don’t want that, we can send them pictures of the baby when he’s born, and they can come visit in a few days.” Clary says in a tired tone, in no mood for visitors, not even her parents.

________________________________________________________________

**5 hours later**

It has been 5 hours now, since Clary woke up with intense pains in her lower stomach, her labor had been fairly short but intense and only a few moments ago, Clary gave birth to her baby, comfortable and relaxed in her and Jace’s bed.

Before the midwife can get near the baby to wash him down and wrap him up, Clary reaches down to the bottom of the bed and scoops her baby up into her arms and cradles him to her chest, her heart swelling with a love and a joy greater than she had ever felt before. Holding her son with Jace at her side, Clary feels a beautiful, calm sense of peace settle over her.

“Oh Jace look at him, he’s so perfect.” Clary quietly says, gazing at her son in awe. The baby is a perfect mixture of his parents, with a few tufts of golden blonde hair, just like Jace’s, Clary’s bone structure and mouth, Jace’s eye shape and nose shape and- as it would later turn out- beautiful big green eyes just like his mother and grandmother. 

“Yes he is, just like your dad, huh Stephen?” Jace softly coos to the baby. Stephen Alexander Herondale, his son, named after his grandfather and his Uncle Alec. Jace can hardly believe this gorgeous baby lying in his wife’s arm is really his, he is extremely proud of his son already and he is immensely proud of Clary, nothing he has ever done or ever will do, will ever top what Clary has just done, nothing will top her courage and bravery.

“I can’t believe he’s really ours.” Clary softly says, laying her head on Jace’s shoulder, gazing at her son with pure joy. Jace kisses Clary’s head and lets Stephen grab onto his finger.

“Me neither, I love you both so much.” Jace softly says, slipping an arm around Clary and pulling her closer to him. This has to be the happiest day of his life, sitting here with his beautiful, amazing wife and their perfect baby boy, Jace could not be happier, this is his idea of heaven. 

*2 DAYS LATER* 

“Jace are you sure you don’t want me to stay? It would be no hassle at all, really.” Maryse asks her son in a hopeful tone, after spending the last few hours visiting her sweet new grandson, who she is already infatuated with. She knows how daunting this must be for Clary and Jace and is more than willing to help out as much as she can.

“We can stay too Clary, this is such a daunting time, you and Jace are so young, wouldn’t you feel more at ease if your parents were here?” Jocelyn says to Clary, not wanting to leave her daughter when she has just had a baby and she does not want to leave her grandson either, she hadn’t been around when Ash was a baby and now that she has bonded with him and grown close to him, she desperately wishes she could have known about her grandson when he was a baby and taken him in and loved him. Now she wants to be around for everything with Stephen. 

“Mom it’s fine, I couldn't ask you to stay with us anyway, dad has work to think about, he can hardly run a bookstore pretty much on his own, while helping to care for a newborn.” Clary calmly says.

“I don’t mind, I could close the store for a few days or ask Maia and Bat to run the show for a while, I’d rather spend time with my first grandchild than work, anyway.” Luke says, looking up from the baby’s face and smiling at his daughter. Being a grandfather is amazing, even though he feels far too young to be a grandfather he already adores his new role as a grandpa and couldn’t wait to be able to do all the things with Stephen that he hadn’t be able to do with Clary, like helping him learn to walk, talk, etc. 

“Look we appreciate your offer to help out, we really do, but we’re copping just fine, Stephen is a very easy baby, he eats well, he sleeps well and he’s not that fussy, Clary is getting plenty of opportunity to rest and bond with Stephen, everything is fine.” Jace calmly reassures his mother and parents-in-law. 

“Jace is right, you’re more than welcome to come visit anytime you like, Ash will be coming over in a few days to meet his cousin, and of course Magnus and Alec are constantly coming over with gifts, as are Izzy and Simon, but we don’t need you to stay with us.” Clary gently says, not wanting to offend her parents and mother-in-law. 

“Alright, but you call us day or night if you need us, okay?” Jocelyn firmly says, hugging her daughter tightly, trying not to worry too much about her. 

“We will mom, of course we will.” Clary says, as Luke passes Stephen to Jace. 

Once Jocelyn, Luke and Maryse leave, Clary and Jace are able to breathe a sigh of relief. They appreciate their parents’ concern and willingness to help, but they can be very overwhelming at times and almost suffocating, though no doubt they mean well, Clary and Jace are glad to have some time alone with each other and their baby boy.

*Two weeks later*

“Delia what do you think of the baby?” Jem softly asks his daughter, kneeling beside her with baby Stephen in his arms. He, Tessa, Kit and Cordelia had come from Devon today to meet the newest little Herondale. It’s especially important for Kit to meet the baby, seeing as he is one of the only people alive that is related to him by blood.

Cordelia peers curiously at the bundle in her father’s arms, watching as Stephen blinks open his green eyes and gazes at her in fascination. 

“He look like Uncle Will!” Cordelia exclaims in delight. She adores her Uncle Will, who often comes to visit her. 

“You think so?” Jem softly asks, fondly remembering his parabatia. 

“Uh hu, papa we keep him?” Cordelia curiously asks, looking up at Jem with pleading brown eyes. Jem chuckles softly and kisses his sweet little girl’s forehead. 

“I don’t think Clary and Jace would be too pleased if we did that.” He softly says. 

“I’m afraid you can’t take him home Cordy but you can come see him all the time.” Jace softly says, crouching next to his little cousin. 

 Before Cordelia can reply, Stephen starts to fuss and cry in Jem’s arms, his little face scrunching up and turning bright red.

“Oh dear, what’s wrong little one?” Jem coos, gently bouncing the crying baby in his arms, trying to settle him. 

“He’s probably tired, it’s almost his nap time, I’ll go put him down for a bit.” Clary says, walking over to Jem and gathering her son into her arms. 

10 minutes later when Clary comes downstairs from putting Stephen down for his nap, she realizes she has forgotten to put his baby monitor- that Magnus had enchanted to work in The Institute- in his room.

“Kit?” Clary calls to Jace’s cousin, grabbing the baby monitor off the sideboard. 

“Yeah?” Kit asks, walking up to her and looking at her with questioning blue eyes.

“I forgot to take the monitor up when I put Stephen down for his nap, could you please take it up for me? I’d go myself but walking up and down all those stairs makes my pain worse.” She tentatively asks, not wanting to bother or annoy Kit but not feeling fit to walk back up all those stairs. 

“Yeah no problem, which room is he in?” Kit asks, taking the monitor from Clary.

“Second room on the left on the second floor, thanks Kit, you’re doing me a big favor.” Clary says in appreciative tone. 

“Anytime.” Kit says, before turning and jogging up the stairs. 

A few minutes later when Kit steps into Clary and Jace’s room to leave the monitor in, he immediately notices two transparent figures, standing on either side of Stephen’s crib. One of them is a tall man who looks to be in his early 20s, he has straight blonde hair and sharp features. The other is a small, slim woman who also looks to be in her early 20s, she has long curling blonde hair with a soft, square face. 

“Oh he is so sweet and beautiful, he looks just like our Jace.” The woman coos, leaning over the crib and stroking the baby’s cheek. 

“Yes and Jace looks just like me, and this little one has my name too!” The man says in an excited proud tone.

“Jace looks like me too, and so he should, I carried him for nine months. Oh Stephen I wish we could have been around to raise Jace, I hate that Valentine ever got near him, my sweet boy.” The woman says in a solemn tone. It’s then that it hits Kit that these are Jace’s parents, Stephen and Céline. They’ve obviously come to meet their first grandchild. Kit hopes that they are much happier now in the after life than they had ever been when they were alive, he would love to be able to tell Jace that his parents are happy and watching out for him.

“I know Céline, me too, I wish I could get my hands on that bastard for what he did to my boy, he killed me and then stole my child, and it’s not as if he were doing it out of love for us or Jace, he beat him and abused him for years, but thank the angel that Maryse and Robert did give him a good life when they took him in, I never really like them but they loved our boy and cared for him, and for that I’m grateful.” Stephen says in a tight tone, anger welling up in him at the thoughts of what Valentine did to his child. 

“Me too, if I can’t be a mother to Jace I’m glad Maryse is.” Céline quietly says. “And I’m glad our boy is finally getting the life he deserves, he is going to be such an amazing father to this little one.” Céline softly says, gazing at the sleeping baby. 

“Yes he will, I’m so proud of him.” Stephen says. 

“Me too.” Céline agrees. 

Kit quietly places the baby monitor on the dresser right beside the door and quietly backs out of the room, not wanting to further disturb Céline and Stephen’s moment with their grandson. 

As Kit makes his way back downstairs, little Stephen briefly wakes up, his eyes fluttering open to see his grandparents smiling down at him.

“It’s alright little on, go back to sleep, grandma and grandpa are here, we’ll keep you safe.” Céline whispers. Little Stephen smiles up at his grandparents and grabs onto Céline’s hand, before falling back into an easy sleep, guarded by his grandparents. 

[sxpercilixus]

️️️️ ️️️ ️️️️️️️️ ️️️ ️️️️ ️️️ LUCIE HERONDALE

    name:  lucie  elizabeth  herondale     parents:  will  herondale  &  tessa  gray     (  &. younger  sister  of  james.  )     parabatai:  cordelia  carstairs      main  verse  age:  16 / 17 / 18.      species:  nephilim,  runic  magic       (+  part-angel,  part-demon  )     demonic  ability:  liaise  with  the  dead.     current  allegiance:  LONDON  INSTITUTE     [  m/verse:  future  wife  of  jesse  blackthorn. ]         if  lucie  herondale  had  to  describe  herself  without  getting  all  poetic?  well,  she  was  a  walking  contradiction.  fierce,  wise. . .  and  impetuous,  too.  all  she  wanted  to  do  was  read  and  watch  people;  to  then  criticize  and  learn  to  love  them  as  she  wrote  seventeen-thousand  word  stories  on  how  their  nose  curved  quite  snootily,  or  on  how  their  eyes  shined;  or  made  up  stories  of  lost  love  and  adventurous  childhoods.  she  didn’t  mind  making  it  up.  making  things  come  to  life  was  her  greatest  gift.  ironic  as  that  may  be,  for  she  could  see  the  dead  more  often  than  not.  some  dead  were  dangerous  too,  especially  for  the  likes  of  tainted-blooded  lucie.        living  as  the  herondale  girl,  daughter  of  the  legendary  will  herondale  and  tessa  gray,  lucie  struggled  to  follow  rules  or  even  stay  still.  her  brother,  who  was  far  more  expected  to  be  the  troublemaker,  paled  in  comparison  to  her  antics.  which,  in  her  quaint  opinion,  was  quite  rude.  he  made  her  look  bad.  yet,  despite  the  fact  it  was  she  who  often  caused  more  trouble,  it  was  james  who  it  seemed  to  chase.  lucie  would  have  been  jealous,  were  it  not  amusing  to  watch  him  worm  his  way  out  of  things  and  then  write  about  them.  james  hated  it,  so  she  loved  it  even  more.  his  bond  with  erratic  matthew  and  his  crush  on  grace  blackthorn?  hilarious.  he  seemed  to  get  his  revenge  when  he  fell  in  love  with  her  soulmate,  though.         after  all,  in  lu’s  quite  sensible  opinion,  cordelia  carstairs  belonged  to  her.  a  parabatai  meant  way  more  than  to  be one  of  her  brother’s  fleeting  flings.  unlike  shy  james,  lucie  chases  those  she  wants  in  her  life.  when  she  met  cordy?  she  knew  that  was  who  could  keep  up;  if  anyone  could.  she’d  wanted  to  keep  her,  and  what  better  way  to  do  so  than  with  a 2000  page  declaration?  years  later,  the  institute  simply  was  no  fun  without  the  strangest,  yet  cutest  of  parabatai  bonds,  and  lucie  thanked  the  angel  for  the  day  they  met.  and  yet,  more  often  than  not,  lucie  still  liked  to  be  alone  too.  when  she  was  ten,  she  got     LOST.    life  was  never  quite  the  same  since.  she  dreamed  of  getting  lost  again.             (  . . . with  the  boy.  the  dead  boy.  )       and  even  though  it  was  normal  for  the  half-angel,  part-demon  to  see  the  dead,  she  knew  he  wasn’t  normal.  the  green  eyes,  the  pale  skin.  nothing  about  him  was  like  anything  she’d  ever  seen,  or  read,  or  even  knew  about.  faded  runes,  faded  eyes;  but  too  alight  for  death.  ghosts  were  common,  but  not  ghosts  like  him.  despite  the  fear  in  her  heart,  the  relief  in  her  father’s  sigh  as  she  managed  to  find  her  way  home  to  run  into  his  arms,  and  even  the  warning  look  in  her  brother’s  gold  eyes;  lucie  knew.  she  knew  she’d  go  looking  again.  she’d  never  stop.  a  shadowhunter  life  kept  her  busy  though,  and  lucie  did  not  like  to  disappoint.

               extras: ( x )  verses. ( x )  relationships. ( x )  musings ( x )  all things

[marketnewsreport]

Angiography Equipment Market Set to Grow at Healthy CAGR of 5.9% by 2025

Angiography Equipment Market is expected to reach USD 15.45 billion by 2025, from USD 13.06 billion in 2017 growing at a CAGR of 5.9% during the forecast period of 2018 to 2025. The upcoming market report contains data for historic years 2016 the base year of calculation is 2017 and the forecast period is 2018 to 2025.

Major Market Competitors/Players: Global Angiography Equipment Market

Some of the major players operating in the market are GE Healthcare, Siemens, Royal Philips Electronics, Shimadzu Corporation, Terumo, Toshiba Medical Systems Corporation, Abbott Vascular (Abbott Laboratories), Boston Scientific, Medtronic, Providian Medical, Soma Technology, Inc., Canon Medical Systems, Medtronic, Inc., Cordis Corporation, B. Braun and  Angiodynamics among others.

Get Exclusive Sample Report: @ https://databridgemarketresearch.com/request-a-sample/?dbmr=global-angiography-equipment-market

Angiography is also known as arteriography. It is a medical imaging method used to envision the inside, or lumen of blood vessels and organs of the body, with particular interest in the arteries, veins and the heart chambers. This is usually performed by injecting a radio-opaque contrast agent into the blood vessel and imaging using X-ray based techniques such as fluoroscopy. In other word the angiography can also be defined as the test where dyes are seen by X-Rays injected into blood vessels that can be either arteries or veins and inspected using X-Rays. The subsequent images that are obtained are known as angiograms. Angiograms are used to identify narrowing or blockages in vessels anywhere in the body, from head to toe.

Competitive Analysis: Global Angiography Equipment Market

The global angiography equipment market is highly fragmented and the major players have used various strategies such as new product launches, expansions, agreements, joint ventures, partnerships, acquisitions, and others to increase their footprints in this market. The report includes market shares of Angiography Equipment market for global, Europe, North America, Asia Pacific and South America.

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Market Segmentation: Global Angiography Equipment Market

The global angiography equipment market is segmented based on product, technology, procedure, indication, application, end user and geographical segments.

·         Based on product, the market is segmented into angiography equipment solutions. The angiography equipment solutions segment is further sub-segmented into angiography systems, angiography catheters, angiography contrast media, vascular closure devices (VCDS), angiography balloons, angiography guidewires and angiography accessories.

·         On the basis of technology, the market is classified into X-Ray angiography, CT angiography, MR angiography and other angiography technologies. The X-Ray angiography is further classified into image intensifiers and flat-panel detectors.

·         On the basis of procedure, the market is segmented into coronary angiography, endovascular angiography, neuroangiography, onco-angiography and other angiography procedures.

·         Based on indication, the market is segmented into coronary artery disease, valvular heart disease, congenital heart disease, congestive heart failure and other indications.

·         Based on application, the market is segmented into diagnostics and therapeutics.

·         On the basis of procedure, the market is segmented into hospitals and clinics, diagnostic and imaging centers and research institutes.

·         Based on geography the global Angiography Equipment market report covers data points for 28 countries across multiple geographies namely North America & South America, Europe, Asia-Pacific and, Middle East & Africa. Some of the major countries covered in this report are U.S., Canada, Germany, France, U.K., Netherlands, Switzerland, Turkey, Russia, China, India, South Korea, Japan, Australia, Singapore, Saudi Arabia, South Africa and, Brazil among others.

Major Market Drivers and Restraints:

·         Growth in aging population and incidence of CVD

·         Growing awareness programs, conferences, and funding activities

·         Growing demand for interventional angiography systems in minimally invasive surgeries

·         Limitations in reimbursement for angiography procedures

·         Risk of radiation exposure

Get Detailed Toc and Charts & Tables @ https://databridgemarketresearch.com/toc/?dbmr=global-angiography-equipment-market          

Reasons to Purchase this Report

·         Current and future of global angiography equipment market outlook in the developed and emerging markets

·         The segment that is expected to dominate the market as well as the segment which holds highest CAGR in the forecast period.

·         Regions/countries that are expected to witness the fastest growth rates during the forecast period

·         The latest developments, market shares, and strategies that are employed by the major market players

Customization of the Report

·         The report includes the complete segmentation displayed above across all above mentioned countries

·         All products covered in the market, product volume and average selling prices will be included as customizable options which may incur no or minimal additional cost (depends on customization)

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