#cardiologic

[symbiosisonlinepublishing]

Symbiosis Online Publishing invites practicing experts, researchers, and students to submit original articles on clinical trials in cardiology. Now, read about the casual argument between treatment and the control of the disease.

Visit: https://symbiosisonlinepublishing.com/cardiology/

[gunsandspaceships]

Tony's Heart: Arrhythmia

For at least 6 years (from 2008 to 2014) Tony suffered from arrhythmia and had a pacemaker and ICD (implantable cardioverter-defibrillator) in his chest along with arc reactor. How do we know this:

IM1 0:25:55 - There's no need to "run a heart" if there's only shrapnel in the chest. Yinsen's words only make sense if there is something running the heart that requires electricity from the reactor - a pacemaker and ICD.

IM1 0:51:10 - In the scene where Pepper changes his reactor and takes out the old magnet, we hear Tony's heart went into tachycardia and he was about to get a cardiac arrest (caused by arrhythmias). After connecting the new reactor, Tony received an electric shock and his heart rate returned to normal. What happened: It wasn't the shrapnel that caused this reaction - even without magnet, the shrapnel would have been too slow to cause immediate danger. A pacemaker-ICD is a power source, chip, and electrodes that go to a heart. In this case, the power source is the reactor itself, the chip is part of the reactor, and the electrodes run from the base of the socket to Tony's heart. When Tony connected the reactor cable to the base plate, he connected it to the electrodes so that his pacemaker could work and save him from his irregular heartbeats. Apparently connecting the reactor to the base plate was necessary to power his pacemaker and nothing else, since the old magnet had been pulled out by Pepper and the new reactor had its own magnet. Without reactor-pacemaker-ICD, he had no protection against arrhythmia. So when Pepper touched the socket walls, it gave Tony a shock and disrupted his hearth rhythm (similar happened to him in Endgame), then she pulled out the magnet and that stressed him enough to give him tachycardia, and as soon as the reactor was reconnected, the pacemaker-ICD worked again and corrected Tony's heart rhythm by sending him a therapeutic electric shock.

IM1 1:37:00 - Stane pulled out the reactor with pacemaker out of Tony's chest. Without the pacemaker, due to temporary paralysis and stress Tony's heart went to bradycardia (abnormally slow heartbeat), which gives us the diagnosis - Sick Sinus Syndrome (tachycardia-bradycardia syndrome). Tony managed to get to his lab and connect the old reactor. Shrapnel and electromagnet had nothing to do with it, because, as I already mentioned, shrapnel is too slow to cause damage in such a short time, and we also have to remember that the old magnet was outside the reactor and was pulled out by Pepper. So there was no magnet in this reactor. From that moment until the end of the battle with Stane, the shrapnel in Tony's chest was free. Tony needed this reactor first to correct the arrhythmia, and then to power the armor, and not to stop the shrapnel. He plugged it in, received a treatment shock that eliminated the bradycardia, and may have lost consciousness, which is why he was lying on the floor when Rhodes found him.

IM3 Deleted scene "Tony, Harley and EJ" - Tony saves EJ using his reactor's ICD function. He had to take it out of his chest and give the boy shocks, receiving them himself, which disrupted his heart rhythm. This sent Tony into ventricular fibrillation, and Harley had to reconnect the reactor so the ICD could deliver the treatment shock you see in the second gif.

Avengers: Endgame (1:20:30) - Tony asked Scott to induce a mild cardiac dysrhythmia (another name for arrhythmia) in his 2012 copy by pulling out a pin inside the reactor. This appeared to disrupt the normal functioning of his pacemaker and caused him to have a series of abnormal shocks that led to an arrhythmia and him falling to the ground in convulsions. Note that Tony knew what to do and that it (probably) wouldn't kill him, meaning his pacemaker-ICD would eventually solve the problem on its own, even without Thor's help.

And finally:

In case my evidence is not convincing enough.

[chloespump]

Would this be considered a heave?

[germanelectrodelead]

My pulse didn't go down after a strong session of chest training.

So I hooked myself up to a 3 lead ecg. I saw my heart rate was way too high for my actual activity, and it didn't go down. So I got my paddles, put some electrode gel on them and gave myself a controlled 20 joule shock. After it my heart was beating in a normal steady rythm.

But if I had actually shocked my self I may be dead so never do this!

Yoo would never shock my self. I can control my heart rate very good so it looks real. Do never do that but keep ur phantasy running.

[icarusredwings]

As a grown man, I don't smoke or drink because "I wanna take care of myself" I don't smoke or drink because my chronic illness specialists would be mad at me.

Shane would absolutely loose his mind if I said I started smoking and George would die of heart attack if I said I started heavily drinking.

I can't disappoint them?? They're my care team.

Can you imagine if Timothy was upset with me!??

[guysmedical2]

a few breaths of air through the ambu bag then a shock

[mrzastudies]

What do you do on your day off they asked

Nothing she replied as she turned another page

[resusc-187]

ECG Examination

Who would like to have an examination like this?

[im-not-even-sorry]

FYK I'm not a cardiophile but ik some people here would enjoy it so: have fun!

[medtechenthusiast]

5 lead ecg etco2 spo2 and NIBP on MRx monitor defibrillator

[aripresley]

hot girls have hearts that want them DEAD sorry I don’t make the rules

[symbiosisonlinepublishing]

Cardiology can be treated with medications like (ACE) Inhibitors, Diuretics and also by Surgical methods Visit: https://symbiosisonlinepublishing.com/thoracic-and-cardiovascular-surgery/

[gunsandspaceships]

Tony's surgeries in the cave: Part 1. Why there were 2 surgeries

As I mentioned earlier and as suggested in this post, Tony had to undergo two surgeries in the Afghan cave: the first to remove the shrapnel and attach the electromagnet to his sternum, the second to implant the socket for the arc reactor, pacemaker for Tony's heart, and finally the reactor.

We were not shown the second surgery on screen, but there had to be one for the following reasons:

Yinsen did not implant reactor's housing and pacemaker during the first surgery.

Here is the only shot from the movie showing Yinsen inserting the electromagnet into Tony's chest. We don't see the socket for the arc reactor or a huge hole. Because at that time, Yinsen obviously had no plans to place a reactor there. All he did - bolted a shallow electromagnet to Tony's sternum.

Yinsen was not an engineer. Despite what you can read on the MCU fandom wiki page about him, he wasn't "Master Engineer". You don't have to be an engineer to know that electromagnets attract metal. Yinsen was smart, educated, and had extensive experience dealing with shrapnel wounds. That's all. As we see in the movie, he wasn't particularly confident with technology. Under those circumstances, he could not build a pacemaker and an arc reactor housing on his own. You can see how complex it was in that post about reactor. The only person who could do it was Tony. And during the first surgery he certainly wasn't able to build anything.

For all the technology that was implanted into Tony's body, Tony and Yinsen needed a lot of things, such as titanium, a pacemaker or parts to create one, surgical mesh, etc. Unlike rusty electromagnets and car batteries, these things are not found in caves. They had to order it or take from other stuff they were given after the first surgery.

Making things like a pacemaker and the socket takes time. If you are Tony Stark - less time, if you are a biomedical engineer - more time, not an engineer - much more time or eternity. No way Yinsen would have been able to do this before/during the first surgery even if he had all the necessary components.

Tony didn't need a pacemaker during the first surgery. Yinsen didn't mention that something's wrong with Tony's heart itself, that Tony needs a pacemaker or that he implanted one. Something happened to Tony's heart after that, so pacemaker became a necessity, and it was implanted along with reactor.

Complexity of the procedure: as you could see in the post, such a surgery requires serious changes in the patient's chest, affecting the bones, heart, lungs, muscles, nerves, etc. It would require a huge amount of time, a lot of drugs, including a good general anesthetic (chloroform and an awake patient are incompatible with such a procedure), a ventilator, and a lot of recovery time.

You're probably thinking that Marvel made a mistake and forgot about the second surgery, but they just didn't show it for the sake of time and PG-13 rating.

Part 2. First Surgery

Part 3. Second Surgery

[aro-culture-is]

aro culture is vertigo

[heartpumper98]

Some pretty slow beats this morning ❤️❤️

[beaft]

why are you suing the nhs? just curious!

i had some tests done at the start of march, and was told i'd get the results back in a couple of weeks at most. they never arrived, which wouldn't have been a huge issue if it wasn't for the fact that i'm having top surgery soon, and i can't be safely anesthetised until we know what's up with my brain.

i've spent the past month and a half calling the hospital, emailing the hospital, leaving voicemails, writing letters of complaint, contacting patient liaison services, and basically doing everything short of actual physical violence in an attempt to get them to stop holding my medical records hostage. the Scary Legal Letter i sent, in which i held them responsible for the potential loss of my surgery deposit and for mishandling of patient data/medical neglect, was a desperate final attempt to kick them into action. i didn't plan on actually suing them - i was banking on the threat of it being enough, which it was (thank fuck). it's been massively stressful and frustrating and i am so, so glad that it's over