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There are several circulated hormones that control intravascular blood volume which are secreted from cardiac tissue, such as atrial natriuretic peptide (ANP) and brain (B-type) natriuretic peptide (BNP). These peptides will be elevated in case of heart failure (HF), and because of their diuretic, natriuretic, vasodilating effects as well as suppressing renin production they will work as compensated for HF. The natriuretic peptides system has critical effect against renin – angiotensin – aldosterone system (RAAS). A suggested therapeutic approach was discussed in HF treatment via performing human recombinant ANP and BNP, but it’s requiring more clinical trials to evaluate the quality of this approach compared to conventional treatment.
There are several circulated hormones that control intravascular blood volume which are secreted from cardiac tissue, such as atrial natriuretic peptide (ANP) and brain (B-type) natriuretic peptide (BNP). These peptides will be elevated in case of heart failure (HF), and because of their diuretic, natriuretic, vasodilating effects as well as suppressing renin production they will work as compensated for HF. The natriuretic peptides system has critical effect against renin – angiotensin – aldosterone system (RAAS). A suggested therapeutic approach was discussed in HF treatment via performing human recombinant ANP and BNP, but it’s requiring more clinical trials to evaluate the quality of this approach compared to conventional treatment.
Objective: To investigate the impact of triage professionals' knowledge, experience, and other key attributes on their ability to accurately diagnose and initiate early treatment for Acute Coronary Syndrome (ACS) through a review of existing literature. Methods: A literature review was conducted using established databases. Studies examining the relationship between triage professionals' expertise and their ability to manage suspected ACS cases were included. Results: The review uncovered several key themes regarding the role of triage professionals in managing suspected ACS cases: Triage professionals must possess multifaceted expertise, combining strong knowledge, clinical competency, effective communication, and sound decision-making skills to effectively manage potential ACS cases in high-pressure environments. Accurate ACS identification demands specific skills such as comprehensive knowledge, competent assessment, clear communication, and strong decision-making abilities. Experience plays a significant role in shaping triage professionals' abilities, enhancing intuitive skills and pattern recognition. However, it can also be susceptible to limitations such as fatigue-induced bias, highlighting the need for strategies to mitigate these challenges. Educational interventions emerge as effective tools for improving triage professionals' knowledge and confidence levels. Well-designed training programs have been shown to lead to quicker identification of high-risk patients, potentially resulting in improved patient outcomes. Despite these findings, the review identified several gaps and areas for improvement in current research. Limitations include a lack of emphasis on the direct link between interventions and patient outcomes, limited longitudinal studies, and variations in methodology and setting that hinder generalizability. Addressing these limitations is crucial for advancing our understanding of the effectiveness of educational interventions in improving the early management of ACS by triage professionals. Conclusion: Continuous learning, standardized practices, and ongoing research are crucial to optimize the role of triage professionals in early ACS management. Addressing the identified limitations in research methodology and implementing future studies as suggested can potentially improve patient outcomes and enhance the healthcare system's response to this time-sensitive condition.
Congestive heart failure, occurs when our heart muscle doesn't pump blood as well as it must. Certain conditions, such as narrowed arteries in your heart (coronary artery disease) or high blood pressure, gradually leave your heart too weak or stiff to fill and pump efficiently. Herbal drugs like digitalis, squill, and stropanthus commonly find the treatment of heart diseases. Caridio active glycosides like having the purpurea glycosides A and B present in the herb of digitalis, glucoscillaren A and scillarenase having the squill and strophanthus having strophanthoside.
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