Credit Valley Contact April 2011- Part 2

Causes Of Afib - Credit Valley Contact April 2011- Part 2.

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How is Credit Valley Contact April 2011- Part 2

Credit Valley Contact April 2011- Part 2 Video Clips. Duration : 8.78 Mins.

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Causes and Effects of Anoxia

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Below I have listed five causes of anoxia:

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Obstruction to the air passages, for example in strangulation, smothering, pressure by haematoma, or any pressure from outside the womb.

Lung conditions which prevents the air sacs filling with air, such as pneumonia, where they are filled with exudate, pulmonary oedema, or a collapsed lung.

Damage to the respiratory centre in the brain, or to the nerves supplying the muscles of respiration. This may be caused by a stroke, head injuries, barbiturate or morphine overdose, electric shock, tetanus, and in babies prolonged labour or any brain damage around the time of birth.

Poor oxygenation of the blood. This occurs in chronic bronchitis with emphysema, and with congenital defects of the heart in children, because not enough blood reaches the lungs owing to the mechanical defect. It also occurs in carbon monoxide poisoning, because carbon monoxide combines with haemoglobin and prevents it from carrying oxygen, and at high altitudes if oxygen equipment is not carried.

Haemorrhage. Because of the loss of red blood cells, there is too little haemoglobin to carry enough oxygen. Severe anaemia may also cause anoxia for this reason.

There are many effects on the body that can be caused by anoxia. The brain is extremely sensitive to lack of oxygen. Sudden anoxia causes unconsciousness, and if the anoxia is complete and lasts more than two minutes, permanent brain damage can be caused, and if much longer, death.

Prolonged anoxia at the time of birth is a cause of mental handicap. More chronic anoxia, as in congestive heart failure causes mental confusion and irritability. A child with congenital heart disease who is anoxic has stunted growth and perhaps somewhat arrested mental development.

The kidneys are also damaged by anoxia. If the anoxia is acute, the patient may develop anuria and acute renal failure. If it is more chronic, there may be chronic renal failure.

The usual signs of anoxia is that the patient becomes blue, especially at the extremities and around the mouth. This is the main sign to look out for.

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Blue Toe Syndrome

Atrial Fibrillation - Blue Toe Syndrome

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Blue toe syndrome is the bluish discoloration to toes as a result of tissue ischemia (lack of blood flow). The syndrome is caused by the blockage of small vessels that lead into the toes. One or more toes may be affected; in severe cases this can also manifest itself as a multi-organ problem.
There are a few causes of blue toe syndrome but the most common is the breakage of a small piece of arterial plaque usually from the abdominal aorta-iliac-femoral arterial system (located in the abdomen and groin area) which then travels down the arterial tree into the small vessels of the foot where it becomes lodged. This is known as an embolism. All tissue distal (in front of) the blockage will then turn a bluish color which represents a lack of oxygen to the tissue.
Generally patients are in their 40s, 50s, 60s, and older. The condition can occur insidiously or may be the result of abdominal surgery or an invasive vascular procedure or test.

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About Atrial Fibrillation

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The affected toes become cyanotic but there are other etiologies such as trauma, connective tissue disease like Scleroderma, hypercoagulability of blood as seen in polycythemia vera , atrial fibrillation and Raynauds phenomenon. In Raynauds the fingers will usually also be involved and this generally occurs in younger patients without any known history of atherosclerotic disease.
At the local level, blue toe syndrome may occur in diabetic foot infections and those who have undergone foot surgery.

Blue toe syndrome is easily misdiagnosed because in most cases the larger arteries of the foot are palpable and that directs the doctor away from a diagnosis of occlusive disease.
Treatment is geared towards alleviation of the blockage further up the arterial tree through stenting, bypass surgery, or anticoagulant therapy. Vasodilator drugs have no proven effectiveness in treatment of this condition, since this is not a vasospastic disorder.
Mild forms of the disease which affect just the toes have a good prognosis and usually subside on their own. It should be noted that sometimes the pain in the toes is disproportional to the extent of involvement of the toes and adequate analgesics should be prescribed. Multi-systemic forms where the kidney is also usually affected, the prognosis is more dubious.
In the foot, should the condition not resolve itself there is always the possibility that the condtion will worsen to gangrene and subsequent amputation of the affected toes.

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