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Despite advances in the understanding and treatment of ischemic cardiomyopathy, characterized by extensive coronary artery disease and left ventricular (lv) dysfunction, the prognosis remains poor with only a 50â€“60% 5-year survival rate. viagra without a doctor prescription
The composition of atherosclerotic lesions is currently regarded as being more important than the degree of stenosis in determining acute events. safe teenagers use viagra If imaging techniques could distinguish vulnerable from stable plaques, then high-risk patient subgroups could be identified. viagra effects premature ejaculation Another important concept is that lv dysfunction may be the result of either scarring due to necrosis or to the presence of myocardial hibernation, in which there is sufficient blood flow to sustain viable myocytes, but insufficient to maintain systolic contraction. viagra para jovenes yahoo This concept of myocardial viability is critical for making optimal clinical management decisions. buy cheap viagra
This review describes how noninvasive imaging methods can be used to distinguish regions of irreversibly injured myocardium from viable but hibernating segments. Technical advances in ct and mr have made imaging of the beating heart possible. generic viagra in usa
Considerable clinical progress has already been made and further cardiac applications are expected. viagra rapid tabs reviews Radiologists therefore have new opportunities for involvement in cardiac imaging but must recognize the political implications as well as the diagnostic potential of these modalities not only for the heart, but also for the whole vascular system. cheap viagra online
This review focuses on imaging myocardial injury. viagra naturale vendita online It compares state-of-the-art ct and mr with more established yet contemporary echocardiography and nuclear scintigraphy. viagra side effects antifungal Electronic publication page %p close plain text look inside other actions export citations register for journal updates about this journal related content supplementary material (0) references (0) about this article title imaging of ischemic heart disease journal european radiology volume 12, issue 5 , pp 1061-1080 cover date 2002-05-01 doi 10. Viagra 10mg price
1007/s003300101131 print issn 0938-7994 online issn 1432-1084 publisher springer-verlag additional links register for journal updates e. viagra without a doctor prescription More effective viagra viagra viagra
Shannon Rucker, Pastor
Email Pastor Shannon
Shannon was appointed into the Eldership in February 2003. Though he never attended Seminary, his training came in the school of personal meditation and prayer over the scriptures. The Holy Spirit deserves the glory for energizing his study of the scriptures concerning the person and work of Jesus Christ. He learned the grace of submitting to older wiser Pastors in his formative days and eventually found opportunity to fill a calling to the ministry within Grace Assembly.
He enjoys counseling, administration, and watching believers grow in knowledge and zeal for Christ. He and his wife Danelle have seven children, he enjoys family time, is an avid sports fan, participates in singing and hospitality with the body of Christ.
Lou Mancari, Pastor
Email Pastor Lou
Lou is honored to serve as an Elder at Grace Assembly. He also is Co-Director of African Ministries and Director of Itinerary for Advancing Native Missions in Charlottesville, VA. He is an online professor for Colorado Christian University teaching New Testament, Old Testament and Spiritual Formation.
He has helped to plant and pastor two churches in New York and Pennsylvania, authored two books, and has traveled to 14 countries and 5 continents to preach and teach. Lou and his wife Iris have four children and two grandchildren. He loves discussing practical theology over good coffee, watching old movies and college football.