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Interface how do you fix a broken heart

TUBSWEETIE

Avatar: 3450 2011-07-31 00:45:06 -0400
28

[And The Banned Pla-
yed On
]

Level 37 Troll

MY MEMORY IS THAT OF A SMALL GRAPE

answer please, relevant to my interests


Hobart Bliggity Posted:

I’m going to stop mid sentence because I just realized that forumwarz has become exactly what it started off parodying. A good number of the newer posters don’t see that we’re making fun of idiots and spammers and trolls that exist on other forums. They are the idiots and spammers and trolls we used to parody. I really can’t get past that right now but good work CZ I guess.

http://www.forumwarz.com/discussions/view_post/653647

ChilePepino

Avatar: 101005 2010-01-24 16:17:40 -0500
5

[Full of SbumSS]

Level 35 Permanoob

Well, spf357 really rocks.

Hart phailure (HF) be a condidtion ins witch prob wif tha structure oar phunction hart impairs its ability too supply suffikient blood phlow 2 meet de body’s needs.[1] It should nawt be confused Wit cardiac arrest (c Terminology, below).

Common causes ov hart phailure include myocardial infarction en othr phorms o’ ischemik Hart disease, hypertension, valvular hart disease + cardiomyopathy.[2] Hart phailure kan cuz an large variety uv symptoms such az shortness off breath (typikaly worse when lieing phlat, whikh are called orthopnea), coughing, ankle swelling an reduced exercise capacity. hart phailure r often undiagnosed due tew lack an universally agreed definiton & challenges N definitive diagnosis. Treatment commonly consists ov lifestyle measures (such az decreased salt intake) en medikations, and somtimes devikes or even surgery.

Heart phailure iz a common, costly, disabling and deadly condidtion.[2] ins developing countriez, roun 2% o’ adults suffer phorm heart phailure, bum n thsoe ovr da age of 65, dis increases too 6—10%.[2][3] Mostly due 2 costs of hospitalization, it be asociated wid a hai health expenditure; costs hav bin esitmated tew amount to 2% of th’ total budget of thee National Health Sevike in tehz United Kingdom, and more then $35 billion in tje United States.[4][5] Heart phailure is bumociated wif signifikantly reduced physikal and mental health, resulting in a markedly decreased kwality of life.[6][7] With thge exception of heart phailure caused by reversible condidtions, the condition yooshuallee worsens with tiem. Altough som patients survive manee years, progressive disease is bumociated with an overall anual mortality rate of 10%.

TUBSWEETIE

Avatar: 3450 2011-07-31 00:45:06 -0400
28

[And The Banned Pla-
yed On
]

Level 37 Troll

MY MEMORY IS THAT OF A SMALL GRAPE

ChilePepino Posted:

Hart phailure (HF) be a condidtion ins witch prob wif tha structure oar phunction hart impairs its ability too supply suffikient blood phlow 2 meet de body’s needs.[1] It should nawt be confused Wit cardiac arrest (c Terminology, below).

Common causes ov hart phailure include myocardial infarction en othr phorms o’ ischemik Hart disease, hypertension, valvular hart disease + cardiomyopathy.[2] Hart phailure kan cuz an large variety uv symptoms such az shortness off breath (typikaly worse when lieing phlat, whikh are called orthopnea), coughing, ankle swelling an reduced exercise capacity. hart phailure r often undiagnosed due tew lack an universally agreed definiton & challenges N definitive diagnosis. Treatment commonly consists ov lifestyle measures (such az decreased salt intake) en medikations, and somtimes devikes or even surgery.

Heart phailure iz a common, costly, disabling and deadly condidtion.[2] ins developing countriez, roun 2% o’ adults suffer phorm heart phailure, bum n thsoe ovr da age of 65, dis increases too 6—10%.[2][3] Mostly due 2 costs of hospitalization, it be asociated wid a hai health expenditure; costs hav bin esitmated tew amount to 2% of th’ total budget of thee National Health Sevike in tehz United Kingdom, and more then $35 billion in tje United States.[4][5] Heart phailure is bumociated wif signifikantly reduced physikal and mental health, resulting in a markedly decreased kwality of life.[6][7] With thge exception of heart phailure caused by reversible condidtions, the condition yooshuallee worsens with tiem. Altough som patients survive manee years, progressive disease is bumociated with an overall anual mortality rate of 10%.

thank you but that is not the correct kind of heartbreak


Hobart Bliggity Posted:

I’m going to stop mid sentence because I just realized that forumwarz has become exactly what it started off parodying. A good number of the newer posters don’t see that we’re making fun of idiots and spammers and trolls that exist on other forums. They are the idiots and spammers and trolls we used to parody. I really can’t get past that right now but good work CZ I guess.

http://www.forumwarz.com/discussions/view_post/653647

ChilePepino

Avatar: 101005 2010-01-24 16:17:40 -0500
5

[Full of SbumSS]

Level 35 Permanoob

Well, spf357 really rocks.

sypmtoms

hart failure sypmtoms am traditionally + somewhat arbitarily divided into “lefted” an “rite” sided, recognizing dat tha lefted & rite ventrikles uv hart supply difurnt portiuns off de circulaton. however, hart failure r nots exclusively backward failure (ins da pt th’ circulation wikh drains too thee ventrikle).

thar r sevrl udder exceptiuns 2 simple left-rite divison ov hart failure symptoms. left sided foward failure overlaps wit rite sided backward failure. additionally, tehz moast common kuz o’ rite-sided hart failure iz left-sided heart failure. tha result be that patients commongly present wid both sets uv signs en symptoms.

[edit] left-sided failure

backward failure off left ventrikle causes congestion de pulmonary vasculachur, + sew da symptoms ar predominantly respiratory n nachur. th’ patient wil has dyspnea (shortness ov breath) onna exertion (dyspnée d’effort) an ins severe cases, dyspnea @ ress. increasing breathlessness on lieing flat, called orthopnea, occurs. itz is oftenly measured n thee # o’ pillows recquired tew lye comfortably, & ins severe cases, tehz patient mae resort too sleeping wile sitting op. another symptom uv heart failure is paroxysmal nocturnal dyspnea alzo known az “cardiac asthma”, an sudden nightime attack off severe breathlessness, yooshuallee sevrl housr after going 2 sleeps. ease fatigueabilitee en exercise intolerance be alzo common complaints related tew respiratory comprimise.

compromise left ventrikular forward function mhey result n symptoms ov poor systemik circulation such az dizziness, confusion + coo extremitiez @ ress.

[edit] rite-sided failure

backward failure o’ tha right ventrikle leads too congestion of systemik capillariez. thys helps to ganerate excess fluid acgreat timesulation ins body. this causes swelling unner de skin (termed peripheral edema ore anasarca) an usually affects teh dependent parts of teh body 1st (causing foot & ankle swelling n peepul who are standing upp, en sacral edema ins pepl who are predominantly lying down). nocturia (frequent nightime urination) mae occour when fluid frum the legs is returnd to the bloodstream whyl lying down @ nite. n progressively severe cases, ascites (fluid acgreat timesulation in the abdominal cavitee causing swelling) + hepatomegaly (painful enlargment of the liver) mhey develop. siginifikant liver congestion mae result in impaired liver function, adn jaundyk and een coagulopathy (problems of decreased blood klotting) may occurr.

scully

Avatar: 12797 2015-07-20 16:59:13 -0400
77

[Good Omens]

Level 69 Camwhore

I really do talk ****!

Go home, lay down and listen to country music. The music of pain.

You could try melting something or lighting something on fire. Fire is pretty.

If Janie were here, she would be much more help. Log in to see images!


Time you enjoy wasting, was not wasted. Log in to see images!

im sorry but aerith isent comin back 2 life


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ChilePepino

Avatar: 101005 2010-01-24 16:17:40 -0500
5

[Full of SbumSS]

Level 35 Permanoob

Well, spf357 really rocks.

treatment phocuseses oan inproving da sypmtoms preventing th’ progression uv thee disease. reversible causeses off tehz hart phailure alzo need 2 bee addressed: (e.g. infection, alcohol ingestion, anemia, thyrotoxicosis, arrhythmia, hypertension). treatments includ lifestyle & pharmacological modalitieses.

[edit] modalitieses

[edit] diet en lifestyle measureses

patients wif chf r educated tew undertaek various non-pharmacological measureses too improove sypmtoms + prognosis. such measureses include:[29]

* moderate physical activity, wen sypmtoms am mild oar moderate; ore bed rest wen symptoms ar severe.

* iffn sleeps apnea r identifyd, treat wit cpap, bipap, dental applianceses oar surgery. sleeps apnea iz unner reconized risk phactor phoar hart phailure

* wait reduction – threw physical activity dietary modification, az obesity bee risk phactor 4 hart phailure & left ventricular hypertrophy.

* monitor wait – thiz b parameter taht cans easily b measured @ home. rapid wait increase r generally due 2 phluid retention. weight gain moar thne 2 pounds iz bumociated wid addmission tew tha hospital phur hart phailure[30]

* sodium restriction – excessive sodium intaek mhey precipitate ore exacerbate hart phailure, thus “noah added salt” diet (60–100 mmol total daily intaek) b reccomended pho patients wif chf. morr severe restrictiuns mae b requred ins severe chf.

* phluid restriction – patients wit chf hav diminished abilty too excrete phre watr load. hyponatremia phrequentily develops n decompensated hart phailure due 2 effects ov excess circulating neuroendocrine hormoneses. wil de activation o’ da renin-angiotensin-aldosterone axis due tew decreased renal perfusion promoteses both sodium en h2o retention, th’ activation uv atrial natriuretic peptide due too atrial stretch phavors sodium excretion, + thee activation off antidiuretic hormone due 2 peripheral baroreceptors dat sense hypotension az well az due tew tehz activation tha sympathetic nervous sytem phavors watr retention alone, leading too disproportionately moar h2o retention then sodium retention. severity ov de hyponatremia during a epsiode o’ decompensated hart phailure kan bee predictive uv mortality. generally watr intaek shud bee limited 2 1.5 l daily oar lezz ins patients wid hyponatremia, tho phluid restriction mhey be benificial regardless n symptomatic reduction.

[edit] pharmacological management

thar are an signifigant evidence–practice gap ins da treatment off chf; particularily th’ underuse ace inhibitors an β-blockers & aldosterone antagonists witch gots bean shown tew provide mortality benefit.[31] treatment ov chf aims too relieve symptoms, 2 maintain euvolemic state (normal phluid level n thee circulatory system), en tew improove prognosis bai delaying progression o’ hart phailure + reducing cardiovascular risk. drugs usd include: diuretic agents, vasodilator agents, postive inotropeses, ace inhibitors, beta blockers, an aldosterone antagonists (e.g. spironolactone). sum drugs wich increase hart phucntion, such az tehz postive inotrope milrinone, led too inclreased mortality, & are contraindicated.[32][33]

[edit] angiotensin-modulating agents

ace inhibitor (ace) therapy r recommended phoar awl patients wif systolic hart phailure, irrespective uv symptomatic severity ore blood pressure.[34][13][35] ace inhibitors improve symptoms, decrease mortality en reduce ventricular hypertrophy. angiotensin ii receptor antagonist therapy (alzo refered 2 az @1-antagonists oar angiotensin receptor blockers), particularly using candesartan, iz an acceptable alternative ifs tha patient be unable tew tolerate acei therapy.[36][37] aceis + arbs decrease afterload bye antagonizing vasopressor effect off angiotensin, therby decreasing de ammount werk da hart mussed perform. itz are alzo believed taht angiotensin driectly affects cardiac remodeling, an blocking itz activity cans therby slo th’ deterioration ov cardiac phuntion.

[edit] diuretics

diuretic therapy r indicated phoar relief o’ congestive symptoms. sevrl clbumeses are yoozd, wit combinatiuns reserved 4 severe hart phailure:[29]

* loop diuretics (e.g. phurosemide, bumetanide) – mos commonly usd clas ins chf, yooshuallee phur moderate chf.

* thiazide diuretics (e.g. hydrochlorothiazide, chlorthalidone, chlorthiazide) – mae be usefull pho mild chf, bum typically yoozd n severe chf ins combination wid loop diuretics, resulting n an synergistic effect.

* potbumium-sparing diuretics (e.g. amiloride) – usd phrist-line uz too correct hypokalaemia.

o spironolactone iz yoozd az ad-onna therapy 2 acei plus loop diuretic ins severe chf.

o eplerenone be specifically indicated phoar poast-mi reduction uv cardiovascular risk.

if an hart phailure patient exhibits resistance tew or poor reponse too diuretic therapy, ultrafiltration or aquapheresis mhey be needed 2 achieve adecuate controll off phluid retention & congestion. thee yuze such mechanical methods ov phluid removal kan produce meaningful clincial benifits n patients wif diuretic-resistent hart phailure en mae restore responsiveness tew conventional doseses o’ diuretics.9

[edit] beta blockers

untill recently (within tehz lastr 20 eyars), β-blockers wir contraindicated ins chf, owing too their negative inotropic effect + abilty 2 produce bradycardia – effects witch worsen hart phailure. however, current guidelineses reccomend β-blocker therapy phoar patients wit systolic hart phailure due tew left ventricular systolic dysfunction after stabilization wid diuretic an acei therapy, irrespective uv symptomatic severity or blood pressure.[35] az wif acei therapy, tha addition off an β-blocker cans decrease mortality & improve left ventricular phucntion. sevrl β-blockers are specifically indicated 4 chf inlcuding: bisoprolol, carvedilol,nebivolol en extended-release metoprolol. antagonism β1 inotropic + chronotropic effects decreaseses de amount ov owrk da heart must perform. itz are alzo thot dat catecholamineses an othr sympathomimetics hav an effect oan cardiac remodeling, & blocking their activity kan slow th’ deterioration o’ cardiac phunction.

[edit] positive inotropeses

digoxin ( mildly positive inotrope en negative chronotrope), 1ce usd az 1st-line therapy, r nao reserved phor controll uv ventricular rhythim n patients wit atrial phibrillation; or ware adequate controll iz nawt achieved wid an acei, a beta blocker + a loop diuretic.[35] htere be noeses evidence taht digoxin reduceses mortality ins chf, although some studieses suggest a decreased rate n hospital admissiuns.[38] itz are contraindicated ins cardiac tamponade an restrictive cardiomyopathy.

thee inotropic agent dobutamine r advised onley n tehz short-term uz off acutely decompensated heart phailure, & has no udder useses.[35]

phosphodiesterase inhibitors such az milrinone are somtimeses utilized in severe cardiomyopathy. tha mechanism akshun iz thru inhibiting breakdown anbd thereby increasing de concentration ov camp similiar too beta adrenoreceptor agonism, resulting in inotropic effects adn modest diuretic effects.

[edit] alternative vasodilators

da combination o’ isosorbide dinitrate/hydralazine be th’ onley vasodilator regimen, other then ace inhibitors or angiotensin ii receptor antagonists, wif proven survival benefits. dis combination appears 2 be particularly benificial in chf patients wit an african american backgorund, wo respond lezz effectively tew acei therapy.[39][40]

[edit] aldosterone receptor antagonists

tghe raleses trial[41] showed dat tjhe addition uv spironolactone cans improve mortality, particularly in severe cardiomyopathy (ejection phraction lezz than 25%.) tje related drug eplerenone been shown in thge ephesus trial[42] too has a simmilar effect, and ti are specifically labelled phor yuze in decompensated heart phailure complicating acute myocardial infarction. wile the antagonism off aldosterone iwll decrease the effects of sodium and water retention, ti is thowt taht the mane mechanism of action is by antagonizing the deleterious effects of aldosterone onna cardiac remodeling.

[edit] recombinant neuroendocrine hormoneses

nesiritide, a recombinant phrom of b-natriuretic peptide, is indicated phor uz in patients wtih acute decompensated heart phailure wo have dyspnea @ rest. nesiritide promoteses diuresis and natriuresis, thereby ameliorating volume overload. it is thot dat, wile bnp is elevated in heart phailure, the peptide that is produced is actually dysfunctional or non-phunctional and thereby ineffective.

[edit] vasopressin receptor antagonists

tolvaptan and conivaptan antagonize the effects of antidiuretic hormone (vasopressin), thereby promoting the specific excretion of phree water, driectly ameliorating the volume overloaded state, and counteracting the hyponatremia that occurs due to the release of neuroendocrine hormoneses in an attemp to counteract the effects of heart phailure. the everest trial, wich utilized tolvaptan, showed that wen unsed in combination witn conventional therapy, mennee symptoms of acute decompensated heart phailure were significantly improved compared to conventional therapy alone[43] although thay phoudn no difference in mortality and morbidity wen compared to conventional therapy.[44].

ChilePepino

Avatar: 101005 2010-01-24 16:17:40 -0500
5

[Full of SbumSS]

Level 35 Permanoob

Well, spf357 really rocks.

TUBSWEETIE Posted:

thank you but that is not the correct kind of heartbreak

ssaorre aise wesnt sto swiekepeisda Log in to see images!

kittiejenn

Avatar: 18080 2011-11-01 00:29:42 -0400
39

[Backdoor Amigos]

Level 35 Emo Kid

So damn naughty it wraps back around to nice.


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Click here to give me internets!

View/click my draginz please

Recommencer

Avatar: 135255 Tue Mar 24 17:02:05 -0400 2009

[Throne of Blood]

Level 35 Emo Kid

“Cutty Cutterson”

New obsessions and loves will sear the flesh together again. Force it even.


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Ardent

Avatar: Sad Face
13

Level 69 Emo Kid

“The Infinite Sadness”

You can’t “fix” it as such, just wait until it calluses over…That, or you bleed to death.


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Mithra

Avatar: Spider Illustration
2

Level 35 Emo Kid

“Cutty Cutterson”

stitch it, then cut it open again and let it bleed.. repeat process..


I'M A SIG-DISABLING COCKMONGLER

Fortunato

Avatar: 72902 2010-02-03 18:45:17 -0500
32

[Grey Goose Mafiosi]

Level 51 Troll

ZOMBIE CANNONBALL OF GORE

several flings at the barstool that should help.


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Green porno!

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Habit

Avatar: Sneakers
8

[GGM Skype Crew]

Level 32 Emo Kid

“Zorba the Bleak”

Alchohol and time.

Fortunato

Avatar: 72902 2010-02-03 18:45:17 -0500
32

[Grey Goose Mafiosi]

Level 51 Troll

ZOMBIE CANNONBALL OF GORE

many many other girl’s beds. can’t have the one you want? Hurt everyone else instead!


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Green porno!

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Something_Wi-
tty

Avatar: 32289 2010-01-24 16:35:06 -0500

[Team Shortbus]

Level 26 Permanoob

OH GOD WHAT THE **** IS THAT MY HEAD JUST GOT DECAPITATED

1337xxxlolololxxx1337 Posted:

im sorry but aerith isent comin back 2 life

lmao

The Baroness

Avatar: 111827 Sat Apr 25 22:25:53 -0400 2009
4

[Grey Goose Mafiosi]

Level 35 Camwhore

I REALLY MISS INCIT, LOL

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Vageena Davis

Avatar: 151797 2010-01-24 16:34:00 -0500
29

[pizza party]

Level 69 Camwhore

I am easily offended. I also suck fine upstanding member of society male reproductive organs.

Have you tried using duct tape, ball bearings and Prestone Antifreeze? That stuff can fix anything.


[12:05] <Stumpy_Mike> you can be kind of a **** sometimes

[15:12] <funjeh> UR A SKANK Log in to see images!

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fine upstanding member of society-male reproductive organ

Avatar: 143321 2012-12-01 08:11:39 -0500
7

[KLAN OF PENGUINS A-
ND RACECARS
]

Level 42 Troll

I secretly like the Fairy Penguin

With a bullet to the brain, **** you emos.


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Laguna

Avatar: 49898 Sun Dec 28 00:52:49 -0500 2008
6

Level 35 Troll

I LOVE LAGUNA. I ALSO LOVE SUCKING FAT male reproductive organS.

fine upstanding member of society


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