Heartbeats - Part 1
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Sometimes it would pass the House. Sometimes it would pass the Senate. And John Kasich, the former Republican governor of Ohio, vetoed it twice. In the early years, Mr. Seitz, a Republican from Cincinnati, remembers thinking that pushing it did not make much sense, given the composition of the Supreme Court, which as late as sided with abortion clinics in a prominent case in Texas.
Gonidakis remembers meeting with him and other anti-abortion activists in New York and being surprised at the language Mr. Trump used. He sounded more like an activist than a presidential candidate, Mr. Gonidakis said. To hear the candidate use it was astonishing.
In a good way. Right away, Mr. Then the bombshell dropped: Justice Anthony Kennedy, who had voted with the liberal majority in on the Texas case, announced he would retire. Gonidakis, who was in Columbus at the time. He started calling friendly lawmakers in Washington and Ohio. At the center of the Ohio bill is a legal strategy based on questioning one of the standards that federal abortion protections rest on: fetal viability. The bill suggests that standard be scrapped, and replaced with something else: a heartbeat.
Kristina Roegner, a Republican state senator who sponsored the bill, said viability was a flawed standard because medical technology had changed so much since Jessie Hill, a lawyer who plans to challenge the law in court on behalf of one of the abortion clinics in the state, thinks the argument is a long shot. The court was not persuaded in the past by arguments that a fetus is a person under state law.
Even before the confirmation of Justice Kavanaugh, conservatives had made considerable progress in appointments to federal appeals courts, often a critical last stop before the Supreme Court. Today, Republicans have appointed 69 percent of the active judges on the Sixth Circuit, which encompasses Ohio, compared with 45 percent in , according to Russell Wheeler, a visiting fellow at the Brookings Institution in Washington.
In Ohio, there were 16 abortion clinics in the early s.
Today there are 7. Just last month in Ohio, in a rare move that was a major victory for anti-abortion activists, the full Sixth Circuit panel of judges reversed its own decision from a year ago, ruling against Planned Parenthood in a funding case. If this occurs, follow these steps:. Find out if an automated external defibrillator AED is available nearby.
These portable defibrillators, which can deliver an electric shock that may restart heartbeats, are available in an increasing number of places, such as in airplanes, police cars and shopping malls. They can even be purchased for your home.
No training is required. The AED will tell you what to do. It's programmed to allow a shock only when appropriate. In a normal heart rhythm, a tiny cluster of cells at the sinus node sends out an electrical signal. The signal then travels through the atria to the atrioventricular AV node and then passes into the ventricles, causing them to contract and pump out blood.
Your heart is made up of four chambers — two upper chambers atria and two lower chambers ventricles. The rhythm of your heart is normally controlled by a natural pacemaker the sinus node located in the right atrium. The sinus node produces electrical impulses that normally start each heartbeat. From the sinus node, electrical impulses travel across the atria, causing the atria muscles to contract and pump blood into the ventricles. The electrical impulses then arrive at a cluster of cells called the atrioventricular node AV node — usually the only pathway for signals to travel from the atria to the ventricles.
The AV node slows down the electrical signal before sending it to the ventricles. This slight delay allows the ventricles to fill with blood. When electrical impulses reach the muscles of the ventricles, they contract, causing them to pump blood either to the lungs or to the rest of the body.
In a healthy heart, this process usually goes smoothly, resulting in a normal resting heart rate of 60 to beats a minute. Doctors classify arrhythmias not only by where they originate atria or ventricles but also by the speed of heart rate they cause:. Not all tachycardias or bradycardias mean you have heart disease. For example, during exercise it's normal to develop a fast heartbeat as the heart speeds up to provide your tissues with more oxygen-rich blood.
During sleep or times of deep relaxation, it's not unusual for the heartbeat to be slower. Atrial fibrillation. Atrial fibrillation is a rapid heart rate caused by chaotic electrical impulses in the atria. These signals result in rapid, uncoordinated, weak contractions of the atria. The chaotic electrical signals bombard the AV node, usually resulting in an irregular, rapid rhythm of the ventricles. Atrial fibrillation may be temporary, but some episodes won't end unless treated. Ventricular fibrillation. Ventricular fibrillation occurs when rapid, chaotic electrical impulses cause the ventricles to quiver ineffectively instead of pumping necessary blood to the body.
This serious problem is fatal if the heart isn't restored to a normal rhythm within minutes. Most people who experience ventricular fibrillation have an underlying heart disease or have experienced serious trauma, such as being struck by lightning. Long QT syndrome. Long QT syndrome is a heart disorder that carries an increased risk of fast, chaotic heartbeats. The rapid heartbeats, caused by changes in the electrical system of your heart, may lead to fainting, and can be life-threatening.
In some cases, your heart's rhythm may be so erratic that it can cause sudden death. You can be born with a genetic mutation that puts you at risk of long QT syndrome. In addition, several medications may cause long QT syndrome. Some medical conditions, such as congenital heart defects, may also cause long QT syndrome. Although a heart rate below 60 beats a minute while at rest is considered bradycardia, a low resting heart rate doesn't always signal a problem.
Optimizing Enrollment in Cardiac Rehab - Part 1, Minimizing Delays
If you're physically fit, you may have an efficient heart capable of pumping an adequate supply of blood with fewer than 60 beats a minute at rest. In addition, certain medications used to treat other conditions, such as high blood pressure, may lower your heart rate.
However, if you have a slow heart rate and your heart isn't pumping enough blood, you may have one of several bradycardias, including:. Conduction block. A block of your heart's electrical pathways can occur in or near the AV node, which lies on the pathway between your atria and your ventricles. A block can also occur along other pathways to each ventricle. Depending on the location and type of block, the impulses between the upper and lower halves of your heart may be slowed or blocked. If the signal is completely blocked, certain cells in the AV node or ventricles can make a steady, although usually slower, heartbeat.
Although it often feels like a skipped heartbeat, a premature heartbeat is actually an extra beat. Even though you may feel an occasional premature beat, it seldom means you have a more serious problem.
Heart & Blood Vessels: How the Heart Beats | Cleveland Clinic
Still, a premature beat can trigger a longer lasting arrhythmia — especially in people with heart disease. Premature heartbeats are commonly caused by stress, strenuous exercise or stimulants, such as caffeine or nicotine. When your heart quivers, it's unable to pump blood effectively, which can cause blood to pool. This can cause blood clots to form. If a clot breaks loose, it can travel from your heart to your brain.
There it might block blood flow, causing a stroke. Certain medications, such as blood thinners, can greatly lower your risk of stroke or damage to other organs caused by blood clots. Your doctor will determine if a blood-thinning medication is appropriate for you, depending on your type of arrhythmia and your risk of blood clots.
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To prevent heart arrhythmia, it's important to live a heart-healthy lifestyle to reduce your risk of heart disease.