134-519: Aryan Nations is a North American antisemitic , neo-Nazi and white supremacist hate group that was originally based in Kootenai County , Idaho , about 2 + 3 ⁄ 4 miles (4.4 km) north of the city of Hayden Lake . Richard Girnt Butler founded Aryan Nations in the 1970s. In 2001, the Federal Bureau of Investigation (FBI) classified Aryan Nations as a "terrorist threat." In
268-550: A writing system , built huge pyramids and temples , had a complex calendar , and developed the concept of zero around 400 CE. The first recorded European references to North America are in Norse sagas where it is referred to as Vinland . The earliest verifiable instance of pre-Columbian trans-oceanic contact by any European culture with the North America mainland has been dated to around 1000 CE. The site , situated at
402-585: A cause (e.g., aortic stenosis ) or as a consequence (e.g., mitral regurgitation ) of heart failure. Reverse insufficiency of the left ventricle causes congestion in the blood vessels of the lungs so that symptoms are predominantly respiratory. Reverse insufficiency can be divided into the failure of the left atrium, the left ventricle, or both within the left circuit. Patients will experience shortness of breath (dyspnea) on exertion and, in severe cases, dyspnea at rest. Increasing breathlessness while lying down, called orthopnea , also occurs. It can be measured by
536-465: A decrease in intracardiac pressures or in ejection during systole , reducing cardiac output to the rest of the body. The filling failure and high intracardiac pressure can lead to fluid accumulation in ventricles of the heart. This manifests as water retention and swelling due to fluid accumulation ( edema ) called congestion . Impaired ejection can lead to inadequate blood flow to the body tissues, resulting in ischemia . Congestive heart failure
670-678: A myocardial infarction is suspected, various cardiac markers may be used. Blood tests routinely performed include electrolytes ( sodium , potassium ), measures of kidney function , liver function tests , thyroid function tests , a complete blood count , and often C-reactive protein if infection is suspected. Hyponatremia (low serum sodium concentration) is common in heart failure. Vasopressin levels are usually increased, along with renin, angiotensin II, and catecholamines to compensate for reduced circulating volume due to inadequate cardiac output. This leads to increased fluid and sodium retention in
804-587: A normal ECG virtually excludes left ventricular systolic dysfunction. N-terminal pro-BNP (NT-proBNP) is the favored biomarker for the diagnosis of heart failure, according to guidelines published 2018 by NICE in the UK . Brain natriuretic peptide 32 (BNP) is another biomarker commonly tested for heart failure. An elevated NT-proBNP or BNP is a specific test indicative of heart failure. Additionally, NT-proBNP or BNP can be used to differentiate between causes of dyspnea due to heart failure from other causes of dyspnea. If
938-450: A number of state chapters, but it was highly decentralized and the chapters' ties to the organization's headquarters were extremely loose. The group hosted an annual World Congress of Aryan Nations at Hayden Lake for Aryan Nations members and members of similar groups. Aryan Nations had difficult relations with the city of Coeur d'Alene . In 1986-1987, there were a series of bombings of the homes of local human rights activists, after which,
1072-578: A part of Denmark) and Mexico classified as Latin American). It is unknown with certainty how and when first human populations first reached North America. People were known to live in the Americas at least 20,000 years ago, but various evidence points to possibly earlier dates. The Paleo-Indian period in North America followed the Last Glacial Period, and lasted until about 10,000 years ago when
1206-648: A period of mountain building called the Laramide orogeny , between 80 and 55 mya. The formation of the Isthmus of Panama that connected the continent to South America arguably occurred approximately 12 to 15 mya, and the Great Lakes (as well as many other northern freshwater lakes and rivers) were carved by receding glaciers about 10,000 years ago. North America is the source of much of what humanity knows about geologic time periods. The geographic area that would later become
1340-419: A person with a failure of one ventricle lives long enough, it will tend to progress to failure of both ventricles. For example, left ventricular failure allows pulmonary edema and pulmonary hypertension to occur, which increases stress on the right ventricle. Though still harmful, right ventricular failure is not as deleterious to the left side. Since heart failure is a syndrome and not a disease, establishing
1474-485: A person with heart failure may have a reduced force of contraction due to overloading of the ventricle . In a normal heart, increased filling of the ventricle results in increased contraction force by the Frank–Starling law of the heart , and thus a rise in cardiac output . In heart failure, this mechanism fails, as the ventricle is loaded with blood to the point where heart muscle contraction becomes less efficient. This
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#17328547507611608-571: A powerful earthquake killed seven people in 2009. Volcanic eruptions are common in the region. In 1968, the Arenal Volcano , in Costa Rica, erupted and killed 87 people. Fertile soils from weathered volcanic lavas have made it possible to sustain dense populations in agriculturally productive highland areas. Central America has many mountain ranges ; the longest are the Sierra Madre de Chiapas ,
1742-423: A result of a blocked coronary artery . Cardiomyopathy refers specifically to problems within the heart muscle, and these problems can result in heart failure. Ischemic cardiomyopathy implies that the cause of muscle damage is coronary artery disease. Dilated cardiomyopathy implies that the muscle damage has resulted in enlargement of the heart. Hypertrophic cardiomyopathy involves enlargement and thickening of
1876-501: A result, coronary catheterization may be used to identify possibilities for revascularisation through percutaneous coronary intervention or bypass surgery . Heart failure is commonly stratified by the degree of functional impairment conferred by the severity of the heart failure, as reflected in the New York Heart Association (NYHA) functional classification . The NYHA functional classes (I–IV) begin with class I, which
2010-610: A review of terrorist organizations, the RAND Corporation called it the "first truly nationwide terrorist network" in the United States and Canada. Aryan Nations beliefs are based on the teachings of Wesley A. Swift , a leading figure in the early Christian Identity movement. Swift was originally exposed to British Israelism while at the Angelus Temple through the teachings of visiting minister Gerald Burton Winrod . Swift
2144-540: A variety of reactions, including curiosity, trading, cooperation, resignation, and resistance. The indigenous population declined substantially following European arrival, primarily due to the introduction of Eurasian diseases, such as smallpox , to which the indigenous peoples lacked immunity, and because of violent conflicts with Europeans. Indigenous culture changed significantly and their affiliation with political and cultural groups also changed. Several linguistic groups died out , and others changed quite quickly. On
2278-841: Is a continent in the Northern and Western Hemispheres . North America is bordered to the north by the Arctic Ocean , to the east by the Atlantic Ocean , to the southeast by South America and the Caribbean Sea , and to the west and south by the Pacific Ocean . The region includes the Bahamas , Bermuda , Canada , the Caribbean , Central America , Clipperton Island , Greenland , Mexico , Saint Pierre and Miquelon , Turks and Caicos Islands , and
2412-429: Is a pathophysiological condition in which the heart's output is insufficient to meet the needs of the body and lungs. The term "congestive heart failure" is often used because one of the most common symptoms is congestion or fluid accumulation in the tissues and veins of the lungs or other parts of a person's body. Congestion manifests itself particularly in the form of fluid accumulation and swelling (edema) , in
2546-420: Is a common, costly, and potentially fatal condition, and is the leading cause of hospitalization and readmission in older adults. Heart failure often leads to more drastic health impairments than the failure of other, similarly complex organs such as the kidneys or liver. In 2015, it affected about 40 million people worldwide. Overall, heart failure affects about 2% of adults, and more than 10% of those over
2680-640: Is a very large continent that extends from north of the Arctic Circle to south of the Tropic of Cancer . Greenland, along with the Canadian Shield , is tundra with average temperatures ranging from 10 to 20 °C (50 to 68 °F), but central Greenland is composed of a very large ice sheet. This tundra radiates throughout Canada, but its border ends near the Rocky Mountains (but still contains Alaska) and at
2814-702: Is a worsening of chronic heart failure symptoms, which can result in acute respiratory distress . High-output heart failure can occur when there is increased cardiac demand that results in increased left ventricular diastolic pressure which can develop into pulmonary congestion (pulmonary edema). Several terms are closely related to heart failure and may be the cause of heart failure, but should not be confused with it. Cardiac arrest and asystole refer to situations in which no cardiac output occurs at all. Without urgent treatment, these events result in sudden death. Myocardial infarction ("Heart attack") refers to heart muscle damage due to insufficient blood supply, usually as
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#17328547507612948-511: Is an ancient craton which forms the geologic core of North America; it formed between 1.5 and 1.0 billion years ago during the Proterozoic eon. The Canadian Shield is the largest exposure of this craton. From the Late Paleozoic to Early Mesozoic eras, North America was joined with the other modern-day continents as part of the supercontinent Pangaea , with Eurasia to its east. One of
3082-471: Is by the side of the heart involved (left heart failure versus right heart failure). Right heart failure was thought to compromise blood flow to the lungs compared to left heart failure compromising blood flow to the aorta and consequently to the brain and the remainder of the body's systemic circulation. However, mixed presentations are common, and left heart failure is a common cause of right heart failure. A more accurate classification of heart failure type
3216-421: Is caused by any condition that reduces the efficiency of the heart muscle, through damage or overloading . Over time, these increases in workload, which are mediated by long-term activation of neurohormonal systems such as the renin–angiotensin system and the sympathoadrenal system, lead to fibrosis , dilation, and structural changes in the shape of the left ventricle from elliptical to spherical. The heart of
3350-410: Is consistent with an international 2021 report termed "Universal Definition of Heart Failure". Score-based algorithms have been developed to help in the diagnosis of HFpEF , which can be challenging for physicians to diagnose. The AHA / ACC / HFSA defines heart failure as symptoms and signs consistent with heart failure in combination with shown "structural and functional alterations of the heart as
3484-432: Is defined as a person who experiences no limitation in any activities and has no symptoms from ordinary activities. People with NYHA class II heart failure have slight, mild limitations with everyday activities; the person is comfortable at rest or with mild exertion. With NYHA class III heart failure, a marked limitation occurs with any activity; the person is comfortable only at rest. A person with NYHA class IV heart failure
3618-483: Is due to the reduced ability to cross-link actin and myosin myofilaments in over-stretched heart muscle. No diagnostic criteria have been agreed on as the gold standard for heart failure, especially heart failure with preserved ejection fraction (HFpEF). In the UK , the National Institute for Health and Care Excellence recommends measuring N-terminal pro-BNP (NT-proBNP) followed by an ultrasound of
3752-605: Is exposure to certain toxins such as lead and cobalt . Additionally, infiltrative disorders such as amyloidosis and connective tissue diseases such as systemic lupus erythematosus have similar consequences. Obstructive sleep apnea (a condition of sleep wherein disordered breathing overlaps with obesity, hypertension, and/or diabetes) is regarded as an independent cause of heart failure. Recent reports from clinical trials have also linked variation in blood pressure to heart failure and cardiac changes that may give rise to heart failure. High-output heart failure happens when
3886-535: Is in present-day Panama at the Darien Gap on the Colombia -Panama border, placing almost all of Panama within North America. Alternatively, some geologists physiographically locate its southern limit at the Isthmus of Tehuantepec , Mexico, with Central America extending southeastward to South America from this point. The Caribbean islands, or West Indies, are considered part of North America. The continental coastline
4020-630: Is long and irregular. The Gulf of Mexico is the largest body of water indenting the continent, followed by Hudson Bay . Others include the Gulf of Saint Lawrence and the Gulf of California . Before the Central American isthmus formed, the region had been underwater. The islands of the West Indies delineate a submerged former land bridge , which had connected North and South America via what are now Florida and Venezuela . There are several islands off
4154-422: Is made by measuring ejection fraction , or the proportion of blood pumped out of the heart during a single contraction. Ejection fraction is given as a percentage with the normal range being between 50 and 75%. The types are: Heart failure may also be classified as acute or chronic. Chronic heart failure is a long-term condition, usually kept stable by the treatment of symptoms. Acute decompensated heart failure
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4288-499: Is mentioned in the Ebers Papyrus around 1550 BCE. When the heart functions poorly as a pump and does not circulate blood adequately via the circulatory system to meet the demands of the body the term cardiovascular insufficiency is sometimes used. This generally leads to the syndrome of heart failure, a combination of signs and symptoms It develops when the heart fails to properly fill with blood during diastole , resulting in
4422-883: Is not the same as cardiac arrest , in which blood flow stops completely due to the failure of the heart to pump. Diagnosis is based on symptoms, physical findings, and echocardiography . Blood tests , and a chest x-ray may be useful to determine the underlying cause. Treatment depends on severity and case. For people with chronic, stable, or mild heart failure, treatment usually consists of lifestyle changes, such as not smoking , physical exercise , and dietary changes, as well as medications. In heart failure due to left ventricular dysfunction, angiotensin-converting-enzyme inhibitors , angiotensin II receptor blockers (ARBs), or angiotensin receptor-neprilysin inhibitors , along with beta blockers , mineralocorticoid receptor antagonists and SGLT2 inhibitors are recommended. Diuretics may also be prescribed to prevent fluid retention and
4556-548: Is part of North America geographically. In a geologic sense, Bermuda is not part of the Americas, but an oceanic island that was formed on the fissure of the Mid-Atlantic Ridge over 100 million years ago (mya). The nearest landmass to it is Cape Hatteras , North Carolina . However, Bermuda is often thought of as part of North America, especially given its historical, political and cultural ties to Virginia and other parts of
4690-613: Is symptomatic at rest and becomes quite uncomfortable with any physical activity. This score documents the severity of symptoms and can be used to assess response to treatment. While its use is widespread, the NYHA score is not very reproducible and does not reliably predict walking distance or exercise tolerance on formal testing. In its 2001 guidelines, the American College of Cardiology / American Heart Association working group introduced four stages of heart failure: The ACC staging system
4824-686: Is the Morrison Formation of the western U.S. Canada is geologically one of the oldest regions in the world, with more than half of the region consisting of Precambrian rocks that have been above sea level since the beginning of the Palaeozoic era. Canada's mineral resources are diverse and extensive. Across the Canadian Shield and in the north there are large iron, nickel, zinc , copper, gold, lead, molybdenum , and uranium reserves. Large diamond concentrations have been recently developed in
4958-471: Is the X-ray imaging of blood vessels , which is done by injecting contrast agents into the bloodstream through a thin plastic tube ( catheter ), which is placed directly in the blood vessel. X-ray images are called angiograms. Heart failure may be the result of coronary artery disease, and its prognosis depends in part on the ability of the coronary arteries to supply blood to the myocardium (heart muscle). As
5092-516: Is the humid subtropical climate . This area has the wettest cities in the contiguous U.S. , with annual precipitation reaching 67 in (1,700 mm) in Mobile, Alabama . Stretching from the borders of the humid continental and subtropical climates, and going west to the Sierra Nevada , south to the southern tip of Durango , north to the border with tundra climate, the steppe / desert climates are
5226-494: Is the precipitating cause, and may manifest as regional wall motion abnormalities on echo. Chest X-rays are frequently used to aid in the diagnosis of CHF. In a person who is compensated, this may show cardiomegaly (visible enlargement of the heart), quantified as the cardiothoracic ratio (proportion of the heart size to the chest). In left ventricular failure, evidence may exist of vascular redistribution (upper lobe blood diversion or cephalization), Kerley lines , cuffing of
5360-491: Is useful since stage A encompasses "pre-heart failure" – a stage where intervention with treatment can presumably prevent progression to overt symptoms. ACC stage A does not have a corresponding NYHA class. ACC stage B would correspond to NYHA class I. ACC stage C corresponds to NYHA class II and III, while ACC stage D overlaps with NYHA class IV. Histopathology can diagnose heart failure in autopsies . The presence of siderophages indicates chronic left-sided heart failure, but
5494-451: The Age of Discovery and the early modern period . Present-day cultural and ethnic patterns reflect interactions between European colonists, indigenous peoples , enslaved Africans , immigrants from Europe, Asia, and descendants of these respective groups. Europe's colonization in North America led to most North Americans speaking European languages, such as English , Spanish , and French , and
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5628-509: The Archaic period began. The classic stage followed the Archaic period, and lasted from approximately the 6th to 13th centuries. Beginning in 1000 AD, the Norse were the first Europeans to begin exploring and ultimately colonizing areas of North America. In 1492, the exploratory voyages of Christopher Columbus led to a transatlantic exchange , including migrations of European settlers during
5762-551: The Bering Strait during the Early-Middle Holocene . Prior to the arrival of European explorers and colonists in North America, the natives of North America were divided into many different polities, ranging from small bands of a few families to large empires. They lived in several culture areas , which roughly correspond to geographic and biological zones that defined the representative cultures and lifestyles of
5896-576: The British Columbia Coast , Western Canada , and Northern Canada . In the U.S., they include New England , the Mid-Atlantic , South Atlantic states , East North Central states , West North Central states , East South Central states , West South Central states , Mountain states , and Pacific states . The Great Lakes region and the Pacific Northwest include areas in both Canada and
6030-863: The Caribbean Plate , whereas the Juan de Fuca Plate and Cocos Plate border the North American Plate on its western frontier. The continent can be divided into four great regions (each of which contains many subregions): the Great Plains stretching from the Gulf of Mexico to the Canadian Arctic ; the geologically young, mountainous west, including the Rocky Mountains , the Great Basin , California , and Alaska ;
6164-523: The Church of Jesus Christ–Christian , a name which continues to be used by Aryan Nations churches. William Potter Gale introduced Richard Girnt Butler to Swift in 1962. Swift quickly converted Butler, who was an admirer of Adolf Hitler and Wisconsin Senator Joseph McCarthy , to Christian Identity. When Swift died in 1971, Butler fought against Gale, James Warner, and Swift's widow for control of
6298-553: The Cordillera Isabelia , and the Cordillera de Talamanca . Between the mountain ranges lie fertile valleys that are suitable for the people; in fact, most of the population of Honduras, Costa Rica, and Guatemala live in valleys. Valleys are also suitable for the production of coffee, beans, and other crops. The indigenous peoples of the Americas have many creation myths , based on which they assert that they have been present on
6432-459: The East Coast to eastern North Dakota , and stretching down to Kansas , is the humid continental climate featuring intense seasons, with a large amount of annual precipitation, with places like New York City averaging 50 in (1,300 mm). Starting at the southern border of the humid continental climate and stretching to the Gulf of Mexico (whilst encompassing the eastern half of Texas)
6566-608: The Inuit of the high Arctic arrived in North America much later than other native groups, evidenced by the disappearance of Dorset culture artifacts from the archaeological record and their replacement by the Thule people . During the thousands of years of native habitation on the continent, cultures changed and shifted. One of the oldest yet discovered is the Clovis culture (c. 9550–9050 BCE) in modern New Mexico . Later groups include
6700-694: The Mississippian culture and related Mound building cultures, found in the Mississippi River valley and the Pueblo culture of what is now the Four Corners . The more southern cultural groups of North America were responsible for the domestication of many common crops now used around the world, such as tomatoes, squash , and maize . As a result of the development of agriculture in the south, many other cultural advances were made there. The Mayans developed
6834-505: The United States . North America covers an area of about 24,709,000 square kilometers (9,540,000 square miles), representing approximately 16.5% of the Earth 's land area and 4.8% of its total surface area. It is the third-largest continent by size after Asia and Africa , and the fourth-largest continent by population after Asia, Africa, and Europe . As of 2021 , North America's population
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#17328547507616968-480: The first official name given to Mexico. North America includes several regions and subregions, each of which have their own respective cultural, economic, and geographic regions. Economic regions include several regions formalized in 20th- and 21st-century trade agreements, including NAFTA between Canada , Mexico , and the United States , and CAFTA between Central America , the Dominican Republic , and
7102-613: The shortening fraction is the preferred measure of systolic function. Normally, the EF should be between 50 and 70%; in systolic heart failure, it drops below 40%. Echocardiography can also identify valvular heart disease and assess the state of the pericardium (the connective tissue sac surrounding the heart). Echocardiography may also aid in deciding specific treatments, such as medication, insertion of an implantable cardioverter-defibrillator , or cardiac resynchronization therapy . Echocardiography can also help determine if acute myocardial ischemia
7236-453: The 1490s, building cities, putting the resident indigenous populations to work, raising crops for Spanish settlers and panning gold to enrich the Spaniards. Much of the indigenous population died due to disease and overwork, spurring the Spaniards on to claim new lands and peoples. An expedition under the command of Spanish settler, Hernán Cortés , sailed westward in 1519 to what turned out to be
7370-615: The Arctic, making Canada one of the world's largest producers. Throughout the Shield, there are many mining towns extracting these minerals. The largest, and best known, is Sudbury , Ontario. Sudbury is an exception to the normal process of forming minerals in the Shield since there is significant evidence that the Sudbury Basin is an ancient meteorite impact crater . The nearby, but less-known Temagami Magnetic Anomaly has striking similarities to
7504-589: The Aryan Nations compound when their car backfired , which the guards claimed to misinterpret as gunfire. The guards fired at the car, striking it several times. The car crashed and one of the Nations guards held the Keenans at gunpoint, beating them. Two of the assailants, Aryan Nations security chief Edward Jessie Warfield and guard John Yeager, were prosecuted for the attack. Warfield pleaded guilty to aggravated assault and
7638-635: The Caribbean islands. France took the western half of Hispaniola and developed Saint-Domingue as a cane sugar producing colony worked by black slave labor. Britain took Barbados and Jamaica , and the Dutch and Danes took islands previously claimed by Spain. Britain did not begin settling on the North American mainland until a hundred years after the first Spanish settlements, since it sought first to control nearby Ireland . The first permanent English settlement
7772-505: The Church of Jesus Christ–Christian. Butler eventually gained control of the organization and moved it from California to Idaho in 1973. After moving to Idaho, Butler founded Aryan Nations as a paramilitary wing of the church with an ideological mixture of Christian Identity and Nazism . From 1974 until 2001, the Aryan Nations headquarters was located in a 20-acre (8.1 ha) compound 1.8 miles (3 km) north of Hayden, Idaho . Aryan Nations had
7906-616: The Cod fish", in reference to the abundance of cod fish on the East Coast . Waldseemüller used the Latin version of Vespucci's name, Americus Vespucius, in its feminine form of "America", following the examples of "Europa", "Asia", and "Africa". Americus originated from Medieval Latin Emericus (see Saint Emeric of Hungary ), coming from the Old High German name Emmerich . Map makers later extended
8040-587: The Holy Order of the Phineas Priesthood , previously in association with the faction which was led by Kreis, seceded and formed Aryan Nations Revival, based in New York City. The Holy Order was created in opposition to Kreis's acceptance of adherents of Wicca , Islam , and Odinism . It considered such groups to be a deviation from the core Christian Identity belief of Aryan Nations. This Revival rapidly became
8174-419: The North America's southeastern coast, Spanish explorer Juan Ponce de León , who had accompanied Columbus's second voyage, visited and named in 1513 La Florida . As the colonial period unfolded, Spain, England, and France appropriated and claimed extensive territories in North America eastern and southern coastlines. Spain established permanent settlements on the Caribbean islands of Hispaniola and Cuba in
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#17328547507618308-416: The Sudbury Basin. Its magnetic anomalies are very similar to the Sudbury Basin, and so it could be a second metal-rich impact crater. The Shield is also covered by vast boreal forests that support an important logging industry. The United States can be divided into twelve main geological provinces: Each province has its own geologic history and unique features. The geology of Alaska is typical of that of
8442-410: The U.S. North America occupies the northern portion of the landmass generally referred to as the New World, the Western Hemisphere , the Americas, or simply America, which, in many countries, is considered a single continent with North America a subcontinent . North America is the third-largest continent by area after Asia and Africa . North America's only land connection to South America
8576-429: The United States has been the source of more varieties of dinosaurs than any other modern country. According to paleontologist Peter Dodson, this is primarily due to stratigraphy, climate and geography, human resources, and history. Much of the Mesozoic Era is represented by exposed outcrops in the many arid regions of the continent. The most significant Late Jurassic dinosaur-bearing fossil deposit in North America
8710-550: The United States, and Mexico. France , Italy , Portugal , Spain , Romania , Greece , and the countries of Latin America use a six-continent model , with the Americas viewed as a single continent and North America designating a subcontinent comprising Canada , the United States , Mexico, and Saint Pierre and Miquelon (politically part of France), and often including Greenland and Bermuda . North America has historically been known by other names, including Spanish North America, New Spain , and América Septentrional,
8844-527: The United States. North America is divided linguistically and culturally into two primary regions, Anglo-America and Latin America . Anglo-America includes most of North America, Belize , and Caribbean islands with English -speaking populations. There are also regions, including Louisiana and Quebec , with large Francophone populations; in Quebec , French is the official language. . The southern portion of North America includes Central America and non-English speaking Caribbean nations. The north of
8978-415: The age of 70. Rates are predicted to increase. The risk of death in the first year after diagnosis is about 35%, while the risk of death in the second year is less than 10% in those still alive. The risk of death is comparable to that of some cancers. In the United Kingdom, the disease is the reason for 5% of emergency hospital admissions. Heart failure has been known since ancient times in Egypt ; it
9112-453: The amount of blood pumped out is more than typical and the heart cannot keep up. This can occur in overload situations such as blood or serum infusions, kidney diseases, chronic severe anemia , beriberi (vitamin B 1 / thiamine deficiency), hyperthyroidism , cirrhosis , Paget's disease , multiple myeloma , arteriovenous fistulae , or arteriovenous malformations . Chronic stable heart failure may easily decompensate (fail to meet
9246-435: The area had shifted to the Aztec Empire , whose capital city Tenochtitlan was located further north in the Valley of Mexico . The Aztecs were conquered in 1521 by Hernán Cortés . During the so-called Age of Discovery , Europeans explored overseas and staked claims to various parts of North America, much of which was already settled by indigenous peoples. Upon Europeans' arrival in the " New World ", indigenous peoples had
9380-418: The areas around the bronchi , and interstitial edema. Ultrasound of the lung may also detect Kerley lines. An electrocardiogram (ECG or EKG) may be used to identify arrhythmias , ischemic heart disease , right and left ventricular hypertrophy , and presence of conduction delay or abnormalities (e.g. left bundle branch block ). Although these findings are not specific to the diagnosis of heart failure,
9514-450: The attorney who had represented Butler, was later convicted of hiring a handyman to kill his own wife. In 2014, Steele died while serving a 50-year prison sentence. The Aryan Nations were divided between three main factions. The largest group after Aryan Nations' bankruptcy was led by Charles John Juba, followed by August Kreis III until Kreis stepped down as leader and designated Drew Bostwick as his successor in 2012. In 2002, Juba's group
9648-407: The blood , is a late sign of extremely severe pulmonary edema. Other signs of left ventricular failure include a laterally displaced apex beat (which occurs when the heart is enlarged) and a gallop rhythm (additional heart sounds), which may be heard as a sign of increased blood flow or increased intracardiac pressure. Heart murmurs may indicate the presence of valvular heart disease, either as
9782-604: The body first, causing foot and ankle swelling in people who are standing up and sacral edema in people who are predominantly lying down. Nocturia (frequent night-time urination) may occur when fluid from the legs is returned to the bloodstream while lying down at night. In progressively severe cases, ascites (fluid accumulation in the abdominal cavity causing swelling) and liver enlargement may develop. Significant liver congestion may result in impaired liver function ( congestive hepatopathy ), jaundice, and coagulopathy (problems of decreased or increased blood clotting). Dullness of
9916-457: The body's metabolic needs). This most commonly results from a concurrent illness (such as myocardial infarction (a heart attack) or pneumonia ), abnormal heart rhythms , uncontrolled hypertension , or a person's failure to maintain a fluid restriction, diet, or medication. Other factors that may worsen CHF include: anemia, hyperthyroidism, excessive fluid or salt intake, and medication such as NSAIDs and thiazolidinediones . NSAIDs increase
10050-412: The body; the rate of fluid retention is higher than the rate of sodium retention in the body, this phenomenon causes hypervolemic hyponatremia (low sodium concentration due to high body fluid retention). This phenomenon is more common in older women with low body mass. Severe hyponatremia can result in accumulation of fluid in the brain, causing cerebral edema and intracranial hemorrhage . Angiography
10184-478: The brain. Right-sided heart failure is often caused by pulmonary heart disease (cor pulmonale), which is typically caused by issues with pulmonary circulation such as pulmonary hypertension or pulmonic stenosis . Physical examination may reveal pitting peripheral edema, ascites, liver enlargement , and spleen enlargement . Jugular venous pressure is frequently assessed as a marker of fluid status, which can be accentuated by testing hepatojugular reflux . If
10318-526: The building sustained material damage. Gillespie was arrested in Little Rock , Arkansas, on April 16 of the same year, but it was not until August 2005 that he was sentenced to 39 years in prison for attacking the Jewish temple and trying to send a racist letter to the congregation. The defendant raised his hand in a Nazi salute with stiff arms as the judge left the courtroom. North America North America
10452-430: The city and Aryan Nations left each other alone. In 1998, Aryan Nations applied for a permit for a march in downtown Coeur d'Alene. Although the permit was approved, the city declared a public holiday on the same day, resulting in an empty downtown of closed businesses. Until 1998, the leadership of Aryan Nations remained firmly in the hands of Richard Girnt Butler . By that time, he was over 80 years old, and his health
10586-432: The continent maintains recognized regions as well. In contrast to the common definition of North America, which encompasses the whole North American continent, the term "North America" is sometimes used more narrowly to refer only to four nations, Canada, Greenland, Mexico, and the U.S. The U.S. Census Bureau includes Saint Pierre and Miquelon, but excludes Mexico from its definition. The term Northern America refers to
10720-919: The continent's coasts; principally, the Arctic Archipelago, the Bahamas , Turks and Caicos , the Greater and Lesser Antilles , the Aleutian Islands (some of which are in the Eastern Hemisphere proper), the Alexander Archipelago , the many thousand islands of the British Columbia Coast, and Newfoundland. Greenland , a self-governing Danish island, and the world's largest , is on the same tectonic plate (the North American Plate ) and
10854-578: The continent. The vast majority of North America is on the North American Plate. Parts of western Mexico, including Baja California, and of California , including the cities of San Diego , Los Angeles , and Santa Cruz , lie on the eastern edge of the Pacific Plate , with the two plates meeting along the San Andreas Fault . The southernmost portion of the continent and much of the West Indies lie on
10988-654: The cordillera, while the major islands of Hawaii consist of Neogene volcanics erupted over a hot spot . Central America is geologically active with volcanic eruptions and earthquakes occurring from time to time. In 1976 Guatemala was hit by a major earthquake , killing 23,000 people; Managua, the capital of Nicaragua, was devastated by earthquakes in 1931 and 1972, the last one killing about 5,000 people; three earthquakes devastated El Salvador, one in 1986 and two in 2001; one earthquake devastated northern and central Costa Rica in 2009, killing at least 34 people; in Honduras
11122-669: The cultures of the region commonly reflect Western traditions . However, relatively small parts of North America in Canada, the United States, Mexico, and Central America have indigenous populations that continue adhering to their respective pre-European colonial cultural and linguistic traditions. The Americas were named after the Italian explorer Amerigo Vespucci by German cartographers Martin Waldseemüller and Matthias Ringmann . Vespucci explored South America between 1497 and 1502, and
11256-447: The driest in the U.S. Highland climates cut from north to south of the continent, where subtropical or temperate climates occur just below the tropics, as in central Mexico and Guatemala . Tropical climates appear in the island regions and in the subcontinent's bottleneck, found in countries and states bathed by the Caribbean Sea or to the south of the Gulf of Mexico and the Pacific Ocean . Precipitation patterns vary across
11390-602: The effects of diuretic medications. Gossypol can increase the effects of diuretics, leading to toxicity. Gynura can cause low blood pressure. Licorice can worsen heart failure by increasing blood pressure and promoting fluid retention. Lily of the Valley can cause abnormally slow heart rates with mechanisms similar to those of digoxin. Tetrandrine can lower blood pressure by inhibiting L-type calcium channels . Yohimbine can exacerbate heart failure by increasing blood pressure through alpha-2 adrenergic receptor antagonism. Heart failure
11524-463: The end of the Canadian Shield, near the Great Lakes . Climate west of the Cascade Range is described as being temperate weather with average precipitation 20 inches (510 millimeters). Climate in coastal California is described to be Mediterranean , with average temperatures in cities like San Francisco ranging from 57 to 70 °F (14 to 21 °C) over the course of the year. Stretching from
11658-544: The first American inhabitants sailed from Beringia some 13,000 years ago, with widespread habitation of the Americas during the end of the Last Glacial Period , in what is known as the Late Glacial Maximum , around 12,500 years ago. The oldest petroglyphs in North America date from 15,000 to 10,000 years before present. Genetic research and anthropology indicate additional waves of migration from Asia via
11792-523: The force with which the heart ejects blood , thus are not recommended in people with heart failure with a reduced ejection fraction. Breast cancer patients are at high risk of heart failure due to several factors. After analyzing data from 26 studies (836,301 patients), the recent meta-analysis found that breast cancer survivors demonstrated a higher risk heart failure within first ten years after diagnosis (hazard ratio = 1.21; 95% CI: 1.1, 1.33). The pooled incidence of heart failure in breast cancer survivors
11926-509: The form of peripheral edema (causing swollen limbs and feet) and pulmonary edema (causing difficulty breathing) and ascites (swollen abdomen). Pulse pressure , which is the difference between the systolic ("top number") and diastolic ("bottom number") blood pressures, is often low/narrow (i.e. 25% or less of the level of the systolic) in people with heart failure, and this can be an early warning sign. Symptoms of heart failure are traditionally divided into left-sided and right-sided because
12060-673: The formation of prostaglandins , NSAIDs may exacerbate heart failure through several mechanisms, including promotion of fluid retention, increasing blood pressure , and decreasing a person's response to diuretic medications. Similarly, the ACC/AHA recommends against using COX-2 inhibitor medications in people with heart failure. Thiazolidinediones have been strongly linked to new cases of heart failure and worsening of pre-existing congestive heart failure due to their association with weight gain and fluid retention. Certain calcium channel blockers, such as diltiazem and verapamil , are known to decrease
12194-843: The geographic center of either the 50 states, the conterminous United States, or the North American continent." Nonetheless, there is a 4.6-meter (15 ft) field stone obelisk in Rugby claiming to mark the center. The North American continental pole of inaccessibility is located 1,650 km (1,030 mi) from the nearest coastline, between Allen and Kyle, South Dakota at 43°22′N 101°58′W / 43.36°N 101.97°W / 43.36; -101.97 ( Pole of Inaccessibility North America ) . Canada can be divided into roughly seven physiographic divisions: The lower 48 U.S. states can be divided into roughly eight physiographic divisions: Mexico can be divided into roughly fifteen physiographic divisions: North America
12328-665: The heart if positive. In Europe , the European Society of Cardiology , and in the United States, the AHA / ACC / HFSA , recommend measuring NT-proBNP or BNP followed by an ultrasound of the heart if positive. This is recommended in those with symptoms consistent with heart failure such as shortness of breath . The European Society of Cardiology defines the diagnosis of heart failure as symptoms and signs consistent with heart failure in combination with "objective evidence of cardiac structural or functional abnormalities". This definition
12462-525: The heart failure is mainly decided based on ejection fraction and also measured by the severity of symptoms. Other conditions that have symptoms similar to heart failure include obesity , kidney failure , liver disease , anemia , and thyroid disease . Common causes of heart failure include coronary artery disease , heart attack , high blood pressure , atrial fibrillation , valvular heart disease , excessive alcohol consumption , infection , and cardiomyopathy . These cause heart failure by altering
12596-529: The heart muscle. An echocardiogram ( ultrasound of the heart) is commonly used to support a clinical diagnosis of heart failure. This can determine the stroke volume (SV, the amount of blood in the heart that exits the ventricles with each beat), the end-diastolic volume (EDV, the total amount of blood at the end of diastole), and the SV in proportion to the EDV, a value known as the ejection fraction (EF). In pediatrics,
12730-599: The heart's myocardial tissue (termed myocarditis ) can similarly contribute to the development of heart failure. Genetic predisposition plays an important role. If more than one cause is present, progression is more likely and prognosis is worse. Heart damage can predispose a person to develop heart failure later in life and has many causes including systemic viral infections (e.g., HIV ), chemotherapeutic agents such as daunorubicin , cyclophosphamide , trastuzumab and substance use disorders of substances such as alcohol , cocaine , and methamphetamine . An uncommon cause
12864-419: The indigenous people who lived there, including the bison hunters of the Great Plains and the farmers of Mesoamerica . Native groups also are classified by their language families , which included Athapascan and Uto-Aztecan languages. Indigenous peoples with similar languages did not always share the same material culture , however, and were not necessarily always allies. Anthropologists speculate that
12998-460: The land since its creation, but there is no evidence that humans evolved there. The specifics of the initial settlement of the Americas by ancient Asians are subject to ongoing research and discussion. The traditional theory has been that hunters entered the Bering Land Bridge between eastern Siberia and present-day Alaska from 27,000 to 14,000 years ago. A growing viewpoint is that
13132-466: The large verdict was partly to compensate the Keenans, but largely to punish Butler and his followers, and serve to deter similar conduct in the future. The $ 6.3 million verdict caused Butler to file for bankruptcy one month later. As part of the bankruptcy process, the group's property was put up for auction. SPLC loaned the Keenans $ 95,000 to bid on the 20-acre property. In February 2001, the group's Hayden Lake compound and intellectual property, including
13266-576: The largest faction. In the Congressional Record , the leaders of Aryan Nations Revival were listed as domestic terrorists . The government concluded that the Holy Order of the Brotherhood of the Phineas Priesthood was the enforcement/terrorist wing of Aryan Nations. Aryan Nations Revival hosted a weekly radio broadcast which it titled The Aryan Nations Broadcast . Airing from 1979 to 2009,
13400-430: The left and right ventricles supply different parts of the circulation. In biventricular heart failure, both sides of the heart are affected. Left-sided heart failure is the more common. The left side of the heart takes oxygen-rich blood from the lungs and pumps it to the rest of the circulatory system in the body (except for the pulmonary circulation ). Failure of the left side of the heart causes blood to back up into
13534-441: The lung fields when percussed and reduced breath sounds at the base of the lungs may suggest the development of a pleural effusion (fluid collection between the lung and the chest wall ). Though it can occur in isolated left- or right-sided heart failure, it is more common in biventricular failure because pleural veins drain into both the systemic and pulmonary venous systems. When unilateral, effusions are often right-sided. If
13668-446: The lungs, causing breathing difficulties and fatigue due to an insufficient supply of oxygenated blood. Common respiratory signs include increased respiratory rate and labored breathing (nonspecific signs of shortness of breath). Rales or crackles are heard initially in the lung bases and when severe in all lung fields indicate the development of pulmonary edema (fluid in the alveoli ). Cyanosis , indicates deficiency of oxygen in
13802-640: The mainland in Mexico. With local indigenous allies, the Spanish conquered the Aztec empire in central Mexico in 1521. Spain then established permanent cities in Mexico, Central America, and Spanish South America in the sixteenth century. Once Spaniards conquered the high civilization of the Aztecs and Incas, the Caribbean was a backwater of the Spanish empire. Other European powers began to intrude on areas claimed by Spain, including
13936-912: The middle into the main range of the Rockies and the coast ranges in California , Oregon , Washington , and British Columbia , with the Great Basin—a lower area containing smaller ranges and low-lying deserts—in between. The highest peak is Denali in Alaska. The U.S. Geographical Survey (USGS) states that the geographic center of North America is "6 miles [10 km] west of Balta, Pierce County, North Dakota " at about 48°10′N 100°10′W / 48.167°N 100.167°W / 48.167; -100.167 , about 24 kilometers (15 mi) from Rugby, North Dakota . The USGS further states that "No marked or monumented point has been established by any government agency as
14070-450: The name America to North America. In 1538, Gerardus Mercator used the term America on his world map of the entire Western Hemisphere . On his subsequent 1569 map , Mercator called North America "America or New India" ( America sive India Nova ). The Spanish Empire called its territories in North and South America "Las Indias", and the name given to the state body that oversaw the region
14204-503: The names "Aryan Nations" and "Church of Jesus Christ Christian", were transferred to the Keenans. Idaho native and millionaire philanthropist Greg Carr purchased the property from the Keenans, donating it to the North Idaho College Foundation. It has been converted to a park dedicated to peace. Local fire departments demolished some of the church's former buildings by burning them during training exercises. Edgar Steele ,
14338-493: The northernmost countries and territories of North America: the U.S., Bermuda , Canada, Greenland, and St. Pierre and Miquelon. Although the term does not refer to a unified region, Middle America includes Mexico, Central America, and the Caribbean. North America's largest countries by land area are Canada and the U.S., both of which have well-defined and recognized subregions. In Canada, these include (from east to west) Atlantic Canada , Central Canada , Canadian Prairies ,
14472-440: The northernmost extent of the island named Newfoundland , has provided unmistakable evidence of Norse settlement. Norse explorer Leif Erikson (c. 970–1020 CE) is thought to have visited the area. Erikson was the first European to make landfall on the continent (excluding Greenland). The Mayan culture was still present in southern Mexico and Guatemala when the Spanish conquistadors arrived, but political dominance in
14606-575: The number of pillows required to lie comfortably, with extreme cases of orthopnea forcing the patient to sleep sitting up. Another symptom of heart failure is paroxysmal nocturnal dyspnea : a sudden nocturnal attack of severe shortness of breath, usually occurring several hours after falling asleep. There may be " cardiac asthma " or wheezing . Impaired left ventricular forward function can lead to symptoms of poor systemic perfusion such as dizziness , confusion , and cool extremities at rest. Loss of consciousness may also occur due to loss of blood supply to
14740-822: The organization since the mid-1990s. Redfeairn had brought in Dave Hall, an FBI informant who exposed the group's illegal activities. After this was discovered, Redfeairn was distrusted by some in the group. Redfeairn and August Kreis III , the propaganda minister for Aryan Nations, formed a splinter group, and Butler expelled them from Aryan Nations. A few months later, Redfeairn returned to form an alliance with Butler. Butler's 2002 World Congress drew fewer than 100 people, and when he ran for mayor, he lost, garnering only 50 votes against more than 2,100 votes. Redfeairn died in October 2003, and Butler died of heart failure in September 2004. At
14874-559: The radio program was authorized by Richard Butler. The program ended when host Hal Turner was arrested for threatening the lives of federal judges in Chicago . While incarcerated, Turner announced, through his attorney, that he was a federal informant, and that Aryan Nations was among those organizations which had been informed upon. In 2009, Aryan Nations Revival, which was then based in Texas , merged with Pastor Jerald O'Brien's Aryan Nations, which
15008-586: The raised but relatively flat plateau of the Canadian Shield in the northeast; and the varied eastern region, which includes the Appalachian Mountains, the coastal plain along the Atlantic seaboard, and the Florida peninsula. Mexico, with its long plateaus and cordilleras , falls largely in the western region, although the eastern coastal plain does extend south along the Gulf. The western mountains are split in
15142-500: The region, and as such rainforest , monsoon , and savanna types can be found, with rains and high temperatures throughout the year. Notable North American fauna include the bison , black bear , jaguar , cougar , prairie dog , turkey , pronghorn , raccoon , coyote , and monarch butterfly . Notable plants that were domesticated in North America include tobacco , maize , squash , tomato , sunflower , blueberry , avocado , cotton , chile pepper , and vanilla . Laurentia
15276-503: The resulting shortness of breath. Depending on the case, an implanted device such as a pacemaker or implantable cardiac defibrillator may sometimes be recommended. In some moderate or more severe cases, cardiac resynchronization therapy (CRT) or cardiac contractility modulation may be beneficial. In severe disease that persists despite all other measures, a cardiac assist device ventricular assist device , or, occasionally, heart transplantation may be recommended. Heart failure
15410-478: The results of the formation of Pangaea was the Appalachian Mountains , which formed some 480 mya, making it among the oldest mountain ranges in the world. When Pangaea began to rift around 200 mya, North America became part of Laurasia , before it separated from Eurasia as its own continent during the mid- Cretaceous period. The Rockies and other western mountain ranges began forming around this time from
15544-403: The right ventricular pressure is increased, a parasternal heave which causes the compensatory increase in contraction strength may be present. Backward failure of the right ventricle leads to congestion of systemic capillaries. This generates excess fluid accumulation in the body. This causes swelling under the skin ( peripheral edema or anasarca ) and usually affects the dependent parts of
15678-626: The risk twofold. A number of medications may cause or worsen the disease. This includes NSAIDs , COX-2 inhibitors , a number of anesthetic agents such as ketamine , thiazolidinediones, some cancer medications , several antiarrhythmic medications , pregabalin , alpha-2 adrenergic receptor agonists , minoxidil , itraconazole , cilostazol , anagrelide , stimulants (e.g., methylphenidate ), tricyclic antidepressants , lithium , antipsychotics , dopamine agonists , TNF inhibitors , calcium channel blockers (especially verapamil and diltiazem ), salbutamol , and tamsulosin . By inhibiting
15812-436: The structure or the function of the heart or in some cases both. There are different types of heart failure: right-sided heart failure , which affects the right heart , left-sided heart failure , which affects the left heart , and biventricular heart failure, which affects both sides of the heart. Left-sided heart failure may be present with a reduced ejection fraction or with a preserved ejection fraction . Heart failure
15946-645: The time of Butler's death, Aryan Nations had about 200 actively participating members. In September 2000, the Southern Poverty Law Center (SPLC) won a $ 6.3 million judgment against Aryan Nations from an Idaho jury, who awarded punitive and compensatory damages to plaintiffs Victoria Keenan and her son Jason. The two Native Americans had been beaten with rifles by Aryan Nations security guards in Coeur d'Alene , Idaho in July 1998. The woman and her son were driving near
16080-541: The underlying cause for the clinical presentation", for HFmrEF and HFpEF specifically requiring "evidence of spontaneous or provokable increased left ventricle filling pressures". The European Society of Cardiology has developed a diagnostic algorithm for HFpEF , named HFA-PEFF. HFA-PEFF considers symptoms and signs, typical clinical demographics (obesity, hypertension, diabetes, elderly, atrial fibrillation), and diagnostic laboratory tests, ECG, and echocardiography. One historical method of categorizing heart failure
16214-565: The underlying cause is vital to diagnosis and treatment. In heart failure, the structure or the function of the heart or in some cases both are altered. Heart failure is the potential end stage of all heart diseases. Common causes of heart failure include coronary artery disease , including a previous myocardial infarction (heart attack), high blood pressure , atrial fibrillation , valvular heart disease , excess alcohol use , infection , and cardiomyopathy of an unknown cause. In addition, viral infection and subsequent inflammation of
16348-488: Was 4.44 (95% CI 3.33-5.92) per 1000 person-years of follow-up. Certain alternative medicines carry a risk of exacerbating existing heart failure, and are not recommended. This includes aconite , ginseng , gossypol , gynura , licorice , lily of the valley , tetrandrine , and yohimbine . Aconite can cause abnormally slow heart rates and abnormal heart rhythms such as ventricular tachycardia. Ginseng can cause abnormally low or high blood pressure and may interfere with
16482-593: Was also exposed to Charles Parham 's British Israel teachings at the Angelus Temple. Combining British Israelism , extreme antisemitism , and political militancy, Swift later founded his own church in California in the mid-1940s known as the Anglo-Saxon Christian Congregation. He hosted a daily radio broadcast in California during the 1950s and 1960s. In 1957, the name of his church was changed to
16616-406: Was based in Coeur d'Alene, Idaho . Both parties ardently adhered to Christian Identity. The emblem (or shield) of Aryan Nations is designed to reflect aspects of British Israelism . In 1983, Robert Jay Mathews , who had visited the Aryan Nations compound many times, formed The Order , along with Aryan Nations members Dan Bauer, Randy Duey, Denver Parmenter, and Bruce Pierce. The Order's mission
16750-660: Was based on a 10-acre (4.0 ha) compound in the rural town of Ulysses in Potter County , north central Pennsylvania ; it hosted the 2002 Aryan Nations World Congress. Juba resigned in March 2005, announcing that Kreis was the group's new leader. Kreis established a new headquarters in Lexington , South Carolina , and he eventually moved it close to Union City, Tennessee . In 2005, Kreis received media attention because he attempted to form an Aryan Nations– al Qaeda alliance. In 2005,
16884-540: Was called the Council of the Indies . The United Nations and its statistics division recognize North America as including three regions: Northern America, Central America , and the Caribbean . "Northern America" is a distinct term from "North America", excluding Central America, which itself may or may not include Mexico . In the limited context of regional trade agreements, the term is used to reference three nations: Canada,
17018-577: Was convicted of the Los Angeles Jewish Community Center shooting and the murder of Filipino American postal worker Joseph Ileto, had previously worked as a security guard at the Aryan Nations compound for some time. On April 4, 2004, intending to start a " Race War ", Sean Michael Gillespie (a former member of Aryan Nations) threw a Molotov cocktail at B'nai Temple Israel in Oklahoma City , Oklahoma . There were no casualties, but
17152-553: Was estimated as over 592 million people in 23 independent states , or about 7.5% of the world's population. In human geography , the terms "North America" and "North American" can refer to Canada, the United States, Mexico, and Greenland or, alternatively, Canada, Greenland and the US (Mexico being classified as part of Latin America ) or simply Canada and the US (Greenland being classified as either Arctic or European (due to its political status as
17286-790: Was in Jamestown, Virginia in 1607, followed by additional colonial establishments on the east coast from present-day Georgia in the south to Massachusetts in the north, forming the Thirteen Colonies of British America. The English did not establish settlements north or east of the St. Lawrence Valley in present-day Canada until after the conclusion of the American Revolutionary War . Britain's early settlements in present-day Canada included St. John's, Newfoundland in 1630 and Halifax, Nova Scotia in 1749. The first permanent French settlement
17420-475: Was in Quebec City, Quebec in 1608 Heart failure Heart failure ( HF ), also known as congestive heart failure ( CHF ), is a syndrome caused by an impairment in the heart 's ability to fill with and pump blood . Although symptoms vary based on which side of the heart is affected, HF typically presents with shortness of breath , excessive fatigue , and bilateral leg swelling . The severity of
17554-577: Was poor. As Butler's health deteriorated, so did his ability to lead the group. This led to a series of violent events in Coeur d'Alene involving skinheads who had infiltrated the group. At the annual Aryan Nations World Congress in 2001, Neuman Britton was appointed to lead Aryan Nations as Butler's successor. Following Neuman's death in August 2001, Butler appointed Harold Ray Redfeairn of Ohio to lead Aryan Nations as his successor; he had been agitating for control of
17688-413: Was sentenced to two to five years in prison. Yeager entered an Alford plea for assault and was sentenced to up 2.5 years in prison. A third attacker was never found. The SPLC filed suit on behalf of the Keenans. A jury found that Butler and Aryan Nations were grossly negligent in selecting and supervising the guards, and awarded the Keenans $ 6.3 million. A local attorney from Keenan's legal team said that
17822-468: Was the first European to suggest that the Americas represented a landmass not then known to the Europeans. In 1507, Waldseemüller published a world map, and placed the word "America" on the continent of present-day South America. The continent north of present-day Mexico was then referred to as Parias. On a 1553 world map published by Petrus Apianus , North America was called "Baccalearum", meaning "realm of
17956-676: Was to overthrow the Zionist Occupational Government and establish the Northwest Territorial Imperative through an orchestrated plot to commit acts of domestic terrorism which would include murder , arson , armed robbery , theft , counterfeiting , and extortion between 1983 and 1984. Dennis McGiffen, who also had ties to Aryan Nations, formed a group called "The New Order", inspired by Mathews' group. The members were arrested before they could follow through with their violent plans. Buford O. Furrow, Jr., who
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