Leonardo Macias, MD Presbyterian Heart Group October.2015
... Gheorghiade M, et al. Am J Cardiol. 2005;96:11G-17G. Muntwyler J, et al. Eur Heart J. 2002;23:1861-1866. Ahmed A, et al. J.Card Fail 2008;14:211-228. Gheorghiade M, Pang PS. J Am Coll Cardiol. 2009;53:557-573. McCullough PA, et al. J Am Coll Cardiol 2002;39:60-69. McMurray JJ, et al. Eur Heart J. 20 ...
... Gheorghiade M, et al. Am J Cardiol. 2005;96:11G-17G. Muntwyler J, et al. Eur Heart J. 2002;23:1861-1866. Ahmed A, et al. J.Card Fail 2008;14:211-228. Gheorghiade M, Pang PS. J Am Coll Cardiol. 2009;53:557-573. McCullough PA, et al. J Am Coll Cardiol 2002;39:60-69. McMurray JJ, et al. Eur Heart J. 20 ...
Arrhythmogenic Right Ventricular Dysplasia (ARVD) Diagnosis In
... elderly patient older than 65 years. The clinical signs of the patient obtained from CMRI met one major criteria of tissue characterization as fatty replacement in the RV myocardial tissue and one minor criteria of RV dysfunction with apical RV hypokinesia regarding to the original criteria (1994). ...
... elderly patient older than 65 years. The clinical signs of the patient obtained from CMRI met one major criteria of tissue characterization as fatty replacement in the RV myocardial tissue and one minor criteria of RV dysfunction with apical RV hypokinesia regarding to the original criteria (1994). ...
Cardiac Rhythms
... 3 lead system: RA LA and LL electrodes •these electrodes form a triangle around the heart •you can choose to monitor leads I, II, or III with a 3 lead system-these are called limb leads 5 lead system: RA LA LL RL C electrodes •the C electrode can be positioned in any one of 6 designated positions on ...
... 3 lead system: RA LA and LL electrodes •these electrodes form a triangle around the heart •you can choose to monitor leads I, II, or III with a 3 lead system-these are called limb leads 5 lead system: RA LA LL RL C electrodes •the C electrode can be positioned in any one of 6 designated positions on ...
chapter_15_powerpoint_l
... • A-V valves closing Dupp • second heart sound • occurs during ventricular diastole • pulmonary and aortic semilunar valves closing Murmur – abnormal heart sound ...
... • A-V valves closing Dupp • second heart sound • occurs during ventricular diastole • pulmonary and aortic semilunar valves closing Murmur – abnormal heart sound ...
2016_Cardiovascular_Assessment 4.0 MB
... Palpate using the palm or heel of your hand along the left sternal border for signs of heaves. The presence of heaves is not normal. Thrills Thrill is likely to be in the right or left 2nd intercostal space Palpate in each of the valve areas for thrills. Thrills are often described as simi ...
... Palpate using the palm or heel of your hand along the left sternal border for signs of heaves. The presence of heaves is not normal. Thrills Thrill is likely to be in the right or left 2nd intercostal space Palpate in each of the valve areas for thrills. Thrills are often described as simi ...
detailed lecture outline
... 2. Discuss the differences between nodal cells and conducting cells, and describe the components and functions of the conducting system of the heart. 3. Identify the electrical events associated with a normal electrocardiogram. 4. Explain the events of the cardiac cycle, including atrial and ventric ...
... 2. Discuss the differences between nodal cells and conducting cells, and describe the components and functions of the conducting system of the heart. 3. Identify the electrical events associated with a normal electrocardiogram. 4. Explain the events of the cardiac cycle, including atrial and ventric ...
Heart Dissection. (taken from Johnson, Weipz and Savage Lab Book
... Attached directly to the outer surface of the heart is the thin, transparent epicardium (also called the visceral pericardium). With a sharp scalpel separate a portion of this membrane from the outer surface of the heart. The space between the pericardium and epicardium is called the pericardial cav ...
... Attached directly to the outer surface of the heart is the thin, transparent epicardium (also called the visceral pericardium). With a sharp scalpel separate a portion of this membrane from the outer surface of the heart. The space between the pericardium and epicardium is called the pericardial cav ...
transesophageal echocardiogram (tee)
... closer to the back of the heart when it is in the esophagus, the TEE is much more accurate than standard echocardiogram for evaluation of certain conditions. Common reasons to use TEE are to diagnose infections of the heart valves (endocarditis), to identify small blood clots in the heart, and to fi ...
... closer to the back of the heart when it is in the esophagus, the TEE is much more accurate than standard echocardiogram for evaluation of certain conditions. Common reasons to use TEE are to diagnose infections of the heart valves (endocarditis), to identify small blood clots in the heart, and to fi ...
Limitations of IABP in Pediatric Patients
... Cardiopulmonary Support System • Cardiopulmonary Support System are actually modified ECMO circuits, have been used for rapid resuscitation during acute cardiac and pulmonary failure, designed as highly mobile units that offer the high-risk cardiac patient a safety net especially in the interventio ...
... Cardiopulmonary Support System • Cardiopulmonary Support System are actually modified ECMO circuits, have been used for rapid resuscitation during acute cardiac and pulmonary failure, designed as highly mobile units that offer the high-risk cardiac patient a safety net especially in the interventio ...
The region`s only dedicated heart failure program.
... Paul was able to return to his normal life. “I got a new lease on life,” says Paul. “I feel very lucky and better ...
... Paul was able to return to his normal life. “I got a new lease on life,” says Paul. “I feel very lucky and better ...
Toxicology cases
... The patient has a long history of crippling rheumatoid arthritis. The patient’s wife gives you an advance directive completed five years ago. The patient had seen family die in ITU and did not want that for himself. The advance directive stated that if the patient were to deteriorate he did not want ...
... The patient has a long history of crippling rheumatoid arthritis. The patient’s wife gives you an advance directive completed five years ago. The patient had seen family die in ITU and did not want that for himself. The advance directive stated that if the patient were to deteriorate he did not want ...
Inflammatory Heart Disease
... • exposure to radiation • stress • complications of rheumatic fever Pathophysiology of myocarditis The inflammatory process damages myocardial cells → local or diffuse swelling of the myocardium → abscesses form within the myocardium. It is usually self limiting with supportive care, though it may b ...
... • exposure to radiation • stress • complications of rheumatic fever Pathophysiology of myocarditis The inflammatory process damages myocardial cells → local or diffuse swelling of the myocardium → abscesses form within the myocardium. It is usually self limiting with supportive care, though it may b ...
40. Isovolumetric Contraction - Fig. 9
... ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ __________ ...
... ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ __________ ...
Heart and Peripheral Vasculature
... valves) open & blood is ejected rapidly into the arteries. After all the contents are ejected, the semilunar valves close. This causes the second heart sound, “S2”. This is the end of systole. ...
... valves) open & blood is ejected rapidly into the arteries. After all the contents are ejected, the semilunar valves close. This causes the second heart sound, “S2”. This is the end of systole. ...
Sports and inflammatory heart diseases
... Regular and moderate training reduces the individual cardiovascular risk in the long term. Nevertheless, physical activity may impose a considerable risk of sudden cardiac death on patients with heart diseases. This is particularly the case with myocarditis and pericarditis, which often affect young ...
... Regular and moderate training reduces the individual cardiovascular risk in the long term. Nevertheless, physical activity may impose a considerable risk of sudden cardiac death on patients with heart diseases. This is particularly the case with myocarditis and pericarditis, which often affect young ...
Time made all the difference in the world
... Dr. Irfan Warsy has a medical degree, but he’s also an “electrician.” You see, the heart has its own unique electrical system and when its current does not flow properly, Dr. Warsy uses special tools to fix the problem. These special tools (like the cardiac catheter held by Dr. Warsy, left) can be f ...
... Dr. Irfan Warsy has a medical degree, but he’s also an “electrician.” You see, the heart has its own unique electrical system and when its current does not flow properly, Dr. Warsy uses special tools to fix the problem. These special tools (like the cardiac catheter held by Dr. Warsy, left) can be f ...
Got Blood?
... The average cardiac output is 4900mL a minute (remember we have about 5000mL of blood in our body). Because cardiac output is heart rate x stroke volume, the larger an individual’s stroke volume is, the smaller the heart rate has to ...
... The average cardiac output is 4900mL a minute (remember we have about 5000mL of blood in our body). Because cardiac output is heart rate x stroke volume, the larger an individual’s stroke volume is, the smaller the heart rate has to ...
Cardiogenic shock
... Class III: Marked limitation of physical activity. Comfortable at rest, but less than ordinary physical activity results in fatigue, palpitation, dyspnea, or anginal pain Class IV: Unable to carry out any physical activity without discomfort. Symptoms of cardiac insufficiency may be present even at ...
... Class III: Marked limitation of physical activity. Comfortable at rest, but less than ordinary physical activity results in fatigue, palpitation, dyspnea, or anginal pain Class IV: Unable to carry out any physical activity without discomfort. Symptoms of cardiac insufficiency may be present even at ...
Congenital heart disease in cats - Acapulco-Vet
... In the feline species the most common congenital defects are atrioventricular dysplasia (with the mitral valve more commonly affected than the tricuspid valve) and ventricular septal defects. Pulmonic and aortic stenosis are relatively rare. Patent ductus arteriosus is extremely uncommon. However on ...
... In the feline species the most common congenital defects are atrioventricular dysplasia (with the mitral valve more commonly affected than the tricuspid valve) and ventricular septal defects. Pulmonic and aortic stenosis are relatively rare. Patent ductus arteriosus is extremely uncommon. However on ...
Cardiac Resynchronization Therapy
... and 30% of patients receiving CRT do not appear to gain in benefit. The recently completed CAREHF trial, the largest with longest follow-up CRT-only trial to date, found about 40% of subjects receiving CRT still had worsening of heart failure.18 There are several potential reasons for this. First, t ...
... and 30% of patients receiving CRT do not appear to gain in benefit. The recently completed CAREHF trial, the largest with longest follow-up CRT-only trial to date, found about 40% of subjects receiving CRT still had worsening of heart failure.18 There are several potential reasons for this. First, t ...
realized by autonomic nervous system
... Baroreceptor reflex • Baroreceptor continuously generate AP in response to the ongoing pressure within the arteries (constantly provide information about BP to the center) • BP increase, the receptor potential of the Baroreceptor increase, the rate of firing in the afferent neurons increase ...
... Baroreceptor reflex • Baroreceptor continuously generate AP in response to the ongoing pressure within the arteries (constantly provide information about BP to the center) • BP increase, the receptor potential of the Baroreceptor increase, the rate of firing in the afferent neurons increase ...
Electrocardiography
Electrocardiography (ECG or EKG*) is the process of recording the electrical activity of the heart over a period of time using electrodes placed on a patient's body. These electrodes detect the tiny electrical changes on the skin that arise from the heart muscle depolarizing during each heartbeat.In a conventional 12 lead ECG, ten electrodes are placed on the patient's limbs and on the surface of the chest. The overall magnitude of the heart's electrical potential is then measured from twelve different angles (""leads"") and is recorded over a period of time (usually 10 seconds). In this way, the overall magnitude and direction of the heart's electrical depolarization is captured at each moment throughout the cardiac cycle. The graph of voltage versus time produced by this noninvasive medical procedure is referred to as an electrocardiogram (abbreviated ECG or EKG).During each heartbeat, a healthy heart will have an orderly progression of depolarization that starts with pacemaker cells in the sinoatrial node, spreads out through the atrium, passes through the atrioventricular node down into the bundle of His and into the Purkinje fibers spreading down and to the left throughout the ventricles. This orderly pattern of depolarization gives rise to the characteristic ECG tracing. To the trained clinician, an ECG conveys a large amount of information about the structure of the heart and the function of its electrical conduction system. Among other things, an ECG can be used to measure the rate and rhythm of heartbeats, the size and position of the heart chambers, the presence of any damage to the heart's muscle cells or conduction system, the effects of cardiac drugs, and the function of implanted pacemakers.