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Acute cardiogenic pulmonary edema – an important
Acute cardiogenic pulmonary edema – an important

... consequence of decreased LV compliance, which, at little volume increase (e.g. increased sodium intake) leads to large pressure increase and consequent ACPE. The study of Zile (20) is extremely important as it clearly proves that chronic HF with preserved LVEF has increased end-diastolic LV pressure ...
Quadricuspid Pulmonary Valve - Heart
Quadricuspid Pulmonary Valve - Heart

... called 'jet lesion' was evident in Cases 3 and 4. It quadricuspid pulmonary valve is that of a rudiseems likely, therefore, that some degree of regurgi- mentary accessory cusp interposed between three tation had occurred in the region of the accessory cusps of equal size. The accessory cusp is frecu ...
Print - Circulation: Heart Failure
Print - Circulation: Heart Failure

... ejection time (SET) and increases ejection fraction (EF) through myosin ATPase activation. We hypothesized that a potentially favorable energetic effect of unloading the left ventricle, and thus reduction of wall stress, could be counteracted by the prolonged contraction time and ATP-consumption. Me ...
Print - Circulation
Print - Circulation

... participate in the substudy were enrolled in the radionuclide study between September 1987 and March 1991. Participating centers were Tufts University/New England Medical Center, Boston; Vanderbilt University, Nashville, Tenn.; and the University of Louvain, Brussels. Sixteen Treatment Trial patient ...
The Right Angle
The Right Angle

... A 25-year-old man presented to a local emergency department with abdominal distention and discomfort. He had first noticed an increased abdominal girth 12 months earlier and attributed it to excessive beer intake, but it progressed after he cut back on alcohol. His abdominal distention was associate ...
Giant Pedunculated Thrombus with Normal Left Ventricular Systolic
Giant Pedunculated Thrombus with Normal Left Ventricular Systolic

... metastatic tumors, thrombi, and some congenital remnants. Tumors involving the heart may be intracavitary, intramural, or extracardiac. Most atrial tumors are intracavitary whereas ventricular tumors are more commonly intramural. Myxoma is the most frequent primary tumor in adults but less than 5% o ...
1999 - Pediatrics
1999 - Pediatrics

... and domestic cat (van Nie, 1980)—which suggests that its cause lies in perturbation of a generally operating developmental mechanism. In order to investigate the reactions of embryonic heart to altered hemodynamic conditions, we studied modifications of myocardial architecture in hearts which underw ...
Arq Bras Cardiol [2011] - Arquivos Brasileiros de Cardiologia
Arq Bras Cardiol [2011] - Arquivos Brasileiros de Cardiologia

... Patients may be asymptomatic or show symptoms of heart failure, arrhythmias or thromboembolism25-27. In a small series of 16 cases, the average time for the onset of symptoms after the diagnosis was 3.5 years4. The frequency of these manifestations was illustrated in a more recent series of 34 patie ...
TREATMENT IN BRADYCARDIA
TREATMENT IN BRADYCARDIA

... • Exaggerated vagal activity • Increased intracranial pressure • Acute myocardial infarction • Obstructive sleep apnea • Drugs – Atropine in acute myocardial infarction – Chronic medical therapy for symptomatic sinus bradycardia is usually not effective – Pacemarker ...
cardiology1
cardiology1

... It may be caused by marked left atrial enlargement) due to severe MR: -as with every systole marked filling of left atrium  pressing on right ventricle  left parasternal pulsation. If thrill  VSD (systolic thrill) ...
Left ventricle
Left ventricle

... trabecular and into the base of anterior papillary muscle. Here it becomes continuous with the fibers of Purkinje fibres • Left bundle branch-passes down on left side of interventricular septum beneath the endocardium. It usually divides into two branches, which eventually become continuous with the ...
Thoraco-Omphalopagus conjoined 284
Thoraco-Omphalopagus conjoined 284

... (min) and 6 at 5 min. The twins shared the thorax and abdomen (Fig. 1). Postnatal echocardiographic examination revealed that the babies shared a four-chamber heart with two ventricles and two atria (Fig. 2). The left ventricle (LV) connected to two aorta (Ao-1, Ao-2) and one pulmonary artery (PA-1) ...
Chapter 15
Chapter 15

... in 2005, about 17.5 million people died from cardiovascular disease which is 30% of the global mortality. About 5 million people in the U.S. have heart failure, a condition in which the heart cannot pump enough blood; - each year in the U.S. alone about 4 million people are hospitalized in connectio ...
The Right Angle
The Right Angle

... A 25-year-old man presented to a local emergency department with abdominal distention and discomfort. He had first noticed an increased abdominal girth 12 months earlier and attributed it to excessive beer intake, but it progressed after he cut back on alcohol. His abdominal distention was associate ...
Metastatic Cancer to the Heart
Metastatic Cancer to the Heart

... Tumor nodules in the ventricular muscle mass usually are asymptomatic and do not produce any characteristic x-ray, fluoroseopie, or electrocardiographic signs. Atrial flutter or fibrillation may occur although the mechanism is obscure. Depending on their location, tumors mnay cause other symptoms an ...
OPTIONS FOR TREATMENT - HRS
OPTIONS FOR TREATMENT - HRS

... SCA is not a heart attack. Seventy percent of Americans don't know the difference between SCA and a heart attack. A heart attack occurs when oxygen-rich blood is blocked from moving through the arteries to the heart. A heart attack has symptoms, such as chest pain and difficulty breathing, and some w ...
Atrial Fibrillation and Heart Failure: A Review of the
Atrial Fibrillation and Heart Failure: A Review of the

... and prognosis of heart failure is well established and markers of neuroadrenergic system activation have been correlated with disease progression and prognosis. The most widely used marker in clinical practice is the brain natriuretic peptide (BNP). Recent studies showed that plasma levels of BNP al ...
BALLOON VALVULPLASTY OF PULMONIC STENOSIS
BALLOON VALVULPLASTY OF PULMONIC STENOSIS

... 3. Dynamic right ventricular outflow tract obstruction (also warrants beta blockers) 4. Severe right ventricular hypertrophy with flattening of the ventricular septum Prognosis A prognosis can be offered based upon severity, assessed by Doppler echocardiography. A dog with a mild stenosis (pressure ...
Mechanical Dyssynchrony Precedes QRS Widening in ATPSensitive
Mechanical Dyssynchrony Precedes QRS Widening in ATPSensitive

... Methods and Results-—High-resolution speckle-tracking echocardiography was applied in a knockout murine surrogate of adultonset human cardiomyopathy caused by mutations in cardioprotective ATP-sensitive K+ (KATP) channels. Preceding the established criteria of cardiac dyssynchrony, multiparametric s ...
Microcirculation and coronary circulation 2011
Microcirculation and coronary circulation 2011

... Systolic blood pressure in the right ventricle (and ventricular wall) is only ~ 25 mmHg therefore it has only little effect on the transmural pressure and the diameter of the arteries Systolic blood pressure in the left ventricle (and ventricular wall) is ~ 120 mmHg and this pressure can obstruct th ...
Mitral ValVe - Advocate Health Care
Mitral ValVe - Advocate Health Care

... heart and detects heart muscle damage may also reveal arrhythmias and/or chamber enlargement. Echocardiography Creates a two-dimensional picture of the cardiovascular system and can also produce accurate assessment of the velocity of blood and cardiac tissue at any arbitrary point using pulsed or co ...
Mechanical Dyssynchrony Precedes QRS Widening in ATPSensitive
Mechanical Dyssynchrony Precedes QRS Widening in ATPSensitive

... Methods and Results-—High-resolution speckle-tracking echocardiography was applied in a knockout murine surrogate of adultonset human cardiomyopathy caused by mutations in cardioprotective ATP-sensitive K+ (KATP) channels. Preceding the established criteria of cardiac dyssynchrony, multiparametric s ...
Saccular aneurysms of left ventricle - Heart
Saccular aneurysms of left ventricle - Heart

... In this report two patients with most unusual aneurysms of the left ventricle are described, and the subject of rare ventricular aneurysms (including both true aneurysm and pseudo-aneurysm formnation) is briefly discussed. In both patients the diagnosis of left ventricular aneurysm was unsuspected o ...
Diapositivas-Estudio-PARADIGM-HF-Trial-ppt-pptx
Diapositivas-Estudio-PARADIGM-HF-Trial-ppt-pptx

... The Data Monitoring Committee was allowed to stop the trial only for a compelling effect on cardiovascular mortality (in addition to the primary endpoint) Difference in cardiovascular mortality of 15% between LCZ696 and enalapril was prospectively identified as being clinically important (n=8000 yie ...
this PDF file
this PDF file

... In this ECG, the wide complexes resemble left bundle branch block (LBBB) – negative in the right chest leads and positive in V4 - V6. While the QRS in V6 looks like typical LBBB, this can be very misleading. Look at the initial R wave in V1 - V3. It is more than 50ms wide and the timing from the ons ...
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Heart failure



Heart failure (HF), often referred to as congestive heart failure (CHF), occurs when the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs. The terms chronic heart failure (CHF) or congestive cardiac failure (CCF) are often used interchangeably with congestive heart failure. Signs and symptoms commonly include shortness of breath, excessive tiredness, and leg swelling. The shortness of breath is usually worse with exercise, while lying down, and may wake the person at night. A limited ability to exercise is also a common feature.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. These cause heart failure by changing either the structure or the functioning of the heart. There are two main types of heart failure: heart failure due to left ventricular dysfunction and heart failure with normal ejection fraction depending on if the ability of the left ventricle to contract is affected, or the heart's ability to relax. The severity of disease is usually graded by the degree of problems with exercise. Heart failure is not the same as myocardial infarction (in which part of the heart muscle dies) or cardiac arrest (in which blood flow stops altogether). Other diseases that may have symptoms similar to heart failure include obesity, kidney failure, liver problems, anemia and thyroid disease.The condition is diagnosed based on the history of the symptoms and a physical examination with confirmation by echocardiography. Blood tests, electrocardiography, and chest radiography may be useful to determine the underlying cause. Treatment depends on the severity and cause of the disease. In people with chronic stable mild heart failure, treatment commonly consists of lifestyle modifications such as stopping smoking, physical exercise, and dietary changes, as well as medications. In those with heart failure due to left ventricular dysfunction, angiotensin converting enzyme inhibitors or angiotensin receptor blockers along with beta blockers are recommended. For those with severe disease, aldosterone antagonists, or hydralazine plus a nitrate may be used. Diuretics are useful for preventing fluid retention. Sometimes, depending on the cause, an implanted device such as a pacemaker or an implantable cardiac defibrillator may be recommended. In some moderate or severe cases cardiac resynchronization therapy (CRT) may be suggested or cardiac contractility modulation may be of benefit. A ventricular assist device or occasionally a heart transplant may be recommended in those with severe disease despite all other measures.Heart failure is a common, costly, and potentially fatal condition. In developed countries, around 2% of adults have heart failure and in those over the age of 65, this increases to 6–10%. In the year after diagnosis the risk of death is about 35% after which it decreases to below 10% each year. This is similar to the risks with a number of types of cancer. In the United Kingdom the disease is the reason for 5% of emergency hospital admissions. Heart failure has been known since ancient times with the Ebers papyrus commenting on it around 1550 BCE.
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