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Functional mitral regurgitation in patients with heart failure and
Functional mitral regurgitation in patients with heart failure and

... leaflets, leading to decreased coaptation and regurgitation [18,19]. The direction of the regurgitant jet depends on whether one or both of the papillary muscles are displaced. Closing forces also decrease as the LV systolic dysfunction develops and the LV transforms from a normally ellipsoid into a ...
Infective Endocarditis - Dartmouth
Infective Endocarditis - Dartmouth

... Gram negative organisms – P. aeruginosa most common – HACEK - slow growing, fastidious organisms that may need 3 weeks to grow out of culture Haemophilus sp. Actinobacillus Cardiobacterium Eikenella Kingella ...
the vascular system control of the cardiovascular system
the vascular system control of the cardiovascular system

... • INVOLVES MAINLY THE SYMPATHETIC DIVISION OF THE ANS. • THE BRAIN, SKELETAL MUSCLES AND SKIN ARE REGULATED BY CENTRAL CONTROL. • SMOOTH MUSCLE CONTRACTION AND INCREASED FLOW RESISTANCE ARE MAINLY CAUSED BY ADRENERGIC STIMULATION AND THE RELEASE OF NOREPINEPHRINE. • SMOOTH MUSCLE RELAXATION AND VESS ...
of kazakh state medical academy
of kazakh state medical academy

... are observed. Such characteristics show development of rheumatic fever from the onset to end of disease with functional failure of the most affected organ- the heart. Rheumatic polyarthritis Rheumatic polyarthritis is present in as many as 75% of cases and it is the cardinal diagnostic criteria of p ...
Pediatric Cardiology
Pediatric Cardiology

... side and coalesce to single defect on LV side – Apical: multiple apparent channels on RV side may be single defect on LV side as with central defect – Marginal: along RV septal junction – Swiss cheese•septum: large number of muscular defects ...
Standardized cardiovascular magnetic resonance imaging (CMR
Standardized cardiovascular magnetic resonance imaging (CMR

... analysis packages for planimetry of endocardial and epicardial borders at end-diastole and end-systole. More advanced software automatically adjusts for systolic atrioventricular ring descent. b. The inclusion or exclusion of papillary muscles in the LV mass should be the same as that used in normal ...
MitraClip Percutaneous Mitral Valve Repair Introduction to the
MitraClip Percutaneous Mitral Valve Repair Introduction to the

... outcomes of MitraClip therapy for mitral regurgitation in high-surgical-risk patients: Emphasis on adverse valve morphology and severe left ventricular dysfunction. Eur Heart J. 2010; 31:1373-1381. 3. Franzen et al. MitraClip Therapy In Patients With End-Stage Systolic Heart Failure. Eur J Heart Fai ...
Myocardial Infarction (Heart Attack)
Myocardial Infarction (Heart Attack)

... • 3-7 days: centre soft with hyperemic borders • 10-15 days: soft yellow area surrounded by red rim of inflammatory granulation tissue • > 15 days gradually replaced by a thin, g/w fibrous scar ...
Lecture Slides for Acute Decompensated Heart Failure
Lecture Slides for Acute Decompensated Heart Failure

... Classify this patient into a hemodynamic subset. If a pulmonary artery catheter was inserted, what values for pulmonary capillary wedge pressure ...
L17_CardiacOutput to post.key
L17_CardiacOutput to post.key

... • pressure difference (2 vs 0 mmHg) • sympathetic nerve activity contracts smooth muscle around veins • skeletal muscle contractions squeezes blood through veins • breathing causes negative thoracic/positive abdominal pressure to suck blood into chest ...
Chapter 32-35 Terms
Chapter 32-35 Terms

... blood flow; evaluate patient using radionuclide imaging, MRI, intravascular US, or cardiac catheterization. 4. Tunica adventitia – the outer layer of the artery consisting of fibrous tissue made of collagen and elastic fibers surrounded by collagen bundles The nurse should know that in a normal arte ...
Heart
Heart

... vessel, the aorta. Take a minute to draw blood flow through the heart. ...
11 Heart - bloodhounds Incorporated
11 Heart - bloodhounds Incorporated

... Depolarization wave is followed by a wave of contraction across the atria from the sinoatrial node on the right side of the heart across to the left side of the heart and then from the base to the apex From AV nodes to the atrioventricular bundle in the septum (Bundle of His) Left and right bundle b ...
Southwestern Illinois EMS System
Southwestern Illinois EMS System

... • Cardiac output – Frank–Starling’s law • Greater the volume of blood in heart during diastole (preload), the more forceful cardiac contraction & more blood ventricle will pump (stroke volume) • Important that heart adjust its pumping capacity in response to changes in venous return • During exercis ...
Cardiovascular System: Heart
Cardiovascular System: Heart

... 1) Increasing muscle length increases Ca2+-sensitivity of troponin C 2) Increasing muscle length increases Ca2+ release from SR Marieb & Hoehn (Human Anatomy and Physiology, 8th ed.) – Figure 9.22 ...
MitraI-Septal Separation: New Echocardiographic Index of Left
MitraI-Septal Separation: New Echocardiographic Index of Left

... also less t h a n 4 m m in the six patients who h a d no evidence of cardiac disease at the time of c a t h e t e r i z a t i o n and angiography. R e l a t i o n of m i t r a l - s e p t a l s e p a r a t i o n to h e a r t r a t e a n d r h y t h m : Echocardiograms from l 0 p a t i e n t s who ma ...
Cardiovascular System: Heart
Cardiovascular System: Heart

... Cardiovascular System – Heart ...
Cardiovascular System: Heart
Cardiovascular System: Heart

... The maximum tension that can be developed by a myocardial cell depends on its resting length (similar to skeletal muscle) Sarcomere length of ~ 2.2 m = Lmax for cardiac muscle Overlap of actin / myosin optimal for cross-bridge formation ...
Clinical case
Clinical case

... suggest the diagnosis, because malignant cardiac tumors often show clinical features of both intramural effects with conduction abnormalities or arrhythmia as well as intracavitary effects resulting in left ventricular inflow obstruction [5]. However, most clinical signs found in up to 50% of the pa ...
Immediate recovery of the left atrial and left ventricular diastolic
Immediate recovery of the left atrial and left ventricular diastolic

... transesophageal echocardiography (TEE) guidance. Before and 24 h after TAVI, all patients underwent transthoracic echocardiography (TTE) and mitral inflow velocities with pulsedwave (PW) Doppler including early filling wave (E), late diastolic filling wave (A), and E/A ratio were obtained. LV diasto ...
Complications of Myocardial Infarction
Complications of Myocardial Infarction

... muscle is incompatible with life because the sudden massive mitral regurgitation that develops cannot be tolerated Rupture of a portion of a papillary muscle resulting in severe mitral regurgitation is much more frequent and is not immediately fatal ...
Anesthetic implications of subacute left ventricular rupture following
Anesthetic implications of subacute left ventricular rupture following

... type is the subacute form with a small leak through friable myocardial tissue.6,8 The third form is the chronic type that eventually leads to the formation of a pseudoaneurysm.6 The subacute form is of interest, because if promptly diagnosed, it can be treated surgically and offers the patient a cha ...
Aortic to right atrial fistula secondary to chronic ruptured sinus of
Aortic to right atrial fistula secondary to chronic ruptured sinus of

... and left sinuses (<5%) are less common (2). It may be congenital or acquired in origin and may rupture into any of the cardiac chambers to form an aorto-cardiac fistula. When intra-cardiac rupture occurs, early surgical intervention is indicated as rupture may lead to serious hemodynamic instability ...
Gross differenteriation [sic] of the heart in the bovine and human
Gross differenteriation [sic] of the heart in the bovine and human

... septum musculare (Arey, 1954). ...
Echocardiographic Diagnosis of Idiopathic
Echocardiographic Diagnosis of Idiopathic

... difficult to diagnose clinically. Cardiac catheterization, angiocardiography, and coronary arteriography are often necessary for the correct diagnosis of chest pain, dyspnea, an unexplained heart murmur, or an abnormal electrocardiogram with which these patients may present. When obstruction to the ...
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Mitral insufficiency



Mitral insufficiency (MI), mitral regurgitation or mitral incompetence is a disorder of the heart in which the mitral valve does not close properly when the heart pumps out blood. It is the abnormal leaking of blood backwards from the left ventricle, through the mitral valve, into the left atrium, when the left ventricle contracts, i.e. there is regurgitation of blood back into the left atrium. MI is the most common form of valvular heart disease.
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