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Valvular Heart Diseases - Interventional Cardiology Journal
Valvular Heart Diseases - Interventional Cardiology Journal

... The access route for implantation of the prosthesis should be thoroughly discussed by the Heart Team. Images from thoracic and abdominal aorta, iliac, femoral and subclavian arteries, obtained by multidetector computed tomography (MDCT), magnetic resonance or invasive angiogram are routinely used fo ...
16959_JHVD_May_Antunes_3364_r1:Layout 1
16959_JHVD_May_Antunes_3364_r1:Layout 1

... has represented a significant advance in the technique of mitral valve repair, with excellent reliability and durability. However, surgeons should be made aware of this rare complication when using this material. In the present cases, rupture of the ePTFE chordae occurred at six and 11 years after t ...
The future of mitral valve repair The future of mitral valve repair
The future of mitral valve repair The future of mitral valve repair

... – No significant difference in acute hemodynamic results or complication rate. – No difference in clinical improvement or exercise time in early follow‐up p y p – More favorable hemodynamics and symptomatic results with percutaneous  approach than closed commissurotomy and equivalent results with op ...
The Heart
The Heart

... •  Angina pectoris—chest pain •  Myocardial infarction—blocked coronary artery •  Heart attack •  Silent ischemia—no pain or warning ...
paediatric age dilated cardiomyopathy (dcm): report on a few cases
paediatric age dilated cardiomyopathy (dcm): report on a few cases

... caused by a high and/or irregular ventricular rate. This high and/or irregular ventricular rate may result from any type of cardiac arrhythmia.” (Brugada P., Andries E.) Tachycardiomyopathy and reduced contractility are two intertwining aspects that make diagnosis of the primary cause particularly d ...
giant left atrial myxoma presenting with heart failure
giant left atrial myxoma presenting with heart failure

... 75% located in the left atrium (1,2). It is a slow-growing tumour and can present with various manifestations. It is usually asymptomatic over a long period of time. Some documented clinical manifestations include cryptogenic stroke and obstructive symptoms such as mimics of aortic stenosis, mitral ...
Left Ventricular Mechanical Support with Impella
Left Ventricular Mechanical Support with Impella

... However, ECMO systems have device-related disadvantages such as hemolysis, coagulation disorders, and limited device durability. Furthermore, the efficacy of ECMO has been questioned with respect to the mechanoenergetic status of the heart.4,5 Adverse effects of ECMO on a failing heart are increased ...
Normal Left Atrial Pressure
Normal Left Atrial Pressure

... mitral regurgitation is represented by those with moderate or massive enlargement of the left atrium, associated with significant elevations of the left atrial pressure. 3. The third group of patients in this spectrum is represented by the patients with the syndrome of severe chronic mitral regurgit ...
Advances in Cardiovascular Imaging
Advances in Cardiovascular Imaging

... ccurate identification of patients at high risk for sudden cardiac death (SCD) has been one of the objectives of research in the last years. With an annual incidence between 184 000 and 462000, SCD is a major public-health problem.The most common cause of SCD is a malignant ventricular arrhythmia an ...
High Arteriovenous (AV) Access Flow and Cardiac Complications
High Arteriovenous (AV) Access Flow and Cardiac Complications

... This is an often overlooked cause of LVH & CHF--and any HD patient with a history of CHF or progressive LVH, should absolutely have access flow measured. When unrecognized, many of these patients with recurring CHF will die from their access-induced heart disease, since the cause was not recognized, ...
Prevalence and Clinical Predictors of Right Ventricular Dysfunction
Prevalence and Clinical Predictors of Right Ventricular Dysfunction

... 14) Berisha S, Kastrati A, Goda A, Popa Y. Optimal value of filling pressure in the right side of the heart in acute right ventricular ...
Echocardiographic Assessment of Pulmonary Artery Systolic
Echocardiographic Assessment of Pulmonary Artery Systolic

... echocardiographically determined PASP are limited to either advanced HF patients,1 hospitalized patients,20 referrals for suspected HF,8 analyses of data available in an electronic data warehouse,11 or mixed in- and outpatient populations,6,12 using varied definitions for PH.1,6,8,11,12,20 Data for t ...
Cardiac structure and electrical activation: Models and measurement
Cardiac structure and electrical activation: Models and measurement

... time-dependent processes that determine cellular electrical activity; and a realistic description of the spatial variation of cellular electrical properties. However, such models also need to be computationally efficient so that repeated cycles of re-entrant electrical activity can be simulated with ...
Comprehensive assessment of biventricular function and aortic
Comprehensive assessment of biventricular function and aortic

... concept, and a combined training of endurance and power can produce an extreme volume and pressure load. Moreover, in competitive athletes, left-ventricular hypertrophy can mimic pathological conditions (systemic arterial hypertension or hypertrophic cardiomyopathy) and this distinction may have imp ...
High Arteriovenous (AV) Access Flow and Cardiac Complications Hemodialysis
High Arteriovenous (AV) Access Flow and Cardiac Complications Hemodialysis

... This is an often overlooked cause of LVH & CHF--and any HD patient with a history of CHF or progressive LVH, should absolutely have access flow measured. When unrecognized, many of these patients with recurring CHF will die from their access-induced heart disease, since the cause was not recognized, ...
What is hemodynamic monitoring? There are both invasive and
What is hemodynamic monitoring? There are both invasive and

... status of patients continuously. Invasive hemodynamic monitoring allows the nurse to have access too much more information about the status of the patient that is available by simple physical examination. However, keep in mind that hemodynamic monitoring will never replace hands on patient assessmen ...
Comprehensive assessment of biventricular function and aortic
Comprehensive assessment of biventricular function and aortic

... concept, and a combined training of endurance and power can produce an extreme volume and pressure load. Moreover, in competitive athletes, left-ventricular hypertrophy can mimic pathological conditions (systemic arterial hypertension or hypertrophic cardiomyopathy) and this distinction may have imp ...
Blue Lightning - The Illinois Society of
Blue Lightning - The Illinois Society of

... Ventricular depolarization requires normal function of the right and left bundle branches. A block in either the right or left bundle branch delays depolarization of the ventricles, resulting in widening QRS Ventricular contraction begins at about half-way through the QRS complex and continues to th ...
2014 ESC Guidelines on diagnosis and management
2014 ESC Guidelines on diagnosis and management

... monophosphate-activated protein kinase renin angiotensin aldosterone system right ventricular systolic anterior motion sudden cardiac death septal alcohol ablation Subcutaneous lead implantable cardioverter defibrillator single photon emission computed tomography steady-state free precession suprave ...
Cardiac Monitoring Atrial Fibrillation
Cardiac Monitoring Atrial Fibrillation

... EKG paper is a grid where time is measured along the horizontal axis. Each small square is 1 mm in length and represents 0.04 seconds. Each larger square is 5 mm in length and represents 0.2 seconds. Voltage is measured along the vertical axis - 10 mm is equal to 1mV in voltage. Heart rate can be ea ...
Mobile left atrial mass-clot or left atrial myxoma.
Mobile left atrial mass-clot or left atrial myxoma.

... Mobile masses within the left atrial cavity are commonly caused by organized thrombi or left atrial myxoma. The use of transesophageal echocardiography has provided means for differentiation between the two conditions. We report a case of a left atrial mass in a middle age male patient having past h ...
Cardiomyocyte Hypertrophy, Oncosis, and Autophagic
Cardiomyocyte Hypertrophy, Oncosis, and Autophagic

... study. CMD and fibrosis did not show correlations among them and with oncosis and AuV. Outcomes. A total of 27 deaths were recorded, 13 attributable to progressive HF, 8 to sudden cardiac death, and 3 to noncardiac causes. In 3 patients, the cause of death could not be determined. Twelve patients un ...
infarction: a corollary to infarct expansion
infarction: a corollary to infarct expansion

... ABSTRACT Dilatation of infarcted segments (infarct expansion) may occur during recovery from myocardial infarction, but the fate of noninfarcted segments is uncertain. Accordingly, left ventricular geometric changes were assessed by left ventricular angiography and M mode echocardiography on admissi ...
25 The Fourth Heart Sound
25 The Fourth Heart Sound

... contraction . It is with this latter active phase of ventricular filling that the fourth heart sound is associated . Although the mandatory relationship of the fourth heart sound with vigorous atrial contraction has been recognized for over a hundred years, the mechanism of the sound's production is ...
Slide 1
Slide 1

... Parasternal long axis view showing the 2 great vessels parallel to each other. In a normal heart, the 2 great vessels should not appear together in any plane as they cross each other in their proximal course. The aorta here is anterior, not posterior as it normally should be. ...
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Hypertrophic cardiomyopathy



Hypertrophic cardiomyopathy (HCM) is a primary disease of the myocardium (the muscle of the heart) in which a portion of the myocardium is hypertrophied (thickened) without any obvious cause, creating functional impairment of the cardiac muscle. It is a leading cause of sudden cardiac death in young athletes.The occurrence of hypertrophic cardiomyopathy is a significant cause of sudden unexpected cardiac death in any age group and as a cause of disabling cardiac symptoms. Younger people are likely to have a more severe form of hypertrophic cardiomyopathy.HCM is frequently asymptomatic until sudden cardiac death, and for this reason some suggest routinely screening certain populations for this disease.A cardiomyopathy is a disease that affects the muscle of the heart. With HCM, the myocytes (cardiac contractile cells) in the heart increase in size, which results in the thickening of the heart muscle. In addition, the normal alignment of muscle cells is disrupted, a phenomenon known as myocardial disarray. HCM also causes disruptions of the electrical functions of the heart. HCM is most commonly due to a mutation in one of nine sarcomeric genes that results in a mutated protein in the sarcomere, the primary component of the myocyte (the muscle cell of the heart). These are predominantly single-point missense mutations in the genes for beta-myosin heavy chain (MHC), myosin-binding protein C, cardiac troponinT, or tropomyosin. These mutations cause myofibril and myocyte structural abnormalities and possible deficiencies in force generation. Not to be confused with dilated cardiomyopathy or any other cardiomyopathy.While most literature so far focuses on European, American, and Japanese populations, HCM appears in all ethnic groups. The prevalence of HCM is about 0.2% to 0.5% of the general population.
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