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The Diagnosis of Cardiac Arrhythmias
The Diagnosis of Cardiac Arrhythmias

... generally recommend ambulatory monitoring for symptoms that are not highly suggestive of arrhythmia. Likewise, the recently published American College of Cardiology/ American Heart Association (ACC/AHA) guidelines for ambulatory electrocardiography list unexplained, episodic shortness of breath, fat ...
Cardiac computed tomography for valve disease
Cardiac computed tomography for valve disease

... by the mixture of blood with and without contrast coming from the cava veins, making the right ventricle to fill homogeneously with contrast agent. If the dual-syringe pump for simultaneos injection is not available, a similar effect can be achieved by decreasing the saline flow rate.9 ...
Slide 1 - Annals of Internal Medicine
Slide 1 - Annals of Internal Medicine

... intervals gradually increase until the pause, the pause is less than twice the preceding ventricular pulse interval; and the first AV interval is shortest after the pause. These findings are consistent with type I seconddegree atrioventricular block. In addition, the intervals between the firing of ...
ECGs and arrhythmia identification
ECGs and arrhythmia identification

... An arrhythmia is any change in rate, rhythm or complex origin that differs from the normal pattern for that individual patient. They may be caused by a multitude of compounding factors including; drug administration, inhalational anaesthetic agents, heart disease, thoracic trauma, age, electrolyte a ...
Peripartum cardiomyopathy- a pregnancy related disorder
Peripartum cardiomyopathy- a pregnancy related disorder

... recommended. A well balanced and multidisciplinary approach is needed that would involve cardiovascular medicine,obstetrics,immunology,pathology and others. The goal of the therapies is similar like a other condition of cardiomyopathy , that is through pharmacological therapy to resolve the issue . ...
mitral valve disease : advances in catheter interventions
mitral valve disease : advances in catheter interventions

... most common complication of MS and systemic embolism occurs in 20% of patients. Infective endocarditis is rare. Compression of the left recurrent laryngeal nerve by dilated left atrium, pulmonary artery or enlarged tracheobronchial lymph nodes may cause hoarseness of voice [Ortner syndrome] Physical ...
Regional Venous Drainage of the Human Heart*
Regional Venous Drainage of the Human Heart*

... The right heart chambers and coronary veins were injected through a plastic cannula sutured into the superior vena cava, following ligation of the pulmonary artery and inferior vena cava. Left heart chambers and coronary arteries were injected through a plastic cannula inserted into a pulmonary vein ...
Assessment of Left Ventricular Function in Secundum Atrial Septa1
Assessment of Left Ventricular Function in Secundum Atrial Septa1

... mlJsec. The filming was programmed for 6 frames/sec. Calculations of end-diastolic and end-systolic volumes were obtained utilizing the area-length method of Dodge el a / . (8. 9. 14) in the absence of ectopic beats or a change In the preinjection heart rate. In those showing ectopic beats measureme ...
Doppler Velocimetry in Superior Vena Cava Provides Useful
Doppler Velocimetry in Superior Vena Cava Provides Useful

... the relationship between right heart élling dynamics and right ventricular function. Methods: Consecutive patients with chronic heart failure due to severe systolic left ventricular dysfunction and in sinus rhythm underwent echocardiography and right heart catheterization. In the initial part of the ...
The relationship between aminoterminal propeptide of
The relationship between aminoterminal propeptide of

... were regularly visiting the HF clinics at the National Taiwan University Hospital. In echocardiography, LVEF were measured via apical 4-chamber view (area-length method) in accordance with the recommendations of the American Society of Echocardiography (19). In all patients, a full clinical history ...
Free Sample
Free Sample

... receive oxygenated blood and pump it out to the rest of the body. This is called the systemic circulation. The left ventricle is a high-pressure chamber. Its wall is much thicker than the right ventricle (the right ventricle is about 3 to 5 mm thick; the left ventricle is about 13 to 15 mm). This is ...
Chest Compression Only - CPR
Chest Compression Only - CPR

... Secondary CA ...
Cor Pulmonale - CHEST Publications
Cor Pulmonale - CHEST Publications

... were performed. In 106 of these a significant degree of cardiac abnormality was found, but not all of them had been diagnosed clinically as having heart disease. Of the 106 patients with heart disease 54 or slightly over 50 per cent were considered to have cor pulmonale from the criteria mentioned b ...
Congenital Heart Disease Cyanotic
Congenital Heart Disease Cyanotic

... • Delay of surgery much beyond this time period may increase the likelihood of pulmonary vascular disease • Many centers now perform routine neonatal repair at the time of diagnosis. • Surgical management : – the VSD is closed – the pulmonary arteries are separated from the truncus – continuity is e ...
- SlideBoom
- SlideBoom

... impulses within the ventricle at rates that exceed 300 beats per minute.  While there is activity, it is undetectable by palpation (feeling) at major pulse points of the carotid and femoral arteries especially by the lay person.  Such an arrhythmia is only confirmed by ECG. ...
Learn CPR (ppt file) - Sarver Heart Center
Learn CPR (ppt file) - Sarver Heart Center

... Secondary CA ...
Congenital Aortic Stenosis in Children
Congenital Aortic Stenosis in Children

... If the patients have an established HLHS circulation with an underdeveloped LV, all the treatment options are directed to the future completion of the Fontan circulation, a final goal for patients with single ventricular circulation. However, if the LV size and components are to be sufficient to gen ...
King Saud University College of Pharmacy Pharmacology
King Saud University College of Pharmacy Pharmacology

... introduced here and explained as an antiarrhythmic drugs ability to cause or unmask another arrhythmia. Although an older method for administration, digoxin may be administered prior to quinidine in the presence of atrial fibrillation or flutter to prevent ventricular tachycardia. Digoxin will slow ...
NCC Pediatrics Continuity Clinic Curriculum
NCC Pediatrics Continuity Clinic Curriculum

... and children with CHD.4 The most common symptoms in a series of children presenting to the emergency department with acute heart failure included dyspnea (74 percent), nausea and vomiting (60 percent), fatigue (56 percent), and cough (40 percent).12 Exercise tolerance should be assessed in an age-ap ...
Effects of Sodium Nitroprusside on Left Ventricular Diastolic
Effects of Sodium Nitroprusside on Left Ventricular Diastolic

... In 9 of' 11 p)atients there was a substantial downwvard (lisplacemeiit of' the diastolic pressure-voluime ctirve dutrinig niitroprusside inifutsion, witlh left ventricular presstire being lower for ainy given volume withi nitroprtsside. Seriail left ventricular cineangiograims perf'orimied 15 miin a ...
Evaluation of Subclinical Left Ventricular Systolic Dysfunction Using
Evaluation of Subclinical Left Ventricular Systolic Dysfunction Using

... disease, severe or moderate heart valve disease, diabetes mellitus (fasting plasma glucose concentration ≥126 mg/dL, glycosylated haemoglobin >6.5%, or use of hypoglycaemic medication), hypertension (systolic blood pressure ≥140 mmHg and diastolic blood pressure ≥90 mmHg, as an average of three sepa ...
Whole Body Bioimpedance Monitoring for Outpatient Chronic Heart
Whole Body Bioimpedance Monitoring for Outpatient Chronic Heart

... of survivors of acute heart failure have dramatically increased the number of outpatients with chronic heart failure (CHF).1–2 Hemodynamic parameters, such as stroke volume (SV), cardiac output (CO), total systemic vascular resistance (TSVR), and plasma level of B-type natriuretic peptide (BNP) are ...
Heart blood flow simulation: a perspective review | BioMedical
Heart blood flow simulation: a perspective review | BioMedical

... provide physicians with useful insights into the indicators leading to CVD, and can also assist in the diagnosis of CVD. One clinical cardiovascular assessment tool is the catheter, an invasive medical instrument that measures blood flow or pressure. The main challenge when using traditional invasiv ...
ch_18_lecture_outline_a
ch_18_lecture_outline_a

... • Lungs  pulmonary veins  left atrium • Left atrium  bicuspid valve  left ventricle • Left ventricle  aortic semilunar valve  ...
Coupled systolic-ventricular and vascular stiffening with age
Coupled systolic-ventricular and vascular stiffening with age

... increases in Ea (mean and pulsatile arterial load) even without cardiac hypertrophy. Increased Ees maintained heart-arterial matching independent of age, but imposed a limitation on net ventricular-arterial interaction. Specifically, varying cardiac filling led to disproportionately greater changes ...
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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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