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Right Ventricle Curvature Maybe a Predictor for Pulmonary Valve
Right Ventricle Curvature Maybe a Predictor for Pulmonary Valve

... Tetralogy of Fallot (ToF) is a congenital heart malformation that comprises a ventricular septal defect, rightward malposition of the aorta, infundibular pulmonary stenosis, and right ventricular hypertrophy. The malformation is thought to result from underdevelopment of the subpulmonary infundibulu ...
Prenatal Diagnosis of Tetralogy of Fallot with Pulmonary Atresia
Prenatal Diagnosis of Tetralogy of Fallot with Pulmonary Atresia

... fibrosis, thereby avoiding extensive right ventricular muscle resection, reduce ventricular arrhythmias, and encourage the development of normal pulmonary vasculature with optimized functional outcomes.7,8 Most importantly, early single-stage repair of TOF with pulmonary atresia could avoid the use ...
The contribution of mitral annular excursion and shape - AJP
The contribution of mitral annular excursion and shape - AJP

... METHODS Subjects Transesophageal echocardiography was performed in 10 patients without cardiac disease undergoing either non-cardiac surgery (n=7), or search for the source of cerebral embolism (n=3). The criteria for enrollment were: age 20-75 years, no history of current or prior heart disease or ...
Two dimensional Speckle Tracking Echocardiography An overview
Two dimensional Speckle Tracking Echocardiography An overview

... the evaluation of regional and global left ventricular function. In the early days of echocardiography the M Mode based ejection fraction was considered to be the main tool for this purpose. Eventually this was found to be totally inaccurate in most cases, so much so, no less a person than Feigenbau ...
Low Voltage Electric Injury induced Atrial Fibrillation as a Presenting
Low Voltage Electric Injury induced Atrial Fibrillation as a Presenting

... of alcohol, and cardiomyopathy.1 The heart is one of the organs most vulnerable to electrical injury. Electrical injury may cause direct necrosis of the myocardium or cardiac dysrhythmia. Asystole and ventricular fibrillation are the most serious of the cardiac complications of electrical injury.1 O ...
Macroscopic Structure and Physiology of the Normal and Diseased
Macroscopic Structure and Physiology of the Normal and Diseased

... problem that has troubled anatomists and physiologists for centuries.1 The heart is a “complex three-dimensional fibre-wound structure with mechanical properties that are nonlinear, anisotropic, time varying and spatially inhomogeneous”2. As can be seen in Figure 1, the heart consists of four chambe ...
Heart Disease and the Pregnant Patient Vanita Jain, MD FACOG
Heart Disease and the Pregnant Patient Vanita Jain, MD FACOG

... Ullery JC. Management of pregnancy complicated by heart disease AJOG 1954 Chang C et al. Pregnancy-related mortality surveillance, US. MMWR CDC 2003 ...
in heart failure Prediction and prevention of sudden cardiac death
in heart failure Prediction and prevention of sudden cardiac death

... been shown to identify patients at high arrhythmic risk after myocardial infarction.w14 In the multicenter unsustained tachycardia trial (MUSTT), an abnormal SAECG combined with an LVEF , 30% in patients with coronary artery disease was found to predict those patients at highest risk of arrhythmic a ...
straight back syndrome - Heart
straight back syndrome - Heart

... Functional disturbances of circulation caused by skeletal deformities are not uncommon, and in this communication we report six cases of a relatively new clinical entity called the "straight back syndrome" (Rawlings, 1960, 1961). In this condition the upper dorsal spine is straight and there is a lo ...
Hypoplastic Left Heart Syndrome X-ray Findings
Hypoplastic Left Heart Syndrome X-ray Findings

... Adult or juxtaductal (postductal) form is more common than infantile Usually localized Area of coarctation just beyond origin of LSCA at level of ductus ...
Congenital Heart Disease
Congenital Heart Disease

... on the left atrium mimicking mitral valve stenosis. Larger blood volume in the left atrium is pushed through a normal sized valve, therefore gushing of the blood producing the murmur (As if the valve is stenosed). – The smaller the hole the earlier the symptoms and the greater the murmur. ...
“Diastolic heart failure” or heart failure caused by - Heart
“Diastolic heart failure” or heart failure caused by - Heart

... correlate with the former measure.14 More important, reduced systolic AV plane displacement is a powerful predictor of poor prognosis.14 19 Indeed, it is worth noting that patients with an AV plane displacement of < 10 mm (that is, below our upper limit of normal) have a 25% mortality rate at one ye ...
Echocardiographic Left Ventricular Hypertrophy as
Echocardiographic Left Ventricular Hypertrophy as

... All data are reported in table 1. Normotensive subjects did not show any significant change during follow-up. In contrast, atenolol treatment induced a reduction in SAP (p < 0.01), DAP (p < 0.01), and HR (p < 0.01) in the treated patients (n = 9). NE and E did not change significantly during the fol ...
The Syndrome of Dextroversion of the Heart
The Syndrome of Dextroversion of the Heart

... organs were abnormal either in structure or location, often taking a form that superficially resembled situs inversus. Among the 69 cases of dextroversion in which autopsy data are adequate, at least 16 had some degree of abdominal heterotaxy, including case 2 of the present report. However, there t ...
Pregnancy and heart disease - International Journal of
Pregnancy and heart disease - International Journal of

... cause of maternal morbidity and even mortality and has a significant effect on fetal outcome. Pregnancy and the peripartum period are associated with important cardiocirculatory changes that can lead to marked clinical deterioration in the woman with heart disease. Objectives of present study were t ...
Modern organization of an echocardiographic laboratory: the
Modern organization of an echocardiographic laboratory: the

... † Accreditation of the EACVI in February 2014 for transthoracic and transoesophageal modalities. † Eight hundred intraoperative (pre and post) 3D TEE and 650 RT3D-TEE performed. † More than 100 strain echocardiography for pre, post, and follow-up chemotherapy patients were performed to detect early ...
review of the diagnosis and treatment of diastolic heart failure
review of the diagnosis and treatment of diastolic heart failure

... A European study group proposed ...
Contraindications to vasoconstrictors in dentistry
Contraindications to vasoconstrictors in dentistry

... Orr,21 an important vascular penetration of local anesthetic takes place during intraligamentary injection. Smith and Pashley22observed the same hemodynamic changes in blood pressure (hypertension) and heart rate (tachycardia) when they compared the effects of intraligamentary, intrabony, and intrav ...
prediction and prevention of sudden cardiac death in - Heart
prediction and prevention of sudden cardiac death in - Heart

... been shown to identify patients at high arrhythmic risk after myocardial infarction.w14 In the multicenter unsustained tachycardia trial (MUSTT), an abnormal SAECG combined with an LVEF , 30% in patients with coronary artery disease was found to predict those patients at highest risk of arrhythmic a ...
The Effect of Cardiac Resynchronization on Morbidity and Mortality
The Effect of Cardiac Resynchronization on Morbidity and Mortality

... analyses showing a trend toward more cardiovascular events in the first 10 days after randomization among patients assigned to cardiac resynchronization than among those assigned to medical therapy alone and a trend toward a favorable effect of resynchronization on long-term mortality that they thou ...
SECTION 1: CARDIOLOGY CHAPTER 2: HYPERTENSION
SECTION 1: CARDIOLOGY CHAPTER 2: HYPERTENSION

... Answer: A. The diagnosis of stage 1 hypertension is established in this patient. The presence of diabetes places him at high risk of complications from hypertension and warrants the initiation of drug therapy. Although hydrochlorothiazide is a very reasonable option in most patients with hypertensio ...
20-1 Anatomy of the Heart
20-1 Anatomy of the Heart

... o If the blockage involves one of the smaller arterial branches:  The individual may survive the immediate crisis but may have many complications such as reduced contractility and cardiac arrhythmias ...
Adrenaline
Adrenaline

... General Considerations  In children arrhythmias are more often the consequence of hypoxaemia, acidosis and hypotension  Primary cardiac diseases are rare  Monitoring cardiac rythm is mandatory in advanced life support to evaluate cardiac function and response to therapy ...
Prognostic Value of Extravascular Lung Water Assessed With
Prognostic Value of Extravascular Lung Water Assessed With

... Background: Ultrasound lung comets (ULCs) consist of multiple comet tails originating from waterthickened interlobular septa. They are a new echographic tool to assess the pathologic increase in extravascular lung water, which is a possible harbinger of impending acute heart failure. The objective w ...
Sodium Channel Mutations and Susceptibility to Heart Failure and
Sodium Channel Mutations and Susceptibility to Heart Failure and

... (DHPLC). Heterozygous variation in DNA sequence was detected in exons 6, 16, 17, 21, and 27 for the 5 family probands in Figure 1 and Figure 3. In contrast to normal exons generating single peaks on chromatographic profiles, exons harboring mutations had anomalous profiles characterized by 2 peaks. ...
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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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