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Print - Circulation
Print - Circulation

... estimate was based on cardiac output measured by the Fick method. The best correlation was found when A' (with "large" diameter) was compared with invasive results based on cardiac output measured by the Fick method (r = .89, SEE + 0.12, n 16); the worst was found when A" (with "large" diameter) was ...
4 valve Endocarditis Confirmed By Intraoperative
4 valve Endocarditis Confirmed By Intraoperative

... sions using modern echocardiography, can greatly assist in making the correct diagnosis (2). In this context it is important to note that the transesophageal technique is save and more sensitive than transthoracic echocardiography for detecting vegetations (3). In the case presented here, the oscill ...
Global Bi-ventricular endocardial distribution of activation rate
Global Bi-ventricular endocardial distribution of activation rate

... that the excitation frequency is an important index in VF that can reflect the underlying myocardial pathophysiology; it may also be predictive of the defibrillation threshold [10]. Previous studies have reported that the dynamics of VF in heart failure (HF) hearts differ from those in normal hearts ...
Autonomic Blockade by Propranolol and Atropine to Study Intrinsic
Autonomic Blockade by Propranolol and Atropine to Study Intrinsic

... block autonomic influence on the resting HR in man. "Direct" cardiac effect of propranolol. In 10 patients undergoing cardiac catheterization, 0.04 mg/kg atropine and 0.2 mg/kg propranolol were given to inhibit autonomic activity. Then measurements of cardiac performance were made before and after i ...
Guytonian approach to the circulation
Guytonian approach to the circulation

... – Mean systemic filling pressure – Guyton’s venous return curve ...
Here
Here

... Common High economic cost High morbidity and mortality ...
Clinical Pathology Conference “62 year old woman with weakness
Clinical Pathology Conference “62 year old woman with weakness

... Prevalence of Isolated Left Ventricular Noncompaction A rare form of cardiomyopathy All adult echocardiograms with global LV dysfunction and an EF of <45% were reviewed for signs of LV compaction 3.7% prevalence for LVEF <45% 0.26% for all patients A review from Switzerland identified 34 cases in 1 ...
paradoxical splitting of the second heart sound - Heart
paradoxical splitting of the second heart sound - Heart

... second sound with the normal shows prolongation of left ventricular systole (0-36 sec.) and shortening of right ventricular systole (0-32 sec.). The former has been shown to be a feature of severe aortic stenosis (Katz and Feil, 1925) and is a result of obstruction to left ventricular outflow: the l ...
Adult Type Anomalous Left Coronary Artery from Pulmonary Artery
Adult Type Anomalous Left Coronary Artery from Pulmonary Artery

... left ventricular diastolic overload from left to right shunting. Our patient was nearly asymtomatic till date and living normal life, including normal professional life. The presenting symptoms of retrosternal pain and fatigue on strenuous exercise probably results from myocardial ischemia due to fa ...
Ventricular Arrhythmias – Approach to Management in Pregnancy
Ventricular Arrhythmias – Approach to Management in Pregnancy

... • Oral beta blockers or calcium channel blocker (verapamil) can be effective in up to ~67% • Success rate may be higher in pregnancy • Class Ic antiarrhythmic - Flecainide • RF ablation of the PVC/VT focus • Consider post-partum if PVCs continue • Long term success rate >80% • May be preferred over ...
to - American Running Association
to - American Running Association

... of appropriate physical activity for people with cardiovascular abnormalities. “Ventricular arrythmias” refer to a set of conditions associated with abnormal functioning of the walls within the heart cavities, relating to contraction and wall motion. Of these, ventricular fibrillation is the most se ...
A Surgical Case of Combined Valvular Disease Complicated by
A Surgical Case of Combined Valvular Disease Complicated by

... belonging to Sherman’s type 3, is very rare,3) and this condition accounts for only 1% of PLSVC cases, 0.09% of autopsied cases of congenital heart disease, and 0.07% of intravenous pacemaker implantation cases.4-6) The hemodynamics of patients with PLSVC connected to the right atrium is the same as ...
Single-breathhold, four-dimensional, quantitative assessment of LV
Single-breathhold, four-dimensional, quantitative assessment of LV

... actual scans. This strategy has the potential to introduce patient motion related positioning errors and also extends overall scan time. As the study represents only a part of the cardiac examination, patients often complain of excessive overall study duration. In order to address these limitations, ...
Early and long term outcome of the arterial switch
Early and long term outcome of the arterial switch

... Objectives: The aims of this report were to study the early and late outcome in terms of mortality, freedom from reoperation, predictors for late pulmonary stenosis (PAS) and insufficiency of the neo-aortic valve (AVI) in patients with transposition of the great arteries (TGA) undergoing arterial sw ...
NOVEMBER 1-3, 2012 The Atria Hotel, # 1, Palace Road, Bangalore
NOVEMBER 1-3, 2012 The Atria Hotel, # 1, Palace Road, Bangalore

... Incidence of valvulopathy: – 38% (US department of Health & Human services) – Other studies: 5-15% – Most recent population-based study: 32% (mild aortic regurgitation) (Palmieri et al., AJM 2002) Fen-Phen medication for > 6 months increases the risk ...
Heart Failure with Preserved Ejection Fraction and Systolic
Heart Failure with Preserved Ejection Fraction and Systolic

... suspected of having HF at the primary evaluation, most of them were identified as having HFpEF and more than half were women and elderly. This was the first study to identify this fact in Brazil. The mean age of HF patients was at least 10 years lower than the results of studies conducted in communi ...
Multiple Valve Surgery with Beating Heart Technique
Multiple Valve Surgery with Beating Heart Technique

... recent developments in surgical techniques, anesthesia, and postoperative care, early and late mortality remains higher for multiple valvular replacement procedures compared with isolated aortic and mitral valve replacement [8 –10]. Congestive heart failure and sudden death [11] have been shown to b ...
Relationship between endocardial activation sequences defined by
Relationship between endocardial activation sequences defined by

... response to CRT is known to be associated with a specific ‘U-shape’ activation pattern within the left ventricle (LV), which is not readily apparent from the surface electrocardiogram (ECG).2 – 4 Non-contact mapping (NCM) is able to characterize this endocardial activation pattern5 but is an invasiv ...
Frequency of spontaneous and inducible atrioventricular nodal
Frequency of spontaneous and inducible atrioventricular nodal

... Methods: In 68 consecutive patients referred for RFA of an idiopathic ventricular outflow tract arrhythmia, a stimulation protocol including repeated bursts of rapid atrial pacing, up to triple atrial extrastimuli during sinus rhythm and rapid ventricular pacing was performed before and after isopro ...
Cardiac Electrical Therapies
Cardiac Electrical Therapies

... patient will require recovery nursing care – Gel pad interface or defibrillator pads are applied to the chest – The correct positions are to the right of the upper sternum for the sternal pad and paddle and between the left midclavicular line and the left mid axillary line for the apical pad and pad ...
CARDIOVASCULAR SYSTEM
CARDIOVASCULAR SYSTEM

... Supply impulses to both the right & left ventricles ...
Changes in Left Ventricular Filling in Patients with Persistent Atrial
Changes in Left Ventricular Filling in Patients with Persistent Atrial

... between AF and changed ventricular filling patterns in patients with recent long-lasting arrhythmia. When compared to control group, it was shown that E value as well as E/Em ratio were markedly increased in patients with AF. On the other hand, A value was significantly reduced, showing diminished o ...
Cardiac Embryology and Molecular Mechanisms of Congenital
Cardiac Embryology and Molecular Mechanisms of Congenital

... position is crucial for the formation of the 4 heart chambers along with the inflow and outflow connections to the vasculature. Cardiac looping is driven by elongation of the endocardial tube achieved by migration of precursor cells. From days 23 to 28, the endocardial tube bends to assume the cardi ...
The Apical First Heart Sound as an Aid in the Diagnosis
The Apical First Heart Sound as an Aid in the Diagnosis

... Splitting of the first hleart sounid was first lescribed by Potai.n'111 in the nineteenth century. He advaneed nio pLysiologic explanation for this finding, althouitgh he believed that the first heart sounlld was produced by closure of the atrioventrieular valves. In 1925, Katz" demnonistrated exper ...
The diagnosis and management of heart failure
The diagnosis and management of heart failure

... A key objective of the examination is to detect and to quantify pulmonary or systemic congestion. Oedema, a common finding in volume-overloaded heart failure patients, may be the result of venous insufficiency. A more definitive test for assessment of a patient’s volume status is by the measurement ...
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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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