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Heart disease does not just affect those in the later years
Heart disease does not just affect those in the later years

... light-headedness, alterations in or loss of vision, and sometimes extreme ringing in the ears or loss of hearing. Loss of muscle control will cause the person to fall to the ground, or slump if seated. There may be other symptoms, such as an irregular or rapid heart rhythm (arrhythmia), sweating and ...
Cardiac Remodeling in Patients With Primary and Secondary
Cardiac Remodeling in Patients With Primary and Secondary

... Methods and Results—We measured several Doppler echocardiography–derived variables, including tissue Doppler imaging (TDI) parameters and strain rate analysis, in 262 patients with PA, 117 with SA because of liver cirrhosis, and in 61 control healthy subjects. SA and PA patients showed markedly elev ...
Long-Term Follow-up of Patients With Isolated Left - J
Long-Term Follow-up of Patients With Isolated Left - J

... A similar pattern was observed with respect to all-cause mortality or heart transplantation (Table 5). On multivariate analysis, only QTc duration and the presence of repolarization abnormalities in the inferior leads were significantly predictive of a poor outcome. In contrast, no electrocardiograp ...
Full Text  - Archives of Cardiovascular Imaging
Full Text - Archives of Cardiovascular Imaging

... Background: Pulmonary artery hypertension is the presentation of various types of cardiovascular and systematic diseases. There are different kinds of noninvasive methods to determine right ventricular function, pulmonary artery pressure, and effect of pulmonary hypertension on right ventricular fun ...
PULMONARY ARTERY ATRESIA
PULMONARY ARTERY ATRESIA

... Introuction: Pulmonary atresia is a congenital malformation of the heart, valve in which the pulmonary valve orifice fails to develop. The valve is completely closed thereby obstructing the outflow of blood from the heart to the lungs. Doctors are unsure of the cause of congenital heart defects, but ...
(AV) Block
(AV) Block

... – Atrial rate is faster than Ventricular rate – Usually a wide QRS as ventricular rate is idioventricular (distal block) or narrow QRS if AV is pacemaker (proximal ...
Low blood pressure in the very old, a consequence of imminent
Low blood pressure in the very old, a consequence of imminent

... increase in heart rate, consequent on stimulation of the sympathetic nervous system through the baroreceptor reflex.26 It seems unlikely that the elevated heart rate among the study participants has been consequent on autonomous sympathetic activation as under such circumstances, concomitant blood p ...
The chambers of the heart A- The right atrium: 1
The chambers of the heart A- The right atrium: 1

... the left atrium. (seven to eight in number in horse and five in sheep) found caudal to auricle on the right side of atrium 2- left atrioventricular orifice(mitral orifice), which contains the bicuspid or mitral valve . is situated ventral and cranially , it appear oval and smaller than the right one ...
BIOLOGICAL HEART VALVES - Mike Poullis
BIOLOGICAL HEART VALVES - Mike Poullis

... They increase stress on leaflets causing accelerated degeneration.  They are obstructive to flow & hence increase the gradients across the valve.  In mitral position they can cause LVOT obstruction or even rupture of LV especially when a large valve is used in presence of small LV cavity. ...
PE1918 Ventricular Septal Defect
PE1918 Ventricular Septal Defect

... chambers of the heart, called a VSD. • Normally, the left side of the heart only pumps blood to the body, and the right side of the heart only pumps blood to the lungs. In a child with a VSD, blood can travel across the hole from the left pumping chamber to the right pumping chamber and to the lungs ...
Endo-Myocardial Biopsy
Endo-Myocardial Biopsy

... then, she has been under a physician's care and had been observed to have a heart rate of 20 to 40 per minute and to experience repeated episodes of unconsciousness. Two years prior to present admission, cardiac hypertrophy was observed. When admitted to the hospital, a cardiac murmur was not presen ...
1 - Grupo Akros
1 - Grupo Akros

... the heart rate increased and at faster heart rates the patient also experienced angina. We finally implanted a pacemaker (usually a dual chamber although in a patient such as the subject of this challenge, I would have chosen a single chamber ventricular pacemaker) to prevent the rate from getting t ...
Transcatheter aortic valve implantation: emerging role in poor left
Transcatheter aortic valve implantation: emerging role in poor left

... introduced which allows an aortic valve to be implanted without the need to suture it onto the aortic annulus thus reducing the duration of myocardial ischaemia and cardiopulmonary bypass. These valves are increasingly being used in LGLEF aortic stenosis with good results. ...
Constrictive Pericarditis - STA HealthCare Communications
Constrictive Pericarditis - STA HealthCare Communications

... which abruptly halts in mid-diastole. Complete filling of the ventricles is limited by non-compliance of the ventricles, which are restricted due to constricting pericardium. This chronic high pressure leads to systemic venous congestion, resulting in hepatomegaly, ascites, peripheral edema and righ ...
Unoperate shunt lesions in adults: when is closure indicated?
Unoperate shunt lesions in adults: when is closure indicated?

... echocardiography as well as of arrhythmias by history, ECG and only if indicated (not routinley) Holter ● Late post-op. arrhythmias after surgical repair at age <40 years are most frequently intraatrial reentrant tachycardia or atrial flutter which can be successfully treated with radiofrequency abl ...
The Prognostic Value of the Left Ventricular End Diastolic Volume
The Prognostic Value of the Left Ventricular End Diastolic Volume

... further detoriation of LT ventricular function with further recurrence of arrhythmia especially ventricular tachycardia. This situation lead to the development of arrhythmias while are resistant to medical treatment due to abnormal wall notion such a condition also associated with failure of ablatio ...
ABSTRACT Athletic performance tests the limits of the human body
ABSTRACT Athletic performance tests the limits of the human body

... have included index cases with and without a positive family history, the mutation rate varies between 34% and 56% in index cases without a family history. In none of these studies, does the rate of mutation differ between those with and without a family history. Although other genetic predispositio ...
Tricuspid annular plane systolic excursion and - AJP
Tricuspid annular plane systolic excursion and - AJP

... Event tracking and endpoints. Patients were tracked for cardiac mortality via hospital and outpatient medical chart review and were followed by the HF program at San Paolo Hospital, Milano, providing a high likelihood that all events were captured. Any death with a cardiac-related diagnosis was cons ...
Changes in Left Ventricular Diastolic Filling Patterns by Doppler
Changes in Left Ventricular Diastolic Filling Patterns by Doppler

... atrial contraction was significantly increased when compared with age-matched control individuals. When filling ...
5- Normal electrocardiogram
5- Normal electrocardiogram

... direction (-ve, +ve) and amplitude of an ECG waves. 4-Draw diagram indicting the axes of limb leads. The electrocardiogram: Because the body fluid is good conductors, algebraic sum of the action potentials of myocardial fibers can be recorded externally. The record of this potential fluctuation duri ...
Conduction disturbances after surgical
Conduction disturbances after surgical

... defect may be difficult. Combined mortality for banding and subsequent total repair may be as high as 51 per cent (Kirklin et al., 1976). Thus, single stage corrective surgery is attractive if morbidity and mortality are low. Our initial experience with transatrial repair shows a mortality of 43 per ...
AAFP Board Review: Managing Dysrhythmias
AAFP Board Review: Managing Dysrhythmias

... major risk with atrial fibrillation is stroke, and a patient’s risk can be determined by the CHADS score. CHADS 2 stands for Congestive heart failure, Hypertension, Age >75, Diabetes mellitus, and previous Stroke or transient ischemic attack. Each of these is worth 1 point except for stroke, which i ...
Cardiologic examinations in ferrets with and - diss.fu
Cardiologic examinations in ferrets with and - diss.fu

... animals for control of wild or native rabbits and rodents (Rosenthal, 1994; Brown, 1997). In the United States, the domestic ferrets are primarily maintained as a pet for approximately 300 years (Brown, 1997). It is estimated that there are eight millions ferrets kept as pets, making them the third ...
Cardiovascular Damage Resulting from Chronic
Cardiovascular Damage Resulting from Chronic

... per year for all athletes, but rises to 1 per 3,000 for Division I male basketball players. 33 However, the rare occurrence of sudden cardiac death during marathons, triathlons, and collegiate athletic events does not convey the full spectrum of potential adverse effects induced by chronic EEE train ...
Left ventricular wall rupture following non penetrating trauma to the
Left ventricular wall rupture following non penetrating trauma to the

... any part of the myocardium may be involved, but it would seem that anterior surface of the ventricles was most often affected in young individuals with elastic rib cage. In our case, the possible mechanism resulting in ventricular wall and vein rupture can be blunt impact over the chest leading to c ...
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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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