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Commotio cordis: an important cause of sudden cardiac
Commotio cordis: an important cause of sudden cardiac

... Commotio cordis (CC), also termed “cardiac concussion”, is a rare but devastating event characterized by a seemingly innocuous blow to the chest followed by sudden death. 170 cases have been reported in the U.S. Commotio Cordis Registry (USCCR) since 1996, almost all of whom are young male athletes ...
Document
Document

... The diagnosis is based on the patient’s symptoms, a complete physical examination, and tests that detect abnormalities of the heart chambers. The physician listens to the heart with a stethoscope to detect abnormal heart rhythms and heart sounds. A heart murmur might mean that the heart valves are n ...
Document
Document

... blocked at the AV junction, therefore, the atria and the ventricles beat independently from each other. This arrhythmia is dangerous because it significantly decreases cardiac output, and could lead to asystole. Possible causes: acute inferior and anterior myocardic infraction, coronary heart diseas ...
Ventricular Septal Defects
Ventricular Septal Defects

... right ventricle (RV) and the primitive ventricle (PV) becomes the definitive left ventricle (LV). Stage 1: The trabecular IVS is the first to form, it grows from the apex towards the base of the heart. However, before this septum reaches the atrioventricular canal (AVC), it stops. This is because at ...
Calculating Heart Rate Poster
Calculating Heart Rate Poster

... lead system like V1 or V6. QRS intervals typically broad with an indentation, S-T troughs may indicate ventricular ectopics. In sequence may be confused with ventricular tachycardia except that they regularly follow atrial peaks here shown as sinus rhythm P waves. REASON: Strong possibility of AV bl ...
Full Text:PDF - The Turkish Journal of Pediatrics
Full Text:PDF - The Turkish Journal of Pediatrics

... anatomy is also variable. The most common anatomy is near normal deficiency of subpulmonic conal muscle and short, usually stenotic subpulmonary conus. In the majority of cases there is a subaortic ventricular septal defect. A subpulmonary defect or additional muscular defects have been detected 8,9 ...
Print - Circulation
Print - Circulation

... The mean value was 20 msec (SD =± 14) with a range from -5 to 50 msec. The mean delta value was not age or rate dependent although the lower values tended to be found in younger infants. Patients with right ventricular systolic hypertension (table 1) and Barlow's syndrome had values within this norm ...
Case Report Just Sinus Bradycardia or Something More
Case Report Just Sinus Bradycardia or Something More

... was no family history of congenital heart disease, seizures, syncope, early sudden death, or family members requiring pacemakers or de�brillators. e patient’s ECG showed sinus rhythm at 50–60 bpm with normal PR, QRS, and corrected QT (QTc) intervals (Figure 1). Due to the bradycardia, a Holter moni ...
18 - Britton-Hecla School District / Homepage
18 - Britton-Hecla School District / Homepage

... Chapter 18 – Section 3 ...
4. and 5. Cardiac Cycle I _ II - 2016
4. and 5. Cardiac Cycle I _ II - 2016

... ventricular pressure immediately exceeds atrial pressure → The AV valve is closed → 1st heart sound is heard. The aortic valve is still closed. Ventricular pressure must continue to increase before it exceeds aortic pressure to open the aortic valve. Because no blood enters or leaves the ventricle, ...
undergoing valve replacement Mitral regurgitation in patients with
undergoing valve replacement Mitral regurgitation in patients with

... When MR is less-than severe, decision making regarding any intervention can be difficult, and will be influenced by the expectation that MR may spontaneously improve, by the increased risk of double-valve surgery, and by the increased risk of future reoperation if postoperative MR remains or becomes ...
Percutaneous Mitral Valve Repair
Percutaneous Mitral Valve Repair

... whom existing comorbidities would not preclude the expected benefit from reduction of the mitral regurgitation. FDA approval was based on data from one randomized controlled trial and 2 patient registry databases. In the Endovascular Valve Edge-to-Edge Repair (EVEREST) II trial, patients with severe ...
Approach to Cardiac Murmurs
Approach to Cardiac Murmurs

... paradoxical split of S2 that narrows with inspiration if it is severe. It is also heard best in the aortic auscultation area, radiates to the carotids, and most importantly, maneuvers such as sudden standing and valsalva decrease its intensity. A hypertrophic cardiomyopathy is heard best in the tric ...
Indices of Myocardial Contractility
Indices of Myocardial Contractility

... during contraction when the fiber shortens or the ventricle contracts against no load. In the clinic; however, myocardial contractility may be estimated by some parameters of systolic function adjusted for the degree of stretch on the fibers (the preload) just before contraction begins and the hindr ...
Increasing survival in SCA: The Role of ICD and CRT
Increasing survival in SCA: The Role of ICD and CRT

... • SCD occurs relatively frequently during exercise or stress • SCD more common in those with gross RV abnormalities but can occur in those with only microscopic abnormalities • Certain genetic types may be associated with increased risk – Current state of knowledge- genetic testing does not contribu ...
Surgery for Congenital Heart Diseases
Surgery for Congenital Heart Diseases

... The various forms of LVOTO occur in combination with other cardiac lesions (IAA, COA, MV anomalies, LV hypoplasia) and obstructive types are supravalvular, valvular, subvalvular, intraventricular ...
Nonlinear Cardiac Dynamics
Nonlinear Cardiac Dynamics

... different ways and yielding different values, yet time intervals are superior to rates since no ratios are encountered. The absolute interval (neither relative nor ratio) could span the time from one systolic beat to another between aortic pressure pulses, or it could be the time lapse from one R wa ...
Ligation of the Outflow Graft of the Left Ventricular
Ligation of the Outflow Graft of the Left Ventricular

... LVAD pump thrombosis is a major complication with increased incidence in recent years with continuous flow devices. Emphasis has been placed on surgical technique and cannula malalignment as major contributing factors to the recent surge in Heartmate II LVAD device thrombosis [1]. Recently, Starling ...
during fetal life - Journal of Clinical Pathology
during fetal life - Journal of Clinical Pathology

... (1960) found that the right ventricle, which included the free wall and half the septum became heavier than the left after 28 weeks' gestation. In the present series, doubtless due to the different method, the right ventricle did not become heavier, but there was a relative increase in the rate of g ...
Basics in transthoracic echocardiography and standard documentation
Basics in transthoracic echocardiography and standard documentation

... The consequence of this complex situation is the fact that there are different opinions how to perform and to teach echocardiography. On the one hand there are one day courses, internet education and other short-term procedures promising the complete learning and understanding of echocardiography, o ...
Echocardiography and Heart Failure: A Glimpse of the Right Heart
Echocardiography and Heart Failure: A Glimpse of the Right Heart

... pacemakers, cardiac transplantation, and congenital heart disease (especially in the growing adult population with surgical correction in childhood). Anatomy of the RV: The anatomy of the RV is distinctly different from that of the left ventricle, although they are functionally interdependent.3 Whil ...
Rheumatic Fever and Heart Disease
Rheumatic Fever and Heart Disease

... Nonbacterial Thrombotic Endocarditis • Gross:groups of small nodules on the lines of valve closure (similar to those of acute rheumatic fever), valve leaflets are normal. • Aortic valve most common site. • Micro: fibrin and platelets aggregates, no inflammation or fibrosis. • Clinically asymptomati ...
Intraoperative Transesophageal Echocardiography to Evaluate
Intraoperative Transesophageal Echocardiography to Evaluate

... is a safe procedure in experienced hands, with complications occuring in less than 1% of patient [1, 3,4]. The most common complications are perforation of the atrium, dislocation and embolization of the prosthesis, cardiac tamponade, thrombus formation and cardiac arrhythmias [4]. It would be the m ...
Cardiac Arrhythmias
Cardiac Arrhythmias

... Congenital long QT syndrome is generally treated by betablockade, left cardiac sympathetic denervation, and pacemaker therapy. Patients who remain symptomatic despite conventional therapy and those with a strong family history of sudden death usually need ICD therapy. ...
Cardiac Arrhythmias sree
Cardiac Arrhythmias sree

... Congenital long QT syndrome is generally treated by betablockade, left cardiac sympathetic denervation, and pacemaker therapy. Patients who remain symptomatic despite conventional therapy and those with a strong family history of sudden death usually need ICD therapy. ...
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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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