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Variable phenotype expression with a frameshift mutation of the
Variable phenotype expression with a frameshift mutation of the

... fibrosis may affect the conduction system. In young people, the impaired Na+ channels do not cause severe conduction defect, but with age, an increase in fibrosis in association with the genetic defect may impair the propagation of impulses through the conduction system and reveal the PCCD phenotype [ ...
Pdf version - Polish Archives of Internal Medicine
Pdf version - Polish Archives of Internal Medicine

... cardial viability characteristics for predicting long­‑term response to CRT. Patients and methods   ViaCRT was a prospective multicenter study involving 127 patients with heart failure. Cardiac dyssynchrony indices and low­‑ dose dobutamine response were determined by echocar‑ diography prior to CRT ...
Sympathetic Nervous System Activation and Left Ventricular
Sympathetic Nervous System Activation and Left Ventricular

... left ventricular hypertrophy in resistant hypertension and found greater SNS activity in patients with left ventricular hypertrophy than in those without. Estimation of sympathetic drive was based on the mean heart rate and time domain heart rate variability, rather indirect indexes. Elevated heart ...
A Clinical Approach to Common Cardiovascular Disorders When
A Clinical Approach to Common Cardiovascular Disorders When

... prolonged QT interval is most likely at higher risk of lifethreatening arrhythmias than an individual with LQT3 and a borderline QTc. Novel therapeutic approaches targeting the genetic defect also have been proposed. Considering the incomplete protection afforded by β-blockers in LQT3 and the reduce ...
relation of hemoglobin a to left ventricular diastolic function in
relation of hemoglobin a to left ventricular diastolic function in

... In this study, we found low transmitral E/A ratio as an evidence of reduced diastolic function, left ventricular chamber compliance, and changes in the left atrial pressure. In the presence of mild diastolic dysfunction, early filling is often blunted, leading to an exaggerated atrial contribution t ...
cardiac pacemaker
cardiac pacemaker

... Single-Chamber System • The pacing lead is implanted in the atrium or ventricle, depending on the chamber to be paced and sensed ...
Implantable Cardioverter Defibrillator (ICD)
Implantable Cardioverter Defibrillator (ICD)

... Sudden Cardiac Death recommend a range of ejection fractions below which an ICD might be indicated. The Class I recommendations for primary-prevention ICDs in heart failure support their use for mortality reduction in patients on optimal medical therapy with: I. LV dysfunction due to prior MI who ar ...
Defining Diastolic Dysfunction
Defining Diastolic Dysfunction

... ventricular ejection fraction ⱖ50%) within 72 hours of the heart failure event and objective evidence of left ventricular diastolic dysfunction (eg, abnormal LV relaxation/filling/ distensibility indices on cardiac catheterization). It is not likely that many patients in common clinical practice wil ...
A Complication following the Transcatheter Closure of a Muscular
A Complication following the Transcatheter Closure of a Muscular

... Today, congenital heart diseases may be treated without surgery through advances in interventional cardiology. However, complications such as infection and thrombus formation may develop due to foreign materials used during these procedures. Surgical intervention may be required for the removal of t ...
Clinical Indications for Echocardiography Echocardiography is
Clinical Indications for Echocardiography Echocardiography is

... The recommendations that echocardiography should be performed are based on evidence from clinical studies and/or general agreement from clinical practice that echocardiography will have a clear and positive impact on clinical management. In addition, recommendations are given that echocardiography s ...
- ~
- ~

... cardiac patients, the exercise test results are not for diagnosis of heart disease, but are used to determine the functional significance of the disease (Skinner, p. 216). There is concordance among exercise test clinicians that symptom-limited maximal exercise testing should be elected over sub-max ...
Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia and
Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia and

... present heart disease progression during a mean follow-up period of 10 years.19 The progression appears to be stepwise, associated in some cases with an arrhythmic storm or sudden death. 34 Symptoms of heart failure, with fatigue, gastrointestinal disorders, hepatomegaly and ascites, appear in the f ...
Electrocardiogram
Electrocardiogram

... • Chaotic activity of the ventricles • No effective cardiac output or coronary perfusion ...
Cardiac murmurs - Stiftung Tierärztliche Hochschule Hannover
Cardiac murmurs - Stiftung Tierärztliche Hochschule Hannover

... veterinary textbooks. As shown in the illustration of gradings above, palpating a precordial thrill and removing the stethoscope belong to the description of murmur intensities. The term precordial thrill (fremitus cardialis) is used for the focal buzzing sensation against the hand when palpating th ...
Cardiovascular - WordPress.com
Cardiovascular - WordPress.com

... they have a familial tendency not solely accounted for by atherosclerosis they are most frequent between the renal arteries and iliac bifurcation they have a risk of rupture of 5-10% per year if >5cm diameter they are rare before the age of 50 years they are more common in females ...
Percutaneous implantation of self-expandable aortic
Percutaneous implantation of self-expandable aortic

... therapy of choice in patients with symptomatic AS, but the mortality after isolated surgical procedures is 1–3% in patients under 70 years, and 4–8% above 70 years 1. In clinical practice at least 30% of patients with severe symptomatic AS do not undergo surgery for replacement of the aortic valve, ...
Surgical Repair of A Ruptured Aneurysm of Sinus of Valsalva
Surgical Repair of A Ruptured Aneurysm of Sinus of Valsalva

... A 23 year old male patient was admitted to our hospital with a two week history of congestive heart failure for which treatment had been commenced in another centre. In the previous center inotropic support had also been given. He was referred to our hospital for surgery following transthoracic echo ...
NOTES Mod #4 Heart Failure/Pulmonary Edema
NOTES Mod #4 Heart Failure/Pulmonary Edema

... (LDM) is transposed into the chest through a window created by resecting the anterior segment of the 2nd rib (5 cm). The LDM is then wrapped arround both ventricles. Sensing and pacing electrodes are connected to an implantable cardiomyostimulator ...
Peripartum cardiomyopathy
Peripartum cardiomyopathy

... at the end of pregnancy or within five months after delivery; immune and viral causes have been postulated. It has an incidence of 1:1,500 to 1:4,000 live births. Many cases of PPCM improve or resolve completely but others progress to heart failure; an early diagnosis and medical treatment may affec ...
Relations between pressure in pulmonary special - Heart
Relations between pressure in pulmonary special - Heart

... These facts have important implications for occurring close to the end-diastolic point patients where the pulmonary arterial pressure (Ferrario, Nordenstrom, and Paulin, I968). is continually monitored in order to disclose Direct flow measurements from the pulmonleft ventricular insufficiency and th ...
Modeling Pulsatility in the Human Cardiovascular System
Modeling Pulsatility in the Human Cardiovascular System

... cardiac outputs, ventricular elastance and contractility in the human circulatory system. In Kappel and Peer (1993) [4] and Timischl (1998) [12], efforts have been done to model non-pulsatile blood flow simulating values of quantities taken over one heart beat respectively over one breath. These mod ...
CHFmodule FY2011Q2
CHFmodule FY2011Q2

... Enter a date that is as specific as possible. If only the year is available, use 01/01/yyyy. Information may have to be extrapolated from notes such as “patient’s EF three years ago was 45,” etc. If the patient’s LVSF is documented but the date of the test cannot be found, enter 99/99/9999 default d ...
Prevention of Sudden Cardiac Death
Prevention of Sudden Cardiac Death

... Previous small studies examining the role of prophylactic ICDs among patients with DCM have not defined the role of the ICD. The Amiodarone versus Cardioverter Study (AMIOVIRT) reported no mortality difference among patients with DCM and asymptomatic NSVT.22 Similarly, the German Cardiomyopathy Tria ...
chapter 22 cardiopulmonary and right-left heart interactions
chapter 22 cardiopulmonary and right-left heart interactions

... children undergoing cardiac catheterization performed by Shekerdemian et al. (9), a negative-pressure cuirass device was used to mimic normal ventilation to compare the effects of positivepressure and negative-pressure ventilation on cardiac output. In essentially normal children having undergone cl ...
The utility of cardiac MRI in diagnosis of infective endocarditis
The utility of cardiac MRI in diagnosis of infective endocarditis

... in all patients, except one. On echocardiographic examinations eight patients had valvular pathology on the aortic valve, four on the mitral valve, two on the tricuspid valve and one on the pulmonary valve. One patient, a six-year-old girl, had a history of surgery for tetralogy of Fallot five years ...
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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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