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The Contribution of Doppler Echocardiography to the Assessment of
The Contribution of Doppler Echocardiography to the Assessment of

... function study during dobutamine infusion discerns coronary artery disease among heart failure patients with greater sensitivity than wall motion index measurement.31 New techniques such as TDI and strain rate (Figure 3) can assess the segmental LV long axis function. Regional ischemia is more accur ...
Asymptomatic Metastasis of Hepatocellular Carcinoma into the Right
Asymptomatic Metastasis of Hepatocellular Carcinoma into the Right

... caused by direct invasion of the IVC and extension into the RA. RV metastasis without IVC and RA metastasis is rarely reported and may be caused by hematogenous spread of cancer cells. To the best of our knowledge, antemortem diagnosis of HCC with right ventricular metastasis without involvement of ...
Heartmate II
Heartmate II

... • Assists in providing energy to propel blood throughout the body as a healthy left ventricle would do • FDA approved to use as a bridge to transplant or as destination therapy when the patient is not a transplant candidate ...
complete physical exam abbreviations
complete physical exam abbreviations

... No murmurs/rubs/gallops CTAB Clear To Auscultation Bilaterally RRR Regular Rate and Rhythm S1S2 nl S1 (first heart sound) and S2 (second heart sound) are normal in auscultation EKG: LAD Left Axis Deviation RAD Right Axis Deviation RAE Right Atrial Enlargement LAE Left Atrial Enlargement LVH Left Ven ...
Electrocardiogram (ECG)
Electrocardiogram (ECG)

... This phenomenon shows sudden cessation of P waves, with resultant standstill of the atria. However, the ventricles pick up a new rhythm, the impulse usually originating spontaneously in the atrioventricular (A-V) node, so that the rate of the ventricular QRS-T complex is slowed but not otherwise alt ...
Decision-making and surgery results in postinfarction ventricular
Decision-making and surgery results in postinfarction ventricular

... of 30). We think it is important to perform coronary angiography before the operation in order to choose an adequate revascularisation strategy. During coronary angiography an occluded infarct-related coronary artery without collateral circulation was identified in about half of the patients. Most o ...
A Challenging Case Of Ventricular Arrhythmia In A Patient
A Challenging Case Of Ventricular Arrhythmia In A Patient

... guidelines for ICD implantation, but new therapeutic options could be evaluated in these patients, such as combined epicardial/endocardial ablation and external wearable defibrillator. Particularly, depressed left ventricular ejection fraction (LVEF) represents the only risk marker for sudden cardia ...
Catheter Ablation for Atrial Fibrillation - New York
Catheter Ablation for Atrial Fibrillation - New York

... become compromised, and electrical connections are re-established between the pulmonary vein(s) and left atrium, triggering a recurrence of the arrhythmia. In these cases, a second ablation procedure may be indicated, usually several months after the initial ablation. ...
Lecture 14 - CV Pump physiology
Lecture 14 - CV Pump physiology

... – Since the AV valves were already closed, the heart is a closed ball – As the heart relaxes, the pressure in the ball falls at a fixed volume. – ISOMETRIC RELAXATION ...
Assessment of heart murmurs in childhood
Assessment of heart murmurs in childhood

... these various possibilities; some situations can be prioritized in order to be more carefully evaluated, in consequence of the risk of a cardiovascular event. 6 Initially, changes observed in the auscultation of a newborn or a six to 12 month-old infant require a more detailed investigation. Approxi ...
NURS1004 Week 10 Lecture the Heart Part II Prepared by Didy
NURS1004 Week 10 Lecture the Heart Part II Prepared by Didy

... passively. ...
PowerPoint Presentation - Lecture 8
PowerPoint Presentation - Lecture 8

... • Stroke Volume (SV) = amt. of bld ejected from the L vent. w/ each heart beat - Ave. = 70ml/beat - SV determined by 3 factors: -Preload - blood flow force that stretches the ventricle - Contractility - force of ventricular contraction - Afterload - Resistance to vent. ejection of blood caused by op ...
IOSR Journal of VLSI and Signal Processing (IOSR-JVSP)
IOSR Journal of VLSI and Signal Processing (IOSR-JVSP)

... slice and the acquisition is repeated. If the subject breathes between different slices, then, due to different levels of inhalation and expiration, the cardiac structure can undergo significant displacement. For this reason we have not integrated information from different spatial slices into our m ...
Stenotic Semilunar Valve in Persistent Truncus Arteriosus
Stenotic Semilunar Valve in Persistent Truncus Arteriosus

... is nearly always the only abnormality of hemodynamic importance. Congestive heart failure usually causes the death of these infants by two months of age. ...
Pharmacological treatment of left ventricular remodeling: recent trial
Pharmacological treatment of left ventricular remodeling: recent trial

... early [1] and delayed postinfarction phenomenon [2] , was named as remodeling later on [3] , and eventually defined as cardiac remodeling during the International Forum on Cardiac Remodeling in Apr 1998 [4] . It is defined as genome expression, molecular, cellular and interstitial changes that are m ...
Left Ventricular Assist Devices
Left Ventricular Assist Devices

... or native cardiac dysfunction), and evaluation of native myocardial recovery. Suggested protocols, checklists, and worksheets for each of these phases of care are located in the Appendices. Other types of MCS may also be encountered by echocardiographers, and these devices are discussed in Appendix ...
Learning outcomes
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... Using surface anatomy listen to the heart sounds in a colleague. 1. Familiarization with stethoscope The traditional stethoscope has a bell and a diaphragm  The bell is designed as a resonation chamber and is better for listening to low pitched sounds.  The diaphragm is used for listening to highe ...
A rare localization of hydatid cyst: Right ventricular free wall cyst
A rare localization of hydatid cyst: Right ventricular free wall cyst

... which escape, progress to the cyst stage. Cysts grow slowly, usually at a rate of 1 cm/year (2). When cardiac infection is the case, cysts are encased in an adventitial pericystic coat and they reach maturity in 1-5 years (2). The first cardiac cyst case has been reported by Williams et al. in 1936. ...
CONGESTIVE CARDIAC FAILURE 1 CONGESTIVE CARDIAC
CONGESTIVE CARDIAC FAILURE 1 CONGESTIVE CARDIAC

... showed that in every 1000 encounters, seven patients would come while complaining of chronic cardiac failure. Another study conducted by 341 Australian general practitioners also stated that in every 100 patients aged above 60, 11 would have been diagnosed with Chronic cardiac failure based on known ...
Pacemakers and AICD`s
Pacemakers and AICD`s

... Local anesthesia; conscious sedation Short hospital stays and few complications Perioperative mortality < 1% Programmable therapy options Single- or dual-chamber therapy Battery longevity up to 9 years More than 100,000 implants/year ...
Emergency Cardiac Ultrasound: “Questions”
Emergency Cardiac Ultrasound: “Questions”

... Pericardial Effusion: Penetrating Trauma 100% Sensitivity (Plummer, 1992) Reduced time to Dx & Disposition 42.4 min vs. 15.5 min Improved survival 57.1 % vs. 100% Randazzo MR et al. Accuracy of emergency physician assessment of LV ejection fraction and central venous pressure using echocardiography ...
PDF - Circulation: Arrhythmia and Electrophysiology
PDF - Circulation: Arrhythmia and Electrophysiology

... anteroseptal pathway as the only route of antegrade conduction from the atrium to the ventricle. Interestingly, this patient also developed cavotricuspid isthmus-dependent flutter with rapid conduction via the accessory pathway. This flutter was successfully ablated. ...
Advances in the Management of Acute Heart Failure in the Adult
Advances in the Management of Acute Heart Failure in the Adult

... HEART FAILURE: what it is, what’s it about? 3. Discuss Congestive Heart Failure patient management for the prehospital provider ...
Sports and inflammatory heart diseases
Sports and inflammatory heart diseases

... Regular and moderate training reduces the individual cardiovascular risk in the long term. Nevertheless, physical activity may impose a considerable risk of sudden cardiac death on patients with heart diseases. This is particularly the case with myocarditis and pericarditis, which often affect young ...
Ministry of Public Health Republic of Uzbekistan Center for
Ministry of Public Health Republic of Uzbekistan Center for

... resistance to blood flow created by the narrowed mitral orifice (a "first barrier"), operates the compensatory mechanisms to ensure adequate performance of the heart. Due to the increasing gradient pressure between the left atrium and left ventricle (LV) the left atrial pressure compensatory increas ...
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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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