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Non-cardioplegic coronary surgery in patients with severe left
Non-cardioplegic coronary surgery in patients with severe left

... days of coronary surgery for ischemic heart disease but most surgeons now use one of several forms of cardioplegia for myocardial protection during CABG. There is no doubt that cardioplegia affords good protection to the myocardium. An unlimited number of reports dealing with cardioplegia in any of ...
Anterior Mitral Basal `Stay` Chords are Essential for Left Ventricular
Anterior Mitral Basal `Stay` Chords are Essential for Left Ventricular

... leaflets (Fig. 1). Electrodes of the crystals placed in the mitral annulus, trigones, SC, and mitral leaflet tips were exteriorized through the left atriotomy, and those in the PM and the anterior and posterior LV wall were exteriorized through the LV apex. Two insulated wires were placed around the ...
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 ...
CARDIOLOGY NURSING/ PRINCIPLES OF CARDIAC NURSING 6KNIR302/ 6KNIR304
CARDIOLOGY NURSING/ PRINCIPLES OF CARDIAC NURSING 6KNIR302/ 6KNIR304

... Late submissions will be accepted for 24 hours following the submission date. All work submitted late will be marked as normal but will be capped at the pass mark for the module. If your assignment is hard copy please ensure you date stamp it and submit it to the submission room G15 JCMB. If your as ...
CHF 2013
CHF 2013

... Right-sided heart failure leads to elevated pressure in the portal vein and its tributaries. Splenic congestion produces a tense, enlarged spleen. Microscopically there may be marked sinusoidal dilatation, accompanied by areas of recent hemorrhage. With long-standing congestion, the enlarged spleen ...
18 - Britton-Hecla School District / Homepage
18 - Britton-Hecla School District / Homepage

... Deep two-layered serous pericardium ◦ Parietal layer lines the internal surface of the fibrous pericardium ◦ Visceral layer (epicardium) on external surface of the heart ◦ Separated by fluid-filled pericardial cavity ...
Mechanical Circulatory Support Device Database of the
Mechanical Circulatory Support Device Database of the

... time, the sum of the probabilities of each event equals 100%. This depiction is for patients receiving both left and right ventricular assist devices at the implant operation. LVAD, left ventricular assist device; RVAD, right ventricular assist device; MCSD, Mechanical Circulatory Support Device Dat ...
Tetralogy of Fallot - American Heart Association
Tetralogy of Fallot - American Heart Association

... If tetralogy of Fallot has been repaired with surgery, and there’s no obstruction or leak in the pulmonary valve, you may be able to participate in normal activities without much increased risk. You may need to limit your activity if there is leftover obstruction or a pulmonary valve leak, which is ...
The clinical development of percutaneous heart valve
The clinical development of percutaneous heart valve

... Repair (PMVR) for Mitral Regurgitation The pathophysiologic triad describing mitral regurgitation (MR) is composed of etiology (cause of the disease), valve lesions (resulting from the disease), and valve dysfunction (resulting from the lesion).31 These distinctions are relevant because long-term pr ...
Left ventricle unloading during veno-arterial
Left ventricle unloading during veno-arterial

... VA-ECMO currently represents the most efficient minimally invasive circulatory support system. It provides sufficient support to enable adequate tissue perfusion even in cardiac arrest, and the hemodynamic efficacy is superior to other available percutaneous circulatory support systems such as Impel ...
Pulse
Pulse

... AS is likely to be hemodynamically significant when the anacrotic notch is felt immediately after the onset of the upstroke. ...
Neonatal Cardiac Surgery
Neonatal Cardiac Surgery

... aortic arch obstruction, need immediate opening of the ductus arteriosus by prostaglandin E infusion (0.05-0.5 mcg/kg/m), mechanical ventilation, inotropic support and diuretics in order to restore peripheral systemic perfusion, support the heart, normalize blood gases, particularly arterial pH and ...
Marathoner`s Heart?
Marathoner`s Heart?

... against increases in cardiac biomarkers in the present9 or prior10 reports, should not prudent clinicians prohibit such activities, even among their healthiest and most fit patients? Perhaps F.C. Skey has been proven right after 139 years! These results should provoke concern, but it may too early t ...
Chapter 2 - Report of the Manitoba Pediatric Cardiac Surgery Inquest
Chapter 2 - Report of the Manitoba Pediatric Cardiac Surgery Inquest

... with, as opposed to problems that arise from lifestyle or later activities. Congenital heart problems usually stem from abnormalities or defects in the structure of the heart. In such cases, the heart will not have formed properly. (Another term for a congenital heart defect is a ‘lesion.’) Some def ...
5- Normal electrocardiogram
5- Normal electrocardiogram

... bipolar limb leads (L 1, L 2, L 3 ) and unipolar chest leads(C 1, …….C 6). 3-State the direction of cardiac vector. 4- Normal cardiac vector. 5- How draw cardiac vector from bipolar limb leads. 6-How find HR from regular ECG and irregular ECG. The electrocardiogram: Because the body fluid is good co ...
Asymptomatic - HAL
Asymptomatic - HAL

... Background: Familial amyloid polyneuropathy (FAP) mainly targets the peripheral nervous system and heart. Early noninvasive detection of cardiac impairment is critical for therapeutic management. Aim: To assess if amino-terminal pro-brain natriuretic peptide (NT-proBNP) or troponin T (cTnT) can pred ...
Demonstration of the Supernormal Period in the Intact Human Heart
Demonstration of the Supernormal Period in the Intact Human Heart

... A supernormal period of myocardial excitability in the human heart has been known to exist under varying circumstances. Katz and Pick-' have suggested that the supernormal period is not demonstrable in normal myocardial muscle, but can be shown in a depressed myocardium. FeldmanGtudied ten patients ...
OntoDiagram - UMKC School of Computing and Engineering
OntoDiagram - UMKC School of Computing and Engineering

... There are normal systemic and pulmonary venous connections, with the superior and inferior vana cavae returning normally to the right atrium, and all four pulmonary identified returning normally to the left atrium. noteAtria: The left and right atria have normal chamber size, structure, and relation ...
Significant reduction of left atrial volume
Significant reduction of left atrial volume

... failure associated symptoms in NYHA functional class III/ IV, and 31% had previously experienced syncope. The resting LVOT gradient was 107±45 mm Hg and the LV ejection fraction was 78±6%. All patients received β-blocker treatment, and 50% of the patients had taken Na-channel antagonists, either dis ...
CVS_Part1
CVS_Part1

...  Stable angina, the most common form and therefore called typical angina pectoris, appears to be caused by the reduction of coronary perfusion to a critical level by chronic stenosing coronary atherosclerosis; this renders the heart vulnerable to further ischemia whenever there is increased demand, ...
cardiac morphology
cardiac morphology

... ** Spaces for each course are limited to allow for more personal tuition, time for examination of specimens and discussion**. 20% concession for GOSH or UCL employees (enter code: GOSH123 or UCL123 when booking standard ticket). For participants with a very basic knowledge of cardiac anatomy it is r ...
Atrioventricular
Atrioventricular

...  Discuss the etiology and associations for AVSD  Review the sonographic features of AVSD  Review cases of AVSD, including those with associated cardiac anomalies to understand the spectrum of the disease  Learn the clinical and anatomic features that impact outcome in patients born with AVSD ...
Very Long-Term Results (More Than 20 Years) of Valve Repair With
Very Long-Term Results (More Than 20 Years) of Valve Repair With

... A prosthetic ring was judged necessary in all patients who had annulus dilatation or deformation. There were no pediatric cases, so the use of an annuloplasty ring was always possible. The predictability of the technique is demonstrated by the low incidence (1.9%) of early reoperations that are like ...
The small giraffe heart normalises ventricular wall tension, but
The small giraffe heart normalises ventricular wall tension, but

... high intraventricular blood pressure by having a lower left ventricular radius and a thicker ventricular wall (Mitchell and Skinner, 2009). This can be achieved by a typical mammalian heart mass relative to body mass, but must entail a lower stroke volume (SV) per unit of cardiac mass than in simila ...
Heart Rhythm Services
Heart Rhythm Services

... risk with a CHADS score less than 1. Patients with several risk factors (age >75 years, hypertension, diabetes, prior stroke or transient ischemic attack, left ventricular dysfunction) are at higher risk, necessitating anticoagulation therapy with warfarin. This recommendation is based on an extensi ...
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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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