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CorePace #5 - Pacemaker Basics
CorePace #5 - Pacemaker Basics

... • Potential complications include, but are not limited to, valve damage, fibrillation and other arrhythmias, thrombosis, thrombotic and air embolism, cardiac perforation, heart wall rupture, cardiac tamponade, muscle or nerve stimulation, pericardial rub, infection, myocardial irritability, and pneu ...
Congenital heart surgery: what we do to our patients
Congenital heart surgery: what we do to our patients

... In cyanosed children with insufficient pulmonary blood flow, a shunt is formed from the systemic to the pulmonary circulation, to provide more pulmonary blood flow. This is usually in situations of obstructed right ventricular outflow, for example in tetralogy of Fallot, or pulmonary atresia. The co ...
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Truncal Inversion withBiventricular Pulmonary Trunk and Aorta from

... Hearts with l)iventricular orijin of the pulmonoary trunk wvith origin of the aorta fromii the right ventricle, with or vithout pulmonaomry steniosis, have recently been studied by one of us.4' A concept of xvhat we call the Taussigl3ing spectrum of hearts (or douille-outlet right ventricle of the T ...
Prosthetic valve thrombosis
Prosthetic valve thrombosis

... Medical Rx if parameter of repair is good – Avoid inotropic drug except for norepinephrine – Maintain adequate preload Surgical Rx – Posterior leaflet sliding procedure – Slightly oversized the annuloplasty ring – Use Alfieri stitch to A1/P1 – Implant Gortex suture to reduce height of anterior leafl ...
Cardio lecture - Sinoe Medical Association
Cardio lecture - Sinoe Medical Association

... •Cardiac muscle is very susceptible to oxygen lack - can withstand not more than 30secs without oxygen before they stop working. •The cardiac muscle as a whole, and not only the single muscle fibre, obeys the all or none rule i.e. if one muscle cell in the syncetium contracts, the rest contract at t ...
Tricuspid transcatheter valve-in-valve: an alternative for
Tricuspid transcatheter valve-in-valve: an alternative for

... time, it is caused by annular dilatation and right ventricular enlargement, secondary to pulmonary hypertension that often accompanies mitral disease [1]. Besides the origin, the presence of significant tricuspid regurgitation often carries a major impact in survival and life quality, including sever ...
MCV/Q, Medical College of Virginia Quarterly, Vol. 15 No. 2
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Atrial Septal Defect
Atrial Septal Defect

... (Holt-Oram syndrome). In this case, severe pulmonary vascular resistance occurred, causing reversal of the shunt (right to left), and resulting in clubbing of the fingers. ...
Valvular Heart Disease
Valvular Heart Disease

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Echocardiographic Recognition of

... of the fibrous union between the base of the anterior mitral leaflet and the aortic root. The technique described by Gramiak was used in this investigation. Our purpose in studying the 34 cases in group 1 was primarily to determine the frequency with which we could detect mitral-semilunar valve cont ...
Echocardiographic Assessment of the Right Heart in Adults
Echocardiographic Assessment of the Right Heart in Adults

... The estimation of PVR is not adequately established to be recommended for routine use but may be considered in subjects in whom pulmonary systolic pressure may be exaggerated by high stroke volume or misleading low by reduced stroke volume The noninvasive estimation of PVR should not be used as a su ...
Functional Morphology of the Heart in Mammals
Functional Morphology of the Heart in Mammals

... to the disposal of large and varying amounts of blood against a low peripheral resistance. The left ventricle acts as a pressure pump, capable of forceful contraction against a much higher peripheral resistance. This difference in function is related to the different disposition of musclefibersin ea ...
Anesthesia for the patient with congenital heart disease
Anesthesia for the patient with congenital heart disease

... cardiac arrest were in pediatric patients with CHD. The most common lesions in patients with cardiac arrest were single ventricle, left-to-right shunt, left ventricular outflow tract obstruction and cardiomyopathy. Of the 24 patients with single ventricle lesions suffering cardiac arrest, 17 patient ...
Alcoholic Cardiomyopathy: Clinical and Molecular Findings
Alcoholic Cardiomyopathy: Clinical and Molecular Findings

... with either New York Heart Association (NYHA) class I-II or class III-IV functional status, and all echocardiographic and hemodynamic parameters were similar between the groups.55 The deterioration of systolic function is significantly related with the level of alcohol consumption ...
Heart Structure, Function and Arrhythmias
Heart Structure, Function and Arrhythmias

... passing through the atrioventricular node, the activation passes to the ventricles and produces a contraction. The QRS complex indicates ventricular depolarization (shown in yellow), while the T wave corresponds to ventricular repolarization. Ventricular fibrillation is an immediately life-threateni ...
Rheumatic Fever and Heart Disease
Rheumatic Fever and Heart Disease

... Lab tests indicative of inflammation : ESR (erythrocyte sedimentation rate), CRP (C-Reactive protein), leukocytosis. – ECG changes. ...
Slide 1
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... 5 Blood is distributed by right and left pulmonary arteries to the lungs, where it unloads CO2 and loads O2. 6 Blood returns from lungs via pulmonary veins to left atrium. 7 Blood in left atrium flows through left AV valve into left ventricle. 8 Contraction of left ventricle (simultaneous with ...
Guidelines ICD implantation 2005 – an update
Guidelines ICD implantation 2005 – an update

... was no difference in all-cause mortality between the conventionally treated patients and the group randomised to ICD implantation. Although ICD therapy was associated with a reduction in the rate of death due to arrhythmia, this was offset by an increase in the rate of death from nonarrhythmic cause ...
Roderick Tung, Noel G. Boyle and Kalyanam Shivkumar 2011;123:2284-2288 doi: 10.1161/CIRCULATIONAHA.110.989079
Roderick Tung, Noel G. Boyle and Kalyanam Shivkumar 2011;123:2284-2288 doi: 10.1161/CIRCULATIONAHA.110.989079

... with structural heart disease. Myocardial infarction results in collagen replacement interspersed with surviving myocardium, which alters impulse propagation, facilitating re-entry. 1 Aside from the postinfarction substrate, scar-mediated VT occurs in patients with nonischemic cardiomyopathy, Chagas ...
Should you evaluate for CAD in seniors with premature ventricular
Should you evaluate for CAD in seniors with premature ventricular

... I find myself discussing PVCs most often with young women who don’t have known heart disease—rather than the elderly. I often discover PVCs on physical examination in the office or see them on a Holter monitor ordered to rule out other more worrisome arrhythmias. This reminds me that I need to not o ...
Severe aortic stenosis in a patient with breast cancer
Severe aortic stenosis in a patient with breast cancer

... 34 mmHg, a larger than small paravalvular leak, normal (65%) left ventricular ejection fraction, and 11–13 mm layer of fluid in the pericardium, adjacent to the right ventricle and right atrium. Five months later, on 9 October 2012, the patient was readmitted on cardiology department for haemodynami ...
Outcomes following aortic valve replacement for
Outcomes following aortic valve replacement for

... survival, changes in ventricular function and long-term follow up from any South African institute to date. The purpose of this ...
Approach to Cardiac Disease in Pregnancy
Approach to Cardiac Disease in Pregnancy

... Monitoring and Treatment ...
Repair of Prosthetic Mitral Valve Paravalvular Leak Using an Off
Repair of Prosthetic Mitral Valve Paravalvular Leak Using an Off

... symptoms in the absence of severe left ventricular dysfunction [2]. In stable patients with prosthetic valve dysfunction, repeated traditional mitral valve replacement is the recommended treatment for PVL. However reoperation for repair of PVL is associated with higher morbidity and mortality than t ...
Vertebral Heart Scale
Vertebral Heart Scale

... diagnostics, such as a VHS and measurement of blood pressure. As guidelines for the treatment of heart disease in veterinary medicine evolve, it will become increasingly important to accurately stage patients with these conditions to determine when medical treatment is indicated. VHS calculation can ...
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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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