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Case Report - Departamentos e GEs
Case Report - Departamentos e GEs

... pulmonary arteries. The right heart chambers were dilated, there was right-to-left shunt at the atrial level and the arterial duct was patent. The pulmonary valve had thickened leaflets with normal sized annulus (Z score = – 0.7) and no antegrade blood flow was noted. Under general anesthesia, a 4F ...
View Abstract - Association of Black Cardiologists
View Abstract - Association of Black Cardiologists

... and left ventricular free wall rupture (2). We present a patient who underwent elective left heart catheterization complicated by AMI, which in turn was complicated by left ventricular free wall rupture. The sudden onset of chest pain and pulseless electrical activity (PEA) in an elderly woman with ...
Atrial and Ventricular Enlargement
Atrial and Ventricular Enlargement

... Right atrial overload (P pulmonale) and right ventricular hypertrophy. Right atrial overload (enlargement) is manifest as tall sharp P waves in lead II and V1. The cut off values are P wave amplitude more than 0.25 mV in lead II and 0.1 mV or more in V1. Dominant R waves in V1 and deep S waves in V ...
Surviving Left Ventricular Free Wall Rupture after Elective Left Heart
Surviving Left Ventricular Free Wall Rupture after Elective Left Heart

... and left ventricular free wall rupture (2). We present a patient who underwent elective left heart catheterization complicated by AMI, which in turn was complicated by left ventricular free wall rupture. The sudden onset of chest pain and pulseless electrical activity (PEA) in an elderly woman with ...
Task Force 2: Congenital Heart Disease
Task Force 2: Congenital Heart Disease

... 3. Athletes with severe pulmonary incompetence characterized by a marked right ventricular enlargement can participate in class IA and IB competitive sports. Aortic valve stenosis (AS)— untreated. This section discusses congenital valvular AS in young patients; AS in adults is addressed in Task Forc ...
DIASTOLIC HEART FAILURE: DO MEASUREMENTS WORK?
DIASTOLIC HEART FAILURE: DO MEASUREMENTS WORK?

... assigned  by  the  comprehensive  algorithm  and  event-­‐free  survival.  On  the  other   hand,  the  simplified  algorithm  had  prognostic  value  showing  that  each  grade  of   increasing  diastolic  dysfunction  was  associated  with ...
cardiac Resynchronization therapy Defibrillator (cRt-D)
cardiac Resynchronization therapy Defibrillator (cRt-D)

... automated treatment of life-threatening ventricular arrhythmias. AF Suppression pacing is indicated for suppression of paroxysmal or persistent atrial fibrillation in patients with the above ICD indication and sinus node dysfunction. In patients indicated for an ICD, Unify pulse generators are also ...
Presentation of Congenital Heart Disease in the Neonate and
Presentation of Congenital Heart Disease in the Neonate and

... The mnemonic of the five “Ts” (transposition, tetralogy of Fallot, tricuspid atresia, total anomalous pulmonary venous connection, truncus arteriosus) may be useful in recalling the names of the classic cyanotic CHDs, but it can be misleading because the clinical presentations of these lesions usual ...
Evaluation of the Patient Suspected of Having Underlying Arrhythmias
Evaluation of the Patient Suspected of Having Underlying Arrhythmias

... Most common after surgical correction of CHD Clinical manifestations depend on heart rate Asymptomatic Dizziness Syncope ...
ventricular septaldefect with shunt from left ventricle to right atrium
ventricular septaldefect with shunt from left ventricle to right atrium

... artery was 21/12, the right ventricle 22/2, and right atrium 5 mm. Hg. The course of the catheter during a repeat catheterization at 8 years of age was from right atrium to right ventricle to left ventricle to aorta. Angiocardiography performed with injection into the right ventricular outflow tract ...
Short- and mid-term results of resection of discrete subaortic
Short- and mid-term results of resection of discrete subaortic

... Background: In this study, we report our short- and mid-term surgical results in patients with discrete subaortic stenosis. Methods: A total of 72 patients (43 males, 29 females; mean age 4.6±4.5 years; range, 6 months to 11 years) who were surgically treated for discrete subaortic stenosis in our c ...
Safety lessons learned from aviation
Safety lessons learned from aviation

... Severe left ventricular dysfunction Cardiomyopathy Hypertrophic cardiomyopathy Arrhythmogenic right ventricular cardiomyopathy Congenital heart disease, especially coronary artery anomalies Valvular heart disease Cardiac pacemaker and conducting system disease ...
Understanding Lusitropy
Understanding Lusitropy

... flowmeters and monitors for surgical, hemodialysis, pediatric critical care, perfusion, interventional radiology and research applications. In addition, Transonic provides pressure and pressure volume systems, laser Doppler flowmeters and telemetry systems. ...
Current Guidelines and Recommendations for Echocardiography in
Current Guidelines and Recommendations for Echocardiography in

... 2. Range  of  indications  is  broad  and  based  clinical  signs  and  symptoms  and   clinician  best  judgment.   3. Complete  history  and  physical  has  been  completed  by  a  qualified  physician   prior  to  the  use  of  echocar ...
Chapter 20 The Heart
Chapter 20 The Heart

... equal volume of blood passes through both circuits but work load is different pulmonary circuit is short and low pressure circuit so right ventricle has to pump less systemic circuit is long and requires high pressure thus the left ventricle is much larger (3X) ...
monitoring of the very early changes of left ventricular diastolic
monitoring of the very early changes of left ventricular diastolic

... 206.7 ± 25.5 ms, p < 0.01). During the 6-month followup, there were no significant changes in left atrium, right ventricular, left ventricular end-systolic and end-diastolic diameters. After the first CT, the signs of LV diastolic dysfunction were detected in 5 (19.2%) patients. 6 months after the l ...
IHD ModuleFY2015Q3
IHD ModuleFY2015Q3

... “On a beta-blocker during the specified timeframe” implies continuously on beta-blockers, although the specific medication may have been changed. (Example: patient was started on atenolol 8 months ago, but was switched to metoprolol succinate 3 months ago. The answer to “bb6mos” is “yes.”) If beta-b ...
Myxoma of the Left Atrium
Myxoma of the Left Atrium

... other cases of myxoma reported in the literature, and recognition of these unusual pressures may permit accurate preoperative diagnosis in other patients. Diagnostic changes may be present on apexcardiograms. ...
EMS_April_2016 - S. Blake Wachter, MD, PhD Advanced Heart
EMS_April_2016 - S. Blake Wachter, MD, PhD Advanced Heart

... 37% were witnessed by bystander 33% of these got bystander CPR – Survival was 11.2% compared to those who did not get CPR 7% ...
Document
Document

... presence of other underlying abnormalities (ventricular hypertrophy, conduction defects). ...
Development of a Training System for Cardiac Muscle Palpation
Development of a Training System for Cardiac Muscle Palpation

... determining the mechanical parameters because of the limitation of measurements of real hearts by the measuring instrument. To solve this problem, the mechanical parameters should be measured for more and smaller spots on the cardiac muscle with a smaller force-measuring probe. The proposed modeling ...
VAD - Ventricular Assist Devices
VAD - Ventricular Assist Devices

... O Blood pressures are usually not able to be obtained with either manual or automatic blood pressure devices. O Pulse oximetry will either be absent or unreliable. O Utilize other parameters for patient assessment: Level of consciousness, skin signs, cap refill, end-tidal C02 monitoring, etc.) ...
Heart Size Evaluation of Indonesian Domestic House Cat by Motion
Heart Size Evaluation of Indonesian Domestic House Cat by Motion

... Indonesian Domestic House Cats (DHC) are prone to various diseases, especially cardiovascular diseases. Physical examination alone is not enough to differentiate cardiac diseases, which is why further screening tests such as heart ultrasonography-echocardiography are needed. Since there has been no ...
Cardiac MRI: Standardized Right and Left Ventricular Quantification
Cardiac MRI: Standardized Right and Left Ventricular Quantification

... Abstract: MRI quantification of the cardiac ventricles is time-consuming, especially for the right ventricle due to its complex geometry. Using a short axis MRI protocol, we tested if briefly coaching persons inexperienced in cardiac MRI provides reliable right and left ventricular quantification. 2 ...
Anesthesia for Adult Patients With Congenital Heart Disease
Anesthesia for Adult Patients With Congenital Heart Disease

... ASDs are classified according to anatomy and location of the defect in the atrial septum. Patent foramen ovale (PFO) occurs at the junction of the septum primum and septum secundum and can close spontaneously. For ASDs and PFOs, the risks they pose for paradoxic emboli, bacterial endocarditis, and h ...
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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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