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Heart sounds. Phonocardiogram. Carotidogram. []
Heart sounds. Phonocardiogram. Carotidogram. []

... - the V point, corresponding to the onset of left ventricular contraction and the closure of the mitral valve; - the VE slope, corresponding to the isovolumic ventricular contraction; - the E point represents the systolic peak, corresponding to aortic valve opening and onset of left ventricular ejec ...
Left ventricle - Dr. Par Mohammadian
Left ventricle - Dr. Par Mohammadian

... Right atrium  tricuspid valve  right ventricle  pulmonary semilunar valve  pulmonary arteries  lungs  pulmonary veins  left atrium  bicuspid valve  left ventricle  aortic semilunar valve  aorta  ...
Chapter 19 Circulartory System
Chapter 19 Circulartory System

... thoracic segments of the spinal cord – continues to adjacent sympathetic chain ganglia – some pass through cardiac plexus in mediastinum – continue as cardiac nerves to the heart – fibers terminate in SA and AV nodes, in atrial and ventricular myocardium, as well as the aorta, pulmonary trunk, and c ...
Are angiotensin converting enzyme inhibitors
Are angiotensin converting enzyme inhibitors

... initiating any form of long term medical treatment would be problematic. This group of patients derives significant benefit from surgical replacement of the aortic valve and medical treatment would therefore pose significant risk.24 For symptomatic AS patients, it would therefore be difficult to def ...
353: Aortic Valve Replacement - Association of Surgical Technologists
353: Aortic Valve Replacement - Association of Surgical Technologists

... flow. Aortic valve regurgitation, or leaky valve, is when this leaflets do not close all the way. Aortic valve disease may be abnormal at birth or become diseased over time. These two types are congenital aortic valve disease and acquired aortic valve disease, respectfully. Treatments to fix the val ...
Valvular Heart Disease Mitral Stenosis
Valvular Heart Disease Mitral Stenosis

... –  freq. in pts with mod-severe MS for several years – A fib develops in  30% to 40% of pts w/symptoms ...
Arrhythmogenic Right Ventricular Dysplasia: Does my patient have it
Arrhythmogenic Right Ventricular Dysplasia: Does my patient have it

... • Desmosomes are structures that connect cells together. • During exercise pressures in the RV increase three fold and the RV dilates increasing wall stress. • Most ARVD patients, especially those that present at young ages are high level athletes. • Exercise is a common trigger of arrhythmias and s ...
heart failure
heart failure

... Nearly two million new cases are diagnosed each year. The risk of developing heart failure increases with age, and it is estimated that 1,000 out of every 100,000 people who are over the age of 65 develop heart failure.1 ...
The Circulatory System: Heart
The Circulatory System: Heart

... – Not a cure for artery disease, but may allow time for other corrective action ...
Automated External Defibrillators (AEDs): Why Put
Automated External Defibrillators (AEDs): Why Put

... By Paul C. Asted ...
Clinical significance of cardiac murmurs: Get the sound and rhythm
Clinical significance of cardiac murmurs: Get the sound and rhythm

... because the left ventricular volume overload results in an increased stroke volume and increased systolic pressure, while the rapid diastolic run-off results in a decreased diastolic pressure. Therefore, a larger arterial pressure difference is present between systole and diastole, making the pulse ...
Rheumatism is a systemic disease of a connective tissue of inflamm
Rheumatism is a systemic disease of a connective tissue of inflamm

... connective tissue with prevailing of heart lesions(development of heart valvular defects). Although the hypothesis about the viral nature of rheumatism exist, the role of -hemolytic streptococcus of group A in the development of the disease can not be diminished. At present frequency of rheumatism h ...
Tina`s 12 Lead Class Notes
Tina`s 12 Lead Class Notes

... Indeterminate Left ventricular hypertrophy is indicated when the amplitude of the S-wave of V1 plus the R-wave amplitude in V5 is greater than or equal to 35 mm. Vessels involved in acute MI—bring heart to this class to show where they are Anterior MI—LAD Lateral MI—Left circumflex Inferior MI—RCA o ...
Echocardiographic Assessment of Cardiac Dysfunction in Patients of
Echocardiographic Assessment of Cardiac Dysfunction in Patients of

... abnormalities in the ESRD. 30% of patients reaching ESRD already have clinical evidence of ischaemic heart disease or CHF. Furthermore patients with a reduced glomerular filtration rate (GFR) are more likely to die of CVD even before they are to develop ESRD. Heart failure accounts for 15%, myocardi ...
coronary circulation-anatomy history
coronary circulation-anatomy history

... dilatation of the subendocardial plexus of vessels. Significance: In the presence of a significant coronary artery obstruction, subendocardial vessels can’t dilate further and suffer the most by way of ischemia. Collaterals: Anastomotic connections between portions of the same coronary artery and be ...
Hemodynamic instability - Clinical View
Hemodynamic instability - Clinical View

... accurate, if the patient is hemodynamically unstable it is important to monitor blood pressure invasively on a beatto-beat basis. The most common catheterization site is the radial artery, although femoral, brachial and axillary arteries have also been used. The monitoring system must be appropriate ...
Congenital Absence of the Left Pericardium and Complete Heart Block
Congenital Absence of the Left Pericardium and Complete Heart Block

... of the heart, and This is a consequence of an absent ...
Cardiovascular abnormalities in ageing and in uraemia-
Cardiovascular abnormalities in ageing and in uraemia-

... In a systematic study on the effect of ageing, Bürger in Leipzig analysed the central vessels and heart [9]. He stated that ‘aging changes the chemical composition of the aorta and causes wall thickening’. He further stated that ‘the quantity of elastic elements decreases and consequently the elast ...
Pulmonic Stenosis Explained - New
Pulmonic Stenosis Explained - New

... millimeters of mercury (mm of Hg) than no treatment is required. A gradient of 80mm of Hg or more is at risk of sudden death and therapy should be pursued. Balloon Valvuloplasty is a minimally invasive procedure that involves inserting a special balloon catheter into the pulmonic valve and inflating ...
Understanding Afterload
Understanding Afterload

... and decreased compliance. Aortic valve diseases like aortic stenosis and insufficiency (regurgitation) also increase the afterload whereas mitral valve regurgitation decreases the afterload. Long-term afterload increases can lead to decreased stroke volume and deleterious cardiac remodeling. ...
left ventricular cardiomyopathy in mitral valve prolapse: fact or fiction?
left ventricular cardiomyopathy in mitral valve prolapse: fact or fiction?

... connective tissue disorder, have an increased incidence of impaired LV function independent of the degree of MR. Additionally, right ventricular dysfunction can occur in MVP. This has been described to occur in 10% of 68 patients with MVP without significant valvular regurgitation.50 In EDS, charact ...
Evaluation of Cardiac Masses
Evaluation of Cardiac Masses

... Tumors – Echo Assessment  Much less common than metastatic disease  Malignant tumors tend to invade/replace ...
Echocardiographic Parameters of Left Ventricle Systolic and
Echocardiographic Parameters of Left Ventricle Systolic and

... in their age and gender. No difference found between both group in their body surface area and hear rate. Comparison of Conventional 2-dimensional, Mmode echocardiography measurement in both patients with β-thalassemia and control subjects shows that all these measurement were higher in thalassemic ...
The Heart
The Heart

... Atrial systole contributes about 20% of the cardiac output (CO) This contribution becomes important in cases of heart failure The terms systole and diastole, when used without chamber designation, indicate ventricular contraction and relaxation ...
SUDDEN DEATH IN YOUNG ATHLETES
SUDDEN DEATH IN YOUNG ATHLETES

... consequence of a wide spectrum of cardiovascular diseases, either acquired or congenital [2, 4, 5]. The culprit diseases are often clinically silent and unlikely to be suspected or diagnosed on the basis of spontaneous symptoms. Systematic cardiovascular screening (including 12-lead ECG) of all subj ...
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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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