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Profile Documents Logout
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PDF - Journal of Clinical and Translational Research
PDF - Journal of Clinical and Translational Research

... the ongoing depolarization of the sinus node (Figure 1 in [1]). Then an ‘alternans’ in HR was observed, alternating short and long R-R intervals, where the small respiratory rhythm disturbance due to the external ventilator was now exaggerated. The effects of adding or suppressing just a few stimuli ...
- International Journal of Obstetric Anesthesia
- International Journal of Obstetric Anesthesia

... TPR, and an increase in CO produced by an increase in HR and SV,18 while doses larger than 45 mU/min may produce an antidiuretic effect.19 These effects are poorly tolerated in patients with left ventricular dysfunction and can be minimized by administration of oxytocin in low doses and at a slower ...
Staged Left Ventricular Recruitment after Single-Ventricle - NPC-QIC
Staged Left Ventricular Recruitment after Single-Ventricle - NPC-QIC

... Main Finding from this Study: Most children with hypoplastic left heart syndrome (HLHS) require three surgeries in the beginning of their lives for survival: the Norwood, Glenn and Fontan surgeries. This result of these surgeries is a heart that only has one pumping chamber (instead of the usual two ...
INTRAOPERATIVE VENTRICULAR BIGEMINY: REPORT OF 5 CASES
INTRAOPERATIVE VENTRICULAR BIGEMINY: REPORT OF 5 CASES

... immediately by an abnormal one and a prolonged pause of electrical activity, then by a normal QRS complex. They can be felt as extra peripheral pulse beats. Sometimes due to inadequate ventricular filling, they may be perceived as missed beats. PVCs are common, increase with age and are generally be ...
OMB No. 0925-0046, Biographical Sketch Format Page
OMB No. 0925-0046, Biographical Sketch Format Page

... hypertrophy. We used cardiac biopsies at a time when all rats had developed hypertrophy, but none were in heart failure and performed gene expression studies. These expression profiles were later classified to eventual development of heart failure (6 rats) or not (8 rats). This allowed us to identif ...
ECGs 375
ECGs 375

... • Delivers countershock during QRS complex • Done on non-emergency basis ...
κάντε click εδώ
κάντε click εδώ

... Painful contractions and stress clearly stimulated the sympathetic outflow. Α good outcome was obtained by a slow induction of the epidural block (no epinephrine), lateral position and left uterine displacement, avoiding bearing down and valsalva manoeuvres. Oxytocics need to be delivered with cauti ...
Practice Board Exam Questions on Aortic Valve Disease
Practice Board Exam Questions on Aortic Valve Disease

... • 1. A PHT > 130 msec is the single best indicator of prosthetic mitral  obstruction. • 2.  Taking into account heart rate is not necessary when assessing  trans‐mitral gradients.  • 3.  Pannus in‐growth is more common in the aortic position than  with mitral PHVs.** • 4.  A peak velocity ≥2.5 m/sec ...
Echocardiographic evaluation of cardiac function response to
Echocardiographic evaluation of cardiac function response to

... West, with a prevalence varying between 0.02% in adults under 44 years and 3-9% in those over 80 years of age 1, 2. The disease may remain “silent” and hence unnoticed for years, particularly in the elderly with naturally limited exercise. With the development of symptoms, patients may carry a morta ...
END STAGE HEART FAILURE – TRANSPLANTATION OR LVAD?
END STAGE HEART FAILURE – TRANSPLANTATION OR LVAD?

... arrhythmogenic right ventricular dysplasia. The diastolic left ventricular dysfunction has become a more common reason of heart failure. The American College of Cardiology and American Heart Association (ACC/AHA) have developed a classification of heart failure based upon the evolution and progressi ...
Unusual Site of Origin of a Non-Automatic Focal Right Ventricular
Unusual Site of Origin of a Non-Automatic Focal Right Ventricular

... one can judge from the fluoroscopic image and the intracardiac electrogram. Navarrete described a true apical exit site.4 The ECG morphology of the VT in this patient differed significantly from the common ECG patterns of idiopathic VTs.6 It led us to expect an exit site in or near the RV apex. A po ...
SGD 1: Acute Myocardial Infarction
SGD 1: Acute Myocardial Infarction

... • Pallor associated with perspiration and coolness of the extremities • Combination of substernal chest pain persisting for 30 min and diaphoresis • Some patients with anterior infarction have manifestations of sympathetic nervous system hyperactivity (tachycardia and/or hypertension) • Some patient ...
Less invasive left ventricular assist device implantation—a match
Less invasive left ventricular assist device implantation—a match

... Mitral and/or tricuspid valve surgery are among the most common cardiac procedures which are increasingly performed through less invasive thoracotomy incisions to avoid sternotomy. Several randomized controlled studies have demonstrated excellent results that equal those of “larger incision” methods ...
Peer-reviewed Article PDF
Peer-reviewed Article PDF

... ventricular end diastolic volume increases. The dilatation of the left ventricle ultimately compromises the ejection fraction and eventually the patient develops symptomatic heart failure [1-5]. The timing from the creation of the AVF varies from six weeks to years. The access flow in the hemodialys ...
Cardiovascular Aspects of Noonan Syndrome
Cardiovascular Aspects of Noonan Syndrome

... Pulmonary Stenosis refers to a narrowing of the pulmonary valve in the pulmonary artery, which extends from the right ventricle to the lungs. As a result, the right side of the heart must work harder to pump all of the blood through the narrowed valve. This may result in a thickening of the right si ...
Occurrence of left-sided heart valve involvement before right
Occurrence of left-sided heart valve involvement before right

... and an atrial right-to-left shunt such as a patent foramen ovale may facilitate involvement of the left heart.8 In the case of our patient, the presence of elevated vasoactive peptides and a patent foramen ovale paved the way for earlier involvement of the left-sided valves before the clinically sig ...
5 Paediatric cardiology
5 Paediatric cardiology

... The condition typically begins in the walls of the ventricles and in more severe cases also affects the walls of atria) The actual muscle cells as well as the surrounding tissues of the heart become damaged. Hallmark is depressed cardiac functioning. Eventually, the weakened heart loses the ability ...
Mitral Valve Repair
Mitral Valve Repair

... damaged heart valve with a man-made valve. The life expectancy of a repaired valve is much longer when compared to a bioprothesis valve used in replacement. A repaired heart valve can last for 10 years at the minimum and in many cases it can last a lifetime. The advantages of mitral valve repair ove ...
Sudden Cardiac Arrest (SCA) Information for Parents and Student
Sudden Cardiac Arrest (SCA) Information for Parents and Student

... SCA is NOT a heart attack. A heart attack may cause SCA, but they are not the same. A heart attack is caused by a blockage that stops the flow of blood to the heart. SCA is a malfunction in the heart’s electrical system, causing the heart to suddenly stop beating. Causes: SCA is caused by several st ...
Evaluation of Native Left Ventricular Function During Mechanical
Evaluation of Native Left Ventricular Function During Mechanical

... ous shapes in relation to the drainage site and to synchronization with the native cardiac beat. In the LA drainage group without synchronization, LV loops changed shape from beat to beat in response to cyclic preload reduction, and it was possible to estimate ESPVR only if both the assist flow and ...
An Uncommon Presentation for Cardiac Melanoma
An Uncommon Presentation for Cardiac Melanoma

... tachycardia is one of the most frequently reported types of cardiac metastasis-related ventricular arrhythmia in both children and adults.11-14 In contrast, polymorphic ventricular tachycardia (PMVT) in the setting of cardiac metastasis has been reported only once.15 We describe an adult patient ...
embryo 13, 171-185
embryo 13, 171-185

... e) Heart defects are heterogeneous in origin and difficult to classify epidemiologically f) We are tracing genes that are responsible for many defects and they tend to be related to other known abnormalities g) Ventricular inversion is when the left and right ventricles become switched. Sometimes kn ...
The Client with Altered Cardiac Output
The Client with Altered Cardiac Output

... Angina Pectoris • As CAD progresses the atherosclerotic plagues become significant, reducing blood flow to portions of the myocardium = Ischemia. • Myocardial ischemia clinically manifests most often as angina or chest pain. • Angina pectoris is defined as myocardial ...
A-Fib - MultiCultural IPA
A-Fib - MultiCultural IPA

... • “Ischemic cardiomyopathy” indexes to 414.8 (Other specified forms of chronic ischemic heart disease) – not a true cardiomyopathy; causes diffuse fibrosis or multiple infarction, leading to heart failure with left ventricular dilation • “Stress induced cardiomyopathy” indexes to 429.83 (Takotsubo s ...
Pdf version
Pdf version

... dysfunction are provided by echocardiography: diastolic stress testing, speckle tracking-based early diastolic longitudinal strain rate, and speckle tracking-based circumferential strain measurements. In this area, CMR offers the analysis of LV volume changes over time, which can be converted to fil ...
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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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