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Epicardial Lipomatous Hypertrophy Mimicking
Epicardial Lipomatous Hypertrophy Mimicking

... of nonencapsulated mature adipose tissue caused by hyperplasia of lipocytes. The etiology is unknown, but it may be associated with obesity and advancing age.1 The most frequent manifestation is lipomatous hypertrophy of the interatrial septum. Massive epicardial lipomatous hypertrophy is less well ...
Chapter20
Chapter20

... 12. A(n) _________ in heart rate would cause time for filling to _________ which would cause the end diastolic volume to ____________. a. Increase – increase – increase b. Decrease – decrease – decrease c. Increase – increase – decrease d. Decrease – increase – increase e. None of the above 13. Supp ...
Document
Document

... contraindication, such as a bleeding tendency or an allergy, is present. Clopidogrel may be used as an alternative to aspirin in cases of aspirin resistance or allergy. Administer a platelet glycoprotein (GP) IIb/IIIa-receptor antagonist, in addition to acetylsalicylic acid and unfractionated hepari ...
Focused Cardiac Ultrasound: Uncommon but Critical
Focused Cardiac Ultrasound: Uncommon but Critical

... and there was no family history of sudden cardiac death. On physical examination, he appeared pale and was tachycardic, with a II/VI systolic murmur at the left sternal border. An ECG revealed a left axis and borderline increased left ventricular voltages, and portable chest radiography showed cardi ...
Physical Examination of the Cardiovascular System
Physical Examination of the Cardiovascular System

... portable ultrasound can aid in the accuracy of the bedside cardiovascular evaluation, the cardiac physical is cheap, of diagnostic value, and establishes rapport between patient and physician [2]. First, it is important to be systematic. Second, form a differential diagnosis before you start, so the ...
Index of T-wave Variation as a Predictor of Sudden Cardiac Death in
Index of T-wave Variation as a Predictor of Sudden Cardiac Death in

... Patients were followed up every 6 months during 48 months. A total of 22 victims of SCD, 24 of other cardiac causes, 20 non-cardiac deaths and 110 survivors were included. SCD, defined as (1) a witnessed death occurring within 60 minutes from the onset of new symptoms unless a cause other than cardi ...
Atrial Baffle Stenosis: A Late Complication after Mustard Repair for d
Atrial Baffle Stenosis: A Late Complication after Mustard Repair for d

... to failure of spiral septation of the truncus arteriosus, the great arteries course parallel to each other rather than crossing. The aorta arises from the morphologic right ventricle and the main pulmonary artery from the morphologic left ventricle. Communication between the pulmonary and systemic c ...
Impact of preload changes on positive and negative left ventricular
Impact of preload changes on positive and negative left ventricular

... pharmacological therapy, optimisation of cardiac resynchronisation therapy, and ultrafiltration.12–15 Our results also suggest that EMAT can be used to detect rapidly occurring impairment of LV function, e.g. in acute myocardial infarction (AMI) and inadvertent fluid overload. In Table 3, the trend ...
Left Ventricular Pseudoaneurysm Caused by Infective Endocarditis
Left Ventricular Pseudoaneurysm Caused by Infective Endocarditis

... rysm3 or coronary artery spasm associated with cocaine usage.4 Pericarditis and myocarditis were suspected initially due to the elevated troponin I level. Since electrocardiography showed no diffuse ST-T change or ventricular tachycardia, echocardiography further showed no general LV dysfunction or ...
Circulatory Failure after Anesthesia Induction
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... Despite several reports concerning the effects of epidural anesthesia in patients with severe PPH,4 – 6 there is a paucity of literature regarding the management of general anesthesia and lung ventilation. Myles et al.7 described a single case of near-fatal anesthesia induction for heart–lung transp ...
HERE - Boxer Breed Council
HERE - Boxer Breed Council

... In a review published in 2004, Meurs9 summarised then current knowledge about the disease, including discussion of whether the variable presentation could be due to incomplete penetrance and whether the three stages of the disease (categories 1 to 3) represented a continuum. She concluded that diagn ...
Spinal Sympathetic Cardiocardiac Reflexes
Spinal Sympathetic Cardiocardiac Reflexes

... abolished by blocking doses of phenoxybenzamine (9). These increases in arterial pressure would have complicated the interpretation of changes in dP/dt max. Therefore, in the present experiments, they were reduced and delayed in onset by doses of phenoxybenzamine hydrochloride, 0.5 mg/kg, that parti ...
coronary artery bypass grafting (cabg)
coronary artery bypass grafting (cabg)

... A. On-pump CABG is a time-honored procedure that is performed while the heart is stopped. The blood supply must be provided to the rest of the body when the heart is stopped. Therefore, surgeons use the cardiopulmonary bypass machine (also known as the heart-lung machine or the pump), an artificial ...
Fetal Cardiology
Fetal Cardiology

... •  Hypoplasia of the RV and PA; RV wall thick; hypoplastic or incompetent TV; PV atresia •  Relies on patent ductus arteriosus for blood supply to lungs (PGE1) •  Tx = surgical sytemic to pulmonary shunt (Blalock Taussig Shunt) ...
Birgül Varan
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... transplantation between 2005-2016 are included. ¡  Data §  Presence of rejection in the biopsies §  Echocardiography results and ...
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... • Epinephrine from adrenal medulla increases heart rate and force of contraction. • Hypocalcemia (reduced calcium) reduces heart activity • Hypercalcemia (increased calcium) couples excitationcontraction and leads to prolonged action potential and increase heart irritabilitiy (spastic contractions) ...
Fetal CHF
Fetal CHF

... in maternal prostaglandin inhibitors ingestion • Results in RV pressure overload, hydrops fetalis • On Echo: – elevated peak systolic flow velocities across DA (> 1m/s); associated high diastolic flow velocity – Associated with TR; increased MPA pressure • Severity related to amount of elevated dias ...
Guideline Statement of the Surgical Technologists Role During a
Guideline Statement of the Surgical Technologists Role During a

... abrupt loss of heart function. The victim may, or may not, have a diagnosed heart disease or condition. Also referred to as sudden cardiac arrest or unexpected cardiac arrest, sudden death (also called sudden cardiac death) occurs within minutes after symptoms appear. Symptoms include2:  Chest disc ...
Interventricular Septal Thickness and Left Ventricular
Interventricular Septal Thickness and Left Ventricular

... left ventricular concentric hypertrophy, 20 with idiopathic hypertrophic subaortic stenosis (IHSS), and 34 normal subjects. Concentric hypertrophy was due to hypertension in 41 subjects and to valvular disease in 15 subjects. Septal thickness in normal subjects was related to body surface area (p < ...
02. Increased imped - Echocardiographie en réanimation
02. Increased imped - Echocardiographie en réanimation

... Figure 5 : TEE - View of vessels at the base of the heart. Pulsed Doppler recording of flow in the trunk of the pulmonary artery. Vmax: maximum velocity, Tacc: acceleration time. Vmax (m/s or cm/s) is measured at peak flow; Tacc (ms) is measured between the start and the peak of ejection. The mean a ...
Sheep Heart Dissection - Ms. Lee`s Classes @ JICHS
Sheep Heart Dissection - Ms. Lee`s Classes @ JICHS

... Left auricle Left atrium Right ventricle ...
B2B pediatric cardiology dr suzie lee 2010
B2B pediatric cardiology dr suzie lee 2010

... compliance of right ventricle  Loads right ventricle and right atrium  Increased pulmonary blood flow at normal pressure ...
Interventricular Septal Thickness and Left Ventricular Hypertrophy
Interventricular Septal Thickness and Left Ventricular Hypertrophy

... left ventricular concentric hypertrophy, 20 with idiopathic hypertrophic subaortic stenosis (IHSS), and 34 normal subjects. Concentric hypertrophy was due to hypertension in 41 subjects and to valvular disease in 15 subjects. Septal thickness in normal subjects was related to body surface area (p < ...
The Cardiac Cycle - Interactive Physiology
The Cardiac Cycle - Interactive Physiology

... 11. (Page 12.) What is the relationship between pressure inside a chamber of the heart and the state of the heart muscle (relaxed or contracted)? 12. (Page 12.) Blood always moves from ____ pressure to ____ pressure. 13. (Page 12.) What causes heart valves to open and close? 14. (Page 12.) Predict i ...
Mitochondrial Cytopathies and Cardiac Disease
Mitochondrial Cytopathies and Cardiac Disease

... may be either “pure” cardiopathies or, more commonly, part of multisystemic mitochondrial cytopathies – which may include: short stature, sensorineural hearing loss, diabetes mellitus, peripheral neuropathies, and many more symptoms and signs. ...
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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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