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CV part 2
CV part 2

... • The donor vein/artery is sutured below the occluded area of the coronary artery and connected to the aorta. • The patient may have 1 or more vessels bypassed. (will be documented as CABG x4 which means 4 vessels were bypassed). • During the CABG surgery, the patient is placed on a heart-lung bypas ...
04_Symptoms and syndromes based on the data of auscultation of a
04_Symptoms and syndromes based on the data of auscultation of a

... • I heart sound: -the valve component, i.e. vibrations of the cusps of the atrioventricula valves during the isometric contraction phase -the muscular one due to the myocardial isometric contraction -the vascular one. This is due to vibrations of the nearest portions of the aorta and the pulmonary ...
- Wiley Online Library
- Wiley Online Library

... Pulsed wave TDI (PW TDI) of the lateral mitral annulus from the left-apical 4-chamber view was performed using a 12 MHz probe with the pulsed wave Doppler gate placed perpendicular to myocardial motion. Specific TDI settings included Nyquist limit 10– 15 cm/s, sweep speed 100 cm/s, gate width 0.11 cm ...
Congenitally Corrected TGA (cc-TGA) and the - sha
Congenitally Corrected TGA (cc-TGA) and the - sha

... conduction pathway causing spontaneous heart block (30%). May be present at birth or develop at a rate of 2% per year. Other conduction disturbances may exist. ...
Cardiac Meds - Business VoIP Provider | Virtual Call Center
Cardiac Meds - Business VoIP Provider | Virtual Call Center

... nipride Long term nitroprusside therapy can lead to thiocyanate toxicity NTG is used with unstable angina (given 5-300 mcg/min Apresoline is not a continuous infusion, major side effect is tachycardia ...
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 ...
Heart Failure and Anti
Heart Failure and Anti

... to severe heart failure. Increased aldosterone results in interstitial fibrosis, decreased systolic function and increased ventricular dysrhythmias. Spironolactone used along with an ACE inhibitor, loop diuretic and sometimes digoxin. ...
CONGENITAL BICUSPID AORTIC VALVE – A CASE REPORT
CONGENITAL BICUSPID AORTIC VALVE – A CASE REPORT

... more frequently, even without exerciset . The diagnosis can done by proper history, characteristic clinical findings and assisted with echocardiography or magnetic resonance imaging (MRI). Evidence of left ventricular hypertrophy may be determined by electrocardiogram. For diagnosed patients, geneti ...
A novel clinical risk prediction model for sudden cardiac death in
A novel clinical risk prediction model for sudden cardiac death in

... *Inherited Cardiac Diseases Unit, The Heart Hospital/University College London, London, United Kingdom ** Department of Statistics, University College London ...
9 Cardiology
9 Cardiology

... Due to turbulent flow in the outflow tracts from the heart Buzzing or blowing quality is heard in the 2nd–4th left intercostal space Due to turbulent flow in the head and neck veins Continuous low pitched rumble heard beneath the clavicles Disappears on lying down and with compression of the ipsilatera ...
Interaction between systolic and diastolic time intervals in atrial
Interaction between systolic and diastolic time intervals in atrial

... ends with the onset of the succeeding ventricular systole. Nevertheless, we find considerable beat to beat variation in the exact time that it did so with respect to the onset of the QRS complex of the succeeding beat. When the RR interval was greater than 1000 ms the interval Q2 to mitral valve clo ...
Imaging of hypoplastic left heart syndrome –A rare
Imaging of hypoplastic left heart syndrome –A rare

... aortic orifice and hypoplasia of ascending aorta constitutes Hypoplastic left heart syndrome (HLHS). Ultrasound and fetal cardiac echocardiography play an important role in detecting HLHS prenatally. HLHS can be detected by 18 – 22 weeks of gestation by USG. It is the most common cardiac malformatio ...
Heart Anatomy - Dr. M`s Class
Heart Anatomy - Dr. M`s Class

... All animations will appear after viewing in Presentation Mode and playing each animation. Most animations will require the latest version of the Flash Player, which is available at http://get.adobe.com/flashplayer. ...
Management of an adult patient with Truncus arteriosus type I
Management of an adult patient with Truncus arteriosus type I

... 40% [12]. Complications include outgrowth, progressive obstruction with and without regurgitation, endocarditis, and aneurysms or pseudoaneurysms [13]. Clinical presentation may include exertional dyspnea, palpitations, syncope, and sudden cardiac death [14]. In our patient, no clinical symptoms wer ...
System and method of AV interval selection in an implantable
System and method of AV interval selection in an implantable

... tricles are expanded or stretched somewhat. As the muscular contraction occurs in response to depolarization, the ?uid pressure within the ventricles increases and causes the tricus ...
Evaluation of Left Ventricle Systolic and Diastolic
Evaluation of Left Ventricle Systolic and Diastolic

... Results: At the time of the examination, the mean age of the participants was 6.4 ± 5.5 years. An association was found between children’s age and the tricuspid A-wave. The A-wave velocity of the tricuspid annulus increased when the body surface area decreased. In addition, compared with the normal ...
Cardiovascular 7 – Basic Disturbances in Rhythm
Cardiovascular 7 – Basic Disturbances in Rhythm

... - Can also be indicative of diseases of the conducting tissue. (6) Look at P wave. - Look for duration (<0.11s) and amplitude (<2.5mm) - If they are greater than normal  atrial hypertrophy - Higher amplitude suggests right atrial hypertrophy (possibly due to pulmonary hypertension) - Long P-waves s ...
External-Defibrillators
External-Defibrillators

...  A documented episode of cardiac arrest due to ventricular fibrillation, not due to a transient or reversible cause  A sustained ventricular tachyarrhythmia, lasting 30 seconds or longer, either spontaneous or induced during an electrophysiologic (EP) study, not associated with acute myocardial in ...
Early Postoperative Takotsubo Cardiomyopathy
Early Postoperative Takotsubo Cardiomyopathy

... cases. The appearance of the left ventricle during systole resembles a Japanese fishing pot, which has a round bottom and narrow neck. In Japanese, tako translates as octopus and tsubo as pot, hence the name.2 Because TC occurs mostly in the Japanese population, a genetic component may be involved, ...
AEMED A 20-Year-Old Patient with Idiopathic Non
AEMED A 20-Year-Old Patient with Idiopathic Non

... These tachycardias may either occur as repetitive monomorphic non-sustained ventricular tachycardia attacks, as in our patient, or sustained ventricular tachycardia episodes usually occurring during exercise or emotional stress. They are usually seen between the ages of 20 and 40, as our patient [4] ...
Paediatric Cardiology for General Paediatrics
Paediatric Cardiology for General Paediatrics

... Holter monitoring may show longer QTc ...
Changes in left ventricular filling and left atrial function six
Changes in left ventricular filling and left atrial function six

... OBJECTIVES ...
Adult Congenital Heart Disease and Echocardiography
Adult Congenital Heart Disease and Echocardiography

... ductal arch (D) and the transverse aortic arch (Ao) to be of equal size traversing back to the fetal spine (F). A normal variant "three vessel" view is shown with a right sided aortic arch and persistent left superior caval vein (LSVC). The trachea (T) can be seen lying between the aortic (Ao) and d ...
B2B Peds Cardiology
B2B Peds Cardiology

... compliance of right ventricle  Loads right ventricle and right atrium  Increased pulmonary blood flow at normal pressure ...
Adult Congenital Heart Disease and Echocardiography
Adult Congenital Heart Disease and Echocardiography

... ductal arch (D) and the transverse aortic arch (Ao) to be of equal size traversing back to the fetal spine (F). A normal variant "three vessel" view is shown with a right sided aortic arch and persistent left superior caval vein (LSVC). The trachea (T) can be seen lying between the aortic (Ao) and d ...
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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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