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Sudden cardiac death in the young: causes and prevention
Sudden cardiac death in the young: causes and prevention

... in Ireland.1 Research on screening programmes is limited, and to date has largely focused on young competitive athletes in the USA and Europe. Currently, the American Heart Association recommends that history and physical examination alone should constitute basic preparticipation screening of young ...
Slide 1
Slide 1

... • Your heart beats about 100,000 times in one day, 35 million times in a year, and more than 2.5 billion times during an average life span. • Even at rest, the muscles of the heart work hard—twice as hard as the leg muscles of a person sprinting. • The aorta, the largest artery in the body, is almos ...
Cardiac Anatomy and Physiology
Cardiac Anatomy and Physiology

... Dyspnea • Due to the interrelationship between the heart and respiratory system • May be the only symptom of AMI • May be primary symptom of pulmonary fluid congestion secondary to CHF ...
Complete atrioventricular block in an adult with congenitally
Complete atrioventricular block in an adult with congenitally

... heart disease. Usually, we insert a temporary pacing lead via femoral vein and IVC. Thus, we could find abnormal drainage of venous system and abnormal orientation of cardiac chambers and arteries. There is no problem in venous access for permanent pacemaker implantation because the connection betwe ...
Transthoracic three-dimensional echocardiography in adult
Transthoracic three-dimensional echocardiography in adult

... AOV - aortic valve; AP apical: ASD - atrial septal defect; AV = atrioventricular; DORV - double-outlet right ventricle; F = female; IAS = interatrial septum; 1VS interventricular septum: LVOT left ventricular outflow tract; M - male; MV = mitral valve; PA pulmonary artery; postop = postoperative stu ...
Student Handout - the WOW Lab at McGill University
Student Handout - the WOW Lab at McGill University

... 30 seconds ...
combined mitral and aortic stenosis - Heart
combined mitral and aortic stenosis - Heart

... the mitral valve may reduce the left ventricular output to such an extent that only a small aortic systolic gradient will be evident even though the aortic valve orifice is much restricted. These considerations are illustrated by the pre-operative hvmodynamic findings in patient E.M. (Table I). In t ...
Preparatory Activity: The Electrical System of the Heart
Preparatory Activity: The Electrical System of the Heart

... cause of his collapse was an irregular heartbeat. He suffered from exercise-induced ventricular tachycardia but developed ventricular fibrillation during the game. An automated external defibrillator (AED) was used to try and treat him for this condition. ...
Canine Heart Problems - Online CPD Courses for Veterinary Nurses
Canine Heart Problems - Online CPD Courses for Veterinary Nurses

... Usually middle-aged to old large breed dogs. Doberman, Boxer, Newfoundland, Irish Wolfhound and Great Dane are commonly affected. Asymptomatic - An incidental murmur on routine vaccination can be the first indicator. Signs of left sided congestive heart failure – tachypnoea, cough, exercise intolera ...
Print - Circulation
Print - Circulation

... pressure, and the mitral valve begins to close. Closure of the mitral valve is completed with the onset of ventricular systole and a rapid rise in ventricular pressure. In patients who have a high left ventricular initial diastolic pressure, usually due to an increased endsystolic volume and congest ...
Medical Necessity Guidelines: Transcatheter Mitral Valve Repair
Medical Necessity Guidelines: Transcatheter Mitral Valve Repair

... results in fatigue, palpitation, dyspnea, or anginal pain. ...
Hypertrophic Cardiomyopathy Distance Learning Module
Hypertrophic Cardiomyopathy Distance Learning Module

... LV size is enlarged (72mm) with increased indexed LV mass and a RWT of 0.31. This is eccentric hypertrophy. LV systolic function is at the lower end of normal (EF of 52% and septal S’ = 7cm/s, however lateral wall is normal 12cm/s) Transmitral E/A is normal but borderline reduced septal E’ = 9cm/s a ...
Pericardial Disease: Review Questions
Pericardial Disease: Review Questions

... is detected in the majority of individuals with acute pericarditis. The presence of a pericardial friction rub is pathognomonic for pericarditis; however, its absence does not exclude the diagnosis. The sound typically has 3 components related to (1) atrial systole, (2) ventricular systole, and (3) ...
Westaby
Westaby

...  Overall negative effect on myocardial recovery. ...
Background Information
Background Information

... Calcium channel blockers (n) Beta blockers (n) Thiazide diuretics (n) ACE-I / ARB (n) Loop diuretics (n) ...
九十一年六月分CPC 助猜三軍總醫院小兒科
九十一年六月分CPC 助猜三軍總醫院小兒科

... artery pressure, is at or near systemic level in these individuals. A second group of patients, in whom ASDs go unrecognized until later childhood, may develop arrhythmias (eg, atrial fibrillation) or pulmonary hypertension. A third group of patients with ASDs has an embolic stroke as the initial pr ...
Silent Rheumatic Valvular Heart Disease
Silent Rheumatic Valvular Heart Disease

... particularly ...
Heart rate
Heart rate

... • The two ventricles contract simultaneously, but the left ventricle contracts more forcefully and develops higher pressure • Resistance in the pulmonary circuit is low due to high capillary density in parallel • Less pressure is needed to pump blood through this circuit • The low pressure also prot ...
Patterns of Ventricular Remodeling After Myocardial Infarction
Patterns of Ventricular Remodeling After Myocardial Infarction

... broader populations, LV mass predicts cardiovascular (CV) events, independent of blood pressure (6,7), although the mechanisms for this linkage are uncertain. See page 582 ...
Paediatric cardiology
Paediatric cardiology

... Perform an ECG • First afebrile seizure • Collapse with exercise, particularly swimming • Over 2 syncopal episodes in 2 years ...
Cardiology cases or, Murmurs for Dummies - OSCE-Aid
Cardiology cases or, Murmurs for Dummies - OSCE-Aid

... High-output states Heart failure with preserved ejection fraction HCM Restrictive cardiomyopathy Fibrosis ...
Acute Pericarditis
Acute Pericarditis

... Although an NSAID is usually the drug of choice, in more refractory cases, corticosteroids may be dramatically effective. Occasionally, prolonged and/or recurrent drug treatment may be indicated. This patient responded to an NSAID with increasing dosage, and after 24 hours his chest pain improved. ...
Long QT Syndrome
Long QT Syndrome

...  Competitive sports should be avoided  Most episodes result in syncope with only 5% resulting in SCD  EP studies are not helpful ...
Cardio61-PericardiumAndHeart
Cardio61-PericardiumAndHeart

... 4. Wave of contraction in the atria commences around the openings of large veins and “milks” blood toward the ventricles 5. Cardiac impulse now reaches the atrio -ventricular (AV) node • Atrioventricular (AV) node is located in the lower part of the atrial septum just above the attachment of the sep ...
Document
Document

... functional status ...
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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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