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Promising results after percutaneous mitral valve repair
Promising results after percutaneous mitral valve repair

... EVEREST II study [9]. Patients had a reduced LVEF function (35%) and the majority had functional MR (70% functional and 30% degenerative). MR was reduced by one grade in 33%, two grades in 49% and three grades in 18% of the patients. Accordingly, NYHA function class improved by one grade in 61% and ...
1 Mechanisms of chronic heart failure development
1 Mechanisms of chronic heart failure development

... blood pressure is protective until a certain level and then the risk of all-cause mortality rises again: J-shaped curve. The authors have revealed a J-point at a diastolic blood pressure of 84 mmHg. There are several possible explanations of this phenomenon and 2 of them seem to be particularly impo ...
Stroke work - WordPress.com
Stroke work - WordPress.com

... • As the ventricle fills with blood, the pressure and volume that result from filling are determined by the compliance of the ventricle. • Is determined by the physical properties of the cardiac muscle and other tissues making up the ventricular wall as well as by the state of ventricular contractio ...
PG0233 Biventricular Pacing/Cardiac
PG0233 Biventricular Pacing/Cardiac

... Symptoms of heart failure or the anginal syndrome may be present even at rest. If any physical activity is undertaken, discomfort is increased. ...
Atrioventricular groove disruption after aortic valve replacement
Atrioventricular groove disruption after aortic valve replacement

... distorted myocardium. Previous chemo radiotherapy might have contributed to the extensive annular calcification. Some sutures of left and right coronary annulus area might have gone through the fragile ventricular myocardium leading to this complication. It is worth to note that we did not 3. D ISCU ...
Computed Tomography Features of Left Ventricular
Computed Tomography Features of Left Ventricular

... Less is written about the role of CTA in the detection of this entity. Some authors argue that CTA is of limited role and suggest that due to less availability and higher cost, it should not be considered as the first line imaging method (12). However, we do not agree with this comment. As in our ca ...
Isolated Double-Chambered Right Ventricle in a Young Adult
Isolated Double-Chambered Right Ventricle in a Young Adult

... The period for surgical repair usually depends on the associated cardiac anomalies. In the absence of a significant coexisting defect, observation is possible as long as the intracavitary systolic gradient is not greater than 40 mmHg and the obstruction is not progressive.10) The long term prognosis ...
Restrictive cardiomyopathy
Restrictive cardiomyopathy

... Among 167 recipients of cardiac transplantation from Italy, RCM was diagnosed only in 0.6% [7]. There are several studies available concerning the epidemiology of RCM in pediatric population, which have reported that RCM accounts for 2% to 5% of all pediatric cardiomyopathies with a total annual inc ...
Don`t fail to account for changes to CHF
Don`t fail to account for changes to CHF

... by the patient who comes in with acute shortness of breath and often with x-ray findings of pulmonary edema. Acute diastolic dysfunction occurs due to an acute change in the heart’s ability to fill the left ventricle during diastole. The chart on p. 13 represents one heart cycle, starting with left ...
CORONARY ARTERY BYPASS GRAFTING
CORONARY ARTERY BYPASS GRAFTING

... Pacemaker consists of a generator (produces electrical impulses) and leads that carry electrical impulses to electrodes which are placed in the atrial or ventricular endocardium where ever impulse is lacking at SA or AV node (unipolar) or both (bipolar) Impulse does not emit unless heart rate falls ...
Chapter 17 The Cardiovascular system: The Heart
Chapter 17 The Cardiovascular system: The Heart

... Decreased contractility comes from acidosis (too many H+), increased K+, and calcium channel blockers ...
large ventricular septal defect
large ventricular septal defect

... warfarin) ...
Valvular Heart Disease - Developing Anaesthesia
Valvular Heart Disease - Developing Anaesthesia

... There is no evidence to support the use of vasodilators, including ACEinhibitors, in chronic MI without heart failure and therefore they are not recommended in this group of patients. ...
MANAGEMENT OF CHRONIC HEART FAILURE
MANAGEMENT OF CHRONIC HEART FAILURE

... • Many trials have evaluated the potential for beta-blocker therapy in patients with heart failure. The rationale is based on the hypothesis that excessive tachycardia and adverse effects of high catecholamine levels on the heart failure patients contribute to the downward course of heart failure pa ...
Cardiac Output
Cardiac Output

... Generally proportional to body surface area. Cardiac Index (CI): Approximately 3 liters/min/m2 of body surface area. CI varies with age, peaking at around 8 years. ...
Important Echocardiographic Features of Takotsubo or Stress
Important Echocardiographic Features of Takotsubo or Stress

... Figure 2. Diagnosis of Stress Cardiomyopathy Involvement of the right ventricular apex in conjunction with left ventricular ballooning makes the diagnosis of stress cardiomyopathy almost certain. ...
Dilated Cardiomyopathy in Cats - Veterinary Specialty Services
Dilated Cardiomyopathy in Cats - Veterinary Specialty Services

... comparison. Once congestive heart failure develops, they comprise the most important imaging test by which the response to medical therapy is assessed. An electrocardiogram (often called an EKG or ECG) is used to identify and characterize arrhythmias, or abnormalities in cardiac rhythm. Treatment of ...
Heart Failure With Normal Ejection Fraction
Heart Failure With Normal Ejection Fraction

... with HFNEF & in these patients reduction of BP reduces pulmonary congestion, relieves cardiac ischemia & in the long run leads to regression of LVH. Since the prevalence of diabetes (DM) and LVH is quite high among these patients, there is a compelling indication for ACE Inhibitors or ARBs to treat ...
3 years old
3 years old

... sound in early diastole and is related to rapid filling of the ventricle. It is commonly heard in normal children and young adults. A loud S3 is abnormal and is audible in large shunt VSD, congestive heart failure.  Fourth heart sound (S4): The S4 is a lowfrequency of late diastole and is rare in ...
Is the Heart a Suction Pump?
Is the Heart a Suction Pump?

... the Torrent Guasp hypothesis (7) and by experimental and clinical studies. The three components of three-dimensional reduction of the heart interact synergistically through the muscular band that folds on itself and twist, to be hung the ventricles of the pulmonary artery and the aorta, moves them c ...
Abnormal C-ommunication between the Aorta and Left Ventricle
Abnormal C-ommunication between the Aorta and Left Ventricle

... history and anatomic findings were more compatible with rupture of a congenital aneurysm of a sinus of Valsalva than with an aortico-left ventricular tunnel. Levy et al.' made the point that in their three cases, and in another previously described by Edwards,3 the tunnel originated or joined the as ...
Heart questions
Heart questions

... Trabeculae carneae ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... rhabdomyomas. A solitary tumour of varying size arising from the ventricular wall or septum is likely to be fibroma. Left atrial tumors, especially when pedunculated, are usually myxomas. An intracardiac tumor arising near the great arteries most likely is a teratoma. Pericardial effusion suggest a ...
Document
Document

...  Atrial Septal Defects  Atrial Septal Defects (ASD) are a group of common (1% of cardiac) congenital anomolies defects occuring in a number of different forms and more often in females.  Patent foramen ovale allows a continuation mixing of the atrial blood. Lufukuja G. ...
Dysrhythmias
Dysrhythmias

... Specific Dysrhythmias Tachycardias The major problem with the tachy dysrhythmias is that the heart chambers do not have enough time to completely fill or empty. This leads to a drop in stroke volume and subsequently cardiac output. Depending on the exact rhythm, there may also be loss of synchrony b ...
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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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