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Invasive Hemodynamic for Prep and Recove
Invasive Hemodynamic for Prep and Recove

... Any resistance against which the ventricles must pump in order to eject its volume How hard the heart [either side left or right] has to push to get the blood out Also thought of as the “ resistance to flow” or how “clamped” the blood vessels are ...
Test Bank Corp
Test Bank Corp

... 14. T or F. The first phase of diastole is called the atrial kick, and it is the phase during which the atria fill with blood from the ventricles. 15. T or F. The phase of systole that results in the greatest consumption of myocardial oxygen is ...
First Successful Management of Aortic Valve Insufficiency
First Successful Management of Aortic Valve Insufficiency

... The authors wish to thank Francesco Bedogni, MD, Department of Interventional Cardiology, S. Ambrogio Clinical Institute, Milan, Italy, for his technical assistance during the procedure. Reprint requests and correspondence: Dr. Francesco Santini, Division of Cardiac Surgery, University of Verona, O. ...
The Adult with Transposition
The Adult with Transposition

... years, but early was 52% at 20 years ...
Clinical implications of Doppler echocardiography, color
Clinical implications of Doppler echocardiography, color

... (E19). BNP levels on admission were found to be related with ASAH outcome in our series (E2, E20-21) (see Figure 4 on main text). Despite that BNP has been reported to lack specificity in ICU, as it may be influenced by several clinical conditions, particularly sepsis (E22), BNP>164pg/mL early after ...
Sudden cardiac arrest in children and young athletes: the
Sudden cardiac arrest in children and young athletes: the

... cardiac disease in cases of sudden arrhythmic death syndrome. Their study revealed 27% of surviving relatives had one or more cardiac symptoms (palpitations 12%, presyncope 6%, syncope 8%, chest discomfort 8% and dyspnoea 7%). There was a 22% incidence of unexpected premature sudden death in additio ...
Congenitally corrected transposition of great arteries with ischemic
Congenitally corrected transposition of great arteries with ischemic

... diseases, and if uncorrected, is commonly fatal in the first year of life.7 The clinical course is complicated by associated intracardiac defects such as ventricular septal defect, subvalvar and valvar pulmonary stenosis, left AV valve regurgitation, and AV conduction disturbances.8 Patients with co ...
PATHOPHYSIOLOGY OF CONGENITAL HEART DISEASE
PATHOPHYSIOLOGY OF CONGENITAL HEART DISEASE

... RV>LV in thickness Fatal in first few months Surgical “switching” Aorta from right ventricle, pulmonary artery from left ventricle Cyanosis from birth, hypoxic spells sometimes present Heart failure often present Cardiac enlargement and diminished pulmonary artery segment on x-ray ...
graphic techniques in cardiology
graphic techniques in cardiology

... Pulmonary artery pulsations were prominent. Phonocardiogram and pulse tracings are discussed below. Sr~mmaryof the results of right and left-heart catherization is as follows: oximetric studies, indicator dilution curves, and cineangiocardiography revealed evidence of a large atrial septal defect, o ...
Anesthesia for Robotic Repair of the Mitral Valve: A Report of Two
Anesthesia for Robotic Repair of the Mitral Valve: A Report of Two

... probe (M2424A Ultrasound system; Hewlett-Packard, Andover, MA) was placed to monitor valve repair and left ventricular function and to guide later placement of the superior vena cava (SVC) and inferior vena cava (IVC) cannulae and to confirm coronary sinus cannulation for retrograde cardioplegia adm ...
Vasodilator therapy, afterload and preload reduction
Vasodilator therapy, afterload and preload reduction

... volume replacement, the agent selected and the dose used (see later). There is also reason to believe that, in some circumstances, specific vasodilators may improve microcirculatory flow (see later). Vasodilator therapy can be particularly helpful in patients with cardiac failure in whom the ventric ...
A&P Chapter 16
A&P Chapter 16

... Left & Right Coronary Arteries: The first branches off the aorta that supply the left & right halves of the heart with blood.  Great & Middle Cardiac Veins: Return blood from the heart muscle itself to the coronary sinus & right atrium.  Anastomoses: The point where two or more branches of an arte ...
Gallop through CHF
Gallop through CHF

... Optimal target dose of ACE inhibitors is not clear, with trials showing low and high doses as having similar effects on mortality Not certain whether any difference among the many different ACE inhibitors out there today ...
and in Diastolic and Systolic Heart Failure
and in Diastolic and Systolic Heart Failure

... Optimal target dose of ACE inhibitors is not clear, with trials showing low and high doses as having similar effects on mortality Not certain whether any difference among the many different ACE inhibitors out there today ...
Mitral Stenosis Etiology
Mitral Stenosis Etiology

... developing countries continue to have a significant prevalence.  It is estimated that  15.6 million people suffer from rheumatic heart disease worldwide, with  approximately 282,000 new cases and 233,000 related deaths each year.5  ...
How to differentiate athlete`s heart from pathological
How to differentiate athlete`s heart from pathological

... and might exceed 55 mm only in the end-stage phase, when heart failure and systolic dysfunction are present (27). Left ventricular mass and, particularly, left ventricular mass index should be always calculated when we assess the athlete’s heart. The upper limit of physiological hypertrophy is consi ...
heart valves
heart valves

...  ATRIA IN DIASTOLE FOR REMAINDER  VENTRICLES DEPOLARIZE, CONTRACT  VENTRICULAR PRESSURE INCREASES  AV VALVES CLOSE  HEART SOUND S1  NO BLOOD EJECTED YET ...
The Cardiovascular System
The Cardiovascular System

... - Gurgling noise before, between, or after lubb-dupp Most murmurs indicate valve disorder:  Mitral stenosis – narrowing of the mitral valve  Mitral valve prolapse – inherited - valve is pushed back into atria - occurs in 10-15% of population (65% of these are female) ...
Chapter XII Mechanical assistance
Chapter XII Mechanical assistance

... presents a systolic blood pressure below 90 mmHg, cardiac index is reduced below 2 L/min/ m2, pressure in right or left atrium is over 20 mmHg and urine output is below 20 ml / h, by all maximum means of pharmacologic support. This hemodynamic configuration can be met in: • left ventricular failure ...
Circulation in the Three
Circulation in the Three

... This artery leaves the heart close to the entrance of the great systemic veins whereby the venous blood preferentially fills the pulmonary artery during ventricular contraction. Although the pressure rise in the pulmonary artery appears only around 0.5 sec. before the pressure rise in the aorta, thi ...
Percutaneous Mitral Valve Repair Patient Screening Fact Sheet
Percutaneous Mitral Valve Repair Patient Screening Fact Sheet

... internal mammary artery (IMA) at high risk of injury, etc. n Evaluable data regarding safety or effectiveness is not available for prohibitive risk DMR patients with an LVEF < 20% or an LVESD > 60mm. MitraClip should be used only when criteria for clip suitability for DMR have been met. • The majo ...
Intraluminal Ascending Aorta Fibroma
Intraluminal Ascending Aorta Fibroma

... The most common tumors in newborns and infants are rhabdomyomas, fibromas, and intrapericardial teratomas; whereas in older children and adolescents, myxomas, rhabdomyomas, and fibromas are prominent. Rhabdomyomas constitute 45% to 80% of all primary cardiac tumors in the pediatric age group. These ...
A severe coarctation of aorta in a 52-year
A severe coarctation of aorta in a 52-year

... A 52-year-old obese white man was referred to our hospital because of increasing fatigue and exertional dyspnea. He had been well until 5 months previously. The patient had a medical history of dyslipidemia and hypertension. His hypertension was poorly controlled despite a combination of antihyperte ...
The Pacemaker Formal Methods Challenge
The Pacemaker Formal Methods Challenge

... Physician diagnoses the symptom using pacemaker, and decides mode/parameters based on diagnostic results and knowledge/experience, specifically for a particular patient ...
Left ventricular systolic function assessment in patients with dilated
Left ventricular systolic function assessment in patients with dilated

... Over the past decades, the ability of technology to diagnose heart disease has improved dramatically, largely due to the evolution of new techniques such as electrocardiography, nuclear cardiology, cardiac computed tomography and cardiovascular magnetic resonance [1]. When patients complain of 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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