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Structural Heart Disease Workshop
Structural Heart Disease Workshop

... help assess the severity of the mitral regurgitation? 2. How do you view the ejection fraction of 52%? Is it normal and favorable? 3. What is the significance of the NTproBNP? 4. Does the severity of mitral regurgitation correlate with mortality risk? 5. Is there likely to be excess mortality associ ...
RESTRICTIVE CARDIOMYOPATHY
RESTRICTIVE CARDIOMYOPATHY

... Gradual worsening of symptoms of left heart failure. Fatigue and weakness are results of the decreased stroke volume. Distention of the abdomen and bilateral swollen feet (right heart failure). Angina like chest pains are observed only in patients with amyloidosis. Palpitations (atrial fibrillation) ...
Anatomy Review: The Heart
Anatomy Review: The Heart

... the atria contract. 1 - d. Links the SA node to the AV node, distributing the action potential to the contractile cells of the atria. 6 - e. Electrically connects the atria and the ventricles, connecting the AV node to the Bundle Branches. 3 - f. Conveys the action potential down the interventricula ...
Obstetrics. Lecture 14 Ultrasound Evaluation of the Fetal Heart
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... Tetralogy of Fallot results in low oxygenation of blood due to mixing of oxygenated and deoxygenated blood in the left ventricle through the VSD and preferential flow of both oxygenated and deoxygenated blood from the ventricles through the aorta because of obstruction to flow through the pulmonary ...
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right atrium right ventricle

... • Left to right shunt (according to pressure gradient) Addition of extra blood to normal pulmonary flow : • Increased PBF and increased pulmonary interstitial fluids up to oedema • Increased pulmonary venous return into LA • Increased LA volume, pressure & dilatation • LV hypertrophy • Finally biven ...
heart rate
heart rate

... o The period when the ventricles are relaxed is called ventricular diastole –during this phase, ventricles fill with blood Ventricular Volume During the Cardiac Cycle - Ventricular volume is fairly high during relaxation, or diastole - During atrial systole- a little more blood is pushed into the ve ...
Essential messages - European Society of Cardiology
Essential messages - European Society of Cardiology

... particularly advisable in the management of high-risk patients and is also important for other subsets, such as asymptomatic patients, where the evaluation of reparability is a key component in decision-making. • A comprehensive evaluation of the cardiac and extra-cardiac condition of the p ...
心脏体格检查 - 上海交通大学医学院精品课程
心脏体格检查 - 上海交通大学医学院精品课程

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Chest 1. Which one is not true for sternal angle? A. It is also termed

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VT in abnormal heart DR SANMATH

... o pseudo–delta wave (measured from the earliest ventricular activation to the earliest fast deflection in any precordial lead) of 34 milliseconds or more [sensitivity- 83% and specificity95%] o intrinsicoid deflection time in V2 (measured from the earliest ventricular activation to the peak of the R ...
management of RHD - Rheumatic Heart Disease Australia
management of RHD - Rheumatic Heart Disease Australia

... fibrosis and partial fusion of the mitral valve leaflets • aortic regurgitation, where left ventricular volume overload occurs, and there is an increase in left ventricular end-diastolic volume, eventually leading to left ventricular contractile dysfunction in more severe cases • aortic stenosis, ...
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... Specifically designed LV lead multipoints pacing "  Providing options to manage PNS and high pacing thresholds at implant and follow-up to minimize lead revision "  Enabling LV pacing at the preferred site without compromising lead ...
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... occasionally in their life, although more commonly when younger - often referred to as ‘Boxer faint’. This might be a consequence of a vasovagal reflex following excitement or on rising from a sleep. However since dilated cardiomyopathy is not uncommon in Boxer’s and it often present initially with ...
Congestive Heart Failure
Congestive Heart Failure

... Increase in CVP Increase in size of RV Backflow to vena cava Congestion in jugular veins, liver, lower ...
Images in Cardiovascular Medicine
Images in Cardiovascular Medicine

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S1936878X15008608_mmc1 - JACC: Cardiovascular Imaging

... measured from parasternal long-axis views using M-mode echocardiography. LV volumes and LV ejection fraction were measured using the Simpson biplane method from twochamber and four-chamber apical views. Mitral inflow recordings were obtained with pulsed Doppler and used to quantify early and late wa ...
Early Management of the Infant with Suspected
Early Management of the Infant with Suspected

... 20g/dL and 4g/dL of desaturated hgb will be cyanotic, but an anemic infant with 10g/dL with 2g/dL deoxygenated hgb will not be cyanotic ...
Off-Pump Plication of Post MI Left Ventricular Aneurysm
Off-Pump Plication of Post MI Left Ventricular Aneurysm

... – Preserves systo-diastolic expansions of the viable lateral myocardial wall, which frequently shows normal contractile activity in patients with a previous antero-septal infarction ...
Heart Failure Guidelines
Heart Failure Guidelines

... Promote weight reduction to within 10 percent of ideal body weight Control blood sugar Drugs that contribute to heart failure (such as non-steroidal anti-inflammatory drugs, antiarrhythmic drugs, calcium channel blockers, thiazolidinediones) should be avoided. Sodium restriction to < 1500 mg/d. Use ...
A case of mitral valve tophus
A case of mitral valve tophus

... echocardiographic characteristics of the hyperechoic mass in posterior leaflet mitral valve, intact mitral valve ring and the occurrence of severe tophaceous gouty artrithis suggest the diagnosis of a tophus on the mitral valve. Keywords: mitral valve, tophus,echocardiogram ...
Murmurs
Murmurs

... which begins 10-20 seconds into the maneuver) will decrease venous return, thereby decreasing pre-load to both ventricles (Braunwald, E. Heart Disease, 6th ed. Saunders, Phila. 2001). Only two murmurs augment with a diminished preload. The first is ...
Heart sounds: Hear the story
Heart sounds: Hear the story

...  In the mitral area, also called the apical area, sounds reflect blood flow across the mitral valve and left ventricular filling during diastole. ...
Melbourne Heart Rhythm Ventricular Tachycardia in Structurally
Melbourne Heart Rhythm Ventricular Tachycardia in Structurally

... Ventricular Tachycardia in Normal Hearts (Idiopathic VT) VT can also occur in patients with normal hearts, so-called “Idiopathic Ventricular Tachycardia” and this accounts for about 10% of all VTs. Idiopathic Ventricular Tachycardia is usually due to a different mechanism than VT seen in the presen ...
Pulmonary Atresia With Intact Ventricular Septum
Pulmonary Atresia With Intact Ventricular Septum

... result of pulmonary valve atresia, typically with fusion of the three commissures. There is no association with any interventricular septal defect. A patent ductus arteriosus is required for pulmonary blood flow.1 The disease is accompanied by various other morphological anomalies. The right ventric ...
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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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