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Clinical Manifestation
Clinical Manifestation

... • Refers to narrowing of the opening to the pulmonic valve, that cause obstruction to blood flow, so the right ventricle has an additional work-load, causing the muscle to thicken, resulting in right ventricular hypertrophy and decreased pulmonary blood flow. • Signs and symptoms: Generally asymptom ...
Heart
Heart

... Given the following information: a) Dr. Thompson's total blood volume is 5.8 liters b) His heart ejects 75 ml of blood per contraction c) His kidneys produce 320 ml of urine per hour d) All of his wisdom teeth have been removed e) His heart contracts 70 times per minute f) His systolic blood pressu ...
Pathophysiologic Basis for Health Deviations 437
Pathophysiologic Basis for Health Deviations 437

... heart valves, which are made up of endocardial tissue. • Endocardial damage can be either congenital or acquired. • The usual cause of acquired valvular dysfunction is inflammation of the endocardium secondary to acute rheumatic fever or infectious endicarditis. • In valvular stenosis, the valve ori ...
lec 3 ( heart assessment part 2).
lec 3 ( heart assessment part 2).

... • Stressing the heart to monitor performance • Assists in Determining – Coronary artery disease – Cause of chest pain – Functional capacity of heart – Identify dysrhythmias – Effectiveness of medications – Establish goals for a physical fitness routine ...
V. Electrocardiogram (EKG or ECG
V. Electrocardiogram (EKG or ECG

... Heart Contraction Overview V. Electrocardiogram (EKG or ECG)- record impulses by detecting electrical currents in heart; measures voltage (mV), not contractions. Impulses lead to contractions. 1. Unique characteristics of cardiac muscle: 1.Stimulation- autorhythmicicity; depolarize spontaneously 2.O ...
Heart Failure - PHARMACEUTICAL REVIEW
Heart Failure - PHARMACEUTICAL REVIEW

... As volume expand … demand expand on exhausted pump …increase volume remain in the ventricles. Fluid backup produce the symptoms of HF depending on which ventricle. ...
Myocardial Infarction (Heart Attack)
Myocardial Infarction (Heart Attack)

... • High LDH1 isoenzyme more specific • Ratio of LDH1:LDH2 above 1 is helpful in making diagnosis • Rises late after 24 hours and stays elevated 4-5 days • Should be replaced by troponin T ...
Giant tumor of the left ventricle presenting with sustained ventricular
Giant tumor of the left ventricle presenting with sustained ventricular

... the ventricular chamber and deforming the papillary muscles (arrows); transthoracic echocardiogram, apical 4‑chamber view; D – angiography of the left coronary artery showing tumor blush (femoral approach); E – hyperintensive mass in the apex involving both papillary muscles and the posterior wall o ...
Congenital Heart Disease in Adults: Review Questions
Congenital Heart Disease in Adults: Review Questions

... expected in most patients with pulmonary valves with systolic ejection murmurs and wide splitting of the second heart sound. The diagnosis is usually made by echocardiography. Pulmonic stenosis is one of the most common congenital heart defects, occurring in approximately 10% of the adult population ...
Cardiac Conduction System
Cardiac Conduction System

... Conduction System • Sinoatrial Node (SA Node) – this is the heart’s “natural pacemaker;” each contraction of the heart is initiated here; an action potential spreads through the atria causing contraction of the myocardial walls • Atrioventricular Node (AV Node) – the impulse from the SA node travel ...
بسم الله الرحمن الرحيم **Hypertrophic Cardiomyopathy(HCM)** The
بسم الله الرحمن الرحيم **Hypertrophic Cardiomyopathy(HCM)** The

... when we have ejection the amount that will go from the ventricle into the aorta will be decreased, and we will see decrease in the cardiac output. So we have a problem her that during diastole we have impaired filling; because of this hypertrophy. So the basic problem her is inability to fill hypert ...
VAD - Real-time Flow in the Management of Acute Right Ventricular
VAD - Real-time Flow in the Management of Acute Right Ventricular

... By enabling the monitoring of the left ventricular preload and contractility throughout the post-operative period, Transonic® real-time flow measurement proved to be a useful tool both for the diagnosis and the management of right heart failure, including weaning from ECMO. It was a reliable alterna ...
heart as a pump
heart as a pump

... All events associated with the flow of blood through the heart during one single complete heart beat Approx 0.83sec if heart rate is 72 bpm ...
Sports Participation: What Should We Tell Our
Sports Participation: What Should We Tell Our

... • can be a sign of left ventricular outflow tract obstruction or coronary artery anomalies. In patients with hypertrophic cardiomyopathy, labile outflow tract obstruction that is provoked by changes in preload, afterload, and contractility may cause symptoms only during peak physical exertion or in ...
Perioperative management of a patient with left ventricular failure
Perioperative management of a patient with left ventricular failure

... The spectrum of surgical procedures done for CHF range from traditional coronary artery bypass grafting to cardiac transplantation. However, due to a critical shortage donor hearts, cardiac transplants centres offer interim measures such as placement of a left ventricular assist device or partial le ...
Heart 3: Valves
Heart 3: Valves

... These valves prevent the backflow of blood into the atria during ventricular contraction/ systolic phase of cardiac cycle. The right atrioventricular (AV) valve has three cusps/flaps, therefore known as ‘tricuspid valve’, while, the left AV valve has two cusps and known as Bicuspid valve or the Mitr ...
Facts About Sudden Cardiac Arrest
Facts About Sudden Cardiac Arrest

... and quickly called “an emergency room in the chest.” It monitored the heart’s electrical conduction system and administered electrical shocks directly to the heart to stop ventricular fibrillation. Today, ICDs do much more and have been proven to be 99 percent effective in treating ventricular arrhy ...
Right Ventricular and Right Atrial Involvement Can Predict Atrial
Right Ventricular and Right Atrial Involvement Can Predict Atrial

... (RA) dilatation. Receiver-operator curve analysis indicated good predictive performance of TAPSE, RA diameter and septal MAPSE (AUC 0.73, 0.69 and 0.71, respectively) to detect patients at risk of developing AF. Conclusion: Reduced MAPSE measurements and enlarged LA volumes seems to be a common feat ...
Myocardial infarction
Myocardial infarction

... • Identify people at risk • Know pathophysiology of MI • Know the sign & symptom • Learn the way that diagnoses MI • Identify treatment that given to person who has MI ...
Chapter 20
Chapter 20

... Angina pectoris – “strangled chest” ...
Understanding Advances in Clinical Electrophysiology: Updates in
Understanding Advances in Clinical Electrophysiology: Updates in

... • Recent trials have shown that rhythm control generally doesn’t improve mortality, stroke, hospitalization, or quality of life compared to rate control. • Rhythm control maybe may be useful in patients with severe symptoms or in younger patients. Anticoagulation: • Patients with paroxysmal, persist ...
Decision Tree for International
Decision Tree for International

... Consider digoxin and/or H-ISDN if end stage, consider LVAD and/or transplantation ...
NOTES: Normal Heart - Children`s Heart Clinic
NOTES: Normal Heart - Children`s Heart Clinic

... (truncus) gives rise to the systemic, pulmonary, and coronary circulations. The pulmonary arteries arise from the ascending aorta. There is a single truncal valve with two, three, or four leaflets and is often incompetent, resulting in regurgitation (backflow of blood). A large perimembranous ventri ...
Normal Heart NOTES - Children`s Heart Clinic
Normal Heart NOTES - Children`s Heart Clinic

...  Treatment of the underlying cause is the primary goal.  Diuretics may be used to decrease edema in the liver and lower extremities.  Afterload reducing agents are not well studied in right-sided atrioventricular valve disease, but are often used in single ventricle patients with TR.  Surgical r ...
Intermittent Complete Right Bundle Branch Block
Intermittent Complete Right Bundle Branch Block

... The applicant gave a history of atypical chest pain for which he had had a diagnostic hospital admission. A cardiologist had stated he had a complete right bundle branch block (CRBBB) "which was not present before." His workup, designed to evaluate a pre-test impression of ischemic coronary artery 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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