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ANESTHETIC MANAGEMENT OF DILATED CARDIOMYOPATHY
ANESTHETIC MANAGEMENT OF DILATED CARDIOMYOPATHY

... seen in this patient is heart failure, which occurs in 75 to 85 percent of patients. Symptoms of left sided heart failure predominate1. The true natural history of the disease onset is difficult to determine, since asymptomatic cardiomegaly may be present for months or years. Early studies reported ...
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... In most children ASDs will rarely cause a problem. However, if the defect is large it may cause heart failure. Symptoms of heart failure include fast breathing, fast heart rate and poor growth. These symptoms are often controlled with medications until the hole decreases in size or closes. The major ...
Membranous Ventricular Septal Aneurysm
Membranous Ventricular Septal Aneurysm

... from the membranous portion of the interventricular septum just beneath the right coronary sinus of Valsalva; the artery courses around the right ventricle, which has been digitally removed from the image. ...
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Ventricular Fibrillation and Cardiac Arrest

... Other potential causes include decreased blood volume (from bleeding or dehydration), decreased oxygenation of the blood (from respiratory or cardiac problems), decreased blood glucose levels, hypothermia, elevated blood potassium levels, drugs, head trauma, fluid in the sac around the heart, air in ...
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CARDIOVASCULAR SYSTEM

...  Reduction of myocardial oxygen demand  Improvement /restoration of myocardial perfusion  Recognition and treatment of complications  Thrombolytic therapy with tissue plasminogen activator if pain persists after the administration: O2, aspirin, nitrates,opiates and beta-blockers ...
Cardiac Checklist (Health Plan)
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... Coronary artery disease and ischemic heart disease are terms that refer to the atherosclerotic narrowing of the arteries that supply the heart muscle with blood. Because this disease is a leading cause of death in the United States, coronary artery disease is perhaps the most important impairment se ...
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Pediatric Cardiac Emergencies

... Idiopathic Hypertrophic Cardiomyopathy • aka IHSS • both a fixed and dynamic subvalvular obstruction • characterized by ventricular hypertrophy with principle involvement of the ventricular septum • associated with long QT • autosomal dominant • often presents with exertional syncope • 10 year mort ...
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CASE 9. Twisted heart with the left ventricle superiorly - IMIB-CHD

...  The atrial situs is solitus. There is mesocardia with the apex of the ventricles protruding forward through the midline defect in the anterior chest wall. The systemic and pulmonary venous connections are normal.  The right and left atria are grossly normally related (9A). However, the tricuspid ...
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Sudden Cardiac Death - University College Dublin

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Dynamic Left Ventricular Outflow Tract Obstruction with Cardiogenic

... Chest radiography showed no sign of interstitial congestion. Echocardiography revealed extensive akinesia of the mid to apical portions of the LV, and hyperkinesis of basal segments of LV (Figure 2A). Also, velocity of the LVOT increased, along with an eccentric severe MR due to SAM of the anterior ...
I. Cardiac Cycle A. Systole – Contraction of Ventricles (unless noted
I. Cardiac Cycle A. Systole – Contraction of Ventricles (unless noted

... usually just to the left of the sternum b. Bicuspid Valve – Fifth intercostal space left at apex of heart (inferior to left breast) c. Aortic Semilunar Valve – Second intercostal space just right of the sternum d. Pulmonary Semilunar Valve – Second intercostal space just left of the sternum 3. Clini ...
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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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