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Anatomic variations of the cardiac valves and papillary muscles of
Anatomic variations of the cardiac valves and papillary muscles of

... The description of the chordae tendineae of the papillary muscles of the RV and their anatomic variations were reported by Silver et al. (1971) who depicted five different types of chordae tendineae attached to the tricuspid valve (Tab. 1). On average, 25 chordae were found to be inserted into the t ...
Mitral annular calcification: a marker of severe coronary artery
Mitral annular calcification: a marker of severe coronary artery

... atherosclerosis.8 Later, Khoury and colleagues correlated the presence of aortic plaques and coronary artery disease.9 Boon and colleagues found an association of both mitral annular calcification and aortic valve calcification with age and vascular risk factors.10 Age, female sex, hypertension, dia ...
Atrial myxoma: a review - International Journal Of Community
Atrial myxoma: a review - International Journal Of Community

... from a large series of 444 patients.53 The low rate of myxoma cannot be taken as authentic nor certain because they had included all types of cardiac tumors in their study. Left atrium being the common site in 76 to 88% and isolated forms accounting for 90% of the patients has been reported from oth ...
Quantification and Visualization of Cardiovascular Function using
Quantification and Visualization of Cardiovascular Function using

... considerable amount of publications in this field and cardiac mechanics and the pumping function of the heart have been differently described over the years. However, the function of this substantial organ, which averagely has to perform over 100.000 heartbeats every day and in total pump more than ...
Sunao Tawara: Discoverer of the atrioventricular conduction system
Sunao Tawara: Discoverer of the atrioventricular conduction system

... Kokubo that Aschoff was a great scholar in pathology and had been appointed Professor at the Institute of Pathological Anatomy in Marburg, Tawara immediately applied to conduct basic cardiac researches at the laboratory of Professor Aschoff, who accepted Tawara as his research fellow. The first assi ...
Provisional PDF - BioMed Central
Provisional PDF - BioMed Central

... ARVC/D is generally considered an irreversible and progressive cardiomyopathy [9-11]. TWI in inferior leads have recently been proposed as valuable diagnostic and prognostic markers in this entity, but have not been incorporated in the TFC [12,13]. Whereas TWI in V1- V2 or in V4, V5, or V6 are a min ...
For Personal Use. Copyright HMP 2014
For Personal Use. Copyright HMP 2014

... ease of cannulation of posterolateral veins for placement of LV lead of CRT device, predetermined parameters were chosen keeping the above fact Figure 2. Coronary venogram analysis in right anterior oblique view from three patients showing 3 types of coro- in mind. nary sinus. Venograms show that LV ...
Temporary Pacemakers - University of California, San Diego
Temporary Pacemakers - University of California, San Diego

... Pacemaker not sensitive enough to patient’s intrinsic electrical activity (mV)  Insufficient myocardial voltage  Dislodged, loose, fibrotic, or fractured electrode  Electrolyte abnormalities  Low battery  Malfunction of pacemaker or bridging cable ...
NEMOURS CARDIAC CENTER
NEMOURS CARDIAC CENTER

... Alexander and his twin brother Alex had a normal birth and appeared healthy when they went for their first pediatrician visit less than two weeks later. When Alexander’s doctor detected a heart murmur, he was immediately referred to Nemours Cardiac Center. An echocardiogram led to a diagnosis of Tet ...
Temporary Pacemakers-2hr
Temporary Pacemakers-2hr

... Pacemaker not sensitive enough to patient’s intrinsic electrical activity (mV)  Insufficient myocardial voltage  Dislodged, loose, fibrotic, or fractured electrode  Electrolyte abnormalities  Low battery  Malfunction of pacemaker or bridging cable ...
Permanent cardiac pacemaker: an emergency perspective
Permanent cardiac pacemaker: an emergency perspective

... A rare but life threatening complication is cardiac tamponade resulting from inadvertent puncture t h r o u g h ve n t r i c u l a r w a l l b y t h e l e a d d u r i n g implantation. Generally most perforation are benign and self limiting but rarely it may progress to tamponade and haemodynamic co ...
a Patient`s Guide to Transcatheter Aortic
a Patient`s Guide to Transcatheter Aortic

... Warnings Some patients may have a disease that results in more calcium in their blood. This may cause early wear. The Medtronic TAVR valve is only for certain patients. This includes patients with severe AS or failing surgical valves that: · Cannot have surgery · Are at high risk for surgery ...
PowerPoint File - American College of Cardiology
PowerPoint File - American College of Cardiology

... Aortic Stenosis: Choice of Intervention Recommendations Modified: Surgical AVR is recommended for symptomatic patients with severe AS (Stage D) and symptomatic patients with severe AS (Stage C) who meet an indication for AVR when surgical risk is low or intermediate For patients in whom TAVR or hig ...
Anti-Inflammatory Strategies for Ventricular Remodeling Following ST-Segment Elevation Acute Myocardial Infarction
Anti-Inflammatory Strategies for Ventricular Remodeling Following ST-Segment Elevation Acute Myocardial Infarction

... Over time, the increased wall stress and neurohormonal activation, however, causes apoptosis of the cardiomyocytes in the nonischemic area leading to left ventricular wall thinning and chamber dilation, producing a spherical geometry with an increased left ventricular mass but decreased relative wal ...
pulmonary atresia developing after a shunt operation for fallot`s
pulmonary atresia developing after a shunt operation for fallot`s

... The same year, the patient was operated on with an extracorporeal circulation and hypothermia. The infundibulum was found to be extremely narrow and the pulmonary valves were completely fused. The Blalock-Taussig anastomosis had closed. The pulmonary valves were divided, the infundibular stenosis wa ...
Atrioventricular dissociation with accrochage - Heart
Atrioventricular dissociation with accrochage - Heart

... history of myocardial infarction. He was observed over a three-year period during which 30 serial cardiograms were studied, each containing a long strip of lead II of not less than one hundred beats. Oesophageal leads were recorded at intervals to define the atrial rhythm more precisely. The records ...
Dextrocardia with Situs Inversus, Atrio
Dextrocardia with Situs Inversus, Atrio

... The main cardiac axis (base to apex) determines the orientation of the heart in the chest. In dextrocardia, the axis points to the right instead of the left [1-4]. This differs from dextro position where the heart is positioned in the right side of the chest secondary to a pathologic process, but re ...
Full Text  - Res Cardiovasc Med
Full Text - Res Cardiovasc Med

... increases in depolarization duration and not in repolarization. Objectives: In this study, we aimed to apply corrected JT interval (JTc) as an appropriate measure of ventricular repolarization for predicting QTc in a formula. Patients and Methods: The study population consisted of 101 patients with ...
Increased Central Venous Pressure Is Associated With Impaired
Increased Central Venous Pressure Is Associated With Impaired

... diabetes, hypertension, coronary artery disease, and heart failure (1–7). The pathophysiology is multifactorial and associated with decreased renal perfusion, atherosclerosis and inflammation, endothelial dysfunction, and neurohormonal activation (8 –10). We recently showed that in patients with car ...
Assessment of Ventricular Function with Cardiovascular Magnetic
Assessment of Ventricular Function with Cardiovascular Magnetic

... Fig. 7. Magnetic resonance (MR) tagging used for regional strain analysis. The left ventricle is divided into 32 small cuboids by means of a combination of MR tagging along five cardiac short- and four long-axis planes. Each cuboid is constructed from four subendocardial and four subepicardial node p ...
Creatine kinase-MB fraction and cardiac troponin T to
Creatine kinase-MB fraction and cardiac troponin T to

... arrest cTNT was higher in patients with Q wave MI (5.44 ng/ml [IQR 4.1 to 17.63] vs. 1.93 ng/ml [IQR 0.6 to 2.91], p -- 0.002). The amount of CK and CK-MB in patients with Q wave MI was 1,350 U/liter [IQR 486 to 2,100] and 93 U/liter [IQR 40 to 184], respectively; in patients with non-Q wave M1 the ...
Assessment of left ventricular ejection fraction and regional wall
Assessment of left ventricular ejection fraction and regional wall

... window [4]. Cardiac MRI has been considered the clinical ‘‘gold standard’’ for LV function assessment, but it is expensive, of limited availability and cannot be performed in patients with implanted pacemakers or defibrillators [5–8]. Multidetector CT (MDCT) of the heart is used largely to evaluate ...
Valvular Aortic Stenosis in the Elderly
Valvular Aortic Stenosis in the Elderly

... increased prevalence of coronary risk factors, of coronary artery disease, and evidence of other atherosclerotic vascular diseases. Statins may reduce the progression of aortic stenosis (AS). Angina pectoris, syncope or near syncope, and congestive heart failure are the 3 classic manifestations of s ...
No Slide Title
No Slide Title

... Class IIa - Re-interventions for Tetralogy of Fallot The following situations may warrant intervention following repair:  Free pulmonary regurgitation associated with progressive or moderate to severe RV enlargement (right ventricular end diastolic volume > 170 cc/m2), moderate to severe right vent ...
Cardiac Rhythm Management Devices (Part I)
Cardiac Rhythm Management Devices (Part I)

... atrioventricular (AV) heart block (AVHB). It is also sometimes used to overdrive or terminate atrial or ventricular tachydysrhythmias. The endpoint for temporary pacing is resolution of the indication or implantation of a permanent pacemaker for a continuing indication. Transvenous endocardial16,17 ...
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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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