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009//  Aortic Stenosis CONTENTS
009// Aortic Stenosis CONTENTS

... The baseline is shifted upward and the velocity range adapted (8 m/s). Additionally, the LVOT velocity can be seen within the AS spectrum, indicating good ...
Correlation of the Tei Index With Left Ventricular Dilatation - J
Correlation of the Tei Index With Left Ventricular Dilatation - J

... diameter were defined as risk factors for mortality and CHF. We first compared the echocardiographic parameters of patients who recently had AMI and parameters of a healthy group in this study. As expected, the EF, deceleration time for E wave, IRT, and ET were found to be significantly lower wherea ...
CT - American College of Radiology
CT - American College of Radiology

... dilatation on the longitudinal straightened curved planar images. The average diameter of these two measurements is used as the reference normal diameter of the vessel. The diameter of the abnormal segment is divided by the reference normal diameter to arrive at a percentage of stenosis or dilatatio ...
Anatomy of the pig heart: comparisons with normal human cardiac
Anatomy of the pig heart: comparisons with normal human cardiac

... moderator band was situated in a much higher position within the porcine right ventricle compared with that of man. The apical components of both porcine ventricles possessed very coarse trabeculations, much broader than those observed in the human ventricles. In general, aortic-mitral fibrous conti ...
Derived copy of Heart Anatomy
Derived copy of Heart Anatomy

... The shape of the heart is similar to a pinecone, rather broad at the superior surface and tapering to the apex (see Figure 1 (Position of the Heart in the Thorax )). A typical heart is approximately the size of your st: 12 cm (5 in) in length, 8 cm (3.5 in) wide, and 6 cm (2.5 in) in thickness. Giv ...
LV Dssynchrony and Cardiac Resynchronization Therapy in Heart
LV Dssynchrony and Cardiac Resynchronization Therapy in Heart

... Shown to be predictive of response post-CRT in SCART and CARE-HF trials TV delay between RV and LV free wall not predictive of effect of CRT ...
CMS Stress Echo
CMS Stress Echo

... hypertension should have resting LV function assessed (Class I), but if such an assessment is relevant, echocardiography is a well-documented and accepted method by which to achieve it. The value of repeated studies in asymptomatic hypertensive patients with normal LV function is not clearly establi ...
Chapter 1 - Molecular Basis of Cardiac - SciTech Connect
Chapter 1 - Molecular Basis of Cardiac - SciTech Connect

... During some steps of development, specific genes have been definitively shown to cause certain congenital heart defects in humans. These developmental steps, along with their associated genes and defects, are presented herein. More information can be obtained from the Online Mendelian Inheritance in ...
Full Text  - J
Full Text - J

... function is understood in more detail, such as the correlation of body mass index (BMI) with increased LV mass, LV wall thickness, and an impaired systolic and diastolic LV function,1,5-8) there is only limited evidence on right ventricular (RV) function. These data are mainly collected from obese s ...
Direct Determinations of Aortic Blood Flow
Direct Determinations of Aortic Blood Flow

... was studied by right and left heart catheterization preoperatively, and in six patients the results of the studies indicated isolated, severe aortic regurgitation without associated aortic stenosis. The other three patients (R.O., A.A., and L.S.) also had severe aortic regurgitation, but associated ...
ECGs MADE EASY
ECGs MADE EASY

... Atrial P waves may be seen which differ from sinus P waves (may be flattened, notched, pointed, or biphasic). P waves are usually identifiable at the lower end of the rate range but are seldom identifiable at rates above 200. May be lost in the preceding T wave. Usually not measurable because the P ...
Immediate Outcomes and Long-Term Follow-Up
Immediate Outcomes and Long-Term Follow-Up

... In our series, the rate of MR after PMV is lower than that of other authors. (15-19) In 27 patients (20.4%) there was manifestation or increase of MR, although in most cases the increase was mild (1 + or 2 +) and the incidence of severe MR was almost nil (0.79%). It is possible that with larger diam ...
Modelling in the study of interaction of Hemopump device and
Modelling in the study of interaction of Hemopump device and

... to other devices such as intraaortic balloon pump (IABP). Hemopump HP31 device (Medtronic, Inc., Minneapolis, MN, USA) is among them: it is a miniature rotary blood pump introduced into the left ventricular cavity through the aortic valve. This ventricular assist device (VAD) uses cannula inserted t ...
Syncope
Syncope

... bradycardia or 1st degree block in absence of beta blockers or physical training, short PR, short or long QT, ischemia, infarction Suspicion of structural heart disease –hx or signs/symptoms of MI, CHF, valvular heart disease SOB Syncope during exertion or with recumbency SBP < 90 HCT < 30 Family hx ...
Angiography
Angiography

... Angiographic projections are designated either according to the position of the recording detector (image intensifier or flat panel detector) or the direction of the X-ray beam toward the recording device. Generally speaking, in cardiology, the convention is the former, and all terminology discussed ...
Comparison of Hemodynamic Effects of Inhaled Milrinone and Inhaled Prostacyclin
Comparison of Hemodynamic Effects of Inhaled Milrinone and Inhaled Prostacyclin

... Baxter International, Santa Ana,CA)coupled to a RVEF/thermodilution cardiac output computer (RVEF1,Baxter International) was used. It provided continuous pulmonary artery pressure and central venous pressure monitoring, intermittent pulmonary capillary wedge pressure monitoring, thermodilution cardi ...
Diagnostic and Therapeutic Cardiovascular Procedures
Diagnostic and Therapeutic Cardiovascular Procedures

... waveforms. Fluoroscopic guidance is recommended in patients with a markedly enlarged right atrium or ventricle or severe tricuspid regurgitation or in those with left bundlebranch block. The catheter should be advanced to the vena cava/right atrium junction (10 –15 cm from the internal jugular vein ...
Percutaneous Mitral Valve Replacement
Percutaneous Mitral Valve Replacement

... itral regurgitation (MR) is the most common form of valvular heart disease, particularly in the aging population, with a prevalence over 10% in people older than 75 years.1 Surgical repair/replacement is the standard of care for the treatment of severe primary MR. Patients with heart failure and fun ...
cardiac outpatient rehabilitation (exercise training)
cardiac outpatient rehabilitation (exercise training)

... with protocols that vary in duration, intensity, and modalities across a variety of cardiac disorders. One study that addressed long-term outcomes after cardiac rehabilitation showed additional benefit to ongoing patient monitoring and counseling over a 4-year period for those with ischemic heart di ...
Velocity of Left Ventricular Contraction in Man
Velocity of Left Ventricular Contraction in Man

... saline was injected to obtain thermodilution. A thin catheter with a thermistor bead mounted at its tip' was introduced through a short polyethylene "sleeve" (PE 160) which had been inserted into the left femoral artery percutaneously. The "sleeve" prevented bleeding which would otherwise have occur ...
12-Development_of_Heart
12-Development_of_Heart

... 1. Around AV canals (AV valves) 2. Around orifices of aorta & pulmonary trunk (semilunar valves) • Swellings are hollowed out & reshaped to form the cusps ...
Ebstein™s anomaly - Swiss Medical Weekly
Ebstein™s anomaly - Swiss Medical Weekly

... and management options are essential. Management of EA patients is complex. Thus it is important that these patients are regularly seen by a cardiologist with expertise in congenital heart disease. Key words: Ebstein’s anomaly; tricuspid valve repair; diagnosis; echocardiography; arrhythmias; surger ...
With a Heart Murmur - McGraw-Hill Education
With a Heart Murmur - McGraw-Hill Education

... and severity, delineate left ventricular size and systolic function, and provide an assessment of suitability for primary valve repair. A congenital, small muscular VSD (Chap. 236) may be associated with an early systolic murmur. The defect closes progressively during septal contraction, and thus, t ...
Progression of Aortic Stenosis
Progression of Aortic Stenosis

... 25-month period. At entry, the peak instantaneous was 35± 18 mm Hg (6 to 100 mm Hg). After gradient a mean interval of 25 months, the peak instantaneous gradient increased to 44 ±16 mm Hg, corresponding to an average increase of 4.8 mm Hg/yr. It was also that those who progressed symptomatirecognize ...
Modeling Cardiac Ventricular Activation
Modeling Cardiac Ventricular Activation

... While there is hardly any lack of electrocardiographic or magnetocardiographic data, detailed data on the anatomy and physiology of the conduction system or cellular interactions in the myocardium are scarce [Durrer et al., 1979]. We may even have access to high-quality recorded data on the endocard ...
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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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