2015 - University Children`s Health
... Health Science Center at San Antonio (UTHSCSA). In 2014 our program moved to its new home at University Hospital. We envisioned constructing a new congenital heart program with the sole purpose of focusing resources and expertise across all disciplines towards the care of children and families chall ...
... Health Science Center at San Antonio (UTHSCSA). In 2014 our program moved to its new home at University Hospital. We envisioned constructing a new congenital heart program with the sole purpose of focusing resources and expertise across all disciplines towards the care of children and families chall ...
Incidental finding of a large pulmonary valve fibroelastoma: A case
... obstruction resulting in cerebral vascular accidents, pulmonary embolism and myocardial infarction.5 It is now suggested that all PFE, regardless of size and location, should be resected to avoid embolic or occlusive-related complications.1,6,7 To ...
... obstruction resulting in cerebral vascular accidents, pulmonary embolism and myocardial infarction.5 It is now suggested that all PFE, regardless of size and location, should be resected to avoid embolic or occlusive-related complications.1,6,7 To ...
Cardiac Tumors—Diagnosis and Surgical Treatment
... retrieved by a selective PubMed search on the terms “cardiac tumor,” “heart tumor,” “cardiac myxoma,” and “cardiac sarcoma.” They also present operative techniques and their own long-term results in 181 patients with cardiac tumors. Results: Patients with cardiac tumors generally have nonspecific sy ...
... retrieved by a selective PubMed search on the terms “cardiac tumor,” “heart tumor,” “cardiac myxoma,” and “cardiac sarcoma.” They also present operative techniques and their own long-term results in 181 patients with cardiac tumors. Results: Patients with cardiac tumors generally have nonspecific sy ...
Dilated Cardiomyopathy (DCM)
... Permanent exercise restriction Therapeutic thoracocentesis and paracentesis Diuretics ACE inhibitors (Enalapril) Decrease heart rate Decrease Na+ and H2O retention Vasodilation Digoxin Positive inotrope and negative chronotrope Useful for atrial fibrillation Pimobendan Vasodi ...
... Permanent exercise restriction Therapeutic thoracocentesis and paracentesis Diuretics ACE inhibitors (Enalapril) Decrease heart rate Decrease Na+ and H2O retention Vasodilation Digoxin Positive inotrope and negative chronotrope Useful for atrial fibrillation Pimobendan Vasodi ...
Protocol for the management of atrial fibrillation in primary care
... · If antiarrhythmic drug therapy is needed to maintain sinus rhythm post cardioversion and structural heart disease is present – a standard betablocker should be prescribed. If the drug is ineffective, not tolerated or contraindicated or previous relapse to AF whilst on a betablocker and a ...
... · If antiarrhythmic drug therapy is needed to maintain sinus rhythm post cardioversion and structural heart disease is present – a standard betablocker should be prescribed. If the drug is ineffective, not tolerated or contraindicated or previous relapse to AF whilst on a betablocker and a ...
Modification of Dental Care for Patients with Cardiac Disease
... Cardiovascular diseases are one of the primary reasons for mortality throughout the world. Patients who are suffering from cardiovascular disease are vulnerable to physical or emotional stress. If, in addition, the patients have to undergo dental treatment, it will add to their stress [1]. This make ...
... Cardiovascular diseases are one of the primary reasons for mortality throughout the world. Patients who are suffering from cardiovascular disease are vulnerable to physical or emotional stress. If, in addition, the patients have to undergo dental treatment, it will add to their stress [1]. This make ...
IMPLANTS - The Johns Hopkins University Applied Physics
... development of a device to be implanted in the body that would automatically restart a heart that had stopped beating properly. That was the beginning of the Automatic Implantable Cardiac Defibrillator (AICD) program at APL. For several years, APL assisted in AICD development with NASA support. The ...
... development of a device to be implanted in the body that would automatically restart a heart that had stopped beating properly. That was the beginning of the Automatic Implantable Cardiac Defibrillator (AICD) program at APL. For several years, APL assisted in AICD development with NASA support. The ...
in cohort 3.
... Cardiac Exclusion Criteria • Patients with current or regular use of drugs known to significantly prolong the QTc interval within a period at least 5 times the drug’s halflife before day 0 • Patients with atrial fibrillation/flutter or other non-sinus rhythm (including paced rhythm); left bundle ...
... Cardiac Exclusion Criteria • Patients with current or regular use of drugs known to significantly prolong the QTc interval within a period at least 5 times the drug’s halflife before day 0 • Patients with atrial fibrillation/flutter or other non-sinus rhythm (including paced rhythm); left bundle ...
Intraventricular Pressure Gradients in Heart Failure
... suture to measure apical left ventricular pressure (LVP). The other was introduced until we could see the impact from the aortic valve on the pressure trace. The catheter then was pulled back 3 mm below the aortic valve so that it was located in the LV outflow tract to measure basal LVP. The pressur ...
... suture to measure apical left ventricular pressure (LVP). The other was introduced until we could see the impact from the aortic valve on the pressure trace. The catheter then was pulled back 3 mm below the aortic valve so that it was located in the LV outflow tract to measure basal LVP. The pressur ...
CVS ASCULTATION
... Triple rhythm (lub-dub-dum) (= gallop rhythm) N: children + young people + pregnancy + athletes + fever. • Ab. : VF, AR, MR, VSD, PDA, Constrictive pericarditis. ...
... Triple rhythm (lub-dub-dum) (= gallop rhythm) N: children + young people + pregnancy + athletes + fever. • Ab. : VF, AR, MR, VSD, PDA, Constrictive pericarditis. ...
Computed Tomography Features of Left Ventricular
... Less is written about the role of CTA in the detection of this entity. Some authors argue that CTA is of limited role and suggest that due to less availability and higher cost, it should not be considered as the first line imaging method (12). However, we do not agree with this comment. As in our ca ...
... Less is written about the role of CTA in the detection of this entity. Some authors argue that CTA is of limited role and suggest that due to less availability and higher cost, it should not be considered as the first line imaging method (12). However, we do not agree with this comment. As in our ca ...
Spontaneously terminating ventricular fibrillation and
... recording showed several episodes of transient ST segment elevation before syncopal attack. Coinciding with the attack, there was a striking sequence of events—sustained ventricular tachycardia initiated by an R on T ventricular extrasystole, prolonged ventricular fibrillation (three minutes), prolo ...
... recording showed several episodes of transient ST segment elevation before syncopal attack. Coinciding with the attack, there was a striking sequence of events—sustained ventricular tachycardia initiated by an R on T ventricular extrasystole, prolonged ventricular fibrillation (three minutes), prolo ...
Core curriculum for the heart rhythm specialist
... Heart rhythm management is a rapidly developing field with the most extensive and complex knowledge base in cardiology. This has been recognized by some organizations, such as the American Board of Internal Medicine, which considers HR management to be sufficient in itself to constitute a subspecial ...
... Heart rhythm management is a rapidly developing field with the most extensive and complex knowledge base in cardiology. This has been recognized by some organizations, such as the American Board of Internal Medicine, which considers HR management to be sufficient in itself to constitute a subspecial ...
Nonuniformity: A physiologic modulator of contraction and relaxation
... Important nonuniformities exist in the excitation-contraction coupling (excitation-contraction coupling encompasses activation-contraction and inactivation-relaxation coupling) both within a single cell and among cells taken from different parts of the heart (Fig. 2). Regional differences in action ...
... Important nonuniformities exist in the excitation-contraction coupling (excitation-contraction coupling encompasses activation-contraction and inactivation-relaxation coupling) both within a single cell and among cells taken from different parts of the heart (Fig. 2). Regional differences in action ...
Focused Cardiac Ultrasound: Uncommon but Critical
... An accurate diagnosis can be made by using modified Duke criteria and echocardiography.2 Transthoracic echocardiography is the initial imaging modality and can aid in establishing the diagnosis; however, transesophageal echocardiography is often necessary because of its higher sensitivity and more d ...
... An accurate diagnosis can be made by using modified Duke criteria and echocardiography.2 Transthoracic echocardiography is the initial imaging modality and can aid in establishing the diagnosis; however, transesophageal echocardiography is often necessary because of its higher sensitivity and more d ...
Abnormal Heart Rhythms (Arrhythmias)
... This is an option for some cases of SVT, ventricular tachycardia and AF. A small wire (catheter) is passed via a large vein in your leg into the chambers of your heart. It is guided by special X-ray techniques. The tip of the catheter can destroy a tiny section of heart tissue that is the source or ...
... This is an option for some cases of SVT, ventricular tachycardia and AF. A small wire (catheter) is passed via a large vein in your leg into the chambers of your heart. It is guided by special X-ray techniques. The tip of the catheter can destroy a tiny section of heart tissue that is the source or ...
intermediate and long term outcome of patients after device closure
... were no late device embolizations or malposition. Perforation is the most feared complication described in literature.7,8 Cardiac perforations related to technique can occur during catheterization or typically before hospital discharge. Patient can present with haemopericardium, pericardial effusion ...
... were no late device embolizations or malposition. Perforation is the most feared complication described in literature.7,8 Cardiac perforations related to technique can occur during catheterization or typically before hospital discharge. Patient can present with haemopericardium, pericardial effusion ...
Ministernotomy for aortic valve replacement
... days (median 7 days). The mean (and standard deviation) actuarial survival 24 months after valve replacement was 91% (4%). Preoperatively, 22 patients (43%) were in NYHA functional class III and 23 (45%) patients were in class II, and of the survivors at 16 (9) months’ follow-up, 28 (61%) were in cl ...
... days (median 7 days). The mean (and standard deviation) actuarial survival 24 months after valve replacement was 91% (4%). Preoperatively, 22 patients (43%) were in NYHA functional class III and 23 (45%) patients were in class II, and of the survivors at 16 (9) months’ follow-up, 28 (61%) were in cl ...
Evaluation of left ventricular systolic and diastolic functions in bipolar
... disorder had died by the end of the study period. The mortality rate for cardiovascular disease was 1.59 for men and 1.47 for women [21]. A similar study found a twofold increased cardiovascular mortality rate for those with bipolar disorder compared with a cardiovascular mortality rate for individu ...
... disorder had died by the end of the study period. The mortality rate for cardiovascular disease was 1.59 for men and 1.47 for women [21]. A similar study found a twofold increased cardiovascular mortality rate for those with bipolar disorder compared with a cardiovascular mortality rate for individu ...
Anaesthesia for the Patient with Pulmonary Hypertension
... Group 1 includes the disease idiopathic pulmonary hypertension (formerly known as primary pulmonary hypertension), as well as PH associated with connective tissue disorders. This group of diseases share similar pathological findings and clinical appearance. The incidence of idiopathic PH is higher t ...
... Group 1 includes the disease idiopathic pulmonary hypertension (formerly known as primary pulmonary hypertension), as well as PH associated with connective tissue disorders. This group of diseases share similar pathological findings and clinical appearance. The incidence of idiopathic PH is higher t ...
Cardiotonics and Miscellaneous Inotropic Drugs
... The most profound effect of a cardiotonic drug occurs in patients with HF. In HF, the heart, weakened by disease or age, cannot pump a sufficient amount of blood to meet the demands of the body. The weakened heart results in a decrease in the amount of oxygenated blood leaving the left ventricle dur ...
... The most profound effect of a cardiotonic drug occurs in patients with HF. In HF, the heart, weakened by disease or age, cannot pump a sufficient amount of blood to meet the demands of the body. The weakened heart results in a decrease in the amount of oxygenated blood leaving the left ventricle dur ...
Dressler`s Syndrome - International Cardiovascular Forum Journal
... pathogenesis has been suggested, secondary to the release of cardiac antigens during cardiovascular events. This could stimulate antibodies formation, with further formation of immune complexes in pericardium, pleura and lungs, followed by an inflammatory response [4]. A recent French study evaluate ...
... pathogenesis has been suggested, secondary to the release of cardiac antigens during cardiovascular events. This could stimulate antibodies formation, with further formation of immune complexes in pericardium, pleura and lungs, followed by an inflammatory response [4]. A recent French study evaluate ...
Cardiology Review Aortic Stenosis
... syncope (faintness) 23. Congenital bicuspid aortic valve is inherited in an xlinked fashion. Also it has more tendencies for ...
... syncope (faintness) 23. Congenital bicuspid aortic valve is inherited in an xlinked fashion. Also it has more tendencies for ...
Cardiac contractility modulation
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Cardiac contractility modulation (CCM) is a treatment for patients with moderate to severe left ventricular systolic heart failure (NYHA class II–IV). The short- and long-term use of this therapy enhances both the strength of ventricular contraction and the heart’s pumping capacity. The CCM mechanism is based on stimulation of the cardiac muscle by non-excitatory electrical signals (NES). CCM treatment is delivered by a pacemaker-like device that applies the NES, adjusted to and synchronized with the electrical action in the cardiac cycle.In CCM therapy, electrical stimulation is applied to the cardiac muscle during the absolute refractory period. In this phase of the cardiac cycle, electrical signals cannot trigger new cardiac muscle contractions, hence this type of stimulation is known as a non-excitatory stimulation. However, the electrical CCM signals increase the influx of calcium ions into the cardiac muscle cells (cardiomyocytes). In contrast to other electrical stimulation treatments for heart failure, such as pacemaker therapy or implantable cardioverter defibrillators (ICD), CCM does not affect the cardiac rhythm directly. Rather, the aim is to enhance the heart’s natural contraction (the native cardiac contractility) sustainably over long periods of time. Furthermore, unlike most interventions that increase cardiac contractility, CCM is not associated with an unfavorable increase in oxygen demand by the heart (measured in terms of Myocardial Oxygen Consumption or MVO2). This may be explained by the beneficial effect CCM has in improving cardiac efficiency. A meta-analysis in 2014 and an overview of device-based treatment options in heart failure in 2013 concluded that CCM treatment is safe, that it is generally beneficial to patients and that CCM treatment increases the exercise tolerance (ET) and quality of life (QoL) of patients. Furthermore, preliminary long-term survival data shows that CCM is associated with lower long-term mortality in heart failure patients when compared with expected rates among similar patients not treated with CCM.