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Cor Pulmonale - doc meg`s hideout
Cor Pulmonale - doc meg`s hideout

... • develops in response to acute or chronic changes in the pulmonary vasculature • Changes that are sufficient to cause pulmonary hypertension • Once patients with chronic pulmonary or pulmonary vascular disease develop cor pulmonale, their prognosis worsens ...
pulmonary heart disease
pulmonary heart disease

... • develops in response to acute or chronic changes in the pulmonary vasculature • Changes that are sufficient to cause pulmonary hypertension • Once patients with chronic pulmonary or pulmonary vascular disease develop cor pulmonale, their prognosis worsens ...
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... A. right atrium. B. left atrium. C. right ventricle. D. left ventricle. E. coronary sinus. 20. In a normal electrocardiogram, the A. P wave results from repolarization of the atria. B. QRS complex results from ventricular depolarization. C. P wave occurs after the QRS complex but before the T wave. ...
Ask Doctor Clarke
Ask Doctor Clarke

... • NICE (2008) do not recommend it, but many paediatric cardiologists do! • Diuretics and ACEI for heart failure • Repair if large defect with risk of pulmonary hypertension • No need for antibiotic prophylaxis once repaired and “endothelialised” Atrial septal defect • May be asymptomatic • Recurrent ...
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February 16, 2017 Cardiovascular System

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Transcatheter Closure of Atrial Septal Defects in Adolescents and
Transcatheter Closure of Atrial Septal Defects in Adolescents and

... Atrial septal defect (ASD) is the second most common acyanotic congenital heart disease that presents at any age.1,2 It may be undetected until adolescence or adulthood. Patients with isolated atrial septal defects will have good outcomes if the diagnosis and management are suitable for the conditio ...
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... result in the characteristic gooseneck deformity seen on left ventriculography. In patients with atrioventricular septal defect, the left anterior fascicle is hypoplastic and longer than usual, features that probably account for the pattern of left anterior fascicular block so commonly seen.9 Other ...
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NON-SURGICAL APPROACH TO ATRIAL SEPTAL DEFECT
NON-SURGICAL APPROACH TO ATRIAL SEPTAL DEFECT

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... o Continually elevated pulmonary pressure leads to pulmonary vascular disease (See Problem Section on Pulmonary Hypertension) o Chronic pulmonary overcirculation  Leads to Eisenmengers syndrome (See Problem Section on Eisenmengers syndrome)  Seen in older, unrepaired patients o Increased incidence ...
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The Impact of Transcatheter Atrial Septal Defect Closure in the Older
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... of congenital heart disease in adults (1), accounting for approximately 10% of all congenital cardiac defects (2,3). The left-toright shunt through an ASD results in chronic volume overload of the right heart and, if untreated, may lead to atrial arrhythmias (4), right heart failure (5,6), pulmonary ...
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... Stick a probe down this vessel. You should feel it open into the right atrium. A little down and to the left of the superior vena cava there is another blood vessel opening. Insert your probe into this; it should also lead into the right atrium. This is the inferior vena cava, which brings blood fro ...
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... The majority of small ventricular septal defects close spontaneously during the first two years of life, most during the first six months. They may be obliterated by growth along the edge of the defect, redundant tricuspid leaflet tissue, or septal aneurysm formation. Of those that persist, few requ ...
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Cardiac

... forcing an unusually large amount of blood through a normal sized valve. Echocardiogram is the primary method used to diagnose the defect – it can show the hole and its size and any enlargement of the right atrium and ventricle in response to the extra work they are doing. ...
Chapter 12: The Circulatory System
Chapter 12: The Circulatory System

... During this stage the aortic valve is closed and right ventricle is filling with blood (diastole). * Blood from the left ventricle is then directed into aorta by aortic valve (open during ventricular systole). The mitral valve is close at this time so that left atrium may collect blood from pulmonar ...
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323Lecture10 - Dr. Stuart Sumida

... the ventral opening of the yolk sac. Initially, this means that the angiogenetic cell clusters (and the blood vessel that forms from them) have the pattern of a "horseshoe" if viewed from a dorsal or ventral perspective. ...
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Atrial septal defect



Atrial septal defect (ASD) is a congenital heart defect in which blood flows between the atria (upper chambers) of the heart. Normally, the atria are separated by a dividing wall, the interatrial septum. If this septum is defective or absent, then oxygen-rich blood can flow directly from the left side of the heart to mix with the oxygen-poor blood in the right side of the heart, or vice versa. This can lead to lower-than-normal oxygen levels in the arterial blood that supplies the brain, organs, and tissues. However, an ASD may not produce noticeable signs or symptoms, especially if the defect is small.A ""shunt"" is the presence of a net flow of blood through the defect, either from left to right or right to left. The amount of shunting present, if any, determines the hemodynamic significance of the ASD. A ""right-to-left-shunt"" typically poses the more dangerous scenario.During development of the fetus, the interatrial septum develops to separate the left and right atria. However, a hole in the septum called the foramen ovale, allows blood from the right atrium to enter the left atrium during fetal development. This opening allows blood to bypass the nonfunctional fetal lungs while the fetus obtains its oxygen from the placenta. A layer of tissue called the septum primum acts as a valve over the foramen ovale during fetal development. After birth, the pressure in the right side of the heart drops as the lungs open and begin working, causing the foramen ovale to close entirely. In approximately 25% of adults, the foramen ovale does not entirely seal. In these cases, any elevation of the pressure in the pulmonary circulatory system (due to pulmonary hypertension, temporarily while coughing, etc.) can cause the foramen ovale to remain open. This is known as a patent foramen ovale (PFO), which is a type of atrial septal defect.
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