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Pediatric Cardiac Emergencies
Pediatric Cardiac Emergencies

... – long QT defined as corrected QT longer than 0.44 s – T wave alternans sometimes present – can have normal ECG in the department – two clinical syndromes not associated with structural heart disease: Romano-Ward and Jervell-LangeNielsen ...
CARDIAC MURMURS: DO YOU HEAR WHAT I HEAR?
CARDIAC MURMURS: DO YOU HEAR WHAT I HEAR?

... Systole The atrioventricular valves (AV), the mitral and tricuspid valves close as the right and left ventricles contract to forcefully propel blood out of the heart to the lungs via the pulmonary artery (right ventricle) and to the body via the aorta (left ventricle). This allows the atria to fill ...
Transcatheter aortic valve implantation: emerging role in poor left
Transcatheter aortic valve implantation: emerging role in poor left

... aortic cross clamping altogether, although there is still a risk of myocardial injury during the period of rapid pacing. Indeed, intra-aortic balloon pump and in some instances more intense mechanical circulatory support may be needed in these patients during TAVI. Unfortunately, most of the TAVI st ...
Severe Aortic Stenosis and Severe Coarctation of the Aorta: A
Severe Aortic Stenosis and Severe Coarctation of the Aorta: A

... performed using the femoral artery, however, carotid and axillary cutdown is now being used with more success and less complications. Rossi and the group from Porto Alegre in Brazil found rates of femoral arterial occlusion as high as 40% (6). Over a 16-year period, a clear leg length discrepancy wa ...
6.2 heart dissection
6.2 heart dissection

... 2. Rinse it in water thoroughly to remove as much of the preservative as possible. Also run water into the larger blood vessels to force any blood clots out of the heart chambers. 3. Place the heart in a dissecting tray with its ventral (front) surface up. Locate the visceral pericardium, which appe ...
Linda Bracken DEHF F
Linda Bracken DEHF F

... During the relaxation phase of the heart beat (diastole) the left  atria fills and blood passes through the  Mitral valve  (one way doorway) into the left ventricle (next room) and the mitral valve closes behind it  ...
cardiovascular mcq
cardiovascular mcq

... A cardiac catheter study is shown of an elderly male with increasing episodes of CCF. He was trialled on an ACE inhibitor and experienced pre-syncope. The carotid pulse is noted to be diminished. (Cath tracing shows large LV to aortic gradient 100 mmHg at peak, only one heart beat shown but ECG show ...
Management of Aortic Valve Disease: Review
Management of Aortic Valve Disease: Review

... Self-Assessment in Cardiology : pp. 33–37 regurgitant aortic valve disease prior to the development of symptoms. The indications for aortic valve replacement with asymptomatic chronic severe aortic insufficiency include new LV systolic dysfunction (defined by the ACC/AHA valve disease guidelines as ...
Dynamic Auscultation of Heart Sounds and Murmurs
Dynamic Auscultation of Heart Sounds and Murmurs

... usually associated with a thrill Grade VI Heard with stethoscope off the chest has a thrill ©Edwards 2008 ...
PDF - American College of Cardiology
PDF - American College of Cardiology

... Patients with severe VHD should be evaluated by a multidisciplinary Heart Valve Team when intervention is considered Consultation with or referral to a Heart Valve Center of Excellence is reasonable when discussing treatment options for 1) asymptomatic patients with severe VHD, 2) patients who may b ...
Development of the Cardiovascular System - Wykłady
Development of the Cardiovascular System - Wykłady

... •        First heart sound (S1) is associated with the closure of the mitral and tricuspid valves. It is best heard on the apex and lower left sternal border. Splitting of the S1 may be found in normal children (more frequently in early age – 1-3 years (9%). •        Second hea ...
Aortic valve stenosis
Aortic valve stenosis

... • chest pain • productive cough with blood-streaked sputum ...
Cardiology cases or, Murmurs for Dummies - OSCE-Aid
Cardiology cases or, Murmurs for Dummies - OSCE-Aid

... • The pulse rate is 60 beats per minute and regular. It is of a slow rising character. The BP is 100/80 with a narrow pulse pressure. On examination of the praecordium there is an ejection systolic murmur, heard loudest over the aortic area which radiates to the carotids. It is heard best on expirat ...
MED SURGE CARDIAC 4, VALVE DISORDERS
MED SURGE CARDIAC 4, VALVE DISORDERS

... Pericarditis may be asymptomatic. The most characteristic symptom of pericarditis is chest pain, although pain also may be located beneath the clavicle, in the neck, or in the left trapezius (scapula) region. Pain or discomfort usually remains fairly constant, but it may worsen with deep inspiration ...
Severe Aortic Stenosis and TAVR
Severe Aortic Stenosis and TAVR

... Age-Related Calcific Aortic Stenosis ...
Double right ventricle outflow tract repair icd 10
Double right ventricle outflow tract repair icd 10

... 3,000 coding questions and answers dating back to 2010. Ask Dr. Z Disclaimer Like many other lesions associated with congenital heart disease (CHD), the terminology that surrounds double-chambered right ventricle (DCRV) has evolved. THE DOPPLER ASSESSMENT OF DIASTOLIC FUNCTION. Left ventricular dias ...
Congenital Anomalies of the heart
Congenital Anomalies of the heart

... underdeveloped, the right ventricle very small, and also sometimes the tricuspid valve. The condition is also sometimes referred to as hypoplastic right heart. ...
ekg jeopardy review game for exam #1
ekg jeopardy review game for exam #1

... of points that may be connected by electrical leads to produce an EKG? ...
9. Cardio Control
9. Cardio Control

... Sensory Receptors Detect Changes in BP Specifically - Mechanoreceptors detect changes in BP Located in blood vessel walls: 1. Aortic bodies ...
blood flow through the heart
blood flow through the heart

... Blood enters the Right Atrium from the Superior Vena Cava (Vein from the top of body) and the Inferior Vena Cava. (Vein from the lower part of body) The right atrium contracts pushing the blood through the Tricuspid Valve into the Right Ventricle where another contraction pushes the blood through th ...
Document
Document

... Chief Complaint and History of Present Illness Mindy Portman is a 27-year-old female who complains to her primary care physician that her blood pressure is abnormally high. Mindy is a physically active young woman who recently had her blood pressure taken at the fitness center where she works and ex ...
Aortic Valve
Aortic Valve

... Assadi, R. (2013) Transcatheter aortic valve replacement. Medscape Reference. Published online at http://emedicine.medscape.com/article/2039348-overview. Accessed 9/2015. Biechler, S.V., et al. (2014). The impact of flow-induced forces on the morphogenesis of the outflow tract, Frontiers in Physiolo ...
Cardiology Review: Heart Failure and Valve Disease April 20, 2007
Cardiology Review: Heart Failure and Valve Disease April 20, 2007

... – Imbalance b/w myocardial oxygen supply and demand ...
CONGENITAL HEART DEFECTS AND ASSOCIATED GENETIC DISORDERS The
CONGENITAL HEART DEFECTS AND ASSOCIATED GENETIC DISORDERS The

... • Collagen sheets are not anchored well and do not undergo effective repair • Results in degeneration of heart valves (particularly aorta and mitral) that lead to murmurs & insufficiency Major criteria • Dilatation of the ascending aorta w/ or w/o aortic regurgitation & involving at least the sinuse ...
right atrial thrombus, aortic regurgitation, coronary artery stenosis
right atrial thrombus, aortic regurgitation, coronary artery stenosis

... would appear that APS are an independent risk factor for atherosclerosis. Vaarala et al. (1995) found that a high APS level was an independent risk factor for myocardial infarction or cardiac death. The prevalence of APS in patients presenting with myocardial infarction is between 5 and 15%; and in ...
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Aortic stenosis



Aortic stenosis (AS) is the narrowing of the exit of the left ventricle of the heart such that problems result. It may occur at the aortic valve as well as above and below this level. It typically gets worse over time. Symptoms often come on gradually with a decreased ability to exercise often occurring first. If heart failure, loss of consciousness, or heart related chest pain occurs due to AS the outcomes are worse. Loss of consciousness typically occurs with standing or exercise. Signs of heart failure include shortness of breath especially with lying down, at night, and with exercise as well as swelling of the legs. Thickening of the valve without narrowing is known as aortic sclerosis.Causes include being born with a bicuspid aortic valve and rheumatic fever. A bicuspid aortic valve affects about one to two percent of the population while rheumatic heart disease mostly occurring in the developing world. A normal valve, however, may also harden over the decades. Risk factors are similar to those of coronary artery disease and include smoking, high blood pressure, high cholesterol, diabetes, and being male. The aortic valve usually has three leaflets and is located between the left ventricle of the heart and the aorta. AS typically results in a heart murmur. Its severity can be divided into mild, moderate, severe, and very severe based on ultrasound of the heart findings.Aortic stenosis is typically followed using repeated ultrasounds. Once it has become severe treatment primarily involves valve replacement surgery with transcatheter aortic valve replacement (TAVR) being an option in some who are at high risk from surgery. Valves may either be mechanical or bioprosthetic with each having risks and benefits. Another less invasive procedure, balloon aortic valvuloplasty (BAV) may result in benefit but this is for only for a few months. Complications like heart failure may be treated as per normal in those with mild to moderate AS. In those with severe disease a number of medications should be avoided including ACE inhibitors, nitroglycerin, and some beta blockers. Nitroprusside or phenylephrine may be used in those with decompensated heart failure depending on the blood pressure.Aortic stenosis is the most common valvular heart disease in the developed world. It affects about 2% of people who are over 65 years of age. Estimated rates are not known in most of the developing world as of 2014. In those who have symptoms, without repair, the chance of death at five years is about 50% and at 10 years is about 90%. Aortic stenosis was first described by French physician Lazare Rivière in 1663.
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