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An Overview of Data Mining Classification Methods in Aortic
An Overview of Data Mining Classification Methods in Aortic

... coming back into the left ventricle. In aortic stenosis, the aortic valve does not open all the way. This forces the heart to work harder to pump blood out of the left ventricle to the rest of the body. Over time, the left ventricle thickens and becomes less effective in pumping blood. Aortic stenos ...
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 ...
Tetralogy of Fallot
Tetralogy of Fallot

... 3. Severe sub-PS results in very little forward flow through the RVOT a. Results in increased cyanosis b. May hear decreased systolic ejection murmur (SEM) from decreased flow 4. Clubbing not developed with early repair B. Repaired Adult with TOF 1. Pathology related to right ventricular outflow tra ...
Heart Anatomy
Heart Anatomy

... composed of three flaps On the left side of the heart, the valve is called the bicuspid valve (or mitral valve) because it is composed of two flaps These valves are attached to muscular extensions of the ventricle walls (called papillary muscles) by strands of tissue called chordae tendinae ...
AUSCULTATION SKILLS for ATHLETIC TRAINERS
AUSCULTATION SKILLS for ATHLETIC TRAINERS

... Result of decreased ventricular compliance or increased ventricular diastolic volume 1. Normal in children and young adults 2. May be heard in athletes over 40 years 3. Pathologic conditions: CHF, CAD, Cardiomyopathy Murmurs i. Sustained noises audible during the time periods of systole, diastole, o ...
Structure and Function of the Heart
Structure and Function of the Heart

... of spontaneous depolarisation occurs again. This involves a period of absolute refractory period (where the muscle cannot contract again) and relative refractory period (where with a large enough stimulus the muscle may contract -although a reduced force). The predictable regularity of this sequence ...
Stenosis of the mitral valve
Stenosis of the mitral valve

... Aortal stenosis ...
PHYSIOLOGICAL CHANGES IN PREGNANCY DR SREEJITH
PHYSIOLOGICAL CHANGES IN PREGNANCY DR SREEJITH

... Effect of these changes in CVD • CCF In ventricular dysfunction • The tachycardia reduces the time for diastolic filling in MS, with resultant increase in left atrial pressure. • Mitral regurgitation, the afterload reduction helps offset the volume load on the left ventricle that gestation imposes. ...
VALVULAR HEART DISEASE
VALVULAR HEART DISEASE

... only two functional cusps instead of the normal three 1% to 2% of all live births associated with a number of genetic mutations Asymptomatic in early life; however, the valve is more prone to early and progressive degenerative calcification The most important causes of acquired valvular diseases are ...
Normal Heart Sounds
Normal Heart Sounds

... in the ventricles during diastolic filling, which has two phases. The first is rapid and passive, and occurs when the atrioventricular valves open. S4 is associated with the second phase, which occurs in late ventricular diastole when the atria contract, actively forcing blood into the ventricles. T ...
Absence of the aortic valve cusps with mitral atresia, normal left
Absence of the aortic valve cusps with mitral atresia, normal left

... On admission the baby had mild respiratory distress (60 breaths/min), cyanosis, and a heart rate of 160 beats/min. The axillary and femoral pulses were normal. He had a systolic-diastolic murmur that was heard best at the left upper sternal edge. Blood pressure was 70/40 mm Hg. The liver was not enl ...
Cardiovascular System
Cardiovascular System

... double circuit: Pulmonary (lungs only) and systemic (rest of the body) Heart has 4 chambers: o 2 Atria – thin upper chambers that receive blood returning to the heart through veins.. Right and Left Atrium o 2 Ventricles – thick, muscular lower chambers. Receive blood from the atria above them. Force ...
CVS Pathology Lecture Notes (L3)
CVS Pathology Lecture Notes (L3)

... Clinical : previous rheumatic fever or rheumatic heart disease, arthralgia, fever Laboratory :acute phase reactions – ESR, c-reactive protein, leukocytosis, prolonged P-R ...
Biochemistry - u.arizona.edu
Biochemistry - u.arizona.edu

... (focal endocardial fibrosis) due to blood flow directed at the lesion by defective valve. Insufficiency (regurgitation): failure to close completely, may be due to injury to valve cusps or supporting tissue. Functional regurgitation resulting from ventricular dilation, which dilate the valve ring (n ...
Atrioventricular groove disruption after aortic valve replacement
Atrioventricular groove disruption after aortic valve replacement

... radiotherapy and squamous cell carcinoma of anus T3N3 M1 treated with chemo radiotherapy. He was cleared from all cancer at the time of surgery. Transthoracic Echocardiography revealed severe aortic stenosis with aortic valve area 0.4 cm2 and mean pressure gradient 60 mm of Hg, mild mitral stenosis, ...
Interventional Cardiology for Structural Heart Disease
Interventional Cardiology for Structural Heart Disease

... for TAVI is gradually being shifted, from high-risk or inoperable, old patients to medium-risk, younger patients. A transcatheter pulmonary valve is also available and, recently, the first transcatheter mitral valve and tricuspid valve implantation were announced. In addition, a novel treatment for ...
Low Risk PARTNER 3
Low Risk PARTNER 3

... Moderate AS with Heart Failure • May prevent the development of irreversible damage to the ventricle • Potential improved rate of LV regression post AVR • Watchful waiting may lead unnecessary delays in treatment Challenges: • No Established Criteria in Guidelines • Moderate AS patients will requir ...
Valvular Heart Disease
Valvular Heart Disease

... An important consideration is the presence or absence of symptoms and the ability of the patient to exercise. Many asymptomatic children and young adults with a murmur need no further work after an initial history and examination. However there are many elderly asymptomatic patients who have systoli ...
Normal and Abnormal Pulses
Normal and Abnormal Pulses

... obliterate with pressure from fingerrips ...
Transcatheter Heart Valves
Transcatheter Heart Valves

... Request is for TAVR with CoreValue System: (If checked, mark all of the following medical history criteria that apply to the individual: The individual has severe degenerative, native valve aortic stenosis demonstrated by: The aortic valve area (AVA) is equal to or less than 0.8 cm2 The aortic valve ...
Transcatheter Heart Valves Procedures
Transcatheter Heart Valves Procedures

... Request is for TAVR with CoreValue System: (If checked, mark all of the following medical history criteria that apply to the individual: The individual has severe degenerative, native valve aortic stenosis demonstrated by: The aortic valve area (AVA) is equal to or less than 0.8 cm2 The aortic valve ...
Transcatheter Heart Valves Procedures
Transcatheter Heart Valves Procedures

... Request is for TAVR with CoreValue System: (If checked, mark all of the following medical history criteria that apply to the individual: The individual has severe degenerative, native valve aortic stenosis demonstrated by: The aortic valve area (AVA) is equal to or less than 0.8 cm2 The aortic valve ...
Transcatheter Aortic Valve Implantation (TAVI/R) for Severe Aortic
Transcatheter Aortic Valve Implantation (TAVI/R) for Severe Aortic

... (Medtronic) implanted inside a 25-mm Mitroflow valve (Sorin). B, A 23-mm Edwards SAPIEN (Edwards Lifesciences) implanted inside a 23-mm CarpentierEdwards porcine valve (Edwards Lifesciences). ...
Transcatheter Aortic Valve Implantation After Heart Transplantation
Transcatheter Aortic Valve Implantation After Heart Transplantation

... suffered from chronic hepatitis C. The patient had undergone aortic and mitral valve replacement for rheumatic valve disease in 1977. He subsequently underwent a successful heart transplantation for severe congestive heart failure due to dilated cardiomyopathy in 2001, with the donor being a 58-year ...
pediatric cardiac disease notes
pediatric cardiac disease notes

... o Manifestations:  If severe decreased CO, acidosis, hypotension at birth  If mild, no manifestations until find hypertension in upper extremities at older age  Aortic stenosis o Narrowing of the aortic outflow tract o Caused by malformation or fusion of the cusps o Causes increased workload on l ...
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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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