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Cardiovascular VIVA`s
Cardiovascular VIVA`s

... - Wear and tear -> calcification on normal or cong bicuspid valves Clinical attention in 6-7th decade in bicusid valves, 8-9th decade in prev. normal valves - Note: Wear and tear usually cited as cause for calcific aortic stenosis, but newer data suggests chronic injury due to hypertension, hyperlip ...
aortic_stenosis
aortic_stenosis

... • Evaluate closely related dogs for evidence of clinical disease • Mildly affected dogs may live a normal lifespan without treatment • Monitor for potential complications in severely affected pets • Severe disease typically limits longevity due to congestive heart failure (condition in which the hea ...
Rapid ventricular pacing versus adenosine administration for
Rapid ventricular pacing versus adenosine administration for

... Open heart surgery for patients who needs valvular replacement is standard approach. Many patients with a single diseased valve were declined for surgery because of advanced age, end-stage disease and comorbidities with short life expectancy. In such patients percutaneous transfemoral aortic valve ...
SESSION 10 - Middle Mediastinum, Pericardium, Heart And Great
SESSION 10 - Middle Mediastinum, Pericardium, Heart And Great

... 7. Before more sophisticated techniques were available, a barium swallow was performed to detect the size of one of the chambers of the heart. Which one? ...
Interupted Aortic Arch
Interupted Aortic Arch

... Ductus Arteriosus is a feature of the fetal circulatory system that usually closes soon after birth.) The pulmonary artery normally carries oxygen-poor blood to the lungs, so it might seem that blood entering the lower aorta from this vessel (through the PDA) would not carry much oxygen to the lower ...
Airgas template - Acupuncture and Massage College
Airgas template - Acupuncture and Massage College

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Cardiac Services

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The Child With A Murmur - Faculty of Medicine
The Child With A Murmur - Faculty of Medicine

... He is asymptomatic. On examination, you note his chest in front of his heart (the precordium) is very active. You listen with your stethoscope and hear a normal S1, an S2 that sounds like it always has 2 components (is never single) and a grade 2/6, lowpitched, systolic murmur. It is loudest at the ...
Chronic Mitral Regurgitation
Chronic Mitral Regurgitation

... • Normal MV Area: 4-6 cm2 • Transmitral gradients and symptoms begin at areas less than 2 cm2 • Rheumatic carditis is the predominant cause • Prevalence and incidence: decreasing due to a reduction of rheumatic heart disease. ...
Intra Aortic Balloon Pump
Intra Aortic Balloon Pump

... • Intra Aortic Balloon Pump is a cardiac assist device which provides temporary circulatory support . • It supports the heart’s left ventricle by increasing coronary perfusion while reducing left ventricular work. • Coronary perfusion is increased by augmenting ( increasing ) blood pressure during t ...
Slide ()
Slide ()

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Urgent Balloon Aortic Valvuloplasty for Worsening Heart Failure in a
Urgent Balloon Aortic Valvuloplasty for Worsening Heart Failure in a

... A palliative BAV was performed to control the decompensated heart failure. We tried to avoid overdilatation of the aortic valve; in the worst-case scenario, overdilatation may not only lead to an increase in aortic regurgitation but also to aortic sinus rupture. In this patient, dilatation with a 14 ...
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HEART DISEASE IN PREGNANCY

... followed the congenital ones. Rheumatic valvular lesion predominantly includes mitral stenosis ...
Cardiothoracic Surgery - University of Pennsylvania
Cardiothoracic Surgery - University of Pennsylvania

...  Eventually can’t get enough blood/oxygen to the thickened muscle and pressure will back up into the pulmonary system ...
Name of presentation
Name of presentation

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Early Postoperative Care of the Bypass Patient
Early Postoperative Care of the Bypass Patient

...  Eventually can’t get enough blood/oxygen to the thickened muscle and pressure will back up into the pulmonary system ...
Aortic Valve Pathology and Treatment
Aortic Valve Pathology and Treatment

... Rheumatic fever Bicuspid valve ...
Lecture 5 Heart Sounds
Lecture 5 Heart Sounds

... 1. the mechanisms that cause heart sounds. 2. the location of the auscultation areas for all valve sounds and the first two heart sounds. 3. the cause and sound characteristics of the four heart sounds. 4. the causes of murmurs, the location for auscultation and in what part of the cardiac cycle the ...
diseases of the cardiovascular system
diseases of the cardiovascular system

... CHF Valvular disease Cogenital malformation Infectious ...
A severe coarctation of aorta in a 52-year
A severe coarctation of aorta in a 52-year

... and systolic murmur over the thoracic spine. Other manifestations can include bicuspid aortic valve systolic ejection sound and/or murmur and neurological complaints. Prognosis and survival depend on the disease severity and patient’s age at the time of correction. Death in these patients is usually ...
Post Operative Clinical Improvement in the Absence of Reverse
Post Operative Clinical Improvement in the Absence of Reverse

... Patients who are unsuitable candidates for surgery or TAVI—or who are currently awaiting a surgical or TAVI procedure—may be treated with digoxin, diuretics, ACE inhibitors, or ARBs if they experience HF symptoms. Co-existing hypertension should be treated. Treatment should be carefully titrated to ...
PhysDxStudyq
PhysDxStudyq

... S2 = CAUSED BY CLOSURE OF THE AORTIC & PULMONIC VALVES. 25 -WHAT PRODUCES THE S1 AND S2 HEART SOUNDS? WHAT CAN AFFECT THE INTENSITY OF EACH? S1 LOUDER THAN S2 AT APEX OF HEART. S1 SOFTER THAN S2 AT THE BASE OF THE HEART ACCENTUATED S1 ...
Dear Colleagues - Centre for Rare Cardiovascular Diseases
Dear Colleagues - Centre for Rare Cardiovascular Diseases

... calcifications. Patients with severe aortic stenosis and symptoms such as dyspnoea, stenocardia, syncope should have their valve replaced. This indication also applies to patients who do not declare symptoms but they appear during exercise stress test. The valve should also be replaced in patients d ...
Double right ventricle outflow tract repair icd 10
Double right ventricle outflow tract repair icd 10

... technique of palliative surgical therapy used by congenital heart surgeons as a staged approach for operative. Left ventricular outflow tract obstructions (LVOTOs) encompass a series of stenotic lesions starting in the anatomic left ventricular outflow tract (LVOT) and. Free ebook: Machiavelli's Lab ...
HLHS - Children`s Heart Clinic
HLHS - Children`s Heart Clinic

...  S2 is loud and single and a gallop rhythm is present. There is usually no heart murmur.  Congestive heart failure (CHF) develops with hepatomegaly (enlarged liver).  Oxygen saturations are usually 90% or lower shortly after birth and do not improve with supplemental oxygen. Diagnostics:  Chest ...
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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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