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Murmurs in children - Pediatric Associates of Newnan
Murmurs in children - Pediatric Associates of Newnan

... common physical findings in any practice that cares for children  50-60% of children have a heart murmur  Over 90% of heart murmurs are normal and require no further evaluation/referral  termed “innocent,” “functional,” “benign,” or ...
Introduction to fetal echo
Introduction to fetal echo

... There are two arches in the fetus and they should be distinguished. The aortic arch is recognized from the curve of the ductus by the following criteria. The brachiocephalic vessels originate from the aortic arch, while no vessels emanate from the ductus. The curve of the aortic arch is gentler than ...
The Principal Title Page
The Principal Title Page

... • Not much in actual difference between 1.0 and 1.7 cm. However there is very significant mortality risk with this relatively small difference when talking about the left ventricle wall thickness ...
Twenty-five years` experience of modified Lecompte procedure for
Twenty-five years` experience of modified Lecompte procedure for

... and 49.6%  9.0% at 25 years (Figure 4). The cause of reoperation for RVOT obstruction was thickened and calcified immobile monocusp in 13 patients and peripheral pulmonary stenosis in 4 patients. The freedom from reoperation for LVOT obstruction was 97.5%  2.5% at 5 years, 94.6%  3.7% at 10 years ...
MRI assessment of LV relaxation by untwisting rate
MRI assessment of LV relaxation by untwisting rate

... at time t and Tormax is the maximum systolic torsion. [Normalization to maximum torsion was performed as the primary analysis here because ␶, the gold standard for relaxation, is based on the time required for a percentage of pressure fall (1/eth) rather than an absolute pressure drop in mmHg. Howev ...
Percutaneous Mitral Valve Repair
Percutaneous Mitral Valve Repair

... functional disease (FMR), the primary abnormality is a dilated left ventricle due to ischemic or dilated cardiomyopathy, which leads to secondary dilatation of an anatomically normal MV. MR severity is classified into mild, moderate, and severe disease on the basis of echocardiographic and/or angiog ...
Recommendations for Cardiovascular Magnetic Resonance in
Recommendations for Cardiovascular Magnetic Resonance in

... Level 3 training in CMR is required21 which would ideally include the supervised interpretation of 150 adult congenital CMR studies, having been present at the scan for at least 50 of these. Such experience is needed for appropriate optimization of acquisition protocols with respect to the patient, ...
Acute mitral regurgitation in pregnancy due to ruptured chordae
Acute mitral regurgitation in pregnancy due to ruptured chordae

... restoring complete competence. After the second operation she made excellent progress and 2 years later is well, with only slight dyspnoea on severe exertion. Discussion ...
VEGF-C and aortic cardiomyocytes guide coronary artery stem
VEGF-C and aortic cardiomyocytes guide coronary artery stem

... regrowth as a treatment for cardiovascular disease. ...
Straddling Right Atrioventricular Valves in
Straddling Right Atrioventricular Valves in

... STRADDLING VALVES have usually been described either in hearts in which they connect the right atrium to both the right and left ventricles, with the ventricles normally related'14 or in which they connect the left atrium to both normally related ventricles.5 6 More rarely, the left atrioventricular ...
Sample Chapter 36 from Runge: Netter`s Cardiology, 2nd Edition
Sample Chapter 36 from Runge: Netter`s Cardiology, 2nd Edition

... in the absence of primary mitral valve disease in patients with cardiomyopathy and ventricular dilation. When the cause of mitral regurgitation is primarily a valve defect, valve repair or replacement can correct the mitral regurgitation and improve long-term prognosis. When the valve leaks because ...
Reversed closure sequence of the mitral and tricuspid
Reversed closure sequence of the mitral and tricuspid

... closure sequence for patients with heart failure was different. In 38 patients (60%). the mitral-tricuspid valve closure sequence was reversed (p < O.C@Ol vs. control subjects). For the 61 patients in whom it could be evahmted. the aorticpulmonary valve closure sequence was revetsed in 27 (44%). A t ...
Anomalous Subaortic Position of the Brachiocephalic Vein
Anomalous Subaortic Position of the Brachiocephalic Vein

... vein passes adjacent to the pulmonary artery and the ductus arterios, the surgical view may be limited during ductus ligation.1,4) Also, attention must be paid in the case of SVC-pulmonary artery shunting operation.1) Venous injury should be avoided when taping the SVC, because the postaortic left b ...
Recommendations for cardiovascular magnetic resonance in adults
Recommendations for cardiovascular magnetic resonance in adults

... for imaging the epicardial coronary arteries and their relations to adjacent structures or conduits.9 Electrocardiogram-gated cine CT allows measurements of biventricular size and function, although at a lower temporal resolution than CMR, and subject to adequate opacification of each intraventricul ...
D ifferential regulation of cardiac protein kinase C isozyme
D ifferential regulation of cardiac protein kinase C isozyme

... an experimental model of left ventricular hypertrophy. Methods: One, 7 and 30 days after sham operation or aortic banding in male Wistar rats, the PKC activity and the expression of the cardiac PKC isozymes (PKC-a, -d, -´ and -z), both at the protein and the mRNA level, were determined in the left a ...
the physiology of the alligator heart
the physiology of the alligator heart

... flow to the lungs independently of that to the body persists as an adaptive feature in intermittently breathing animals such as amphibians and the vast majority of reptiles (Shelton, 1985; Burggren, 1987; Shelton and Croghan, 1988). However, the fact that intermittent breathing can develop in specta ...
View Article
View Article

... surgery. However, patients who experience worsening of symptoms as a result of heart failure or have developed acute heart failure from endocarditis or a myocardial infarction are at higher risk and may not qualify for same-day admissions. In the preoperative area, the anesthesia professional and me ...
NATIONAL QUALITY FORUM
NATIONAL QUALITY FORUM

... for program evaluation, as well as means for clinical improvement. Given the volume of pediatric surgeries performed, it is important to track them via database outcomes and collect feedback as to what types of interventions increased the likelihood of positive outcomes and also gives the ability to ...
Name That Murmur — Eponyms for the Astute
Name That Murmur — Eponyms for the Astute

... valvulitis and improvement or resolution with patient had no apparent valvular disease. But a recovery from the acute illness.18 It is thought continuous diastolic murmur with early and late that the murmur is the result of turbulence accentuation was in fact present, in a sharply caused by thickene ...
Cardiovascular Phenotype in Turner Syndrome—Integrating
Cardiovascular Phenotype in Turner Syndrome—Integrating

... improve this (6). Therefore, both appropriate identification of girls and women with TS and subsequent implementation of prophylactic measures to reduce morbidity and mortality leave much to be desired. Risk assessment in TS is compromised by insufficient insight into the prevalence and causes of di ...
Print - Circulation
Print - Circulation

... this rotation takes place lies where the interventricular canal opens into the common chamber distal to the right ventricle, the bulbus cordis, as can be seen fronm figure 1. Doerr7 has described other torsional coniponents of this rotation in greater detail. All shape changes in the heart must be d ...
Accuracy of the Electrocardiograph in Detecting Cardiac Left
Accuracy of the Electrocardiograph in Detecting Cardiac Left

... ventricle, leading to the development of LVH as a compensatory mechanism [6,12]. These ventricular modifications may be detected through voltage changes – the 12-lead electrocardiogram (ECG) is an important tool in preliminary detection of left ventricular voltage changes. A variety of indices may b ...
Physiological Growth,€Remodeling Potential, and Preserved
Physiological Growth,€Remodeling Potential, and Preserved

... patch for repair in various tissues, including vessels, valves, and myocardium. OBJECTIVES This study sought to assess the remodeling potential of a tubular tricuspid valve (TV) bioprosthesis made of SIS-ECM by evaluating its growth, structure, and function in a growing ovine model. METHODS A total ...
2 - 张丽
2 - 张丽

... time of the E wave velocity (DcT), and isovolumic relaxation time (IVRT) were measured by pulse wave Doppler. The biplane Simpson’s method was used to measure left ventricular eject fraction(LVEF). 1.3 Echo PAC Workstation and Data Analysis The original data were input into workstation. STI mode was ...
Transseptal puncture
Transseptal puncture

... atrial pressure is recorded from the tip of the needle. The needle and sheath/dilator assembly are pulled caudally through the superior vena cava (SVC) toward the right atrium (RA) as a unit. There is an indicator arrow on the hub of the needle that shows the direction of the angle of the needle. As ...
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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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