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Chapter 7
Chapter 7

... shunted back from the aorta into the lowpressure pulmonary artery to actually flood the lungs. Heart failure can develop because the heart is working so hard to pump blood, and much of it is just being short-circuited back to the lungs. In other cases, infections develop in the tube, or over time hi ...
Heart Disease and the Pregnant Patient Vanita Jain, MD FACOG
Heart Disease and the Pregnant Patient Vanita Jain, MD FACOG

... – GOALS: prevent tachycardia, diuretics for pulmonary edema, antiarrythmics if afib occurs, manage pain, consider assisted 2nd stage – Avoid terbutaline ...
instruction manual - University of South Alabama
instruction manual - University of South Alabama

... Notice that the curve falls into three regions. Below 60 b/m (bradycardia) and above 130 b/m (tachycardia) cardiac output falls off dramatically. In the normal range (60-100 b/m) cardiac output is relatively independent of heart rate. In contrast to tachycardias generated by an ectopic focus as in t ...
Free EBook - Heart Valve Surgery
Free EBook - Heart Valve Surgery

... There’s a specific condition called bicsupid aortic valve. John Ritter, the comedian, had that. Two percent of people are born with only two leaflets, or abicuspid aortic valve, instead of the normal three leaflets. They also may form an aortic aneurysm. The aorta is the big blood vessel that leaves ...
pathology of inflammatory native valvular heart disease
pathology of inflammatory native valvular heart disease

... necrosis factor and interleukins. Macrophages are activated and attract T cells. 13 In support of this mechanism, structural and immunological mimicry between the Streptococcal M-protein and cardiac myosin has been show in the Lewis rat model. 9 T cells isolated directly from these cardiac valves re ...
STUDENT-ATHLETE MEDICAL AND PHYSICAL HISTORY FORM
STUDENT-ATHLETE MEDICAL AND PHYSICAL HISTORY FORM

... STUDENT-ATHLETE ASTHMA QUESTIONNAIRE: At what age were you diagnosed? What are your medications for asthma? Have your medications changed during the past 12 months? Have you visited the emergency room or your primary doctor for breathing difficulty in the past 12 months? How often do you use your in ...
heart1
heart1

... Microscopic Anatomy of Cardiac Muscle • Cardiac muscle cells are striated, short, fat, branched, and interconnected ...
Chapter20
Chapter20

... 28. You radioactively labeled a red blood cell so that you could monitor its path through the heart. You see the labeled RBC in the right ventricle. Moments later, you see it in the right coronary artery. How many heart valves must the labeled RBC have passed through during the monitoring? a. At lea ...
Localization of precise origin of PVC and VT : ECG anatomic
Localization of precise origin of PVC and VT : ECG anatomic

... • Anatomic relationship between RVOT and LVOT : RVOT is anterior and to the left of the LVOT • ECG recognition of outflow tract tachycardia location • R wave in lead V1 : clue to the potential anatomic sites of origin • Precordial QRS transition: RVOT vs LVOT (RCC, LCC) • Lead I : right vs left side ...
Prosthetic Valves: The Essentials
Prosthetic Valves: The Essentials

... of   age,   respectively.10   Interestingly,   at   55   years   of   age,   the   risk   of   bleeding   due   to   anticoagulation   for   a   mechanical   valve   is   equal   to   that   of   subsequent   reoperation   with  a  bioprosthe ...
Approach to a Dilated Right Ventricle
Approach to a Dilated Right Ventricle

... However the problem is that there is a lack of fixed reference points to ensure optimization of RV. Depending upon the cut planes there can be significant variation in measured dimensions and is mostly underestimated. As such it has been proposed to obtain a focused RV view to concentrate on the lat ...
Online Appendix for the following JACC article TITLE: Value of
Online Appendix for the following JACC article TITLE: Value of

... anterior descending coronary artery; LV, left ventricular; NYHA, New York Heart Association; PAD, peripheral arterial disease; SV, saphenous vein graft. ...
CASE REPORT Anomalies Associated With Congenitally Corrected
CASE REPORT Anomalies Associated With Congenitally Corrected

... Objective: Congenitally corrected transposition of great arteries (CCTGA) is characterized by atrioventricular and ventriculoarterial discordance. Characterizations of these anomalies are important because they may influence surgical approach and management. Methods: We present a case of newly diagn ...
The patient with a heart murmur
The patient with a heart murmur

... Congenital lesions. A full description of all among recent immigrants. The most common congenital cardiac lesions is beyond the scope of causes of clinically significant murmurs in this this article. It suffices to say that congenital country are degenerative valvular disorders such lesions can be c ...
the heart auscultation: from sound to graphical
the heart auscultation: from sound to graphical

... Heart sounds and murmurs have very small amplitude and frequency signals thus make it so difficult to hear without the correct tools. In clinical practice currently, physicians listen to the patient heart sound and murmurs by using the traditional technique as an example mechanical stethoscope which ...
INNOVATIVE TECHNIQUES EXPERT COMMENTARY
INNOVATIVE TECHNIQUES EXPERT COMMENTARY

... over current technology. There is supporting literature for the use of RMT to reduce fluoroscopy times for both the patient and the physician, while producing similar outcomes.8–12 As with mapping and ablation in congenital heart disease, there is also demonstrated benefit in navigating difficult an ...
Mitral valve prolapse by Ronald Hoffman, M.D., CNS May 1996
Mitral valve prolapse by Ronald Hoffman, M.D., CNS May 1996

... Now, if someone has a serious heart murmur of a different type or a heart valve replacement, there is some justification for the prophylactic antibiotic treatment. But in my opinion, this is not required for most people with mitral valve prolapse. It should only be necessary in the most pronounced c ...
Modeling Pulsatility in the Human Cardiovascular System
Modeling Pulsatility in the Human Cardiovascular System

... cardiac outputs, ventricular elastance and contractility in the human circulatory system. In Kappel and Peer (1993) [4] and Timischl (1998) [12], efforts have been done to model non-pulsatile blood flow simulating values of quantities taken over one heart beat respectively over one breath. These mod ...
HOCM DR SREEJITH
HOCM DR SREEJITH

... • Gadolinium contrast cardiac MRI - differentiating HCM from other causes of cardiac hypertrophy and other types of cardiomyopathy such as, amyloidosis, athletic heart, and Fabry’s disease • Late gadolinium enhancement occurring in HCM represents myocardial fibrosis – The greater the degree of late ...
Bicuspid Aortic Valve Is Associated With Altered Wall Shear Stress
Bicuspid Aortic Valve Is Associated With Altered Wall Shear Stress

... flow-sensitive magnetic resonance imaging. WSS analysis included 15 BAV patients: 12 with fusion of the right-left coronary cusp (6 stenotic) and 3 with fusion of the right and noncoronary cusp. The right-left BAV cohort was compared with healthy subjects (n=15), age-appropriate subjects (n=15), and ...
Murmurs - National Heart Centre Singapore
Murmurs - National Heart Centre Singapore

... direction, known as regurgitation. If it doesn’t close tightly, it’s known as mitral valve prolapse, which can sometimes lead to regurgitation. When it becomes narrowed and block blood flow, it’s known as stenosis. ...
Balloon Inflation
Balloon Inflation

... • The pressures in the ventricles fall below that in aorta and pulmonary artery • The higher pressure causes the semilunar valves to close • Seen on arterial pressure waveform as the dicrotic notch- generally accepted as the beginning of diastole • The high pressures in the ventricles prevent the op ...
Complete valvular heart apparatus model from
Complete valvular heart apparatus model from

... the future and cover up to 41.1% of all valve procedures by 2012. Powerful computer-aided tools for extensive non-invasive assessment, planning and guidance are mandatory to continuously decrease the level of invasiveness and maximize effectiveness of valve therapy. An increased holistic view of the ...


... Speckle-Tracking Echocardiography in Chronic AR ...
Congenital Heart Disease
Congenital Heart Disease

... during systole because of the high pressure difference between the two ventricles, in diastole the pressure equalizes between the two chambers). – Murmur had nothing to do with valve closure or heart sounds » Thrill (palpable murmur): suggests small VSD » Large VSD (6mm): mid-diasolic murmur at apex ...
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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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