Almanac 2011: Valvular Heart Disease. The National Society
... an independent cohort: score=(peak velocity (m/s)×2)+(ln of BNP×1.5)+1.5 (if female sex). Event-free survival after 20 months was particularly poor (7%) for patients in the fourth quartile.6 In a separate study of patients with severe asymptomatic AS, event-free survival rates at 3 years were 49%, 3 ...
... an independent cohort: score=(peak velocity (m/s)×2)+(ln of BNP×1.5)+1.5 (if female sex). Event-free survival after 20 months was particularly poor (7%) for patients in the fourth quartile.6 In a separate study of patients with severe asymptomatic AS, event-free survival rates at 3 years were 49%, 3 ...
cor biloculare with transposition of the great cardiac vessels and
... normal arrangement in which there are a posterior non-coronary and a left and a right anterior coronary bearing cusps, there are in this heart an anterior noncoronary and a left and a right posterior coronary bearing cusp. The left coronary artery thus arises from what was destined to be the right c ...
... normal arrangement in which there are a posterior non-coronary and a left and a right anterior coronary bearing cusps, there are in this heart an anterior noncoronary and a left and a right posterior coronary bearing cusp. The left coronary artery thus arises from what was destined to be the right c ...
Saccular aneurysms of left ventricle - Heart
... and Benson, 1933; Hurst et al., I963; Roberts and Morrow, I957), but there was no evidence of coronary arterial disease in the patient described here. The larger coronary vessels were shown to be normal in size and position on aortography, and this patient is in a young age-group for coronary athero ...
... and Benson, 1933; Hurst et al., I963; Roberts and Morrow, I957), but there was no evidence of coronary arterial disease in the patient described here. The larger coronary vessels were shown to be normal in size and position on aortography, and this patient is in a young age-group for coronary athero ...
12/09 Tetralogy of Fallot - Anne
... Timing of surgery for PR is an area of great interest as clinical symptoms do not always correlate with severity of PR and RV dysfunction. Echo and CMR are used together to follow repaired patients long term Aortic root dilation occurs in a subset of patients and must also be followed closely QRS du ...
... Timing of surgery for PR is an area of great interest as clinical symptoms do not always correlate with severity of PR and RV dysfunction. Echo and CMR are used together to follow repaired patients long term Aortic root dilation occurs in a subset of patients and must also be followed closely QRS du ...
Corrected Transposition of the Great Arteries
... the plausible but incorrect diagnosis of coronary heart disease: exertional chest pain suggestive of angina pectoris; QS pattern in the right precordial leads of the ECG compatible with an old anteroseptal myocardial infarction; abnormal cardiac silhouette on the chest x-ray film compatible with a ...
... the plausible but incorrect diagnosis of coronary heart disease: exertional chest pain suggestive of angina pectoris; QS pattern in the right precordial leads of the ECG compatible with an old anteroseptal myocardial infarction; abnormal cardiac silhouette on the chest x-ray film compatible with a ...
Saccular aneurysms of left ventricle
... and Benson, 1933; Hurst et al., I963; Roberts and Morrow, I957), but there was no evidence of coronary arterial disease in the patient described here. The larger coronary vessels were shown to be normal in size and position on aortography, and this patient is in a young age-group for coronary athero ...
... and Benson, 1933; Hurst et al., I963; Roberts and Morrow, I957), but there was no evidence of coronary arterial disease in the patient described here. The larger coronary vessels were shown to be normal in size and position on aortography, and this patient is in a young age-group for coronary athero ...
TRANSCATHETER REPAIR OF CONGENITAL HEART DEFECTS
... as effectively with multiple devices, the smaller device sandwiched by the bigger device or large patent foramen ovale (PFO) device can cover all the multiple fenestrations.5 Symptomatic PFO patients with a history of cryptogenic stroke and PFO patients with a septal aneurysm can be closed with a PF ...
... as effectively with multiple devices, the smaller device sandwiched by the bigger device or large patent foramen ovale (PFO) device can cover all the multiple fenestrations.5 Symptomatic PFO patients with a history of cryptogenic stroke and PFO patients with a septal aneurysm can be closed with a PF ...
Massive right atrial myxoma causing exertional dyspnoea
... rumbling mid-diastolic murmur heard loudest in the tricuspid region. Her chest was clear. She had 2 cm hepatomegaly and mild bilateral pedal oedema. Interestingly, her heart rate varied dramatically as she moved from a supine to upright posture, accompanied by sudden breathlessness. An ECG showed ta ...
... rumbling mid-diastolic murmur heard loudest in the tricuspid region. Her chest was clear. She had 2 cm hepatomegaly and mild bilateral pedal oedema. Interestingly, her heart rate varied dramatically as she moved from a supine to upright posture, accompanied by sudden breathlessness. An ECG showed ta ...
D7-1 UNIT 7. DISSECTION: HEART STRUCTURES TO IDENTIFY
... in the anterior and posterior walls of the atrium. The posterior wall is smooth; this is the sinus venarum and is continuous with the two venae cava. The anterior wall is rough with the pectinate muscles, which contribute to its strength in contraction. The two walls are joined at a ridge, the cris ...
... in the anterior and posterior walls of the atrium. The posterior wall is smooth; this is the sinus venarum and is continuous with the two venae cava. The anterior wall is rough with the pectinate muscles, which contribute to its strength in contraction. The two walls are joined at a ridge, the cris ...
Redalyc.Transapical Closure of Left Ventricular to Right Atrial Shunt
... presented with late prosthetic valve endocarditis due to S. viridans during her first pregnancy, which was medically treated. At the age of 32 years, the patient was diagnosed with asymptomatic acquired Gerbode defect. She presented dyspnea on moderate exertion at the age of 37. Physical examination ...
... presented with late prosthetic valve endocarditis due to S. viridans during her first pregnancy, which was medically treated. At the age of 32 years, the patient was diagnosed with asymptomatic acquired Gerbode defect. She presented dyspnea on moderate exertion at the age of 37. Physical examination ...
Ankylosing spondylitis – Cardiac manifestations
... who were still alive at the time of the study. One of these 35 male patients had AS and another 2 patients had an asymptomatic sacroiliitis, but all three were HLA-B27 negative. In some contrast, HLA-B27 was present in 5 (14%) pacemaker patients - a significantly higher prevalence than in healthy co ...
... who were still alive at the time of the study. One of these 35 male patients had AS and another 2 patients had an asymptomatic sacroiliitis, but all three were HLA-B27 negative. In some contrast, HLA-B27 was present in 5 (14%) pacemaker patients - a significantly higher prevalence than in healthy co ...
Lab 4: Circulatory System Part II
... Blood from the right ventricle passes into the pulmonary trunk which divides to form the right and left pulmonary arteries. At the base of this trunk is the pulmonary semilunar valve which consists of three cusps. This valve opens when the right ventricle contracts. When the right ventricular muscle ...
... Blood from the right ventricle passes into the pulmonary trunk which divides to form the right and left pulmonary arteries. At the base of this trunk is the pulmonary semilunar valve which consists of three cusps. This valve opens when the right ventricle contracts. When the right ventricular muscle ...
understanding your heart valve
... Prosthetic tissue valves wear slowly, in much the same way natural valves do. They typically last from 7 to 15 years, depending on the age of the patient. Fortunately, because tissue valves degenerate slowly, the patient and physician have time to plan for a reoperation, if one is required. ...
... Prosthetic tissue valves wear slowly, in much the same way natural valves do. They typically last from 7 to 15 years, depending on the age of the patient. Fortunately, because tissue valves degenerate slowly, the patient and physician have time to plan for a reoperation, if one is required. ...
Document
... response is one of cardiac dilatation, which for a time at least can be compensatory (Starling's law of the heart), but eventually failure supervenes as discussed. Diastolic failure: This is particularly important in the left ventricle and arises when the ventricular wall is very stiff, be it due to ...
... response is one of cardiac dilatation, which for a time at least can be compensatory (Starling's law of the heart), but eventually failure supervenes as discussed. Diastolic failure: This is particularly important in the left ventricle and arises when the ventricular wall is very stiff, be it due to ...
International Cardiovascular Research Journal
... also encountered more frequently compared to women without heart disease1,2. Although rheumatic heart disease is decreasing worldwide, it is still an important cause of valvular problems with mitral stenosis being the commonest lesion (90%)3. Pathophysiology of mitral valve stenosis in pregnancy. Th ...
... also encountered more frequently compared to women without heart disease1,2. Although rheumatic heart disease is decreasing worldwide, it is still an important cause of valvular problems with mitral stenosis being the commonest lesion (90%)3. Pathophysiology of mitral valve stenosis in pregnancy. Th ...
Task force I: Congenital heart disease
... defects have been considered. These defects include ob• structive valve lesions of the right and left heart, left to right shunts and right to left shunts including those with pulmonary hypertension and those with pulmonary stenosis or atresia. In general, when a patient has more than one cardiac an ...
... defects have been considered. These defects include ob• structive valve lesions of the right and left heart, left to right shunts and right to left shunts including those with pulmonary hypertension and those with pulmonary stenosis or atresia. In general, when a patient has more than one cardiac an ...
Presentation of Congenital Heart Disease in the Neonate and
... resistance. The normally high right ventricular pressure in the immediate newborn period makes ventricular septal defect a less likely cause. Murmurs in asymptomatic neonates can be caused by regurgitant valves (mitral or tricuspid) or by lesions producing turbulence in a great artery (pulmonic sten ...
... resistance. The normally high right ventricular pressure in the immediate newborn period makes ventricular septal defect a less likely cause. Murmurs in asymptomatic neonates can be caused by regurgitant valves (mitral or tricuspid) or by lesions producing turbulence in a great artery (pulmonic sten ...
Mitral Valve Repair: Settling the Controversies p3
... Previous studies of robotic surgery have not compared the same operation performed by a minimally invasive method vs. a traditional, established approach. This study was the first of its kind and produced the highest ever reported repair rate in the world for MV robotic surgery: There were no in-hos ...
... Previous studies of robotic surgery have not compared the same operation performed by a minimally invasive method vs. a traditional, established approach. This study was the first of its kind and produced the highest ever reported repair rate in the world for MV robotic surgery: There were no in-hos ...
Adult basic life support
... • Serial oxygen saturation measurements are made at different levels from the superior vena through the atrium and the right ventricle into the pulmonary artery. • At the level of the left-to-right shunt there will be a step up increase of the oxygen saturation as blod flow from the left side enters ...
... • Serial oxygen saturation measurements are made at different levels from the superior vena through the atrium and the right ventricle into the pulmonary artery. • At the level of the left-to-right shunt there will be a step up increase of the oxygen saturation as blod flow from the left side enters ...
Situs inversus totalis with congenitally corrected transposition of the
... the morphologically left but pulmonary arterial ventricle that gave rise to a pulmonary trunk. The pulmonary venous blood passed the left atrium and the tricuspid valve into a morphologically right but systemic ventricle that gave rise to the aorta. Discussion and evaluation: The switched anatomy wa ...
... the morphologically left but pulmonary arterial ventricle that gave rise to a pulmonary trunk. The pulmonary venous blood passed the left atrium and the tricuspid valve into a morphologically right but systemic ventricle that gave rise to the aorta. Discussion and evaluation: The switched anatomy wa ...
The Right Heart
... Dyspnoea may be present. Prominent pulsation in neck – increased JVP. Eventually leads to HF or other complications ...
... Dyspnoea may be present. Prominent pulsation in neck – increased JVP. Eventually leads to HF or other complications ...
overload of the left ventricle
... under observation. He was treated in 1959 with bretylium tosylate and thereafter required increasing doses. For six years he had had severe headaches and nocturia, and for one year mild dyspncea on exertion. On examination the pulse was 72 and regular and the blood pressure was 260/175. The apex bea ...
... under observation. He was treated in 1959 with bretylium tosylate and thereafter required increasing doses. For six years he had had severe headaches and nocturia, and for one year mild dyspncea on exertion. On examination the pulse was 72 and regular and the blood pressure was 260/175. The apex bea ...
Doubly Committed Ventricular Septal Defect: Single
... VSD closure. On occasion, dcVSDs can extend so that there is fibrous continuity, not only between both arterial valve leaflets, but also between the aortic and tricuspid valve leaflets. Such defects are both doubly committed and perimembranous and present a higher risk of atrioventricular bundle inj ...
... VSD closure. On occasion, dcVSDs can extend so that there is fibrous continuity, not only between both arterial valve leaflets, but also between the aortic and tricuspid valve leaflets. Such defects are both doubly committed and perimembranous and present a higher risk of atrioventricular bundle inj ...
Assessment of heart murmurs in childhood
... hemodynamically unstable, and the clinical status will contribute to diagnosis. However, some congenital cardiovascular malformations remain asymptomatic during this transition, and their clinical status will only be manifested later. These conditions, which include abnormal communication between ch ...
... hemodynamically unstable, and the clinical status will contribute to diagnosis. However, some congenital cardiovascular malformations remain asymptomatic during this transition, and their clinical status will only be manifested later. These conditions, which include abnormal communication between ch ...
Antepartum non-invasive evaluation of opening and closing timings
... opening to closure of semilunar or aortic valve, during which blood is flowing from ventricle into outflow. In clinical studies, prolongation of PEP during antepartum period was associated with a high incidence of perinatal abnormalities [7]. There is a method that uses systolic time interval (STI) ...
... opening to closure of semilunar or aortic valve, during which blood is flowing from ventricle into outflow. In clinical studies, prolongation of PEP during antepartum period was associated with a high incidence of perinatal abnormalities [7]. There is a method that uses systolic time interval (STI) ...
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.