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Expository DRAFT
Expository DRAFT

... with their heart and blood supply. Patients are also encouraged to review medications with their doctor, stop smoking at least two weeks prior to surgery, bathe the night before surgery to reduce the amount of germs on their skin, eat a light meal the night before, and nothing after midnight (Texas ...
The Heart
The Heart

... Opening during systole, with cusps pressed toward wall of vessel as blood is forced upward Closed during diastole  Ventricular pressure drops in diastole  Floating together of valve cusps, with free borders meeting, thus closing the valve ...
Quadricuspid Pulmonary Valve in an Adult Patient Identified by
Quadricuspid Pulmonary Valve in an Adult Patient Identified by

... Quadricuspid pulmonary valve has been commonly associated with aortic valve malformations, because the semilunar valves arise from mesenchymal swellings on the common vascular trunk.1 It is sometimes associated with other congenital heart conditions, including atrioventricular defect, atrial septal ...
Approach to Cardiac Murmurs
Approach to Cardiac Murmurs

... change significantly with different patient positions. Finally, if investigations are performed they should reveal no abnormalities on ECG, CXR, echocardiogram, or other imaging modalities. There are approximately eight benign murmurs: ...
The Heart: Part One
The Heart: Part One

...  Atrioventricular (AV) valves  Prevent backflow into the atria when ventricles contract  Chordae tendineae anchor AV valve cusps to papillary ...
cine-angiography of the coronary circulation in living - Heart
cine-angiography of the coronary circulation in living - Heart

... The type of catheter used for injection was important. The earliest angiograms were performed using a standard Cournand cardiac catheter. Sufficiently rapid injection of the opaque medium could not be obtained due to the relatively small internal bore of the catheter: the jet from the single end-hol ...
Transcatheter aortic valve implantation
Transcatheter aortic valve implantation

... to be suitable candidates for surgery were randomised to TAVI or medical management It has been estimated that more than one third (usually BAV) (cohort B)14. The exclusion criteria of elderly patients with severe symptomatic AS included coronary artery disease requiring in Europe are not referred f ...
Diseases of the cardiovascular system(马丽琴)
Diseases of the cardiovascular system(马丽琴)

... congestive, cardiomyopathy. Many of these have no known etiology (so-called "idiopathic dilated cardiomyopathy") while others may be associated with chronic alcoholism. The heart is very enlarged and flabby. ...
Intensive Care Unit Management of Transcatheter Aortic Valve
Intensive Care Unit Management of Transcatheter Aortic Valve

... thinking—or a mixed delirium with elements of both agitation and hypoactive delirium is more frequently underrecognized. In fact, hypoactive delirium is not only more common, but is also associated with higher mortality rates.27,29 Increased use of tools such as the Confusion Assessment Method for t ...
Heart - Dr Magrann
Heart - Dr Magrann

... • Trabeculae carnae are masses of irregular spongy tissues which project from the inner surface of the right and left ventricles. • The purpose of the trabeculae carneae is to prevent suction that would occur with a flat surface and thus impair the heart's ability to pump efficiently. • The trabecul ...
MR-Imaging in diagnosis and follow-up post corrective
MR-Imaging in diagnosis and follow-up post corrective

... • In this educational exhibit we will review the use of MR imaging in the diagnosis of the different forms of congenital heart disease in pediatric patients. • An overview of common forms of CHD along with treatment procedures will be given. • Special interest is taken on technical issues and partic ...
Severe coronary artery ectasia and abdominal aortic aneurysm
Severe coronary artery ectasia and abdominal aortic aneurysm

... Kardiovaskuläre Medizin 2006;9: Nr 10 ...
Etiology of Valvular Heart Disease in the 21st Century
Etiology of Valvular Heart Disease in the 21st Century

... in this group of patients is less optimal as compared to patients with mitral regurgitation secondary to FMV/MVP. Valve replacement. Prosthetic heart valves have certain hemodynamic limitations even when functioning “normally”. These devices represent a type of iatrogenic valvular heart disease. Pro ...
Early and long term outcome of the arterial switch
Early and long term outcome of the arterial switch

... revealed the complex TGA (P ¼ 0:007), VSD (P ¼ 0:032), coronary anomalies (P ¼ 0:004), aortic coarctation or hypoplastic aortic arch (P ¼ 0:021), left ventricular outflow tract obstruction (LVOTO) or moderate PAS (P ¼ 0:041) as strong predictors for poor free-reoperation cumulative survival. A stron ...
Cardiac Cycle - Uplift Education
Cardiac Cycle - Uplift Education

... 1. What are the different valves of the heart? 2. Where are they located? (use #s from diagram) 3. Why is the left ventricle larger than the right ventricle? ...
University of Groningen Congenital heart defects and
University of Groningen Congenital heart defects and

... detecting these small copy number variations. The size of the deleted or duplicated chromosomal segment at the DNA level is usually large enough to contain several genes. A deletion or duplication often arises de novo, meaning that it is not present in either parent. However, a person who has a dele ...
Preload
Preload

... Factors determining the preload (LVEDP) 1) Period of the ventricle diastole (filling) – heart rate 2) Speed of the venous return (difference between the venous pressure and atrial pressure) Importance of the heterometeric regulation • In general, heterometric regulation plays only a short-time role ...
Asymmetric redirection of ¯ow through the heart
Asymmetric redirection of ¯ow through the heart

... towards rather than away from atrio-ventricular valves (Figs 1±3). Relatively coherent swirling of blood, although potentially associated with higher wall sheer stresses, might avoid excessive dissipation of energy by limiting ¯ow separation and instability (see animated images in Supplementary Info ...
seminar_1_
seminar_1_

... • When the entire right dorsal aorta persists and the distal part of the left dorsal aorta involutes , a right aortic arch result . • There are two main types : • right arch of the aorta without a retroesophageal component : • the DA ( or ligamentum arteriosum )pass from the right pulmonary artery t ...
Heart Dissection 2016-2017 Yap
Heart Dissection 2016-2017 Yap

... the apex until you reach the septum . Push open the heart at this cut with your fingers & rinse out any dried blood with water. Your heart should now be completely divided in half. 14. Inside the left chambers look for the valve that controls blood flow between the upper left atrium and lower left v ...
PATHOLOGY OF THE CARDIOVASCULAR SYSTEM
PATHOLOGY OF THE CARDIOVASCULAR SYSTEM

... Cardiac muscle has a greater liability because of its continual activity and dependence on aerobic glycolysis. The papillary muscles of the left ventricle seem to be most sensitive believed to be due to the vascular supply of the heart. Myocardial cells are considered to be a permanent cell populati ...
Left Ventricular Systolic Longitudinal Function, Afterload and
Left Ventricular Systolic Longitudinal Function, Afterload and

... preserved myocardial contractility (afterload mismatch) (4) or to depressed contractility secondary to fibrosis for hypertrophy or associated coronary artery disease. (5, 6) It has been reported that left ventricular (LV) systolic longitudinal function (SLF) may be decreased in patients with severe ...
6.2.1 review related to post operative management of heart valve
6.2.1 review related to post operative management of heart valve

Ruptured Coronary Sinus Aneurysm
Ruptured Coronary Sinus Aneurysm

... Sinuses of Valsalva are focal expansions of the aortic root and located between the aortic annulus and the sinotubular junction. The coronary arteries originate from the right and left sinuses of Valsalva, with no vessel arising from the non-coronary sinus. These sinuses provide a space behind the v ...
Mitral Stenosis Etiology
Mitral Stenosis Etiology

... 15.6 million people suffer from rheumatic heart disease worldwide, with  approximately 282,000 new cases and 233,000 related deaths each year.5  ...
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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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