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The Systolic phase
The Systolic phase

...  Cardiac output changes due to the intensity of exercises we do. increasing intensity of exercises increases oxygen the body needs , with the result that increase in cardiac output Volume of blood that heart ejects per minute: During rest 5 l/min, during light exercises10 l/min, during moderate exe ...
Blood Vessels
Blood Vessels

... Opens during ventricular contraction due to flow of blood pushing pouches against wall Closes due to backflow of blood caused by elastic recoil in pulmonary artery, filling pouches ...
Favorable Results in Patients with Small Size CarboMedics Heart
Favorable Results in Patients with Small Size CarboMedics Heart

... and its clinical impacts were investigated in 126 consecutive patients. The actuarial survival rates of patients who had undergone isolated aortic valve replacement and concomitant aortic and mitral valve replacement were 82.6±5.7% and 71.0±9.2% at 8 years, respectively. Morbid events were rare, and ...
What Your Doctor Said About…..
What Your Doctor Said About…..

... What about palpitations? What should I know about these? ‘Palpitations’ is the name given to an awareness of you heartbeat, either skips or runs of extra beats. You may even feel your pulse ‘miss a beat’. In general, they are of no consequence. They don’t damage your heart, or shorten your life. How ...
Cong HD Patho Samia 1 of 2
Cong HD Patho Samia 1 of 2

... Compression by enlarged aorta or pulmonary artery . Upwards displacement and increase angle of bifurcation of trachea by enlarged LA . ...
Cardiac Defects: Pulmonary Stenosis
Cardiac Defects: Pulmonary Stenosis

... stenosis, or obstruction at the pulmonary valve, can be trivial, mild, moderate, severe, or critical. This condition is also called pulmonic stenosis or pulmonary valve stenosis. Sometimes the stenosis is below the pulmonary valve, caused by muscular bundles. This is called subpulmonic stenosis. Als ...
8. Cardiac Muscle Physiology
8. Cardiac Muscle Physiology

... semilunar valves shut = 2nd heart sound ("dup"). Sealed Compartment again – all valves are closed. Isovolumetric ventricular relaxation: =>  pressure as volume stays the same. The AV valves then open, refilling starts – back to start of cycle. ...
Left Ventricular Hypertrophy
Left Ventricular Hypertrophy

... Description: • Left Ventricular Hypertrophy- is an enlargement of the muscle tissue in the left ventricle. • Occurs when the heart has to work harder than normal. • Usually occurs gradually over time. ...
Document
Document

... Elevation of jugular venous pressure  Hypotension may be caused by a low cardiac output  Orthostatic hypotension  R sided 3rd heart sound is occasionally heard  Murmur of tricuspid or mitral regurgitation is occasionally heard ...
Simulation of Aortic Valve Replacement Surgery Hadi Mohammadi
Simulation of Aortic Valve Replacement Surgery Hadi Mohammadi

... To design the geometry of the root, an advanced surfacing technique based on the de Casteljau method (for developing Bezier surfaces) is applied. The Three-Dimensional (3D) geometry is developed using Two-Dimensional (2D) images obtained from the axial dissection of an adult porcine aortic root. The ...
Pig Heart Dissection
Pig Heart Dissection

... 12. Using your scissors, continue to cut open the heart SLOWLY and CAREFULLY according to instructions on ‘Heart Broken’ Steps Five & Six. Remember you need to document major steps in the dissection as you progress, so consider how you will demonstrate your procedure and take appropriate photos / vi ...
Occurrence of left-sided heart valve involvement before right
Occurrence of left-sided heart valve involvement before right

... 38 mg/24 h. An echocardiogram showed preserved left and right ventricular systolic function. However, the mitral valve was thickened, with restriction of the posterior mitral valve leaflet and minimal regurgitation but no stenosis (Figure 1A). The aortic valve was also thickened, with slight doming ...
Referring patients for LVAD Therapy
Referring patients for LVAD Therapy

... While aortic stenosis is not a definitive contraindication for LVAD therapy, aortic regurgitation may cause major problems by creating a circular blood flow loop between the inflow and outflow cannulas of the LVAD and restrict forward circulation. All regurgitation needs to be quantified according t ...
Collison OCT 2013
Collison OCT 2013

... off pump bypass surgery, mitral, aortic and double valve replacements, surgery of the aorta, port access mitral procedures, aortic root replacement, and the congenital cases including ASD, VSD and PDA, Glenn, Fontan, etc. I am also competent with vascular prodecuresaorto femoral, axillo femoral and ...
CPD PRTbroch Structural Heart Disease - MC4111-99
CPD PRTbroch Structural Heart Disease - MC4111-99

... • Assess the need for aortic valve replacement as well as transcatheter based options for the treatment of aortic stenosis • Review current strategies for surgical and transcatheter repair or replacement of the mitral valve • Identify strategies for PFO closure • Describe transcatheter left atrial a ...
Fetal and Hybrid Procedures in Congenital Heart
Fetal and Hybrid Procedures in Congenital Heart

... Development of hybrid palliation avoided early circulatory arrest and cardiopulmonary bypass in a neonate, was even possible in low birth weight infants, and combined all the physiological goals requiring only a single surgical sternotomy [2]. Two ends of a spectrum can now clearly be distinguished ...
Aortic valve calcification using multislice CT
Aortic valve calcification using multislice CT

... to the physician. Evaluation of AS severity is currently based on transthoracic echocardiographic measurements of maximal aortic peak velocity, mean transaortic pressure gradient and aortic valve area (AVA), calculated using the continuity equation. Transesophageal echocardiography has been excluded ...
Lab Procedure Observation: External Anatomy
Lab Procedure Observation: External Anatomy

... 4. Insert your probe into the pulmonary artery and see it come through to the right ventricle. Make an incision down through this artery and look inside it for three small membranous pockets. These form the pulmonary semilunar valve which prevents blood from flowing back into the right ventricle. ...
Angina - Philadelphia College of Osteopathic Medicine
Angina - Philadelphia College of Osteopathic Medicine

... The ventricles are the discharging chambers. The right ventricle pumps blood away from the heart to the lungs via the pulmonary arteries and the left ventricle pumps blood away from the heart to the body through the aorta. The ventricular chambers contain trabeculae carneae muscle. Ventricular chamb ...
Lab 03: Heart Anatomy (10 points)
Lab 03: Heart Anatomy (10 points)

... Lab Outcome 4: Identify superficial and deep structures of the heart, including the conduction system, on various heart models, diagrams, and by sheep heart dissection. Lab Outcome 5: Describe and demonstrate patterns of blood circulation throughout the human body, including systemic, pulmonary, cer ...
Bulbus cordis elongates and this part can be divided into: 1
Bulbus cordis elongates and this part can be divided into: 1

... left ventricle to form the aortic vestibule right half of conus cordis gets incorporated in right ventricle to form the pulmonary infundibulum ...
Valvular Heart Disease: Review and Update
Valvular Heart Disease: Review and Update

... morphology. The valves must be pliable, noncalcified and free of subvalvular distortion.1,3 Candidates for valvotomy must have no significant mitral regurgitation.1 Open commissurotomy, mitral valve reconstruction and mitral valve replacement improve survival and reduce symptoms.1,3 Mitral valve rep ...
Print - Circulation
Print - Circulation

... function how aortic valve movement is influenced by myocardial and valvular factors.8 The further increase in frame rate to 168 Hz especially improves diagnosis with respect to the short phase of valve opening, which occurs at a high speed. A new 3D system with a high frame rate can thus contribute ...
Know the basics
Know the basics

... Be able to identify the parts of the heart. Be able to explain how blood moves through the heart and how it moves through the circulatory system. Be able to explain the components of the blood. Right atrium ...
Imaging Essentials Before VAD Placement
Imaging Essentials Before VAD Placement

... Options include over-sewing the valve, repairing the valve or replacing the valve (13, 14). Aortic stenosis is usually not of such clinical significance compared to aortic regurgitation. However in continuous flow devices, depending upon the configuration, aortic stenosis may limit forward flow and ...
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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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