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... proportion of children with MCD on clinical and histologic grounds develop FSGS. In both there appears to be a circulating factor, with FSGS children being less responsive to therapeutic agents for various reasons. Within this group is a subset of children in which the disease resides in structural ...
Congenital Heart Disease Internal Medicine
Congenital Heart Disease Internal Medicine

... of 60-80mmHg. • For subaortic stenosis it is reserved for gradients of 40-50mmHg because of it’s rapidly progressive nature. • Balloon valvuloplasty is the standard of treatment. ...
Case report and images in cardiology
Case report and images in cardiology

... Shone’s complex was first described in 1963 by Shone et al., who noted on post-mortem examinations the tendency of four obstructive left-sided lesions (supramitral ring; parachute mitral ...
Embryology - Conotruncal development
Embryology - Conotruncal development

... oblique position, these cushions extend from the junction between the aortic sac and the truncus arteriosus down to the beginning of the conus, where they align with the dextrodorsal and sinistroventral conal cushions, respectively (Van Mierop and Patterson, 1980). ...
morphological study of the human mitral
morphological study of the human mitral

... The mitral-aortic intervalvular fibrosa of the heart is of great clinical and surgical importance, because of its involvement in the anatomical and functional integrity of these two valves. In this work, we examined the morphology of the mitralaortic intervalvular fibrosa and its relationship to the m ...
Aortic valve sclerosis and cardiac calcification.
Aortic valve sclerosis and cardiac calcification.

... Cardiac Calcifications P. Faggiano Brescia - Italy ...
as a PDF
as a PDF

... report a case of Kommerell’s diverticulum of an aberrant left subclavian artery in a patient with a rightsided aortic arch with associated ventricular septal defect. Fewer than 50 cases have been reported in literature so far. Our patient presented with short duration of dysphagia without any syncop ...
Cardiology (McMullan)
Cardiology (McMullan)

... • Scenario – young adult with HTN, association with Turner’s syndrome • Diagnosis – BP in arms vs legs, radiofemoral pulse delay, 2/6 SEM LSB, may have aortic ejection click with bicuspid aortic valve • Tests – CXR with figure 3 sign and rib notching, echo, CT angio or MRA • Mgt – surgical repair, l ...
Coarctation of the Aorta
Coarctation of the Aorta

... oxygen-rich (red) blood from the left ventricle to the body. It is shaped like a candy cane, with the first section moving up toward the head (ascending aorta), then curving in a C-shape as smaller arteries that are attached to it carry blood to the head and arms (aortic arch). After the curve, the ...
Myocardial infarction in an individual with Wolff-Parkinson
Myocardial infarction in an individual with Wolff-Parkinson

... death. Nevertheless, it is clear that CBN is observed in cases of sudden death [14]. CBN was described in young subjects dying suddenly and unexpectedly with no clinical history of any disease. They had normal coronary arteries; the unique findings were CBN and myofiber breakup. The latter may be al ...
Abstract
Abstract

... tolerance, chest pain, and episodes of syncope or near syncope. The use of beta-blockers, diuretics, nitrates, and ACE inhibitors in these patients should be used with caution because such medications may further decrease cardiac output.4 Patients with previously undiagnosed aortic stenosis who pres ...
Coexistence of bicuspid aortic valve, aberrant right subclavian artery
Coexistence of bicuspid aortic valve, aberrant right subclavian artery

... identified in 128 patients, among whom 117 patients with a congenital heart disease [9]. Comparable to previous study, most frequently diagnosed conditions were truncus arteriosus and left heart obstruction. In none of them BAV was identified. Notably both of these two studies have some significant ...
Jemds.com
Jemds.com

... methods of testing platelet activity can be time-consuming, expensive and technically difficult. Unlike more expensive or timeconsuming methods of assessing platelet function, the determination of platelet size by quantification of Mean Platelet Volume (MPV), using automated haemograms, is simple an ...
Educational Items Section Chromosomal Disorders - Karyotype Indications in Oncology and Haematology
Educational Items Section Chromosomal Disorders - Karyotype Indications in Oncology and Haematology

... of a known síndrome. - Identification of a cryptic chromosomal aberration if the autopsy does not confirm an abnormal phenotype. - Follow up of bone marrow transplants when the donor is of the opposite sex. - Rule out numerical chromosomal anomalies in prenatal studies when the ultrasound examinatio ...
Echotech Reporting Guidelines
Echotech Reporting Guidelines

... • If the E:Ea ratio 8-15 and LA size is normal then there is no significant diastolic dysfunction • If E:Ea ratio 8-15 and LA size is increased (>4.00cm), significant LV diastolic dysfunction can not be excluded • When Diastology assessment is not appropriate, do not mention in the conclusion of the ...
Sick Sinus Syndrome
Sick Sinus Syndrome

... therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices). J Am Coll Car ...
TAVI: Catheter-based Aortic Valve Replacement
TAVI: Catheter-based Aortic Valve Replacement

... syncope or congestive heart failure, median survival is limited to 2-3 years, typically with rapidly deteriorating exercise tolerance and quality of life prior to death. No medical therapy prolongs survival or progression of symptoms. Surgical aortic valve replacement is the only effective treatment ...
Management of Aortic Valve Disease: Review
Management of Aortic Valve Disease: Review

... regurgitant aortic valve disease prior to the development of symptoms. The indications for aortic valve replacement with asymptomatic chronic severe aortic insufficiency include new LV systolic dysfunction (defined by the ACC/AHA valve disease guidelines as LVEF ≤ 50%) or severe LV dilatation (LV en ...
Toxic Shock Syndrome
Toxic Shock Syndrome

... consistent with menses was found during a pelvic examination. IUD strings were present, and there was mild uterine tenderness to palpation. A repeat complete blood cell count showed a normal white cell count with an elevated immature leukocyte count. Further tests showed thrombocytopenia, elevated l ...
Metabolic Syndrome: Overview and Current Guidelines
Metabolic Syndrome: Overview and Current Guidelines

... Just under 40 million US adults are clinically obese (BMI ≥ 30 kg/m2), and over 60% are overweight or obese (BMI ≥ 25 kg/m2). Al­though there are multiple causes for obesity, including genetic, environmental, and psychological causes, the “obesity epidemic” is principally driven by increased consum ...
Tobacco Smoke
Tobacco Smoke

... insufficiency (regurgitation or incompetence),or both. • Stenosis is the failure of a valve to open completely, which impedes forward flow. • Insufficiency, in contrast, results from failure of a valve to close completely, thereby allowing reversed flow. ...
Aortic Valve Disease Backgrounder UK
Aortic Valve Disease Backgrounder UK

... Left untreated, severe aortic stenosis can eventually lead to heart failure, severe infection and even sudden death. 4 From the onset of aortic stenosis symptoms, the average survival rate is 50 percent at two years 5 and 20 percent at five years. 6 Aortic valve stenosis is a progressive, fatal, and ...
Reverse Takotsubo Cardiomyopathy
Reverse Takotsubo Cardiomyopathy

... drugs, inducible or spontaneous clonus with hypertonism, hyperreflexia, or fever. Our patient had hyperreflexia with hypertension at the time of presentation. She also had a classic history of combining phenethylamine use with the use of a MAO inhibitor (isocarboxazid) and lithium. Phenethylamine is ...
Dynamic Left Ventricular Outflow Tract Obstruction with Cardiogenic
Dynamic Left Ventricular Outflow Tract Obstruction with Cardiogenic

... slight hypokinesis on apex, only mild MR and no significant pressure gradient between the LV and the aorta (Figure 2D). To confirm the diagnosis, an LV angiogram was performed 36 hours after the patient arrived, which showed no significant LV-aortic pressure gradient, minimal MR, and almost recovere ...
Severe Aortic Stenosis and TAVR
Severe Aortic Stenosis and TAVR

... mortality or serious, irreversible morbidity was 50% or greater at 30 days Risk Determined by: Two Clinical Site Cardiac Surgeons and ...
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Turner syndrome



Turner syndrome (TS) also known as Ullrich–Turner syndrome, gonadal dysgenesis, and 45,X, is a condition in which a female is partly or completely missing an X chromosome. Signs and symptoms vary among those affected. Often, a short and webbed neck, low-set ears, low hairline at the back of the neck, short stature, and swollen hands and feet are seen at birth. Typically they are without menstrual periods, do not develop breasts, and are unable to have children. Heart defects, diabetes, and low thyroid hormone occur more frequently. Most people with TS have normal intelligence. Many, however, have troubles with spatial visualization such as that needed for mathematics. Vision and hearing problems occur more often.Turner syndrome is not usually inherited from a person's parents. No environmental risks are known and the mother's age does not play a role. Turner syndrome is due to a chromosomal abnormality in which all or part of one of the X chromosomes is missing or altered. While most people have 46 chromosomes, people with TS usually only have 45. The chromosomal abnormality may be present in just some cells in which case it is known as TS with mosaicism. In these cases, the symptoms are usually fewer and possibly none occur at all. Diagnosis is based on physical signs and genetic testing.No cure for Turner syndrome is known. Treatment, however, may help with symptoms. Human growth hormone injections during childhood may increase adult height. Estrogen replacement therapy can promote development of the breasts and hips. Medical care is often required to manage other health problems with which TS is associated.Turner syndrome occurs in between one in 2000 and one in 5000 females at birth. All regions of the world and cultures are affected about equally. People with TS have a shorter life expectancy, mostly due to heart problems and diabetes. Henry Turner first described the condition in 1938. In 1964, it was determined to be due to a chromosomal abnormality.
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