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Sep Summary
Sep Summary

... neurohumoral stimulation secondary to diminished activation of bareceptors by nonpulsatile flow. Up to now little is known about the effects of nonpulsatile flow on aortic wall structure, although some small studies have observed changes in aortic wall morphology. Dr. Ambardekar and his colleagues h ...
heart sounds s2
heart sounds s2

... systemic vascular resistance, it takes some time for the blood flow from the right ventricle to stop • This corresponds to the hangout interval. • On the left side of the heart because impedance is much greater, the hangout interval between the aorta and ...
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)

... Study of Left Ventricular Hypertrophy and their Association to Metabolic Syndrome The pathogenesis of LVH involves a number of variables other than the pressure load, one of which is hemodynamic volume load. Devereux and colleagues9 found a closer correlation between left ventricular stroke volume ...
Birthmarks of Potential Medical Significance
Birthmarks of Potential Medical Significance

... with or without hair. Lesions typically grow proportionally with the individual and typically are classified based on the assumed adult size. Small CMN measure 1.5 cm or less, intermediate CMN range between 1.5 cm and 20 cm, and large CMN (LCMN), also called “garment or bathing trunk nevi,” are more ...
Aorto-Left Atrial Fistula
Aorto-Left Atrial Fistula

... ably a complication of aortic valvular endocarditis, are rare and infrequently diagnosed premortem. We describe a patient who presented with this entity and review the reports of five other patients for whom a diagnosis was made premortem. A number of causative organisms have been identi¬ fied. The ...
Aorto-Left Atrial Fistula
Aorto-Left Atrial Fistula

... ably a complication of aortic valvular endocarditis, are rare and infrequently diagnosed premortem. We describe a patient who presented with this entity and review the reports of five other patients for whom a diagnosis was made premortem. A number of causative organisms have been identi¬ fied. The ...
Severe aortic stenosis in a Persian kitten Estenose aórtica
Severe aortic stenosis in a Persian kitten Estenose aórtica

... (1986) has documented this defect to count for only 6% of all congenital heart disease in domestic felines. The increased left ventricular systolic pressure propels blood at a higher velocity across the stenotic area, thereby resulting in a turbulent flow that is associated with a systolic ejection ...
Pleural  effusions  in  an  overlap ... hypereosinophilic  syndrome  and  erythema
Pleural effusions in an overlap ... hypereosinophilic syndrome and erythema

... in addition, prominent pleural effusions and characteristic skin lesions. About 20% of patients with HES have pleural effusions [7]. These are generally secondary to congestive heart failure due to cardiac dysfunction, the main cause of morbidity and mortality in HES [8, 9]. Eosinophilic cardiomyopa ...
Frequency content of systolic murmurs: An answer to the riddle of
Frequency content of systolic murmurs: An answer to the riddle of

... within most ejection murmurs is directly related to the maximal velocity of blood flow through the originating jet (11). Because velocity varies directly with pressure gradient across a stenotic segment (12), calculations of relative content of high frequencies have given good correlations with obst ...
Volume-dependent superior vena cava syndrome related to stenosis
Volume-dependent superior vena cava syndrome related to stenosis

... Myckatyn et al such as bronchogenic carcinoma, remains the most common cause of SVC syndrome, accounting for 85% to 97% of all cases; central venous stenosis due to mediastinitis or intraluminal vascular malignant disease are other reported causes.16–21 Long-term central venous catheterization for ...
Post-traumatic Wolff-Parkinson-White syndrome
Post-traumatic Wolff-Parkinson-White syndrome

... preponderance of the WPW syndrome is difficult to be evaluated because the electrocardiographic abnormality is discontinuous and there are disguised or hidden forms which can be revealed by electrophysiological explorations. It is estimated that the WPW syndrome affects about 0,1-0,3% of the general ...
WPW Syndrome – ECG Manifestations
WPW Syndrome – ECG Manifestations

... are activated normally and hence it presents like a narrow QRS tachycardia (see Fig. 2). ORT can also occur in patients with concealed APs that have no preexcitation on baseline ECG. 2. Antidromic atrioventricular reentrant tachycardia (AVRT). It is a very uncommon form of arrhythmia wherein the re ...
Chemistry Problem Solving Drill
Chemistry Problem Solving Drill

... intensity and duration of the pulmonic flow murmur vary with the degree of PS. P2 is usually absent. Patients that have classic Blalock-Taussig shunt , anastomosis of the subclavian to the side of the pulmonary artery will have an absent pulse in the ipsilateral arm and a continuous murmur as long a ...
sjögren`s syndrome
sjögren`s syndrome

... exact numbers, is that many different criteria have been used to diagnose Sjögren’s syndrome at different times and in different countries. In addition, many sufferers probably do not seek professional advice about their condition or it is not recognised by health care professionals. It has been rep ...
9/08 Aortic Stenosis
9/08 Aortic Stenosis

... Severe AS in asymptomatic patients who have an abnormal response to exercise such as the development of symptoms or hypotension Severe AS in asymptomatic patients with a high likelihood of rapid progression (as determined by age, valve calcification, and coronary heart disease). Severe AS in asympto ...
Wolff–Parkinson–White syndrome presenting as atrial fibrillation in a
Wolff–Parkinson–White syndrome presenting as atrial fibrillation in a

... ventricles (Kent bundle), which provides an alternative route for ventricular activation [1]. WPW syndrome may occur in patients with a normal heart, but also it can be associated with congenital heart disease (Ebstein’s anomaly, atrial and ventricular septal defects, coronarysinus diverticula) [2]. ...
Aortic stenosis and CT calcium scoring: is it for - Heart
Aortic stenosis and CT calcium scoring: is it for - Heart

... with bicuspid valves cause a pressure drop in excess of the reduction in effective orifice area. While each is plausible, why these factors would affect younger patients with bicuspid valve disease but not older subjects remains unclear. The alternative explanation is that this phenomenon instead sim ...
Bicuspid Aortic Valve and Aortopathy: See the First, Then Look at
Bicuspid Aortic Valve and Aortopathy: See the First, Then Look at

... [AP] leaflet type) was the most common pattern, occurring in 56% of patients, with fusion of the right and noncoronary cusps (right–left [RL] leaflet type) seen in the remaining 44% of patients. Although the study suggests that the RL phenotype is associated with valve stenosis and the AP phenotype ...
PDF - Herbert Publications
PDF - Herbert Publications

... SA nodal reentrant tachycardia or SANRT is an uncommon arrhythmia, that usually occurs in patients with structural heart disease [1]. In patients referred for electrophysiologic studies due to Electrocardiogram (EKG) showing a supraventricular tachycardia (SVT), SANRT comprises from 2 to 17 percent ...
Secondary deformity following lateral closing wedge
Secondary deformity following lateral closing wedge

... Developmental abnormality of the wrist Anatomic changes in the radius, ulna, and carpal bones, leading to palmar and ulnar wrist subluxation More common in female patients and is usually present bilaterally ...
Severe Aortic Stenosis and Transcatheter Aortic Valve Replacement
Severe Aortic Stenosis and Transcatheter Aortic Valve Replacement

... obstructing blood flow from the left ventricle into the aorta. The narrowed valve allows less oxygenated blood to flow through and as a result, less oxygen-rich blood is pumped out to the body which may cause symptoms like severe shortness of breath. ...
Heart Rhythm Refresher Course 2014 Module 1: Epidemiology
Heart Rhythm Refresher Course 2014 Module 1: Epidemiology

... cardiac causes that occurs in a short time period (generally within 1 hour of symptom onset) in a person with known or unknown cardiac disease • SCD represents the first expression of cardiac disease in many individuals who experience out-of-hospital cardiac arrest • ~80-90%: VT and VF • survival ra ...
Hypoplastic left heart syndrome
Hypoplastic left heart syndrome

... There is no communication between the left atrium and left ventricle. This may be due to a complete absence of the left atrioventricular connection or an imperforate mitral valve. Typically, the left ventricle is slit-like and there may be no demonstrable left ventricular cavity at all (Figure 1). A ...
Pediatric emergency case conference
Pediatric emergency case conference

... Hemodynamic assessment - PAT  Appearance- pallor, or decreased level of consciousness  Breathing- tachypnea, subcostal retraction, use of accessory muscle  Circulation- hypotension, heart failure, signs of shock,.  Signs in infants- irritability, tachypnea, and poor feeding. ...
Metabolic syndrome: pharmacological treatment
Metabolic syndrome: pharmacological treatment

... hypertension. In addition to appropriate changes in lifestyle, the majority of patients with the syndrome will require pharmacological treatment, usually for the remainder of their lives. We present here an exhaustive and critical review of the drug treatment of the risk factors associated with the ...
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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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