Nephrotic syndrome in children Review Article
... The degradation of these anionic glycans has long been hypothesized as a cause of increased glomerular permeability to proteins. Holt et al17 recently showed dysregulated heparanase synthesis in children with steroid-sensitive nephrotic syndrome. Various bioassays have helped in defining these facto ...
... The degradation of these anionic glycans has long been hypothesized as a cause of increased glomerular permeability to proteins. Holt et al17 recently showed dysregulated heparanase synthesis in children with steroid-sensitive nephrotic syndrome. Various bioassays have helped in defining these facto ...
Congenital anomalies of the aorta and vena cava
... is diagnostic in aortic valve diseases; however, it has a limited use for an evaluation of aortic coarctation, aberrant vessel anatomy, and the ascending aorta. Visualization of congenital aortic arch anomalies is possible even in newborns (4). I. a. Aortic coarctation Coarctation is a congenital st ...
... is diagnostic in aortic valve diseases; however, it has a limited use for an evaluation of aortic coarctation, aberrant vessel anatomy, and the ascending aorta. Visualization of congenital aortic arch anomalies is possible even in newborns (4). I. a. Aortic coarctation Coarctation is a congenital st ...
Assessment of left ventricle function in aortic stenosis: mitral annular
... systolic motion, that were more pronounced in subjects without regional LV motion abnormalities caused by previous myocardial infarction. Similar relationships were noticed in patients with heart failure with preserved ejection fraction: Wenzelburger et al. [29] have shown that MAPSE correlates with ...
... systolic motion, that were more pronounced in subjects without regional LV motion abnormalities caused by previous myocardial infarction. Similar relationships were noticed in patients with heart failure with preserved ejection fraction: Wenzelburger et al. [29] have shown that MAPSE correlates with ...
Left atrial myxoma with aortic regurgitation - Heart
... regurgitation. At operation for removal of the myxoma it was found to be attached to the atrial septum close to the aortic root. It is suggested that the aortic regurgitation was caused by distortion of the aortic root caused by traction upon it from the myxoma as it moved downward into the left ven ...
... regurgitation. At operation for removal of the myxoma it was found to be attached to the atrial septum close to the aortic root. It is suggested that the aortic regurgitation was caused by distortion of the aortic root caused by traction upon it from the myxoma as it moved downward into the left ven ...
Development of the Heart
... ventricle + Transposition of aorta & pulmonary trunk. Complication: heart failure and death. This diagram showing transposition of great arteries (TGA) which leads to cyanosis. VSD+ASD allow mixing arterial & venous blood. Transposition results from that the aortico-pulmonary septum descends stra ...
... ventricle + Transposition of aorta & pulmonary trunk. Complication: heart failure and death. This diagram showing transposition of great arteries (TGA) which leads to cyanosis. VSD+ASD allow mixing arterial & venous blood. Transposition results from that the aortico-pulmonary septum descends stra ...
PHACE Syndrome Handbook: A Guide for
... Every child diagnosed with PHACE syndrome has a different combination of abnormalities associated with the syndrome. Not every affected child has all of the same symptoms, and there is a spectrum of severity. In most cases, there is no history of PHACE syndrome or similar medical conditions in the f ...
... Every child diagnosed with PHACE syndrome has a different combination of abnormalities associated with the syndrome. Not every affected child has all of the same symptoms, and there is a spectrum of severity. In most cases, there is no history of PHACE syndrome or similar medical conditions in the f ...
papaver
... exact mechanisms of these defects. In the proposed research, the evaluation of distribution and amount of aortic valve calcifications and its impact on the adverse effects is of special interest. Much more than in the surgical approach, imaging plays a pivotal role at multiple stages of TAVI, starti ...
... exact mechanisms of these defects. In the proposed research, the evaluation of distribution and amount of aortic valve calcifications and its impact on the adverse effects is of special interest. Much more than in the surgical approach, imaging plays a pivotal role at multiple stages of TAVI, starti ...
Two Scimitar Veins in an Adult
... persons, the scimitar sign is present in 70% of pediatric and adult patients but in less than 10% of infants. Coexisting anomalies can include hypoplasia of the right lung, systemic arterial blood supply to the right lung from the aorta (in 60% of cases), atrial septal defect (ASD, in 40% of affecte ...
... persons, the scimitar sign is present in 70% of pediatric and adult patients but in less than 10% of infants. Coexisting anomalies can include hypoplasia of the right lung, systemic arterial blood supply to the right lung from the aorta (in 60% of cases), atrial septal defect (ASD, in 40% of affecte ...
Metabolic Abnormalities Changes in Hypothalamic - VU-AMS
... of these stress systems could lead to metabolic alterations, such as high blood pressure, serum triglycerides, serum glucose, waist circumference, and low high-density lipoprotein (HDL) cholesterol (3–5). The metabolic syndrome consists of a cluster of these metabolic abnormalities and predisposes t ...
... of these stress systems could lead to metabolic alterations, such as high blood pressure, serum triglycerides, serum glucose, waist circumference, and low high-density lipoprotein (HDL) cholesterol (3–5). The metabolic syndrome consists of a cluster of these metabolic abnormalities and predisposes t ...
Aortic Dilatation in Patients with Bicuspid Aortic Valve
... DIL ATAT ION Classification schemes that are based on histologic features,16 morphologic valve-fusion patterns, and hierarchical cluster analyses17 have been proposed for describing bicuspid aortopathy, but none have been widely adopted.1,4,7,8,17-20 The patterns of aortic involvement can be classif ...
... DIL ATAT ION Classification schemes that are based on histologic features,16 morphologic valve-fusion patterns, and hierarchical cluster analyses17 have been proposed for describing bicuspid aortopathy, but none have been widely adopted.1,4,7,8,17-20 The patterns of aortic involvement can be classif ...
Simultaneous Bilateral Subdural Hygromas
... subdural hygroma from subdural hematoma on imaging can be difficult and gadoliniumenhanced MRI is the imaging modality of choice.3 Empty sella syndrome is divided broadly into primary empty sella, a congenital defect caused by downward herniation of the sellar diaphragm, or secondary empty sella, in ...
... subdural hygroma from subdural hematoma on imaging can be difficult and gadoliniumenhanced MRI is the imaging modality of choice.3 Empty sella syndrome is divided broadly into primary empty sella, a congenital defect caused by downward herniation of the sellar diaphragm, or secondary empty sella, in ...
Selected Aortic Valve Procedures
... Guidelines from the European Society of Cardiology (Erbel, et al., 2014) state that In most cases of aortic insufficiency associated with acute Type A dissection, the aortic valve is essentially normal and can be preserved by applying an aortic valve -sparing repair of the aortic root. In cases of a ...
... Guidelines from the European Society of Cardiology (Erbel, et al., 2014) state that In most cases of aortic insufficiency associated with acute Type A dissection, the aortic valve is essentially normal and can be preserved by applying an aortic valve -sparing repair of the aortic root. In cases of a ...
Perioperative Management of the Wolff-Parkinson
... years old.13 Although spontaneous arrhythmias occur, the risk of sudden death due to a malignant arrhythmia is estimated at 0.4% per year in patients who have the WPW syndrome.14 It should be noted that since the WPW pattern is only an ECG diagnosis and the general population does not routinely get ...
... years old.13 Although spontaneous arrhythmias occur, the risk of sudden death due to a malignant arrhythmia is estimated at 0.4% per year in patients who have the WPW syndrome.14 It should be noted that since the WPW pattern is only an ECG diagnosis and the general population does not routinely get ...
Arterial stiffness: insights from Framingham and Iceland
... aortic diameter, which may temporarily obscure the effect of wall stiffness on Zc and PP. On the basis of hemodynamics, aortic lumen enlargement seems to approach a limit after midlife when PP and CFPWV increase in parallel, suggesting an ongoing increase in aortic wall stiffness with minimal additi ...
... aortic diameter, which may temporarily obscure the effect of wall stiffness on Zc and PP. On the basis of hemodynamics, aortic lumen enlargement seems to approach a limit after midlife when PP and CFPWV increase in parallel, suggesting an ongoing increase in aortic wall stiffness with minimal additi ...
Practice Board Exam Questions on Aortic Valve Disease
... closure. RHC revealed PASP 29 mm Hg and PVR <2 WU. Non‐ obstructive CAD was found. • TEE performed at the time of the procedure confirms the presence of the ASD and documents adequate surrounding rims and appropriate PV drainage. However an incidental finding is made. ...
... closure. RHC revealed PASP 29 mm Hg and PVR <2 WU. Non‐ obstructive CAD was found. • TEE performed at the time of the procedure confirms the presence of the ASD and documents adequate surrounding rims and appropriate PV drainage. However an incidental finding is made. ...
022802 Aortic Stenosis - New England Journal of Medicine
... Thus, the intervention required in adults, other than standard prophylactic antibiotics against infective endocarditis,8 is the replacement of the valve. The risks of replacing that valve must be weighed against the risks of delaying the procedure. The procedure can usually be delayed until symptoms ...
... Thus, the intervention required in adults, other than standard prophylactic antibiotics against infective endocarditis,8 is the replacement of the valve. The risks of replacing that valve must be weighed against the risks of delaying the procedure. The procedure can usually be delayed until symptoms ...
Cardiac Auscultation
... • Mitral Stenosis (Immobile Leaflets) • Opposite of Causes of Increased Intensity ...
... • Mitral Stenosis (Immobile Leaflets) • Opposite of Causes of Increased Intensity ...
PDF
... Coarctation of the aorta is a common congenital heart defect. it accounts for approximately 8% of cardiac defects. Coarctation of the aorta is characterized by narrowing of the distal aortic arch.this obstructive lesion may reduce the blood flow in the fetal aortic arch, leading to arch hypoplasia, ...
... Coarctation of the aorta is a common congenital heart defect. it accounts for approximately 8% of cardiac defects. Coarctation of the aorta is characterized by narrowing of the distal aortic arch.this obstructive lesion may reduce the blood flow in the fetal aortic arch, leading to arch hypoplasia, ...
Treatment for thoracic outlet syndrome
... We selected randomized or quasi-randomized studies in any language of participants with the diagnosis of any type of thoracic outlet syndrome (neurogenic, vascular, and ’disputed’). The primary outcome measure was change in pain rating on a validated visual analog or similar scale at least six month ...
... We selected randomized or quasi-randomized studies in any language of participants with the diagnosis of any type of thoracic outlet syndrome (neurogenic, vascular, and ’disputed’). The primary outcome measure was change in pain rating on a validated visual analog or similar scale at least six month ...
High implantation technique during CoreValve replacement in a
... the efficacy and safety of this technique and its effect on long term outcomes in patients with a sigmoid septum and narrow LVOT. ...
... the efficacy and safety of this technique and its effect on long term outcomes in patients with a sigmoid septum and narrow LVOT. ...
Dobutamine stress echo-induced apical ballooning (Takotsubo
... tends to show a mononuclear infiltrate without any evidence of myocarditis or myocardial necrosis. Occasionally, contraction band necrosis can be observed, which is well described in catecholamine-induced myocyte injury.5,7,8 Angiography in the vast majority of described cases shows normal coronarie ...
... tends to show a mononuclear infiltrate without any evidence of myocarditis or myocardial necrosis. Occasionally, contraction band necrosis can be observed, which is well described in catecholamine-induced myocyte injury.5,7,8 Angiography in the vast majority of described cases shows normal coronarie ...
Congenital thoracic arterial anomalies in adults
... Aortic coarctation is a congenital narrowing at the junction of the aortic arch and the descending aorta and accounts for 5%–10% of all congenital heart diseases. A bicuspid aortic valve is seen in 85% of cases. It may occur sporadically or be associated with chromosomal abnormalities. In Turner syn ...
... Aortic coarctation is a congenital narrowing at the junction of the aortic arch and the descending aorta and accounts for 5%–10% of all congenital heart diseases. A bicuspid aortic valve is seen in 85% of cases. It may occur sporadically or be associated with chromosomal abnormalities. In Turner syn ...
clinical evaluation and laboratory testing
... resulting in syncope, sudden cardiac death, or near-death (i.e., cardiac arrest aborted either spontaneously or with external defibrillation). LQTS may be either congenital or acquired. The genetic epidemiology of both forms can vary with sub-population depending on the allele, but as a whole, LQTS ...
... resulting in syncope, sudden cardiac death, or near-death (i.e., cardiac arrest aborted either spontaneously or with external defibrillation). LQTS may be either congenital or acquired. The genetic epidemiology of both forms can vary with sub-population depending on the allele, but as a whole, LQTS ...
Carvedilol vs metoprolol succinate wide qrs syndrome
... Chronic heart failure (CHF) is a progressive syndrome that results in a poor. . that βblocker use be restricted to carvedilol, bisoprolol, and metoprolol succinate ,. . Dyssynchrony is most readily defined by the presence of QRS widening on the. . for patients with diastolic heart failure vs those w ...
... Chronic heart failure (CHF) is a progressive syndrome that results in a poor. . that βblocker use be restricted to carvedilol, bisoprolol, and metoprolol succinate ,. . Dyssynchrony is most readily defined by the presence of QRS widening on the. . for patients with diastolic heart failure vs those w ...
congenital heart disease
... Persistant communication between descending aorta and LPA. 8-10% of CHD (Increased incidence in prem babies) 1 in 3000 term infants. ...
... Persistant communication between descending aorta and LPA. 8-10% of CHD (Increased incidence in prem babies) 1 in 3000 term infants. ...
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.