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File - Logan Class of December 2011
File - Logan Class of December 2011

... Rheumatic heart disease: Incidence has decreased over the use due to antibiotics…There are 5,000 deaths per year and most have sensitivity to group A beta hemolytic strept. Bacertiral endocarditis: M/C cause is hypersensitivity to group A beta hemolytic strept and then followed by IV drug use Congen ...
Circulatory System
Circulatory System

... • In this condition, fatty deposits build up on arterial walls. • If a coronary artery is blocked, a heart attack can occur. ...
Ventricular Assist Device Implantation: Considerations for
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... graft and a driveline. The centrifugal LVAD also has an inflow graft, as the pump is housed in an abdominal pocket vs. the pericardium. The driveline (which exits the abdomen and is connected to the power source) is a potential source of infection. This becomes a concern if care is not taken to prev ...
Blood and Circulation
Blood and Circulation

... other substances to the cells. The fluid is blood plasma that is forced out through the thin capillary walls by the pressure of the blood inside. Red blood cells squeeze through the smallest capillaries in single file; this results in a drop of pressure as the blood passes through capillaries from t ...
Hypothesis 1
Hypothesis 1

... place. But, ectopic pregnancies can occur and succeed. • Hypothesis 2: the placenta is able to protect the fetus from antibody-mediated attack by restricting passage of fetal antigens into the mother’s body and maternal antibodies into the fetal circulation. Yes, but how about Rh disease, in which R ...
Med Term Ch10 PPT
Med Term Ch10 PPT

... cells and tissues. It functions like two: PUMPS working at the same time to move blood to the entire body. ...
Electrocardiogram (EKG, ECG) - Dr. Ray Winstead`s Front Page
Electrocardiogram (EKG, ECG) - Dr. Ray Winstead`s Front Page

... “What your EKG indicates during your stress test is a classic case of coronary ischemia in the left ventricle.” [Ischemia is a restriction in blood supply to tissues, causing a shortage of oxygen and glucose needed for cellular metabolism.] “This coronary ischemia did not show up on the EKG when you ...
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Kathy Ray Cardiovascular System PP

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Atrial fibrillation

... For most people with AF, a combination of ongoing medicines will be recommended to help to maintain a normal heart rhythm, slow the rate at which the heart beats and/or reduce the risk of stroke and other problems caused by emboli. This is true even for many people who undergo cardioversion or ablat ...
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The clinical challenge of concomitant aortic and mitral valve stenosis

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Innocent Heart Murmurs
Innocent Heart Murmurs

... Innocent heart murmurs are murmurs found in people with normal hearts. Innocent heart murmurs—also called functional, normal, vibratory or physiologic murmurs—are harmless. They are common in children and may disappear and reappear throughout childhood. They change depending on the varying acoustics ...
Hypertension - keala . org
Hypertension - keala . org

... well the heart is working. The normal in a resting situation is 35 – 45. (eg. Normal BP is 120/80; 120 – 80 = 40) Mean arterial pressure – average pressure in the systemic circulation - Diastolic pressure + 1/3rd of pulse pressure - Main indicator of tissue perfusion (determines tissue blood flow) - ...
Got Blood?
Got Blood?

... The average cardiac output is 4900mL a minute (remember we have about 5000mL of blood in our body). Because cardiac output is heart rate x stroke volume, the larger an individual’s stroke volume is, the smaller the heart rate has to be. (Don’t take my word for it…..try a calculation yourself and see ...
Chapter 21 - heart - Fullfrontalanatomy.com
Chapter 21 - heart - Fullfrontalanatomy.com

... Systole= heart muscle contraction (atrial systole, ventricular systole) Diastole= heart muscle relaxation (for blood pressure, systolic vs diastolic pressure refers to ventricles.) - Heart beat “lub-dup” sounds are caused when valves close. Heart murmur: ineffective valves that cause blood to pass b ...
discussion worksheets
discussion worksheets

... 16. Given the following pressures: right ventricle 20 mmHg, right atrium 15 mmHg, Aorta 76 mmHg, pulmonary trunk 18 mmHg, left atrium 17 mmHg, and left ventricle 83 mmHg. Predict which valves of the heart will be open and which will be closed. You might want to draw a diagram to help you answer this ...
Functional MR
Functional MR

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Transthoracic tissue Doppler study of right ventricular - Heart

... view. The pulmonary infundibulum was enlarged (upper panel). We looked at the tissue Doppler characteristics of the right ventricle, especially the free wall, to quantify regional right ventricular function. We then used tissue Doppler velocity (TVI) curve analysis (lower panel) and observed the dis ...
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Unit12cadiovascularsystem

... 1. Pulmonary circulation: The short loop pumped by the right ventricle from the heart to the lungs and back to the heart  Serves only to bring blood in contact with alveoli resulting in gas exchange  It does not meet the needs ( metabolic) of the lung tissue ...
Adult Congenital Heart Disease Program
Adult Congenital Heart Disease Program

... CT, and nuclear medicine are also offered. In addition, we operate an inpatient specialty consult service. Our structural and congenital interventional catheterization laboratory performs comprehensive hemodynamic assessment of patients with congenital heart disease, and structural interventional pr ...
Pediatric Cardiac Emergencies
Pediatric Cardiac Emergencies

... Most commonly related to L-to-R shunt (ie VSD) At birth, R pressures are high, shunt is minimal so defect may not present itself Drop in R side pressures and increased L pressures occurs over 6-8 wks causing shunt and symptoms Murmurs are not heard in nursery because lack of shunt Late TOF presentat ...
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... ECG, accurate physical examination and radiology form the tripod on which rests the clinical diagnosis in Ped. Card. Omission of, unfamiliarity with or misinterpretation of any of these three tools spells disaster. ...
echocardiography
echocardiography

... • TEE images in the upper mid esophagus at 40 to 60 degree and 110 to 130 degree are most useful for examing aortic valve and ascending aorta • Doppler flow across AV must be measured looking up from TG view ...
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Lutembacher's syndrome



Lutembacher's syndrome is a form of congenital heart disease. Lutembacher's syndrome was first described by a French cardiologist by the name of Rene' Lutembacher (1884–1968) of Paris, France in 1916. Lutembacher syndrome is a rare disease that affects one of the chambers of the heart as well as a valve of the heart. Lutembacher's syndrome is known to affect females more often than males. Lutembacher is an extremely rare disease. Lutembacher's can affect children or adults; the person can either be born with the disorder or develop it later in life.Lutembacher affects more specifically the atria of the heart and the mitral or biscupid valve. The disorder itself is known more specifically as both congenital atrial septal defect (ASD) and acquired mitral stenosis (MS). Congenital (at birth) atrial septal defect refers to a hole being in the septum or wall that separates the two atria; this condition is usually seen in fetuses and infants. Mitral stenosis refers to mitral valve leaflets (or valve flaps) sticking to each other making the opening for blood to pass from the atrium to the ventricles very small. With the valve being so small, blood has difficulty passing through the left atrium into the left ventricle. There are several types of septal defects that may occur with Lutembacher's syndrome: ASD Ostium Secundum or ASD (Primium); Ostium Secundum is the most prevalent.Lutembacher is caused indirectly as the result of heart damage or disorders and not something that is necessarily infectious. Lutembacher's syndrome is caused by either birth defects where the heart fails to close all holes in the walls between the atria or from an episode of rheumatic fever where damage is done to the heart valves such as the mitral valve and resultant in an opening of heart wall between atria. With Lutembacher's syndrome, a fetus or infant is usually seen to have a hole in their heart wall (interatrial) separating their right and left atria. Normally during fetal development, blood bypasses the lungs and is oxygenated from the placenta. Blood passes from the umbilical cord and flows into the left atrium through an opening called the foramen ovale; the formaen ovale is a hole between the two atria. Once a baby is born and the lungs begin to fill with air and the blood flow of the heart changes, a tissue flap (somewhat like a trap door) called the septum primium closes the foramen ovale or hole between the two atria and becomes part of the atrial wall. The failure of the hole between the two atria to close after birth leads to a disorder called ASD primium. The most common problems with an opening found in the heart with Lutembacher's syndrome is Ostium Secundum. Ostium Secundum is a hole that is found within the flap of tissue (septum primium) that will eventually close the hole between the two atria after birth. With either type of ASD, ASD will usually cause the blood flow from the right atrium to skip going to the right ventricle and instead flow to the left atrium. If mitral stenosis (the hardening of flap of tissue known as a valve which opens and closes between the left atrium and ventricle to control blood flow) is also present, blood will flow into the right atrium through the hole between the atria wall instead of flowing into the left ventricle and systemic circulation. Eventually this leads to other problems such as the right ventricle failing and a reduced blood flow to the left ventricle.In addition to the ASD, acquired MS can be present either from an episode of rheumatic fever (the mother has or had rheumatic fever during the pregnancy) or the child being born with the disorder (congenital MS). With the combination of both ASD and MS, the heart can be under severe strain as it tries to move blood throughout the heart and lungs. To correct Lutembacher's syndrome, surgery is often done. There are several types of surgeries depending on the cause of Lutembacher's syndrome(ASD Primium or ASD Ostium Secundum with Mitral Stenosis): Suturing (stitching) or placing a patch of tissue (similar to skin grafting) over the hole to completely close the opening Reconstructing of the mitral and tricuspid valve while patching any holes in the heart Device closure of ASD (e.g. Amplatzer umbrella or CardioSEAL to seal the hole Percutaneous transcatheter therapy Transcatheter therapy of balloon valvuloplasty to correct MS↑ ↑ 2.0 2.1 2.2 2.3 2.4 ↑ 3.0 3.1 3.2 3.3 3.4 ↑ ↑ ↑ 6.0 6.1 6.2 6.3 ↑
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