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Guidelines on the management of valvular heart disease (version 2012)
Guidelines on the management of valvular heart disease (version 2012)

... University Press, the publisher of the European Heart Journal, and the party authorized to handle such permissions on behalf of the ESC. Disclaimer. The ESC/EACTS Guidelines represent the views of the ESC and the EACTS and were arrived at after careful consideration of the available evidence at the ...
Guidelines on the management of valvular heart disease (version 2012)
Guidelines on the management of valvular heart disease (version 2012)

... transcatheter aortic valve implantation transoesophageal echocardiography tricuspid regurgitation tricuspid stenosis transthoracic echocardiography unfractionated heparin valvular heart disease three-dimensional echocardiography ...
Connexin 43 Expression in Human Hypertrophied Heart Due to
Connexin 43 Expression in Human Hypertrophied Heart Due to

... Fig. 2. Left ventricular sections were immunofluorescence stained for Cx43 (representative sections of the three groups). A: patient with volume overload due to mitral regurgitation. B: patient with aortic stenosis and mild left ventricular hypertrophy. C: patient with aortic stenosis and severe lef ...
Cardiac electrophysiology
Cardiac electrophysiology

... begins a quivering motion due to a disunity in contractile cell function. Fibrillation can affect the atrium (atrial fibrillation) or the ventricle (ventricular fibrillation); ventricular fibrillation is imminently lifethreatening. Atrial fibrillation is the quivering, chaotic motion in the upper ch ...
ESC/EACTS Guidelines on valvular heart disease
ESC/EACTS Guidelines on valvular heart disease

... transcatheter aortic valve implantation transoesophageal echocardiography tricuspid regurgitation tricuspid stenosis transthoracic echocardiography unfractionated heparin valvular heart disease three-dimensional echocardiography ...
ECHOCARDIOGRAPHY ASSESSMENT OF SYSTOLIC FUNCTION
ECHOCARDIOGRAPHY ASSESSMENT OF SYSTOLIC FUNCTION

... everyday clinical practice the “eyeball” estimation of EF is often performed and experienced physicians get results comparable to those obtained using “trackball” methods [17]. Whichever method for measuring EF is applied to assess global LV systolic function carries important limitations due to its ...
Recommendations for the Evaluation of Left Ventricular Diastolic
Recommendations for the Evaluation of Left Ventricular Diastolic

... instantaneous fall to low diastolic pressures, which allows for the maximum time for LV filling. This theoretically optimal situation is approached by the cyclic interaction of myofilaments and assumes competent mitral and aortic valves. Diastole starts at aortic valve closure and includes LV pressu ...
Anemia LECTURE IN INTERNAL MEDICINE FOR IV COURSE
Anemia LECTURE IN INTERNAL MEDICINE FOR IV COURSE

... Neck fullness Paleness Vasovagal type response with light-headedness, dizziness, nausea, or loss of consciousness (vertigo, syncope, fainting) • Higher risk of blood clotting, embolization and stroke (atrial fibrillation) • Cardiac arrest, or sudden cardiac death en.wikipedia.org/wiki/Acute_coronary ...
Straight Back Syndrome - bangkokmedjournal.com
Straight Back Syndrome - bangkokmedjournal.com

... hallmark of the pectus excavatum.11 Both SBS and pectus exacavatum affect the heart function in similar ways by causing the narrowing of the thoracic cavity in A-P dimension. On the other hand, other murmur-producing cardiac diseases are also a differential diagnosis of SBS. MVP is the most common ...
Module I E.C.G. RHYTHM INTERPRETATION
Module I E.C.G. RHYTHM INTERPRETATION

... The AV Node plays a significant role in delaying the conduction of electrical impulses between the atria and the ventricles. The delay provides sufficient time to allow the ventricle to fully fill with blood and stretch sufficiently prior to the impulses entering the ventricle producing the contract ...
Delayed depolarization of the cog-wheel valve
Delayed depolarization of the cog-wheel valve

... phasically increase resistance in the pulmonary outflow stimulation (10–50 Hz) reduced the conduction delay tract. If this increased resistance causes right ventricular between the right ventricle and cog-wheel valve by pressure to rise above that in the systemic circuit, right approximately 20 % an ...
Detection of Intracardiac and Intrapulmonary Shunts
Detection of Intracardiac and Intrapulmonary Shunts

... The absence of separation between the roof of the coronary sinus and the floor of the left atrium (coronary sinus defect) has often been categorized as an atrial septal defect because it effectively provides a shunt pathway between the atria via the coronary sinus. This defect is sometimes associate ...
The relationship between mitral annular systolic velocity and
The relationship between mitral annular systolic velocity and

... there was a tendency to weaken the EF/Sm(avg) correlation. In subgroup with HTN/DD, we observed a reverse tendency. In patients with HTN/DM correlation was stronger. These tendencies did not differ significantly between subgroups. Therefore, it was not necessary to correct the general equation. Rega ...
No Slide Title
No Slide Title

... Class I  All patients with significant coarctation (native or re-coarctation post-repair) should be considered candidates for treatment (Level of Evidence: C)  For significant native aortic coarctation, a surgical or a percutaneous approach (if the anatomy is suitable) is reasonable. The preferred ...
FETAL ARRYTHMIAS FETAL CARDIOLOGY ABSTRACT
FETAL ARRYTHMIAS FETAL CARDIOLOGY ABSTRACT

... serum digoxin levels should be at the upper limit of normal (2.56 nmol/L) and to achieve this level, digoxin up to 1 mg per day is often required. About 60% of supraventricular tachycardias without hydrops can be controlled with digoxin alone. If conversion to sinus rhythm does not occur in the pres ...
Assessment of clients with CVS conditions
Assessment of clients with CVS conditions

... seen by doctors are of cardiac origin. The remaining 50% is referred to as non-cardiac chest pain (NCCP). So, where is the pain coming from?!! How to differentiate between cardiac and non cardiac chest pain ...
Pulmonary Hypertension Associated With Congenital Heart Disease
Pulmonary Hypertension Associated With Congenital Heart Disease

... have the same propensity to cause pulmonary vascular disease. For instance, pulmonary vascular disease may be advanced at birth and persist despite neonatal repair in patients with transposition of the great arteries, emphasizing the importance of prenatal conditions (eg, atrial septal or ductal res ...
Antithrombotic Therapy in Valvular Heart Disease—Native and
Antithrombotic Therapy in Valvular Heart Disease—Native and

... Among patients with valvular disease who suffer a first embolus, recurrent emboli occur in 30 to 65% of cases,2,6,20,21 of which 60 to 65% are within the first year,20,21 and most occur within 6 months. Mitral valvuloplasty does not appear to eliminate the risk of thromboembolism.5,9 Thus, a success ...
Peer-Reviewed Case Report - UKnowledge
Peer-Reviewed Case Report - UKnowledge

... recovery and as destination therapy in patients who are not candidates for heart transplant. There are two main categories of LVADs : earlier generation or pulsatile flow devices (HeartMateXVE) and late generation or continuous flow devices (Jarvik 2000, VentrAssist, HeartMate II, Heartware and Hear ...
Antiarrhythmic Effect of Nifekalant on Atrial Tachyarrhythmia in Four
Antiarrhythmic Effect of Nifekalant on Atrial Tachyarrhythmia in Four

... Objectives. Nifekalant is a class Ⅲ antiarrhythmic drug, which prolongs the refractory period of the atrial and ventricular myocardium, without negative inotropic action. Intravenous nifekalant was administered in four patients with atrial tachyarrhythmia and severe heart failure to terminate or pre ...
Total Artificial Heart Imaging and Complications: a
Total Artificial Heart Imaging and Complications: a

... recovery and as destination therapy in patients who are not candidates for heart transplant. There are two main categories of LVADs : earlier generation or pulsatile flow devices (HeartMateXVE) and late generation or continuous flow devices (Jarvik 2000, VentrAssist, HeartMate II, Heartware and Hear ...
THE ROLE OF THE THEBESIAN VESSELS IN THE CIRCULATION
THE ROLE OF THE THEBESIAN VESSELS IN THE CIRCULATION

... on beef and sheep hearts. In these experiments Vieussens ligated the vena cava above and below the right auricle of the heart and next ligated the pulmonary veins. Having thus blocked these outlets he injected a solution of safmnine in alcohol into the coronary arteries. After the safranine had fill ...
The Mural Left Anterior Descending Coronary Artery,
The Mural Left Anterior Descending Coronary Artery,

... On admission to the hospital, the patient had fixed, dilated pupils, and blood gases revealed severe acidosis. The ECG showed nonspecific, postresuscitation types of QRS and ST changes. The patient remained unconscious and died 14 hours after admission. Postmortem examination showed significant path ...
Pulmonary arteriovenous shunting in the normal fetal lung
Pulmonary arteriovenous shunting in the normal fetal lung

... leading theory is that pulmonary arteriovenous communications develop in response to the absence of an uncharacterized hepatic factor in blood that is returned to the pulmonary circulation. Pulmonary arteriovenous shunting has been shown to develop when hepatic venous drainage bypasses the pulmonary ...
Hereditary Occurrence of the Pre-Excitation
Hereditary Occurrence of the Pre-Excitation

... is the basic mechanism plus A-V nodal tachycardia which produces A-V dissociation and electric interference at the A-V junction. In addition, there is concealed forward conduction and concealed reentry of retrograde impulses through an accessory A-V bypass producing pseudobigeminy. Figure 4 is assem ...
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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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