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ID_3651_Internal medicine_Module4_ CM1_English_sem_12
ID_3651_Internal medicine_Module4_ CM1_English_sem_12

... All of the following statements regarding myocardial stunning are true EXCEPT: Stunning is a state of depressed myocardial function due to chronic hypoperfusion Stunning can be global or regional Stunning can follow cardiac surgery with cardiopulmonary bypass Oxygen-free radicals and excess intracel ...
Origin of Both Great Vessels from the Right Ventricle
Origin of Both Great Vessels from the Right Ventricle

... Origini of both great vessels from right ventricle, with infundibular stentosis. The spec' men in this case resembles the one shown in figure 1. a. Right ventricular aspect. A section has been made through the infundibular zone. The ventricular septal defect lies caudal to the crista supraventricula ...
Exercise testing in pulmonary arterial hypertension and in chronic
Exercise testing in pulmonary arterial hypertension and in chronic

... increase in pulmonary arterial pressures and the absence of causal cardiac or pulmonary disease [1]. The condition evolves over years, with prominent exercise-induced symptoms, due to the inability of the overloaded right ventricle to perfuse the lungs and to adapt systemic oxygen delivery to periph ...
Name of presentation
Name of presentation

... • Pulmonic valve may be thickened with poor movement • Paradoxical septal motion may be noted in severe ...
Influence of Body Height on Pulsatile Arterial Hemodynamic
Influence of Body Height on Pulsatile Arterial Hemodynamic

... Objectives. This study sought to present evidence that short stature is a hemodynamic liability, which could explain in part the inverse relation between body height and cardiovascular risk. Background. Other explanations for the association of short stature with increased cardiovascular risk includ ...
Myocardial Volume and Organization Are Changed by Failure of
Myocardial Volume and Organization Are Changed by Failure of

... the definitive myocardium to the cardiac outflow tract. The current study was undertaken to understand the changes in myocardial characteristics in the heart tube, including volume, proliferation, and cell size when the myocardium from the secondary heart field fails to be added to the primary heart tu ...
Diagnosis of arrhythmogenic right ventricular
Diagnosis of arrhythmogenic right ventricular

... fied as definitive with fulfillment of as few as two major or one with ARVC often have thin right ventricular walls that can major and two minor criteria (5). Utilizing these criteria, it may predispose them to perforation, a risk that becomes even greater be possible to avoid further diagnostic studie ...
Rate vs rhythm control in patients with atrial fibrillation
Rate vs rhythm control in patients with atrial fibrillation

... was the study that provided more information about hospitalisation causes. This non-significant disproportion in hospitalisations was due to atrial fibrillation (9% rate control vs 14% rhythm control, p = 0.001) and bradyarrhythmias (3% rate control vs 6% rhythm control, p = 0.02). Rhythm control pati ...
Increases Left-to-Right Ventricular Systolic Interaction
Increases Left-to-Right Ventricular Systolic Interaction

... in the free walls, and the pericardium. It is useful to further subdivide anatomic mechanical interactions into those occurring during diastole and systole. Systolic ventricular interaction is especially important as a determinant of right heart function since it is known that a substantial portion ...
The visualization and measurement of left ventricular deformation
The visualization and measurement of left ventricular deformation

... body at normal filling pressures [2]. The goal of recording and visualizing cardiac data sets is to recognize and predict heart diseases. The cardiac data set used in this work is a finite element model of the human left ventricle developed by Young et al. [3,4]. The deformation of the myocardium (hea ...
Carvedilol vs metoprolol succinate wide qrs syndrome
Carvedilol vs metoprolol succinate wide qrs syndrome

... patients with diastolic heart failure vs those with systolic heart failure.Apr 4, 2011 . Heart failure (HF) is a complex clinical syndrome caused by structural or. .. metoprolol succinate (β1 receptor selective blockers), and carvedilol (which. . LVEF of 30% or less, and wide QRS intervals (≥130 ms) ...
1 Sudden cardiac death in young athletes Causes, athlete`s heart
1 Sudden cardiac death in young athletes Causes, athlete`s heart

... anterior motion of the mitral valve, and a loud systolic ejection murmur, although suggestive, are no longer required for the diagnosis. Unfortunately, most athletes with hypertrophic cardiomyopathy remain asymptomatic until the time of death and are difficult to identify on the basis of history or ...
The Violin Heart
The Violin Heart

... In this case report a peculiar echocardiographical entity is described—the “violin heart”. This picture is the result of a false tendon extending between the two heads of the papillary muscles. The differential diagnosis of ventricular false tendons include the following:1 isolated, left ventricular ...
Diagnostic and Therapeutic Cardiovascular Procedures
Diagnostic and Therapeutic Cardiovascular Procedures

... tamponade from constrictive pericarditis and restrictive cardiomyopathy; the diagnosis of left-to-right intracardiac shunts; and to guide fluid management and hemodynamic monitoring of patients after surgery or complicated myocardial infarction and for patients in shock, heart failure, etc. Although ...
2011 Cardio - Arlington High School
2011 Cardio - Arlington High School

...  Congestive heart failure – when the pumping efficiency of the heart is depressed so that circulation is inadequate to meet tissue needs.  A progressive condition that may be caused by coronary atherosclerosis (blockage of coronary vessels with fatty buildup), persistent high blood pressure or mul ...
Heart Health - UAW Retiree Medical Benefits Trust
Heart Health - UAW Retiree Medical Benefits Trust

... that may raise blood pressure in some people. – Take the salt shaker off the table. – Use seasonings without salt or sodium. – Limit processed and packaged foods that have salt and sodium added. – Read food labels for sodium content. • If you drink alcohol, limit how much you drink to: – 2 dri ...
Determination of right ventricular volume and function using multiple
Determination of right ventricular volume and function using multiple

... It´s well known that the challenge using the short axis slices for RV volume measurement has been the definition of the basal slice of the RV and how to handle the RV outflow tract. The latter is out of the plane of the short axis slices, which creates difficulties in the delimitation of the pulmon ...
Intrinsic changes on automatism, conduction, and refractoriness by
Intrinsic changes on automatism, conduction, and refractoriness by

... baroreceptive mechanisms in trained animals (1). Conversely, several reports support the fact that electrophysiological training-induced modifications are the result of intrinsic mechanisms. Indeed, Katona et al. (10) and Lewis et al. (11) concluded that traininginduced bradycardia at rest is caused ...
Intrinsic changes on automatism, conduction
Intrinsic changes on automatism, conduction

... baroreceptive mechanisms in trained animals (1). Conversely, several reports support the fact that electrophysiological training-induced modifications are the result of intrinsic mechanisms. Indeed, Katona et al. (10) and Lewis et al. (11) concluded that traininginduced bradycardia at rest is caused ...
TRICUSPID ATRESIA
TRICUSPID ATRESIA

... when the pulmonary blood flow is increased. • The mitral valve is morphologically normal; it is rarely incompetent and has a large orifice. • The left ventricle is enlarged and hypertrophied but usually morphologically ...
PDF - Circulation
PDF - Circulation

... that in transposition of the great vessels. We believe that the recognition of these variants is conceptually important, even though the practical importance may be limited. Surgically it may be of some relevance. The pulmonary trunk posterior to the aorta would require a variation of the Rastelli t ...
Physical Examination of the Cardiovascular System
Physical Examination of the Cardiovascular System

... portable ultrasound can aid in the accuracy of the bedside cardiovascular evaluation, the cardiac physical is cheap, of diagnostic value, and establishes rapport between patient and physician [2]. First, it is important to be systematic. Second, form a differential diagnosis before you start, so the ...
Increased Superoxide Radical with a Decrease in Vascular
Increased Superoxide Radical with a Decrease in Vascular

... were then increased in the early stage of hypertrophy, but decreased in the late stage. The LVH models used in this experiment were created by abdominal aortic banding, as we had previously reported,16) and the LVH had been made a chronic process that evolved from a compensatory state to heart failu ...
the current role of echocardiography in cardiac resynchronization
the current role of echocardiography in cardiac resynchronization

... Olsen et al have used cross-correlation anares of dyssynchrony among many published lysis of the acceleration curves derived from measures [24]. Accordingly, we have selectissue Doppler velocity curves to detect ted the measures that are best represented CRT response [31]. Subsequently Risum et in ...
CARCINOID HEART DISEASE Atrial Myxoma
CARCINOID HEART DISEASE Atrial Myxoma

...  Carcinoid heart disease occurs in 50% of patients with Carcinoid Syndrome  Carcinoid heart disease is rare form of heart disease characterized by plaque like deposits of fibrous tissue frequently affecting right side heart valves and endocardium  Most commonly tricuspid regurgitation occurs ...
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Heart failure



Heart failure (HF), often referred to as congestive heart failure (CHF), occurs when the heart is unable to pump sufficiently to maintain blood flow to meet the body's needs. The terms chronic heart failure (CHF) or congestive cardiac failure (CCF) are often used interchangeably with congestive heart failure. Signs and symptoms commonly include shortness of breath, excessive tiredness, and leg swelling. The shortness of breath is usually worse with exercise, while lying down, and may wake the person at night. A limited ability to exercise is also a common feature.Common causes of heart failure include coronary artery disease including a previous myocardial infarction (heart attack), high blood pressure, atrial fibrillation, valvular heart disease, excess alcohol use, infection, and cardiomyopathy of an unknown cause. These cause heart failure by changing either the structure or the functioning of the heart. There are two main types of heart failure: heart failure due to left ventricular dysfunction and heart failure with normal ejection fraction depending on if the ability of the left ventricle to contract is affected, or the heart's ability to relax. The severity of disease is usually graded by the degree of problems with exercise. Heart failure is not the same as myocardial infarction (in which part of the heart muscle dies) or cardiac arrest (in which blood flow stops altogether). Other diseases that may have symptoms similar to heart failure include obesity, kidney failure, liver problems, anemia and thyroid disease.The condition is diagnosed based on the history of the symptoms and a physical examination with confirmation by echocardiography. Blood tests, electrocardiography, and chest radiography may be useful to determine the underlying cause. Treatment depends on the severity and cause of the disease. In people with chronic stable mild heart failure, treatment commonly consists of lifestyle modifications such as stopping smoking, physical exercise, and dietary changes, as well as medications. In those with heart failure due to left ventricular dysfunction, angiotensin converting enzyme inhibitors or angiotensin receptor blockers along with beta blockers are recommended. For those with severe disease, aldosterone antagonists, or hydralazine plus a nitrate may be used. Diuretics are useful for preventing fluid retention. Sometimes, depending on the cause, an implanted device such as a pacemaker or an implantable cardiac defibrillator may be recommended. In some moderate or severe cases cardiac resynchronization therapy (CRT) may be suggested or cardiac contractility modulation may be of benefit. A ventricular assist device or occasionally a heart transplant may be recommended in those with severe disease despite all other measures.Heart failure is a common, costly, and potentially fatal condition. In developed countries, around 2% of adults have heart failure and in those over the age of 65, this increases to 6–10%. In the year after diagnosis the risk of death is about 35% after which it decreases to below 10% each year. This is similar to the risks with a number of types of cancer. In the United Kingdom the disease is the reason for 5% of emergency hospital admissions. Heart failure has been known since ancient times with the Ebers papyrus commenting on it around 1550 BCE.
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