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ASNC PRACTICE POINTS
ASNC PRACTICE POINTS

... Amyloid derived from wild-type TTR results in a restrictive cardiomyopathy, most commonly presenting in men in their early 70’s onwards, but occasionally seen as young as age 60. Although almost 1 in 4 males > 80 years have some TTR-derived amyloid deposits at autopsy,  the clinical significance of ...
Pacemaker Emergencies - Calgary Emergency Medicine
Pacemaker Emergencies - Calgary Emergency Medicine

... Pocket Complications Hematomas  Occur after implantation-venous or arterial bleeder (check for anticoagulation)  If the size of your palm - needs surgery ...
arrhythmogenesis in mitral valve prolapse
arrhythmogenesis in mitral valve prolapse

... leaflet geometry. Professional Med J 2015; 22(2):227-234. ...
Right Heart Adaptation to Pulmonary Arterial€Hypertension
Right Heart Adaptation to Pulmonary Arterial€Hypertension

... often secondary to annular dilation, may also lead to adverse ventricular remodeling and decreased flow reserve. Right-to-left shunting through a patent foramen ovale is also observed more frequently in patients with maladaptive remodeling and more severe RHF (47). Recent studies also suggest that RV ...
The effect of baroreceptor activity on cardiovascular regulation
The effect of baroreceptor activity on cardiovascular regulation

... cardiovascular system. Patients usually expire in a manometer, achieving in this way stable pressure (e.g. 40 mmHg) for 10-15 sec. The fourth stage of the procedure, where there is an AP increase and a reduction of the heart rate, can be used for BRS calculation46. Aside from the baroreceptors stimu ...
Application of first-pass contrast bolus tracking sequence for the
Application of first-pass contrast bolus tracking sequence for the

... ssessment of the cardiac and great vessel anatomy is important in children and infants with congenital heart disease. Diagnosis of congenital pulmonary and great vessel anomalies helps clinicians to determine the appropriate management strategy for the patient. In the preoperative period, evaluation ...
Emerging mechanisms of T-tubule remodelling in heart failure
Emerging mechanisms of T-tubule remodelling in heart failure

... using stimulated emission depletion (STED) imaging technique indicated that the T-tubule diameter is 200 nm in murine myocytes.25 (Note: the smaller T-tubule diameter detected by STED imaging could be due to a better spatial resolution offered by this technique than confocal microscopy). The lumens ...
Relationship of the Pulmonary Artery End
Relationship of the Pulmonary Artery End

... a which could be identified only at the basal heart rate was identical to the LVEDP. In the five patients studied during atrial fibrillation, the LVEDP was found to be equal to the PAEDP in one case and lower than the PAEDP in four, in three of which PVR was increased. The relationship between these ...
Cardiac MRI: Standardized Right and Left Ventricular Quantification
Cardiac MRI: Standardized Right and Left Ventricular Quantification

... LVOT and RVOT as the outflow tract is part of the ventricles and these clear anatomical landmarks increase reproducibility. Including the outflow tracts will increase the ventricular volumes. This will not affect SV (EDV-ESV) but may reduce EF (ESV divided by EDV) [31-33]. The amount of papillary mu ...
Congenital Heart Disease Linked to Maternal Autoimmunity
Congenital Heart Disease Linked to Maternal Autoimmunity

... Sarah J. VanVickle-Chavez,† Madeleine W. Cunningham,‡,1 and Pirooz Eghtesady†,1 ...
Using anatomical knowledge expressed as fuzzy
Using anatomical knowledge expressed as fuzzy

... Numerous cardiac segmentation methods have been developed to estimate the myocardial boundaries in MR images. A registration-based model is used in Ref. [5] and a clustering technique in Ref. [7]. Some methods [10,11] use prior knowledge learned from images models. Deformable models have also been w ...
Quantification of the Contribution of Cardiac and Arterial - VU-dare
Quantification of the Contribution of Cardiac and Arterial - VU-dare

... pressure elevation. When possible, we determined mechanical properties directly from the data (R and C); other parameters were varied in a relative sense, starting from the parameters in the control group (Emin). There was a good agreement (Figure 2) between measured and predicted arterial pressure ...
Tetralogy of Fallot and its Radiologic Manifestation
Tetralogy of Fallot and its Radiologic Manifestation

... ejection murmur at the L sternal border, no right ventricular lift, point of maximum impulse displaced to the L • Peripheral pulses normal ...
Acta Radiologica Short Reports
Acta Radiologica Short Reports

... Survival rates in TOF with pulmonary atresia without surgical repair reported in the literature are as low as 50% at 1 year of age and 8% at 10 years (6). Our case shows an adult survivor of uncorrected TOF with pulmonary atresia, the oldest survivor ever reported in the literature being 59 years ol ...
Understanding atrial fibrillation: A historical perspective
Understanding atrial fibrillation: A historical perspective

... fibrillation clinically as a “sign of mitral stenosis” (1827) [3, 7]: “Extremely irregular action of the heart is almost pathognomonic of mitral stenosis” [5]. In 1830 Jean Baptiste Bouillaud considered digitalis as a “sort of opium for the heart”. Digitalis decreased the ventricular rate in patient ...
Evaluating strict and conventional left bundle
Evaluating strict and conventional left bundle

... defibrillators by having an additional lead for LV epicardial stimulation. The additional LV lead needed for CRT carries an additional risk of complications; clinical trials have reported an overall complication rate of 15%, of which 10% is related to the LV lead.1 – 4 Although CRT devices improve ...
Successful catheter ablation of symptomatic premature ventricular
Successful catheter ablation of symptomatic premature ventricular

... An asystole, defined as the absence of myocardial electrical activity (1), is a state, which may occur due to acute hypobaric hypoxia. It can be seen even in completely healthy individuals (2) and may cause hazardous results compromising flight safety. Asystole is usually associated with an organic ...
Body, eye, and chorioallantoic vessel growth are not dependent on
Body, eye, and chorioallantoic vessel growth are not dependent on

... Basic cardiovascular variables—HH 16 –24. Basic cardiovascular characteristics of control chicken embryos, and their relationship to developmental stage, are shown in Fig. 1. Heart rate was ⬍100 beats/min at HH 16, increasing significantly to ⬎135 beats/min by HH 24 (Fig. 1A). Over this same develop ...
Chaos-related deterministic regulation of heart rate variability in time
Chaos-related deterministic regulation of heart rate variability in time

... Prior to sampling of time series of 750 consecutive heart beats, the subjects worked 6 min on each level in order to attain steady-state conditions during sampling of the succeeding 750 consecutive heart beats [12,13]. 2.3. Lyapunov exponent measurement of heart rate variability The Lyapunov exponen ...
The Mural Left Anterior Descending Coronary Artery,
The Mural Left Anterior Descending Coronary Artery,

... obstruction is the major cause of myocardial ischemia and infarction, these myocardial changes and even death may occur without advanced obstructive coronary artery disease.' Myocardial ischemia in the absence of obstructive coronary atherosclerosis can be caused by coronary spasm, probably secondar ...
What Is the Optimal Serum Potassium Level in Cardiovascular
What Is the Optimal Serum Potassium Level in Cardiovascular

... ⫽ angiotensin-converting enzyme AMI ⫽ acute myocardial infarction BP ⫽ blood pressure ECG ⫽ electrocardiogram/electrocardiographic/ electrocardiography HF ⫽ heart failure LVH ⫽ left ventricular hypertrophy MRFIT ⫽ Multiple Risk Factor Intervention Trial NO ⫽ nitric oxide RAAS ⫽ renin-angiotensin-ald ...
Right Ventricular Bifocal Stimulation in the Treatment of Dilated
Right Ventricular Bifocal Stimulation in the Treatment of Dilated

... Maling address: José Carlos Pachón Mateos – Av. Jamaris, 650/72 - 04078-001 São Paulo, SP - Brazil ...


... predisposes patients to an arrhythmia called supraventricular ...
The economical challenge in the treatment of chronic heart failure: is
The economical challenge in the treatment of chronic heart failure: is

... Despite great scepticism and opposition in the early years of implantable cadioverter/defibrillator (ICD) therapy, 25 years of clinical practice and multiple randomized multicentre studies have proven that ICD therapy is highly effective to prevent sudden cardiac death.1,2 In patients with or withou ...
Arrhythmogenic Disorders of Genetic Origin
Arrhythmogenic Disorders of Genetic Origin

... that may progress to compete heart block. Electrophysiological studies have revealed heart block to be intranodal in LMNA associated cardiomyopathy.39 Alternatively, interventricular conduction disease or sinus node dysfunction may be the presenting manifestations of DCM+E. Supraventricular tachyarr ...
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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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