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Valvular Heart Disease
Valvular Heart Disease

... or chronic AR. (Level of Evidence: B) B. Assessment of the cause of chronic AR (including valve morphology and aortic root size and morphology) and assessment of LV hypertrophy, dimension (or volume), and systolic function. (Level of Evidence: B) C. Assessment of AR and severity of aortic dilatation ...
A case of asymptomatic patient with right ventricular dilatation
A case of asymptomatic patient with right ventricular dilatation

... anomalous pulmonary veins is essential to avoid leaving behind a residual left to right shunt. In our case, a detailed physical exam with an unusual electrocardiogram and chest X-ray raised the suspicion of an intracardiac shunt; appropriate investigation resulted in the correct identification of a ...
ECG signs of Cardiac hypertrophy and enlargement of heart chambers
ECG signs of Cardiac hypertrophy and enlargement of heart chambers

... ECG this is strong evidence of underlying LVH; however, if they are not, this does not reliably outrule hypertrophy. ...
Echocardiographic Evaluation of Effects of Different Training
Echocardiographic Evaluation of Effects of Different Training

... Regular, hard and professional training regimens are accompanied with morphologic alteration and cardiac function which is known as “athlete’s heart”. (1-4). Athlete's heart is usually an incidental finding during a routine screening or during tests for other medical issues. An enlarged heart can be ...
Unilateral Absence of a Pulmonary Artery in Absent Pulmonary
Unilateral Absence of a Pulmonary Artery in Absent Pulmonary

... A six-year-old boy presented to the Cardiology clinic with history of mild cyanosis and dyspnea on exertion from age 1. He had a to-and-fro murmur at the middle left sternal border. Chest examination was normal but chest x-ray showed a small left lung. Echocardiography established the diagnosis of t ...
Association of Coronary Sinus Diameter with Pulmonary Hypertension
Association of Coronary Sinus Diameter with Pulmonary Hypertension

... information about causes and consequences of PH. PASP is equivalent to right ventricular systolic pressure (RVSP) in the absence of right ventricular or pulmonary outflow obstruction. RVSP is estimated by measurement of tricuspid regurgitation velocity (v) and estimate RAP with the formula RVSP: 4v2 ...
Exploring Inside a Snowman by Magnetic Resonance Imaging
Exploring Inside a Snowman by Magnetic Resonance Imaging

... pulmonary veins.1 TAPVR is a congenital left to right shunt disease where all four pulmonary veins are gathered into a vertical vein behind the left atrium. The vertical vein plays a role as a reservoir of oxygenated blood that drains into the right side system directly or via the left innominate ve ...
Intraluminal Ascending Aorta Fibroma
Intraluminal Ascending Aorta Fibroma

... in the pediatric age group are benign; autopsy studies in children have reported incidence rates ranging from 0.027% to 0.08%.4 One echocardiography database has reported an incidence of 0.17%, which suggests that one or two new primary cardiac tumors will be detected for every 1000 firsttime pediat ...
Current Status of Transcatheter Aortic Valve Replacement
Current Status of Transcatheter Aortic Valve Replacement

... Surgical aortic valve replacement (SAVR) has long been the mainstay of therapy for severe aortic stenosis. However, transcatheter aortic valve replacement (TAVR) is now generally accepted as the new standard of care for patients with symptomatic aortic stenosis who are not candidates for open surger ...
Left side obstruction - PCA Pediatric Cardiology
Left side obstruction - PCA Pediatric Cardiology

... Transposition of the great vessels ...
Case Report Ventricular Septal Defect in an Octogenarian
Case Report Ventricular Septal Defect in an Octogenarian

... with coronary disease. Then, he underwent elective surgery, namely, VSD patch repair concomitant with coronary artery bypass grafting, and mitral and tricuspid annuloplasty. His postoperative course was uneventful. We conclude that, even for an octogenarian, surgical repair of VSD is recommendable, ...
Age-related normal structural and functional ventricular values in
Age-related normal structural and functional ventricular values in

... Background: The heart is subject to structural and functional changes with advancing age. However, the magnitude of cardiac age-dependent transformation has not been conclusively elucidated. Methods: This retrospective cardiac magnetic resonance (CMR) study included 183 subjects with normal structur ...
Intro Cardiovascular System
Intro Cardiovascular System

...  Allow blood to flow in only one direction to prevent backflow ...
Reendothelialization of Human Heart Valve Neoscaffolds Using
Reendothelialization of Human Heart Valve Neoscaffolds Using

... Background:  Heart valve tissue engineering represents a concept for improving the current methods of valvular heart disease therapy. The aim of this study was to develop tissue engineered heart valves combining human umbilical vein endothelial cells (HUVECs) and decellularized human heart valve mat ...
Don`t Always Blame CREST Syndrome for Heart Problems
Don`t Always Blame CREST Syndrome for Heart Problems

... of cardiac myocytes leads to electrical ! Subtle epsilon wave in V1-V2 and structural dysfunction. The cause of RV localization is unknown. Autosomal dominant inheritance is more common, and autosomal recessive inheritance is seen as part of Due to the patient’s high risk for sudden cardiac death, a ...
Effect of Therapy on Left Ventricular Function in
Effect of Therapy on Left Ventricular Function in

... specific gravity of cardiac muscle) with the formula: left ventricular mass = (end-diastolic diameter + 2 x left ventricular posterior wall thickness)* - end-diastolic volume x 1.1. The left ventricular mass index was obtained by dividing left ventricular mass by the surface area of the patient. The ...
Development of a Training System for Cardiac Muscle Palpation
Development of a Training System for Cardiac Muscle Palpation

... diseased ventricle. Namely, the opportunity to inspect the beating heart based on feels is limited to the scene of the operating room. Therefore training systems for cardiac muscle palpation are desired to the cardiac surgeon. In this study, a virtual heart model is proposed to design and build a tr ...
Current Technique of the Arterial Switch Procedure
Current Technique of the Arterial Switch Procedure

... first. Without exception, all ventricular septal defects have been patched through the tricuspid valve. The atrial septal defects have also been closed with a patch in the majority of patients, particularly when the septum has been extensively torn from a previous balloon septostomy. Attention is th ...
Copyright 2009 John Wiley & Sons, Inc.
Copyright 2009 John Wiley & Sons, Inc.

... Begin ventricular ejection ...
Chapter 32: Nursing Assessment: Cardiovascular
Chapter 32: Nursing Assessment: Cardiovascular

... o Sympathetic nervous system (SNS) activation increases heart rate (HR) and cardiac contractility, produces widespread vasoconstriction in the peripheral arterioles, and promotes the release of renin from the kidneys. o Baroreceptors, located in the carotid artery and the arch of the aorta, sense ch ...
Development of the Heart
Development of the Heart

... The human heart is the rst functional organ to develop. It begins beating and pumping blood around day 21 or 22, a mere three weeks after fertilization. This emphasizes the critical nature of the heart in distributing blood through the vessels and the vital exchange of nutrients, oxygen, and wastes ...
Mitral annular plane systolic excursion (MAPSE)
Mitral annular plane systolic excursion (MAPSE)

... systolic function. MAPSE was obtainable in all patients, and showed inter- and intra-observer variability of 4,4% and 5,3% [13]. It is less well investigated than its right ventricular counterpart, tricuspid annular plane systolic excursion (TAPSE), and has received considerably less attention than ...
Doppler Echocardiography in Dilated Cardiomyopathy: Diastolic
Doppler Echocardiography in Dilated Cardiomyopathy: Diastolic

... time/ejection time) [(ICT+IRT)/ET] in comparison to LVEF obtained by angiography. All patients were classified according to their clinical status in four groups: Group I: ...
Successful Treatment of Idiopathic Dilated
Successful Treatment of Idiopathic Dilated

... addition of lisinopril and the increase in furosemide to better control his CHF to better control his CHF, with the goal of stabilizing him clinically in order to perform a complete cardiac evaluation. Hydrochlorthiazide, a thiazide diuretic (1 mg/kg once daily) and spironolactone, an aldosterone an ...
Intraprocedural left ventricular free wall rupture diagnosed by left
Intraprocedural left ventricular free wall rupture diagnosed by left

... pressure because, in absence of aortic regurgitation, the aortic valves are closed during diastole. This case highlights the risk of intraprocedural LV wall rupture in patients presenting with AMI and severe AS by, a) increasing the intraventricular pressures, and b) attempting to preserve a normal ...
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Mitral insufficiency



Mitral insufficiency (MI), mitral regurgitation or mitral incompetence is a disorder of the heart in which the mitral valve does not close properly when the heart pumps out blood. It is the abnormal leaking of blood backwards from the left ventricle, through the mitral valve, into the left atrium, when the left ventricle contracts, i.e. there is regurgitation of blood back into the left atrium. MI is the most common form of valvular heart disease.
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