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no animations - 6 MB PDF - UNC Heart Sounds Project
no animations - 6 MB PDF - UNC Heart Sounds Project

... This is a systolic ejection murmur of right ventricular outflow tract Click to begin obstruction in tetralogy of Fallot. Note the occasional respiratory arrhythmia associated with the child’s breathing “B”. 38-B ...
Developmental Changes in the Myocardial Architecture of the Chick
Developmental Changes in the Myocardial Architecture of the Chick

... The pattern of trabeculation was ventricle-specific. In the left ventricle, the preferential orientation of the trabeculae changed to longitudinal from the apex to the mitral orifice, with some oblique connecting segments between the main trabecular bundles (Fig. 8). In the right ventricle, the trab ...
Branches of this artery as I said when it reaches to
Branches of this artery as I said when it reaches to

... the right coronary artery over here the heart in this case of this picture is straight forward it isn’t in claim so you will see the left and the right one &this is circumflex & this LAD artery (left anterior descending artery ),and that the right coronary artery & this is the marginal artery ,obser ...
Cardiac Output
Cardiac Output

... increasing contractility, which results in more complete ejection of blood from the heart (lower ESV). Increased Parasympathetic Stimulation - Parasympathetic activity increases after a crisis has passed. This reduces heart rate and stroke volume from their high levels, bringing cardiac output back ...
Cardiac Output
Cardiac Output

... • Increased Parasympathetic Stimulation - Parasympathetic activity increases after a crisis has passed. This reduces heart rate and stroke volume from their high levels, bringing cardiac output back to normal. • Increased Venous Return - Cardiac muscle fibers are stretched by increased blood volume ...
MED-TEXT 1 Question #41 http://www
MED-TEXT 1 Question #41 http://www

... A3 - ECTOPIC BEAT= a) (extrasystole) a heart beat due to an impulse generated somewhere in the heart outside the sinoatrial node. Ectopic beats are generally premature in timing; they are classified as supraventricular if they originate in the atria and ventricular if they arise from a focus in the ...
Relationship of Mitral Annular Plane Systolic Excursion
Relationship of Mitral Annular Plane Systolic Excursion

... October 2009 until January 2012 in 100 sinus rhythm patients with dilated cardiomyopathy without anticoagulation therapy. We excluded patients with: swallowing problems, acute myocardial infarction, atrial fibrillation/flutter, severe systolic dysfunction, severe arterial hypertension, valvular dise ...
Severe Aortic Stenosis - Loma Linda University Medical Center
Severe Aortic Stenosis - Loma Linda University Medical Center

... had refused aortic valve replacement had a mean average survival of 23 months, and the 5-year probability of survival was 18% [4]. All these patients had died within 12 years of observation. Livanainen and colleagues [5] showed severe AS (n ⫽ 13) predicted a fourfold to sixfold relative risk for dea ...
med texts
med texts

... A3 - ECTOPIC BEAT= a) (extrasystole) a heart beat due to an impulse generated somewhere in the heart outside the sinoatrial node. Ectopic beats are generally premature in timing; they are classified as supraventricular if they originate in the atria and ventricular if they arise from a focus in the ...
From Frank-Starling relationships to ventriculo
From Frank-Starling relationships to ventriculo

... that the sudden increase in venous return increased atrial pressure, while blood pressure was maintained almost unchanged by manipulation of the Starling resistor. Both diastolic and systolic volumes increased rapidly, with an increase in stroke volume that accommodated for the increase in venous re ...
diagnosis and prognosis of anomalous origin of the left coronary
diagnosis and prognosis of anomalous origin of the left coronary

... spect, this patient had echocardiographically visible regional hypokinesia of the antero-lateral left ventricular wall, which was not recognised before surgery. The coexistence of ALCAPA and VSD can be a dangerous combination. A large VSD may induce high pressure in the MPA, which preserves the left ...
Evaluation of Native Left Ventricular Function During Mechanical
Evaluation of Native Left Ventricular Function During Mechanical

... without LVAD support. Method 4 is a theoretically acceptable procedure, and method 5 uses a special mode to apply a given load to the recovering myocardium. Unfortunately, none of these methods can predict the ability of the native left ventricle to sustain systemic circulation just after weaning fr ...
Chapter 19 Circulartory System
Chapter 19 Circulartory System

... • cardiac cycle - one complete contraction and relaxation of all four chambers of the heart • atrial systole (contraction) occurs while ventricles are in diastole (relaxation) • atrial diastole occurs while ventricles in systole • quiescent period all four chambers relaxed at same ...
Pathophysiology of Heart Failure
Pathophysiology of Heart Failure

... A. Otto Frank (1899) is credited with the seminal observation that peak ventricular pressure increases as the end-diastolic volume is increased. This observation was made in an isolated frog heart preparation in which ventricular volume could be measured with relative ease. Though of primary importa ...
Appendix 1 - Report of the Manitoba Pediatric Cardiac Surgery Inquest
Appendix 1 - Report of the Manitoba Pediatric Cardiac Surgery Inquest

... of blood will be from left to right (left to right shunt). Blood flow from right to left (right to left shunt) will be present only if there are other complicating conditions leading to a higher pressure on the right side, such as pulmonary stenosis or tricuspid atresia, which impede or prevent the ...
Anaesthetist`s evaluation of a child with a heart murmur
Anaesthetist`s evaluation of a child with a heart murmur

... the child is asymptomatic and nothing in the history indicates an increased risk of heart disease.1 • Children who are younger than one year of age may be asymptomatic, despite having severe abnormality. They should be referred. Newborn babies have a 1% incidence of heart murmurs, but 31-86% of new ...
Non-invasive methods for assessing pulmonary exercise
Non-invasive methods for assessing pulmonary exercise

... any rise in pulmonary artery pressures or, if there is a rise in pulmonary artery pressures, these are matched by rise in left atrial pressure, i.e., transpulmonary gradient for pressure remains low. This lack of change in pulmonary pressures is due to the remarkable compliance of the pulmonary arte ...
What causes congenital heart defects?
What causes congenital heart defects?

... Women with insulin-dependent diabetes (particularly if the diabetes is not well-controlled) • Lupus (SLE) • Rubella, MMR vaccine (pregnant) ...
A CASE OF PULMONARY CONGESTION
A CASE OF PULMONARY CONGESTION

... CRACKLES, CREPS AND RALES - CAUSES Sudden airway opening ...
21-Development of cardiovascular system
21-Development of cardiovascular system

... • (1) The muscular interventricular septum develops in the floor of the ventricle it grows toward the AV cushions but stops short leaving the interventricle foramen. • (2)The membranous IV septum forms by the fusion of three components: the right bulbar ridge,left bulbar ridge, and AV cushions. This ...
WPW Syndrome – ECG Manifestations
WPW Syndrome – ECG Manifestations

... are activated normally and hence it presents like a narrow QRS tachycardia (see Fig. 2). ORT can also occur in patients with concealed APs that have no preexcitation on baseline ECG. 2. Antidromic atrioventricular reentrant tachycardia (AVRT). It is a very uncommon form of arrhythmia wherein the re ...
Cardiac: Routine Post-Operative Care
Cardiac: Routine Post-Operative Care

... 2. Duncan, A., & Croston, E. (2008). Guidelines for the Intensive Care Management of Infants and Children after Congenital Heart Surgery. Paediatric Intensive Care Unit, Princess ...
PDF - European Echocardiography Course
PDF - European Echocardiography Course

... ! "Malaligned outlet defects: 30% ! "can cause LVOTO or RVOTO ...
The Thebesian valve and coronary sinus in cardiac magnetic
The Thebesian valve and coronary sinus in cardiac magnetic

... All data were evaluated by two CMR investigators. An arbitrary scale of the quality of the images of the coronary venous system, which was adapted from the cardiac computed tomography scale of visualization, was introduced and used [10]. The highest grade on the scale was 5 and the lowest was 1, and ...
Management of severe aortic stenosis
Management of severe aortic stenosis

... AS = aortic stenosis AVR = aortic valve replacement BSA = body surface area LVEF = left ventricular ejection fraction Med Rx = medical therapy TAVI = transcatheter aortic valve implantation. b Surgery should be considered (IIaC) if one of the following is present: peak velocity >5.5m/s; severe va ...
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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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