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Assessment of valvular regurgitation. Part 1: aortic and pulmonary
Assessment of valvular regurgitation. Part 1: aortic and pulmonary

... Assessment of ventricular size and function Valvular regurgitation creates a volume overload state. The duration and the severity of the regurgitation are the main determinants of the adaptive cardiac changes in response to volume overload. Three major physiopathological phases can be described: (i) ...
Inotropes in cardiothoracic surgery
Inotropes in cardiothoracic surgery

... Indications in specific settings(cont.) ...
Ventricular Precontracting Area in the Wolff- Parkinson
Ventricular Precontracting Area in the Wolff- Parkinson

... I (W-P-W) the recognized causes of the pathognomonic electrocardiograhic slow wave (the so-called delta wave) inserted between P and R are premature excitation of a ventricular area and an exceptionally slow transmyocardial conduction of the impulse, before it reaches the Purkinje network, and hence ...
Atrioventricular Septal Defects
Atrioventricular Septal Defects

... c. It is done at your baby’s bedside. 3. Infants with symptoms may be put on medicine. Some of the medicines we commonly use are: a. Lasix: a “diuretic” (“water medicine”), which means it helps the body get rid of extra water. It does this by increasing the amount of urine your baby makes b. Captopr ...
Tricuspid Atresia
Tricuspid Atresia

... o Blood enters the right atrium and cannot exit due to agenesis of the TV and crosses the atrial septal defect into the left atrium (LA) causing systemic desaturation. o Blood then crosses the mitral valve (MV) and enters the left ventricle (LV). Blood enters the right ventricle across the VSD. The ...
European Association of Echocardiography recommendations for
European Association of Echocardiography recommendations for

... Assessment of ventricular size and function Valvular regurgitation creates a volume overload state. The duration and the severity of the regurgitation are the main determinants of the adaptive cardiac changes in response to volume overload. Three major physiopathological phases can be described: (i) ...
FETAL ECHONew FE PPT_ibn sina
FETAL ECHONew FE PPT_ibn sina

... babies with a CHD are seriously affected and will need treatment ...
Assessment Of Sinoatrial Node Function In Patients With
Assessment Of Sinoatrial Node Function In Patients With

... Kulikov Aleksei A, Bokeria Leo A A.N. Bakoulev Scientific Center for Cardiovascular Surgery. ...
Heart Anatomy
Heart Anatomy

... Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings ...
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... Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings ...
Heart Anatomy
Heart Anatomy

... Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings ...
Mitral annular plane systolic excursion on
Mitral annular plane systolic excursion on

... tion (LVEF)¼60 + 7%] with reduced VO2 max (18.6 + 5.2 mL/min/kg) and 36 control subjects (LVEF¼62 + 7%, VO2 max 29.4 + 4.8 mL/min/kg) were studied. MAPSE at rest was significantly lower in patients (10.9 + 2.1 vs. 12.1 + 2.2 mm in controls, P ¼ 0.008) which was even more pronounced on exercise (12.0 ...
Pitfalls in the Estimation of the Severity of a
Pitfalls in the Estimation of the Severity of a

... complained of gradually increasing dyspnea. Physical examination revealed a blood pressure of 115/90 mmHg. There were no clinical signs of overt heart failure. An ejection murmur was clearly audible. Electrocardiography showed a pacemaker rhythm. Echocardiography showed a poorly contractile dilated ...
Balloon Pulmonary Valvuloplasty in patients with Congenital
Balloon Pulmonary Valvuloplasty in patients with Congenital

... Congenital valvular pulmonary stenosis (PS) accounts for most of the etiology of PS, and constitutes about 5 to 10% of all congenital heart disease. The first use of a balloon catheter was reported in the early 1800s when a catgut balloon was used to dilate the urethra.1 In 1979, Semb, et al. first ...
Prosthetic Valves: The Essentials
Prosthetic Valves: The Essentials

... struts.   The   ball   occludes   central   blood   flow,   which   eliminates   regurgitant   flow   but   requires   greater   energy   for   the   left   ventricle  to  eject  the  blood  through  the  valve.    As    a  result,  the ...
Full Text  - J
Full Text - J

... outflow tract. MPA: Main pulmonary artery. PAWP: Pulmonary artery wedge pressure. LV: Left ventricle. Ao: Aorta. ...
Impaired left ventricular relaxation in hypertrophic
Impaired left ventricular relaxation in hypertrophic

... 4hatt16ee stiffness (decreased compliance) . Impaired ventrict1,ar relaxation is often a more important cause of abnormal ...
Congenital Malformations of the Aortic Root: Bicuspid Aortic Valve in
Congenital Malformations of the Aortic Root: Bicuspid Aortic Valve in

... and finally at the suture cuff of the mechanical aortic valve. When we tied down the sutures the opening was obliterated by the aortic valve annulus and the pledget on the one side and the suture cuff of the mechanical valve on the other, thereby reinforcing the friable tissue of the aneurysm. The e ...
ECG Strip Ease PowerPoint CH1
ECG Strip Ease PowerPoint CH1

... – Stroke volume—amount of blood ejected with each heartbeat; affected by: • Preload—stretching of muscle fibers in the ventricles • Contractility—ability of the myocardium to contract normally • Afterload—pressure needed to overcome the pressure in the aorta Copyright © 2013 Wolters Kluwer Health | ...
PATHOLOGY OF THE CARDIOVASCULAR SYSTEM
PATHOLOGY OF THE CARDIOVASCULAR SYSTEM

... 3. Deterioration of function associated with degeneration of hypertrophied myocytes Cardiac Dilation ...
Pharmacotherapy of Cardiogenic Shock_Master
Pharmacotherapy of Cardiogenic Shock_Master

... o MI can cause SIRS, which results in low-normal SVRs (inappropriate vasodilation) - Do not rely on the BP to tell you if a patient is in shock! o In animal studies, MAP < 60 has been shown to be detrimental to cellular processes o Patients with HTN may require a higher MAP to maintain tissue perfus ...
Innocent Murmur
Innocent Murmur

... intracardiac pressure and flow to the acoustic events found in this patient follows, and explains the reason for the common systolic murmur occurring in early systole with a crescendo-decrescendo configuration. ...
Unreliability of M-Mode Left Ventricular Dimensions for Calculating
Unreliability of M-Mode Left Ventricular Dimensions for Calculating

... the vertical distance between the left side of the interventricular septum and the endocardial surface of the posterior wall ( Fig 1 ). Enddiastole was taken at the peak of the R wave on the ECC at or just below the level of the posterior leaflet of the mitral valve. This echocardiographic location ...
Unreliability of M-Mode Left Ventricular Dimensions for Calculating
Unreliability of M-Mode Left Ventricular Dimensions for Calculating

... the vertical distance between the left side of the interventricular septum and the endocardial surface of the posterior wall ( Fig 1 ). Enddiastole was taken at the peak of the R wave on the ECC at or just below the level of the posterior leaflet of the mitral valve. This echocardiographic location ...
Pathophysiology of Heart failure
Pathophysiology of Heart failure

... • diminished ejection fraction (i.e., that fraction of end-diastolic blood volume ejected from the ventricle during each systolic contraction – les then 45%) ...
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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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