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ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 Appropriateness
ACCF/ASE/ACEP/ASNC/SCAI/SCCT/SCMR 2007 Appropriateness

... a. Use of a standard set of 2-dimensional views evaluating the cardiac structures (6,7). b. Use of 2-dimensional/M-mode imaging, color flow Doppler, and spectral Doppler as they are generally considered to be important elements of a comprehensive TTE or TEE study (8 –10). In evaluating the appropria ...
Paced right bundle branch block: where is the catheter
Paced right bundle branch block: where is the catheter

... pericardiophrenic vein due to the combination of RBBB paced QRS morphology and diaphragmatic stimulation caused by the pacing of the left pericardiophrenic nerve. When the patient went for permanent pacemaker insertion, fluoroscopy confirmed the location of the temporary wire in the left pericardiop ...
Echocardiographic Demonstration of Coronary Artery to Left
Echocardiographic Demonstration of Coronary Artery to Left

... in the formation of the Thebesian vessels of the adult heart. Thus, interference with developmental changes might produce an abnormally prominent Thebesian system with the appearance of multiple coronary microfistulae. Coronary artery fistulas may mimic the physiology of various heart lesions.4-6 Fi ...
PDF - Circulation: Arrhythmia and Electrophysiology
PDF - Circulation: Arrhythmia and Electrophysiology

... include baffle obstruction, systemic ventricular failure, systemic atrioventricular valve regurgitation, and rhythm disturbances. The most common atrial arrhythmia in this population is intra-atrial reentrant tachycardia (IART), which has been associated with development of heart failure and death.1 ...
Right ventricular contractility in systemic sclerosis-associated and idiopathic pulmonary arterial hypertension
Right ventricular contractility in systemic sclerosis-associated and idiopathic pulmonary arterial hypertension

... ELZINGA and WESTERHOF [16, 17] have shown, in isolated cat hearts, that the pump function of the left and right heart can be described quantitatively by such a graph, which relates mean ventricular pressure with mean ventricular output. This relationship, which characterises the heart, was determine ...
Balloon Valvuloplasty as a Treatment of Congenital
Balloon Valvuloplasty as a Treatment of Congenital

... Whenever clinical condition of a patient allowed, BVP was performed after the neonatal period, because of significantly higher incidence of complications reported (like femoral artery thrombosis or need for reintervention) in children younger than one month [6, 9]. Only in two patients BVP was done ...
Ginormous Coronary Sinus with Persistent Left Superior Vena Cava
Ginormous Coronary Sinus with Persistent Left Superior Vena Cava

... As PLSVC is a congenital disorder, up to 40% of PLSVC can be associated with other anomalies including atrial septal defect, coarctation of aorta, bicuspid aortic valve, unroofed coronary sinus, coronary sinusostial atresia and cor triatriatum [3,4]. It is often asymptomatic and discovered incidenta ...
Beyond ejection fraction: an integrative approach for assessment of
Beyond ejection fraction: an integrative approach for assessment of

... and the more recent method of two- and three- dimensional speckle-tracking echocardiography based on grey-scale imaging provide data on myocardial deformation by measuring strain and strain rate (Figure 3). Strain is defined as the change in length of a myocardial segment relative to its resting len ...
Ventricular septal defect - ePrints
Ventricular septal defect - ePrints

... the anatomic borders, and the way the curved surface representing the area of deficient septation opens into the morphologically right ventricle. Results: Clinical manifestation depends on the size of the defect, and on the relationship between systemic and pulmonary vascular resistances. Symptoms i ...
Role of Left Ventricular Diastolic Dysfunction in Predicting
Role of Left Ventricular Diastolic Dysfunction in Predicting

... the underlying cause of AF. Preservation of sinus rhythm after successful cardioversion still remains a challenge for clinicians. Despite the use of antiarrhythmic drugs and serial cardioversions, the rate of AF recurrence remains high in the first year. Current evidence suggests that diastolic dysf ...
Selected Aortic Valve Procedures
Selected Aortic Valve Procedures

... when suitable alternatives to autograft replacement of the aortic valve are available with comparable results and without the need for replacement of the right ventricular outflow tract (RVOT), as the latter adds the additional risk of pulmonary valve dysfunction and subsequent replacement. (Level o ...
Cardiac Pumping and the Function of Ventricular
Cardiac Pumping and the Function of Ventricular

... Frank, a pupil of C. F. W. Ludwig (a German scholar, who could be considered as the father of heart physiology  of today).  The  Second  World  War  changed  the  scientific  scene.  The  center  of  gravity  shifted  in  this  area  (as  in  many  others) to the United States (Berglund, Braunwald,  ...
Reverse takotsubo cardiomyopathy with use of
Reverse takotsubo cardiomyopathy with use of

... apical and or mid segments of the left ventricle without the presence of coronary artery disease (1, 2). In contrast, reverse takotsubo cardiomyopathy is a condition with transient systolic dysfunction of the basal segments of the left ventricle. Although transient, reverse, or inverted takotsubo ca ...
English
English

... One example of this behavior is in the ECG shown in Figure 1, which obtained from a three-year-old boy with acute rheumatic carditis, significant mitral insufficiency and congestive heart failure. On the tracing, where there is low QRS voltage in the frontal plane, first-degree AV block (PRi=180 ms) ...
Proximal pulmonary emboli modify right ventricular ejection pattern A. Kuch-Wocial**, M. Szulc**
Proximal pulmonary emboli modify right ventricular ejection pattern A. Kuch-Wocial**, M. Szulc**

... pulmonary embolism was additionally made by either high probability lung scan or pulmonary angiography, as appropriate. Acute pulmonary embolism was diagnosed only if clinical and echocardiographic signs of RV overload were no longer found after 3 months of antithrombotic treatment. Chronic pulmonar ...
Validation of echocardiographic methods for assessing left
Validation of echocardiographic methods for assessing left

... Although the American Society of Echocardiography recommends dividing the human heart into 16 segments (5), the 16-segment model cannot be applied directly to the rat heart because the small size of the heart limits the number of echocardiographic windows and wall segments that can be visualized. Th ...
Prosthesis–patient mismatch after aortic valve replacement
Prosthesis–patient mismatch after aortic valve replacement

... The effect of PPM on survival and left ventricular remodeling after AVR has been controversial. Although some investigators have suggested that PPM results in decreased early and late survival after AVR,3,4 others have failed to confirm these findings.2,5-8 However, surgical selection factors confou ...
2006-2008
2006-2008

... Heart valves control the flow of blood as it enters the heart and is pumped from the chambers of the heart to the lungs for oxygenation and back to the body. There are four valves: the tricuspid, mitral, pulmonic and aortic valves. Heart valve disease occurs when a valve cannot open all the way beca ...
Cyanotic CHD
Cyanotic CHD

... CXR: PVM↑,PA may appear displaced ...
The Heart - Pearson Higher Education
The Heart - Pearson Higher Education

... of three layers: the epicardium, myocardium, and endocardium (Figure 18.3). As we have noted, the superficial epicardium is the visceral layer of the serous pericardium. It is often infiltrated with fat, especially in older people. The middle layer, the myocardium (“muscle heart”), is composed mainl ...
Right Ventricular Ejection Function Assessed by - J
Right Ventricular Ejection Function Assessed by - J

... none of these reports examined the direct relation between the right ventricular global ejection fraction and regional shortening. Our results suggest that the ejection function of the right ventricle can be evaluated to some degree by the % shortening of the SF dimension in cases without obvious re ...
Interventricular Septal Thickness and Left Ventricular
Interventricular Septal Thickness and Left Ventricular

... left ventricular concentric hypertrophy, 20 with idiopathic hypertrophic subaortic stenosis (IHSS), and 34 normal subjects. Concentric hypertrophy was due to hypertension in 41 subjects and to valvular disease in 15 subjects. Septal thickness in normal subjects was related to body surface area (p < ...
Interventricular Septal Thickness and Left Ventricular Hypertrophy
Interventricular Septal Thickness and Left Ventricular Hypertrophy

... left ventricular concentric hypertrophy, 20 with idiopathic hypertrophic subaortic stenosis (IHSS), and 34 normal subjects. Concentric hypertrophy was due to hypertension in 41 subjects and to valvular disease in 15 subjects. Septal thickness in normal subjects was related to body surface area (p < ...
Pulmonary regurgitation in congenital heart disease
Pulmonary regurgitation in congenital heart disease

... a stiff right ventricle is the antegrade transmission of the atrial ‘a’ wave into the main pulmonary artery, in all phases of respiration, with the stiff right ventricle in diastole acting as a passive conduit. This can either be demonstrated using pressure measurements (figure 1) or more commonly b ...
An Improved Method for Echographic Detection of Left
An Improved Method for Echographic Detection of Left

... in these 12 patients was 2.95 cm, with a range of 2.2 to 3.6 cm. The mean left atrial dimension was 3.97 cm, with a range of 3.2 cm to 5.0 cm. Group C - Left atrial enlargement. In group C, consisting of patients expected to have left atrial enlargement due to mitral valve lesions and/or myocardial ...
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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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